Are You Risking Foot and Ankle Injuries by Running on Harder Surfaces? This Is What Science Says

Imagine yourself trying out a new running trail, and you come to a crossroads. On the left, a paved sidewalk circling a park. On the right, a dirt path patted out around a pond. Which path would be easier on your body?

The answer, it turns out, is not as easy as you might think. “Many runners believe that they’re less likely to sustain a stress injury if they run on softer paths instead of harder ones,” says Dr. Bob Baravarian, podiatric surgeon and Director at the University Foot and Ankle Institute. But the truth is, this is mostly a rumor based on faulty “common sense,” and isn’t actually borne out by the facts.

Running on Dirt Foot and Ankle Injuries

Running on paths can cause acute injuries as runners may trip or twist their ankles running over the bumps and holes in the dirt.

“There isn’t enough scientific evidence to support one way or the other.” Dr. Baravarian explained that it’s difficult to design a study with large enough numbers of participants that would be able to give us a clear picture of the types and rates of injuries acquired on different surfaces.

You would have to recruit hundreds of runners, split them randomly into groups, and each group would only run on one type of surface. Then you would track their injuries over the next year or so and conduct a statistical comparative analysis.

This is what’s known as a randomized controlled trial. “Randomized controlled trials are scientists’ best tool to knowledge about the effects of something in comparison to something else,” says Dr. Baravarian. Unfortunately, they are also expensive and difficult to carry out on the scale needed to generalize to the broader population.

And let’s be honest: would you be willing to put your safety on the line and hand over control of your exercise routine to a team of scientists?

Although conventional wisdom might reason that softer surfaces, like grass and dirt paths, would put less strain on runner’s knee and ankle joints, it could also be reasoned that these paths cause more acute injuries: runners may trip or twist their ankles running over the irregular bumps and divots of dirt paths compared to smooth pavement.

Other factors that don’t seem to have a strong association with injuries include the runner’s age, gender, BMI, season, or time of day. Similarly, running on hills versus flat roads, or participation in other sports don’t appear to have an impact.

One type of study that offers a clue actually approaches the question from a different angle. Instead of running on softer or harder surfaces, participants run on plates that are capable of measuring the force with which their feet strike the ground.

What Scientists Had to Say

Researchers approximate the durometer (hardness) of the surface by varying the amount of padding in the participants’ sneakers. Softer cushioning mimicks softer surfaces.

The result? The human body automatically adapts to the running surface. The force with which the foot strikes the plate is virtually the same regardless of the amount of cushioning in the shoes. Your body does this unconsciously to keep the amount of force constant.

Running shoes for different surfaces

It’s important to understand that every running shoe is not meant for every surface, different surfaces have different requirements.

You can try the experiment yourself. Jump from the top of a small step ladder to the ground: you’ll bend your knees to absorb the shock. Now, jump from the ladder onto a mattress. You will hold your legs much more rigidly. The mattress absorbs much of the shock for you.

Running on a soft surface works the same way. The dirt or grass yields to your feet with each step, so your joints stiffen in order to conserve energy during push-off. On harder surfaces like asphalt, your knees, ankles, and hips bend slightly more on each impact to reduce stress.

Of course, these studies only model the biomechanics of running on hard or soft surfaces. We can only guess at what this might mean for rates of injury. Dr. Baravarian says that, given current understandings, runners should just hit whichever surface they prefer. Better to focus on choosing the right shoes and insoles for your feet and your activity to reduce the risk of injury.

That said, if you’re a racer, you should run on asphalt. Most races are held on roads, so you might as well practice on them. Whenever you make a change to your routine, work it in slowly. Don’t just quit hard surfaces for soft ones cold turkey. Gradually shift the balance so that your body has time to adjust.

The UFAI Education Team

The UFAI Education Team

For almost fifteen years, University Foot and Ankle Institute and their nationally recognized physicians have been providing the most technologically advanced medical care for the foot and ankle with the highest success rates in the country.

As a teaching institution, University Foot and Ankle Institute’s Fellowship Program is among the most advanced in the nation.

We at UFAI are driven to get our patients back to their normal activities with the highest level of function, in the least amount of time, using the least invasive treatments possible. From start to finish, we are with you every step of the way.

The UFAI Education Team works to help empower our patients and website visitors with the most up-to-date information about foot and ankle conditions, treatment options, recovery and injury prevention. Our goal is to pass on truly useful information to our readers.

We hope you enjoy our work and find it of value. Please let us know!
The UFAI Education Team

Leave a Reply

Your email address will not be published.

thirteen + 20 =

  • CustomerSure
    I was impressed and happy to know I could see the doctor the same day I needed! Very efficient and professional! I've already recommended UFAI to several family and friends for their future reference.
    Ani M.
  • Yelp
    Dr. Baravarian is a very caring and patient doctor. During my first visit with him he really took the time to listen to my concerns and talk to me about all my options regarding my chronic pain. I highly recommend Dr....
    Tina B.
  • CustomerSure
    I appreciate the thoroughness of care. Dr. Morris was very detailed in his explanation and options available. I am grateful for the time he took with me.
    Catherine R.
  • Yelp
    Dr Franson took me right in. I asked for an emergency appt, and he got me right in. I fractured my ankle, and he took good care me. I've been a regular patient.
    Jen H.
  • ZocDoc
    Dr. Bob is excellent. He recommended a very conservative treatment, and was very knowledgeable and thorough. I am very pleased to have him as my doctor.
    William S.
  • CustomerSure
    I really like Dr. Campbell. He is easy-going, yet efficient.
    Julia S.
  • ZocDoc
    Dr. Yau was able to diagnose my issue during my first appointment with him, something that other doctors hadn't done after several visits and tests.
    Anonymous
  • Yelp
    Communication is easy with all levels of staff. I love the reminders that are done via computer. There are a lot loose ends in my day, and the reminders help me stay organized.
    Sharon E.
  • CustomerSure
    This is by far the best doctor/doctors office experience I've ever had!
    Theresa M.
  • CustomerSure
    Great staff who put up with my questions and bad jokes. Hope I will not have to return, but if I do have foot problems again, I will go back to these folks.
    Eric F.
Same day appointments now available!
or call 24/7:
  • University Foot & Ankle, a Preferred Provider to:
  • UCLA Health System - UCLA Medical Group
  • MPTF - Member Industry Health Network
  • Cirque du Soleil
  • ATP - Association of Tennis Professionals
  • And consulting physicians for:
  • C&S - Cedars-Sinai
  • Saint John's Health Center