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What is heel pitch (or running shoe drop) and why is it important I hear you ask?

When advising all my athletes on running shoe selection heel pitch is one of the most vital characteristics to get correct.

Heel pitch is defined as the difference between heel midsole thickness and forefoot thickness. Some companies have many models with a pitch height of 10-12mm. Other companies use only 4-6mm. Then there are some new Brands that use the term ‘zero drop’ – in other words have no difference (meant to be the ‘natural’ or barefoot running’model).

As a general guide a higher heel pitch has greater potential to load the hips and knees more while a lower heel pitch places greater load on feet, ankles and lower legs.

So, does a few millimetres matter and if so which one is right foryou?

At this point I would like to add one thing. If you have been using a particular model shoe (and a particular heel drop height – whether it low or high and anywhere in between) for a considerable time and have had no running injury issues then stay with that shoe. Be vary wary about changing!!!

Interestingly a lower heel pitch has the potential to aid in recovery of 1TB syndrome (outside knee pain), Patella­ femoral (front knee) pain and gluteal overuse syndromes. Conversely a higher pitch shoe could help runners recover from plantar fasciitis, achilles tendon issues, forefoot painand even metatarsal stressfractures.

So now you see why it is vital to consider heel pitch when choosing the right shoe. Colour is not everything- well almost!

Happy running and stay safe during these difficult times.

Russell Dovison
Podiatrist
Lakeside Sports Medicine Centre