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Close Look at Shoe Inserts Raises a Welter of Doubts

February 08, 2011 | 55,574 views
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Walking on a Running Track"Orthotics" is the name for the shoe inserts many athletes use in an attempt to prevent injuries. But analysis shows that, while shoe inserts or orthotics could theoretically be helpful as a short-term method of preventing injury, it is not entirely clear how to make inserts that work.

The notion that orthotics correct mechanical-alignment problems does not hold up to study. However, orthotists argue that this does not take into account the benefits that patients perceive; according to them, it does make patients feel better.

According to the New York Times:

"... [W]hat ... do orthotics actually do? They turn out to have little effect on kinematics -- the actual movement of the skeleton during a run. But they can have large effects on muscles and joints, often making muscles work as much as 50 percent harder for the same movement and increasing stress on joints by a similar amount. As for 'corrective' orthotics ... they do not correct so much as lead to a reduction in muscle strength."

What Are GMOs?

From April 19th through April 25th we launch GMO Awareness Week. We set aside an entire week dedicated to providing you with information on GMOs and labeling initiatives.

GMOs are a product of genetic engineering, meaning their genetic makeup has been altered to induce a variety of “unique” traits to crops, such as making them drought-resistant or giving them “more nutrients.” GMO proponents claim that genetic engineering is “safe and beneficial,” and that it advances the agricultural industry. They also say that GMOs help ensure the global food supply and sustainability. But is there any truth to these claims? I believe not. For years, I've stated the belief that GMOs pose one of the greatest threats to life on the planet. Genetic engineering is NOT the safe and beneficial technology that it is touted to be.

Help Support GMO Labeling

The Grocery Manufacturers Association (GMA)—Monsanto’s Evil Twin—is pulling out all the stops to keep you in the dark about what’s in your food. For nearly two decades, Monsanto and corporate agribusiness have exercised near-dictatorial control over American agriculture. For example, Monsanto has made many claims that glyphosate in Roundup is harmless to animals and humans. However, recently the World Health Organization (WHO) had their research team test glyphosate and have labeled it a probable carcinogen.

Public opinion around the biotech industry's contamination of our food supply and destruction of our environment has reached the tipping point. We're fighting back. That's why I was the first to push for GMO labeling. I donated a significant sum to the first ballot initiative in California in 2012, which inspired others to donate to the campaign as well. We technically "lost the vote, but we are winning the war, as these labeling initiatives have raised a considerable amount of public awareness.

The insanity has gone far enough, which is why I encourage you to boycott every single product owned by members of the GMA, including natural and organic brands. More than 80 percent of our support comes from individual consumers like you, who understand that real change comes from the grassroots.

Thankfully, we have organizations like the Organic Consumers Association (OCA) to fight back against these junk food manufacturers, pesticide producers, and corporate giants.

Internet Resources Where You Can Learn More

Together, Let's Help OCA Get The Funding They Deserve

Let’s Help OCA get the funding it deserves. I have found very few organizations who are as effective and efficient as OCA. It’s a public interest organization dedicated to promoting health justice and sustainability. A central focus of the OCA is building a healthy, equitable, and sustainable system of food production and consumption. That's why I'm proud to announce I will be matching donations up to $250,000 this week.

Please make a donation to help OCA fight for GMO labeling.

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Dr. Mercola's Comments:

Over-the-counter and prescription orthotic shoe inserts are widely promoted as a way to properly align your feet to avoid and treat injuries. In all, the orthopedic orthotics market is expected to grow to nearly $5 billion globally by 2015, and a prescription pair of top-of-the-line orthotics can easily set you back $500 or more, which is often not covered by insurance.

But despite millions of Americans wearing these inserts dutifully each and every day, there is little evidence that they actually work, and confusion over what's triggering the benefit when they do.

Are Orthotic Shoe Inserts Worth It?

Expert opinions vary on whether or not orthotics are worthwhile. Some say the majority of their patients feel better having them than not -- but no one seems to know why.

As the New York Times reported, Dr. Benno M. Nigg, a professor of biomechanics and co-director of the Human Performance Lab at the University of Calgary in Alberta:

" … found there was no way to predict the effect of a given orthotic. Consider, for example, an insert that pushes the foot away from a pronated position, or rotated excessively outward. You might think it would have the same effect on everyone who pronates, but it does not.

One person might respond by increasing the stress on the outside of the foot, another on the inside. Another might not respond at all, unconsciously correcting the orthotic's correction.

"That's the first problem we have," Dr. Nigg said. "If you do something to a shoe, different people will react differently."

Adding to the problem, it's not unusual for a person to be offered a different type of orthotic from each practitioner they see, each with its own purported benefits, with some feeling more comfortable to an individual than others, again with little rhyme or reason as to why.

Studies into this area have also come up short, with some suggesting they may help treat plantar fasciitis, a common injury to a foot tendon, or stress fractures, or keep some athletes or soldiers more comfortable, but the research is lacking to make any solid recommendations either way.

The end result seems to be the old adage "if the shoe fits, wear it" -- if you're having pain due to an activity or injury, and it improves with an orthotic, it may be a good choice for you. That said, you may actually be able to get an even better fit, and less pain and injury, by opting for less correction instead of more.

And when I say less, I mean much, much less …

Your Feet Actually Work Best Without Shoes

Your feet were designed to work best without shoes. So when you surround your feet with the extra padding and protection that most athletic shoes offer, your foot muscles are not being used appropriately. Prescription and over-the-counter orthotics may interfere with the workings even more (although in some cases may help counteract the imbalances that shoes are causing).

There are obviously some concerns with going barefoot, namely stepping on a sharp object or rock and injuring your skin. But if done properly, walking and even running barefoot can be quite safe. Marathon runners in Kenya actually do it all the time.

In fact, research by Michael Warburton, a physical therapist in Australia, found that running barefoot decreases the likelihood of ankle sprains and chronic injuries, such as plantar fasciitis.

He writes in the journal Sports Science:

"Running barefoot is associated with a substantially lower prevalence of acute injuries of the ankle and chronic injuries of the lower leg in developing countries, but well-designed studies of the effects of barefoot and shod running on injury are lacking.

Laboratory studies show that the energy cost of running is reduced by about 4% when the feet are not shod. In spite of these apparent benefits, barefoot running is rare in competition, and there are no published controlled trials of the effects of running barefoot on simulated or real competitive performance."

Upon reviewing the handful of research studies he could find, Warburton found:

  • Running-related chronic injuries to bone and connective tissue in the legs are rare in developing countries, where most people are habitually barefooted
  • Where barefoot and shod populations co-exist, as in Haiti, injury rates of the lower extremity are substantially higher in the shod population
  • Wearing footwear actually increases the likelihood of ankle sprains, one of the most common sports injuries, because it either decreases your awareness of foot position or increases the twisting torque on your ankle during a stumble
  • One of the most common chronic injuries in runners, planter fasciitis (an inflammation of the ligament running along the sole of your foot) is rare in barefoot populations
  • Running in bare feet reduces oxygen consumption by a few percent.

Your Natural "Fox" Gait is Best

Much of the problem of wearing shoes comes from the way they cushion your foot, to the extent that your feet no longer naturally adjust your gait for optimum efficiency and safety.

Because of this it's been suggested that shoes lead to what's called "cow-walk."

Cow-walk puts tremendous pressure on your joints. Starting with the squeezing of your foot inside the shoe, jarring the knees as they're locked straight upon the pole-driving impact of the heel, which then travels straight up your spine, all the way up your neck.

In contrast, "fox-walking" is the walk of the natural hunter-gatherer -- the graceful flow of your body in total synchronization. Your knees are bent, rather than locked, the ball of your foot touches the ground first, followed by your heel, in a virtually soundless step motion. This is the natural gait that should occur when you walk barefoot (and you can often still observe this in action in children).

As an aside, another primary reason why going barefoot might be helpful is that it allows free electrons from the earth to pass into your body and essentially provide you with loads of great antioxidant potential. When you are "grounded" free electrons can easily come up from the earth and essentially nullify free radicals in your body.

An Alternative to Orthotics?

It is difficult to say conclusively whether or not orthotics will help or harm your natural gait, or help to deter some of the damage that conventional athletic shoes can cause. Again, if you currently wear them and feel they make you more comfortable, then you should listen to your body.

But for those of you who are experiencing minor aches and pains, for instance during exercise, you may want to try Vibram Five Finger shoes before ordering a costly pair of orthotics. Vibram Five Finger shoes have no arch support and have a pocket for each of your toes.

They do take some getting used to, but I believe they are superior to most shoes and provide a modern-day equivalent to going barefoot that may help you get back to a more natural, pain-free gait.

Two cautions though … one is that they are an insulator so you will not be grounded when walking outdoors. Additionally, if you are prone to getting fungal infections in your toenails this shoe could worsen them as they create a micro environment that is ideal for fungal growth.

So ideally walking barefoot is best, and I encourage you to try to incorporate this as much as possible. I am grateful to be able to do this about 75% of the time.

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