I am trying to adapt my footstrike (from heel strike to mid/forefoot) and am looking for whatever insights/warnings I can find here.
My background is this: 28 yr. old with a history of knee problems, particularly itb issues off and on for the past dozen years. Mainly an 800 meter runner (pedestrian times at that) in high school and college, with greater speed capacity than endurance. I've been doing light mileage forever (20-30 per week) because if I go any higher my knees ache and my itb flares up. I've had orthotics (2 pairs) for over 10 years, and am running in NB 856 currently. I'm coming off a case of patellar tendonitis recently and have been doing a lot of elliptical training, and almost no running for 3 months.
I've always been a pretty heavy heel striker -- I wear down shoes at an exceedingly fast rate given my size (5'9" 155-160), and after 8-10 miles on any run, my knees have always ached horribly, and my itb was taut as a guitar string. So, after reading much about barefoot/minimalist shoe running and the faster running cadence (180 strides per min) advocated by Jack Daniels, I've decide to try to change my footstrike -- but am very wary of changing to minimalist shoes and/or running without orthotics.
I've been running every other day this past week (3-6.5 miles a pop) while using a forefoot strike. My heel touches down lightly after the mid/forefoot but with nowhere near the same impact. It feels when I'm running that I'm coming down much lighter, and the impact forces aren't as hard, and my knees afterward have felt pretty good. My calves are sore, and get tired as I go on in a run, so I've been stretching them religously afterwards. I've also notice that my quads tire a bit as I go, and that I'm still somewhat inefficient (using more energy) with this type of strike.
So my questions are:
1) Is it ever good for someone to modify their natural footstrike? (especially if it doesn't seem to be working)
2) Should I be wary of lower leg injuries (e.g. plantar fasciatis, achilles tendonitis, stress fractures), and is there any way to minimize them?
3) Is there a negative associated with running with a fore/midfoot strike in orthotics and regular trainers as opposed to flats or more lightweight shoes? (other than the added weight I'm carrying around)
4) Should I ease into this more than I already am (running light mileage every other day), i.e. only use the forefoot strike on some runs?
5) Will I become more efficient as I run more with this type of footstrike? I feel like I've always run races (800-5k) with this type of foot strike in spikes, so won't this help me as I race?
I'm looking to bump up my mileage a bit (40-50 miles a week) and am hopeful that this will help me do it. Thanks in advance for whatever advice you can give.
dt