Different running forms and different foot strike patterns load different tissues differently. This means that each technique probably has a unique set of specific injuries that they probably increase the risk for compared to a different technique (which is the point I tried to make here).
Exactly what injuries are probably more common with different running techniques? What follows is not really based on any significant evidence (as there isn’t any!), but is based on what limited evidence that there is; my own experiences and observations; my discussion with many others experienced in this; observations and analysis of social media comments, blogs and forums; an understanding of the pathomechanics of injury compared to the mechanics of a particular foot strike pattern and running form:
More common in forefoot and midfoot striking; minimalist running:
- Metatarsal stress fractures
- Dorsal midfoot interosseous compression syndrome (‘Top of foot pain‘)
- Posterior tibial tendonitis
- Posterior tibial tendon dysfunction
- Achilles tendonitis
- Calf strains
More common in heel striking:
- Tibial stress fractures
- Anterior compartment syndrome
Probably less common in forefoot striking/minimalist running, but not sure yet:
Probably less common in heel striking, but not sure yet:
- Peroneal tendonitis
No clear pattern or consensus:
While each of these injuries can and do happen in all running techniques and foot strike patterns, it is the overall pattern of what injuries are more likely to occur in which technique and the above is the pattern that I observe and the consensus of almost all of those I have talked to about this and what limited published evidence tells us.
I will be the first to change my mind on any of these when the evidence tells me otherwise. Anecdotes and some n=1’s that do not match the above do not contribute much and are not evidence, as I am more interested in the bigger picture.
As always, I go where the evidence takes me until convinced otherwise.