top of page


an athlete running barefoot

Embarking on a 40-year elite athlete's journey that consistently graced podiums, the sudden transition to barefoot running brought forth a chief complaint – foot pain. A diagnostic MRI revealed calcaneal edema, necessitating a recovery period extending beyond three months. This incident underscores the profound risks associated with a singular alteration in running habits.


In this blog, we delve into the adverse effects that can arise from the abrupt shift to barefoot running and explore essential considerations for minimizing risks and maximizing benefits. Whether you're contemplating this transition or seeking insights into optimizing performance, understanding these factors is paramount.

Adverse effect

· Increased Injury Risk:

 Abrupt transitions or overzealous training can lead to injuries such as

1. Stress Fracture:

Barefoot running may increase the risk of stress fractures due to the heightened impact forces and reduced cushioning, placing additional strain on bones.

2. Achilles Tendinitis:

The sudden transition to barefoot running alters running mechanics and exposes the Achilles tendon to increased stress, potentially leading to Achilles tendinitis.

3. Bone Marrow Edema:

Barefoot running can lead to bone marrow edema, a condition characterized by fluid accumulation in the bone marrow, potentially caused by repetitive impact and inadequate shock absorption.

· Environmental Hazards:

   Running without shoes exposes the feet to potential hazards such as sharp objects, hot surfaces, or extreme weather conditions.

· Foot Infection:

1. Athlete's Foot (Tinea Pedis): Barefoot running may increase the risk of fungal infections, such as athlete's foot, due to exposure to moist environments and shared surfaces.

2.Bacterial Infections Open cuts or abrasions on the feet from uneven terrain can make runners more susceptible to bacterial infections.

3.Parasitic Infections (e.g., Plantar Warts, Hookworm): Running barefoot outdoors exposes the feet to parasites and harmful microorganisms present in soil, sand, or water, leading to conditions like plantar warts or hookworm infections.


To mitigate the risk of infections during barefoot running, practitioners should prioritize proper foot hygiene, regularly inspect their feet for cuts or abrasions, and opt for minimalist footwear when necessary to provide a protective barrier.

  Caution and Considerations

· Transition Period:

 Abruptly transitioning from traditional running shoes to barefoot running can lead to injuries. It's crucial to allow the body time to adapt gradually to the new demands and stresses of barefoot running.

Transitioning from traditional running shoes to barefoot running should be approached gradually to allow your body to adapt. Here are some steps to consider:

· Start Slowly:

Begin with short distances and slow paces. This allows your feet, muscles, and tendons to adapt to the new stresses introduced by barefoot running.

· Progress Gradually:

  Increase your barefoot running distance and intensity gradually. This slow progression helps prevent overuse injuries and allows your body to adjust to the increased demands.

· Focus on Form:

 Pay attention to your running form. Aim for a midfoot or forefoot strike rather than a heel strike, as this is often considered more natural when running barefoot.

· Strengthen Your Feet:

 Perform foot-strengthening exercises to enhance the muscles in your feet and lower legs. This can include toe curls, picking up small objects with your toes, and calf raises.

· Core Strength in Barefoot Running:

Barefoot running naturally activates core and proximal muscles, fostering stability and balance. Strengthening these muscles through targeted exercises like planks enhances posture, reduces injury risk, and optimizes overall performance.

· Include Barefoot Sessions:

  Incorporate short barefoot running sessions into your routine on softer surfaces like grass or sand. This can help reduce the impact on your feet while you adapt.

· Listen to Your Body:

 Pay attention to any discomfort or pain. If you experience persistent pain, consider consulting a healthcare professional or a running specialist to evaluate your biomechanics.

· Maintain Flexibility:

 Perform regular flexibility exercises, especially for your ankles and calves. This can help prevent stiffness and reduce the risk of injuries during the transition.

· Consider Minimalist Shoes:

 If transitioning to complete barefoot running feels challenging, consider using minimalist shoes with thin soles. These provide some protection while still allowing your feet to engage more naturally with the ground.

· Vary Surfaces:

 Run on a variety of surfaces to expose your feet to different textures and conditions. This can help improve proprioception and strengthen your feet in different ways.

· Rest and Recover:

Allow sufficient time for rest and recovery between barefoot running sessions. This helps prevent overtraining and reduces the risk of injuries associated with repetitive stress.

· Foot Health:

  Individuals with certain foot conditions, such as plantar fasciitis or high arches, should exercise caution and may need to consult with a healthcare professional before attempting barefoot running.

While barefoot running offers potential benefits in terms of biomechanics, strength, and sensory awareness, it is crucial to approach it with caution and an understanding of its potential risks. Gradual transition, proper training, and a mindful approach to form are key components of a successful barefoot running experience. Before embarking on a barefoot running journey, consulting with a healthcare professional or experienced coach can provide personalized guidance based on individual health and fitness levels.

37 views0 comments


bottom of page