If the shoe fits ... Published March 19, 2008 By Dr. (Capt.) Melissa Durham 20th Medica Group SHAW AIR FORCE BASE, S.C. -- The 20th Medical Group Physical Therapy Department is conducting a running shoe clinic at the Health and Wellness Center April 25 from 8 a.m. - 4 p.m. The purpose of the clinic is for Shaw members to determine their foot types and prevent discomfort and injuries. Prevention is the key to good health, and the 20th MSG Physical Therapy Department is taking the initiative to reduce the number of individuals falling victim to shin splints, knee pain and hip pain related to wearing worn out or poorly-fit running shoes. Running is a high impact activity. It places a greater changing force through the arches of the foot versus walking. It is important for runners to know their foot type in order to shoose the correct running shoe. The three main foot types are; low arch, normal arch and high arch with either hyper or hypo mobility. A low arch requires running shoes with rigid support and motion control to provide the necessary stability. A low arch may lead to knee and foot pain involving conditions such as bunions, plantar fasciitis (arch pain) and heel spurs. A normal arch requires the right mix of rigid support with cushion and stability. A normal arch does not usually lead to disorders of the feet. However, if cushioned running shoes are worn, some discomfort may result. A high arch requires a cushioned shoe to provide shock absorbency. A high arch may lead to plantar fasciitis and 5th toe pain. If the physical therapy technicians note any of these problems, orthotics may be recommended. Orthotics are hard plastic custom-made shoe inserts contoured to a patient's feet in order to provide support. Orthotics changes the foot alignment from the foot up to the hip. The new alignment may cause minor discomfort during the adjustment period, but resolves itself in a few weeks. Orthotics must be worn in boots and running shoes with the purpose of improving the mechanics of feet. Education and knowledge are essential to preventing injuries. Shaw members are highly encouraged to stop by for this analysis. Remember, running shoes are expensive and no one wants to waste their money, but knowing what type of shoe to buy is an investment in good health. For more information, call Physical Therapy at 895-6562.