In heel strike running, the heel-to-toe rollover action causes the foot to pronate more (i.e. the foot is forced into extreme positions), which increases bending and twisting strain on the Achilles. At the same time, there’s more all-around force components on the Achilles in heel strike running, and less elastic energy is stored in the tendon as well, which may result in less metabolic savings as compared with forefoot running.
