Dear Running Doc:
I am a 47-year-old runner. we have never had knee pain until 1 month ago. It bothers me in both knees going downstairs and stiffens up if we lay too long. My alloy diagnosed me as having “runner’s knee.” He suggested a structured using shoe, full length orthotics and exercises. we have review your columns and you suggest the same. But we trust in minimalist using shoe, to feel like I’m using barefoot and my alloy says we can't put the orthotics in a minimalist using shoe. Why?
Justin T., Beverly Hills, CA
Thanks, Justin, for the question. Many who trust in minimalist boots never get better from “runner’s knee” since of the issue you are having. Fewer know why.
“Runner’s knee” is really the wearing down of the back of the knee top due to a diseased center quad flesh and overpronation causing the knee top to lane offline. You could censure your relatives for giving you these biomechanical structures.
“Runner’s knee” can turn symptomatic at any age. But once it does, the fix is easy if you follow directions. If you don’t, the pain will remain.
Most reduce ascendancy heedfulness and conditions are caused by aberrant foot strike. Just like children’s building blocks, if you do something at the bottom it translates above.
Minimalist using boots do not control overpronation. Orthotics alone do not control overpronation enough. The multiple of a good full length orthotic with a structured using shoe is adequate to control the overpronation and reanimate “runner’s knee.”
Justin, we know you and other minimalist believers will indicate to tons of novel where users of these forms of using boots enliven their virtues. Realize these are testimonials and not peer-reviewed research. we can tell you from years of knowledge that a structured using is indispensable in serve to the orthotic to work together to fix “runner’s knee.”
Minimalists shoes, Justin, are no longer in your future. The good news is that making this tiny change “runner’s knee” shoe not be a worry to you again.
If you have any serve questions greatfully do not demur to write again.
Enjoy the Ride!
Lewis G. Maharam, MD, FACSM is one of the world’s many extensively credentialed and obvious sports health experts. Better famous as Running Doc™, Maharam is author of Running Doc’s Guide to Healthy Running and past medical executive of the NYC Marathon and Rock ‘n’ Roll Marathon series. He is Medical Director of the Leukemia Lymphoma Society’s Team in Training program. He is also past boss of the New York Chapter of the American College of Sports Medicine. Learn some-more at runningdoc.com.
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