Limb Length Discrepancy Big Problem for Heel Strike Runners

Limb length discrepancy is considered a source of injury for heel strike runners, but not for forefoot runners. One detailed suggestion about why limb length discrepancy might be more problematic for heel strike runners and that is the role of pronation.

Limb Length Discrepancy - Problem for Heel Strike Runners

Limb Length Discrepancy More Problematic for Heel Strike Runners

Leg Length Discrepancy and Injury: Heel Strike vs Forefoot Strike RunningPronation duration of the foot is longer in heel strike running because ground contact time is longer as compared with forefoot running.

  • Normally, pronation of the long leg helps compensate for the mechanical stress caused by a limb length discrepancy.

A leg length inequality can result in the long leg side ankle already being pronated at heel strike [1] –this limits the ankle’s impact attenuate ability by fully pronating, resulting in higher loads transferred proximally through the kinetic chain [2,3].

Forefoot Running is Safer

In forefoot running, pronation pattern is also different as compared with heel strike running.

  • Forefoot runners tend to pronate less which minimizes mechanical stress on the leg, preventing overloading, especially if a limb length discrepancy is present.

(Check out what a forefoot strike looks like here).

The Take Home Message

The chief bonus of forefoot running is the reduction of high impact loads as well as shorter ground contact time –these are evolutionary forces of natural selection which have contrived to ensure our ancestors remained injury-free while they ran barefoot.

Because natural selection promoted forefoot running over heel strike running to contribute to survival, leg length discrepancy, which is and has always been extremely common, would induce less danger for runners.


More From Run Forefoot:

If you want a quick fix for your forefoot running from, find out how barefoot running is the only solution.

Find out why forefoot runners need to wear pure minimalist shoes.

Dr. Daniel Lieberman received lots of recognition for his work on Kenyan barefoot runners. Check out Barefoot Running on HBO Real Sports which features his work.

Find out why maximizing your proprioception works best for improving your forefoot running form.

Landing with a heel strike is the best way to give yourself an injury. Read this article to find out the kinds of injuries caused by heel striking.

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[1]. Langer S. Structural leg shortage. J Am Pod Ass, 1976;66:38-40.

[2]. D’Amico et al. Limb length discrepancy: an electrodynographic analysis. J Am Pod Med Ass, 1985; 75:639-43.

[3]. du Plesis MP. Stress fractures and overuse syndromes. SA Mediese Tydskrif, 1980;41:670.

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Bretta Riches

"I believe the forefoot strike is the engine of endurance running..."

BSc Neurobiology; MSc Biomechanics candidate, ultra minimalist runner & founder of RunForefoot. I was a heel striker, always injured. I was inspired by the great Tirunesh Dibaba to try forefoot running. Now, I'm injury free. This is why I launched Run Forefoot, to advocate the health & performance benefits of forefoot running and to raise awareness on the dangers of heel striking, because the world needs to know.
Bretta Riches

P.S. Don't forget to check out the Run Forefoot Facebook Page, it's a terrific place to ask questions about forefoot running, barefoot running and injury. I'm always happy to help!


  1. Hello Bretta,
    Could you say a bit more how to run with leg length discrepancy? Should a knee from longer leg be bended more? Or maybe something else?

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