Welcome to MSK-Healthcare first post, the aim of the post is to help dispel the myths & uncertainties surrounding sport and exercise medicine by looking at the latest evidence. We hope that you find these posts interesting and informative, if you have any specific topics that you wish us to cover let us know.

We start with the hot topic – Which Running Shoes to Choose? 

If you visit a running shop you may been asked to walk along the floor or even run on the shop treadmill so the sales assistant can look at your foot gait.  To determine if your foot posture is highly supinated, supinated, high arch, neutral or perhaps pronated in order to help select the right running shoe. 

It can get very confusing however, there isn’t any real strong or even moderate evidence that supports traditional running shoe prescriptive in this way. 

Several studies have taken place looking at injury prevention with shoe prescription and no significant benefits was seen amongst runners that simple choose trainers that felt comfortable to those considered to be fitted to a foot shape. 

A study by Nielsen in 2014 put a thousand runners of various foot shapes into the same running shoes and followed them 1 year later. They found no difference in injuries to those runners in prescriptive trainer to those in none prescriptive trainers. The USA military did a similar study and gave 4000 new recruits prescription running shoes and found running injuries were just the same as the recruits wearing standard issue trainers. 

Company such as Nike often over emphasises the ability of certain running shoes such as their Vaporfly 4% Flynit running shoe with the 4% being the improvement the shoe gave Kenyan runner Eluid Kipchoge to break the world marathon record in Berlin 2018, not actually true he had broken the record unofficially beforehand not wearing Nike. 

So, perhaps don’t take what the sale’s person tells you about which trainer fits your foot posture too serious, if the shoe feels comfortable that’s probably the shoe for you. Albeit there will be certain runners that may require prescriptive running shoes for there foot type but in general it’s not necessary for most athletes. 

For more information on running shoes the full post with the evidence references can be found on our website blog

Any questions please feel free to email 


MSK Healthcare 

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