As physical therapists, we will commonly be asked about running shoes. What is the best shoe on the market? Should I try a minimalist shoe? In this gait guys blog post, they discuss the Dual Density Foam Running Shoe. The authors, Shawn and Ivo, go into detail on what a patient's static posture in a Dual Density shoe could potentially indicate. You need to ask yourself....
Is the person a supinator in a stiff shoe?
Is the person an over-pronator that statically stands in excessive supination for support?
Could a Tibial Varum be influencing the position of the foot?
Where exactly is the pronation occuring? Rearfoot or Midfoot/ Forefoot Pronation?
These are all valid questions and performing that differential diagnosis is important! The answer is, it all depends on that individual patient. You must do a complete evaluation with the shoe on and shoe off to see how the patient reacts in both circumstances.
Note: Since the Gait Guys have a continuous, running blog, you might have to scroll down to November 21 Post (look for dates on the left side of the blog to see the specific article we are discussing. Look for the title "Dual Density Foam Running Shoes."
James Heafner PT, DPT, OCS:
Owner and lead physical therapist at Heafner Health, cash-based physical therapy in Boulder, CO. Areas of expertise include orthopedic and manual therapy, functional movement, pain science, and movement science.
In May 2013, I earned my Doctorate in Physical Therapy from Saint Louis University. After graduating from the Harris Health Systems Orthopedic Residency in October 2014, I moved to Boulder, CO. Since living in Boulder, I have started my own cash-based PT practice, earned my OCS certification, and teach for the OPTIM Fellowship and COMT program in Houston TX and Scottsdale, AZ.
Chris Fox PT, DPT, OCS: Physical therapist at Foothills Sports Medicine & Physical Therapy in Scottsdale, AZ and regularly lectures at the Phoenix Campus for NAU's DPT program and for Optim Manual Therapy's COMT program. Completed multiple advanced manual therapy courses implementing aspects of biomechanical analysis. He received his DPT from Saint Louis University in 2013. Completed Scottsdale Healthcare's Orthopaedic Residency (now Honor Health) in July 2014. He became a Board Certified Orthopaedic Specialist in 2015. Level I Expert in FMS and SFMA , Kinetacore FDN Level 1 certification, and IASTM Technique course completion. He would like to pursue further education in McKenzie Technique, Dry Needling, Strength & Conditioning, Orthopaedic and Manual Therapy.
Brian Schwabe PT, DPT, SCS, CSCS:
- Board Certified Sports Physical Therapist (SCS) at Elite OrthoSport in Santa Monica, CA which specializes in treating collegiate/professional athletes and clientele from the Beverly Hills, Hollywood, and Santa Monica areas.
- USC Sports Residency Trained Physical Therapist (<1% of all PT's residency trained)
- DPT from Saint Louis University
- Future plans/interest include:
1. USAW, SFMA & Catapult Systems technology for NBA teams
2. Pursuing a position as a sports physical therapist &/or Strength coach for a Division 1 athletic medicine department or professional sport team.
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