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Barefoot/minimalist shoes improve foot strength and running economy in trained users but raise injury risk in untrained populations (Ridge et al., 2019).
Long-term use (6+ months) shows reduced plantar fasciitis recurrence in some studies but mixed results for knee/hip pain (Altman & Davis, 2016).
Limitations:
Most studies are short-term; long-term outcomes (5+ years) are under-researched.
No one-size-fits-all prescription exists—foot morphology and gait vary widely.
Final Verdict
Barefoot shoes are a tool, not a cure-all. Their value or detriment hinges on:
Individual context: Foot structure, injury history, and activity type.
Transition discipline: A 3–6 month adaptation period with gradual mileage increases.
Activity-specific use: Ideal for trail running, strength training, or casual wear; less ideal for prolonged standing on hard surfaces without conditioning.
Detrimental outcomes arise primarily from:
Poor transition practices.
Use by individuals with contraindications (e.g., neuropathy, severe flat feet).
Overuse on unforgiving surfaces.
Recommendations
For most people: Try barefoot shoes as a supplement (not a replacement) to traditional footwear, starting with short walks or gym sessions.
Avoid them if: You have diabetes with neuropathy, advanced arthritis, or unresolved foot pain.
Consult a podiatrist: For personalized biomechanical assessments and transition plans.
Conclusion: Barefoot shoes are neither "good" nor "bad"—they are context-dependent. Used wisely, they can enhance foot health; used recklessly, they risk injury.
My doctor recommended I try them, and they completely resolved my plantar fasciitis. As a bonus, my lower back pain went away. They are probably not for everyone, though.
If you spend a lot of time on hard surfaces, don't go for the ultra-thin "barefoot" style, which is usually only 3mm or so thick. Go for thicker, "zero-drop" shoes that have maybe 6 or 9mm soles. Lem's is a good brand for that.
Honestly, even if you spend all day walking on grass, a thicker sole will protect you from random rocks and things.
You do need time for your feet, legs, and back to adjust. When "barefoot" shoes first came out a bunch of runners apparently went gung-ho on them and injured themselves by running their regular training routines without any adjustment period. Don't do that.
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Thomas Doubting
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2025-02-22 23:36
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