Los Angeles Times

Benefits of going barefoot

- health@latimes.com

BY ROY M. WALLACK A few years back, barefoot running was red-hot. Thanks to the book “Born to Run,” soon to be a movie starring Matthew McConaughe­y, thousands of runners cast their shoes aside in the hope that the natural motion of the soft, perfectly balanced landing on the bare forefoot would make their debilitati­ng foot, knee and hip injuries disappear, as it did for author Christophe­r McDougall.

As interest in barefootin­g snowballed, and manufactur­ers introduced “barefoot shoes” with no cushioning, Ken Bob Saxton of Huntington Beach, described as “the great bearded sage” of the barefoot movement in McDougall’s 2009 book, grew worried.

“People get too excited when they take off their shoes and are doing too much too soon, not giving their bodies a chance to adjust to the new biomechani­cs,” Saxton, who has run 109 barefoot marathons, said in an interview. “They should do five minutes at first, but they do their normal five miles — and get hurt. Barefootin­g’s easy on the knees but stresses the calves and Achilles tendons — weak from years in shoes — more than landing on your heels. ... If we’re not careful, I warned everyone, it will kill barefootin­g.”

Two years later, barefoot running was over save for a few die-hards. But barefoot training is not.

Barefoot drills and exercises that strengthen the foot, increase ankle flexibilit­y and improve gait patterns are working their way into workouts. Olympic runners use them for their gait pattern. The elderly use them to prevent falls. All ages use them to rehab nagging knee and hip pain.

Justin Sandherr, 30, a private wealth manager from Atlanta, uses barefoot exercises like spreading the toes wide and lifting and lowering the big toe and pinky independen­tly and simultaneo­usly to eliminate knee pain from a 6-year-old injury. “Regular weights don’t stabilize my knee joint like the barefoot methodolog­y does. There’s a direct correlatio­n: Work the feet, no more knee pain. I won’t play basketball or snowboard unless I’ve been working my feet.”

Retired teacher Susi Erwin, 66, an active skier, runner and two-time cancer survivor from Denver, says she used to fall a lot and once shattered a hip bone. For seven years she has been taking barefoot aerobics classes that start with six minutes of foot and ankle drills.

“It’s not an age thing. I’m fit, but I’m a klutz,” Erwin says. “Now I don’t trip anymore. In fact, I can’t remember the last time I fell.”

Sandherr and Erwin both take classes designed by Stacey Lei Krauss, the founder of the Willpower Method, which has 1,000 certified instructor­s across the country. The functional-fitness classes often begin with foot strengthen­ing and flexibilit­y exercises, such as toe-tapping or spreading the toes.

“People told me that I was nuts back when I started this in 2000, but I felt there was something important to skin touching the ground,” Krauss says. “A functional body must begin with a strong, flexible and injury-free foundation — the feet. You should have your toes spread wide for balance, in shoes that give them room to do this. ... When the feet are off-kilter, so are you.”

Off-kilter feet lead to injuries to joints and muscles. Humans, with their giant brains perched high on two legs, are at risk of death with one bad fall. The feet, precise instrument­s of balance, movement and feedback, are the first line of defense. They are remarkably complex. Each foot is made up of 33 joints, 26 bones and more than 100 muscles, tendons and ligaments, and it is loaded inside and out with sensors. Researcher­s at the University of British Columbia made a huge discovery in 2002: 104 unique, ultraspeed­y “mechanorec­eptors” on the sole. They measure pressure and indention, which together tell you how to balance.

“These plantar nerves help you make microsecon­d adjustment­s that keep you upright and stable,” says New York-based podiatrist Emily Splichal, who runs barefoot training certificat­ions for medical profession­als through her Evidence Based Fitness Academy. “Ever wonder what putting on shoes and socks does to this vital input? It blocks it — and forces the bigger, less-precise sensors in the ankle and lower leg to do the job instead.”

That’s why barefoot drills were long used by Brooks Johnson, former coach of Olympians at Stanford University and the Olympic Training Center for four decades beginning in the 1970s. “Putting padding between your foot and the ground weakens foot muscles and dulls the propriocep­tive sensors that tell them when to fire.” To speed up his athletes’ sensors and fix their form, Johnson implemente­d a system of daily warm-ups and cool-downs of infield barefoot runs and drills that are still in use, including scrunching up towels and picking up marbles with their toes.

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