Tracy Smedley

Director of Client Experience

Tracy Smedley leads the discovery calls welcoming each new patient to Continuous Motion Physical Therapy. Every life changing journey starts with a conversation — uncovering what is keeping you from living your best life and getting to be part of the solution with you.

Known for creating seamless, positive experiences, Tracy ensures that clients feel supported, informed, and valued at every stage of their journey while collaborating across teams to improve workflows and outcomes.

Tracy has been in the health and fitness industry for over 20 years and brings a well-rounded professional background rooted in client service and wellness support. Her drive for wellness began after her own health experience that interrupted her life while raising her two children — she knows firsthand how important it is to stay strong and healthy through injury, pain, or an unexpected health challenge.

Tracy takes pride in being part of an exceptional team that empowers patients to get back to doing what they love. Her reliability, strong work ethic, and commitment to delivering exceptional service make her a trusted and impactful contributor to the team.

Knee Pain While Running: The Impact of Mid-Foot Strike

Alleviate Knee Pain While Running: Mid-Foot Strike Solutions

Introduction

If you’ve ever pondered the nagging question of “why does my knee hurt while running,” you’re not alone. Knee pain is an all-too-common companion for runners, often leaving enthusiasts questioning their passion for pounding the pavement.

In this blog, we delve into a potential solution gaining traction among runners: the mid-foot strike. With insights from experts, including Moore Physical Therapy, we aim to provide a comprehensive guide for a pain-free and enjoyable running experience.

Heel Strike vs. Mid-Foot Strike

Runner’s knee, alternatively recognized as patellofemoral pain syndrome, is an overuse injury impacting up to 30% of female runners and 25% of male runners, as reported by templehealth.org. Similarly, issues such as plantar fasciitis can contribute to discomfort in runners.

The choice of how your foot meets the ground can make or break your running experience, particularly in terms of knee stress. The default for many runners is the heel strike – a technique where the heel makes initial contact with the ground. However, the running community is buzzing with conversations that propose a potential game-changer: the mid-foot strike.

Heel Strike: The Traditional Approach

Traditionally, many runners have embraced the heel strike, believing it offers a stable foundation. However, this technique can transmit a substantial shock to the knee joint upon impact. The sudden force could be a contributing factor to the well-known knee pain while running, prompting a reevaluation of this age-old practice.

Mid-foot Strike: A Paradigm Shift

In contrast, the mid-foot strike entails a more even distribution of impact throughout the foot, potentially alleviating stress on the knee joint and reducing the risk of knee injuries. Recent discussions and emerging studies suggest that this alternative approach could be a revelation for runners seeking a smoother, less jarring experience, particularly benefiting calf muscles in the process.

The Science Behind Mid-Foot Strike

By the time we reach our 20s, a staggering 80% of individuals are grappling with some form of foot and/or ankle problem. Understanding the biomechanics of running is crucial. Heel striking sends a shockwave through the leg, potentially causing more stress on the knees and contributing to muscle imbalances and conditions like band syndrome, often leading to joint pain and affecting connective tissue.

This can impact individuals engaged in physical activity. On the other hand, mid-foot striking involves a gentler, more evenly distributed impact, reducing the strain on the knees and mitigating the risk of joint pain while supporting connective tissue’s health during various forms of physical activity.

How mid-foot strike can alleviate knee pain

Switching to a mid-foot strike could relieve runners plagued by severe knee pain and muscle weakness, often associated with a common knee injury. This adjustment may serve as a treatment option, exploring specific ways to alleviate discomfort by discussing the role of foot placement and impact distribution.

Presentation of Scientific Studies and Expert Opinions Supporting This Claim

Dive into concrete evidence supporting mid-foot striking as a practical solution for knee pain while running. Explore studies and expert opinions for a pain-free running experience.

  • The likelihood of developing running knee increases if you experience overpronation (your feet roll inward upon striking the ground) or have weakened muscles in your hips, thighs, or buttocks, often associated with repetitive stress.
  • Runner’s knee is particularly prevalent among individuals with underdeveloped pelvic muscles, those engaged in frequent downhill running, or individuals with notably low foot arches.
  • Allowing your plantar fascia to rest facilitates the reduction of inflammation, leading to a decrease in pain. The duration of necessary rest varies, contingent on the severity of your condition.

Transitioning to Mid-Foot Strike

Alleviate Knee Pain While Running: Mid-Foot Strike Solutions

Now that we understand the benefits, how do we make the transition? This section provides a guide for runners looking to shift from a heel strike to a mid-foot strike, ensuring a smooth adjustment without compromising performance.

Embarking on the journey from a heel strike to a mid-foot strike demands a systematic approach. Here are five essential steps to guide you through this transformative process:

  • Understand Your Current Striking Pattern: Begin by analyzing your current running style. Recognizing whether you predominantly land on your heel is pivotal for a successful transition, especially if you experience sharp pain.
  • Practice Mindful Running: Adopt a mindful approach during your runs. Integrate short intervals of mid-foot striking, focusing on the sensation and adjusting your form consciously. Seeking guidance from a physical therapist can enhance this process, ensuring a smoother transition and addressing any concerns you may encounter.
  • Gradual Integration: Slow and steady wins the race. Introduce mid-foot striking progressively, starting with short bursts and extending the duration as your muscles adapt, especially in regular running.
  • Focus on Foot Placement: Central to the mid-foot strike is precise foot placement. Concentrate on landing mid-foot beneath your hips, promoting a more evenly distributed impact and reducing extra stress on specific areas of your legs.
  • Listen to Your Body: Pay attention to your body’s signals. If you encounter excessive discomfort or painful conditions, modify your approach and allow more time in each transition phase.

Tips and precautions

Transitioning to a mid-foot strike requires thoughtful consideration and attention to your body’s signals. Here are five essential tips and precautions to ensure a smooth and injury-free adaptation:

  • Monitor form Consistently: Regularly assess your running form throughout the transition, especially if you have flat feet. Ensure you maintain proper mid-foot striking technique and make prompt adjustments if you notice any deviation.
  • Support with Strength Training: Complement your transition with targeted strength training. Focus on exercises that strengthen the muscles involved in mid-foot striking, such as calves, ankles, and core, helping to alleviate excessive stress on these areas.
  • Choose Appropriate Footwear: Invest in running shoes that support mid-foot striking. Consult a knowledgeable professional to find footwear that complements your new running style and provides adequate cushioning and support, considering options such as custom orthotics.
  • Cross-Train for Balanced Fitness: Incorporate cross-training activities into your routine to promote overall muscle balance and reduce the risk of overuse injuries. Activities such as cycling or swimming can complement your running regimen.

Conclusion

In conclusion, the mid-foot strike stands as more than a trendy buzzword—it emerges as a potential remedy for knee pain while running. By comprehending the science behind it, incorporating expert advice, and methodically transitioning step by step, runners can seamlessly switch to this technique, fostering a more pain-free running experience.

For those encountering discomfort, exploring complementary approaches like cupping for the top of the foot is noteworthy. Consider reaching out to professionals at Continuous Motion Physical Therapy. Their experienced team can provide tailored advice, incorporating the latest insights on mid-foot striking and addressing specific concerns. This ensures you stride confidently toward a healthier and more enjoyable running experience.

For visual insights and guidance, don’t forget to check out our insightful YouTube video on managing Knee Pain with Running. Watch, learn, and take proactive steps toward a more comfortable and fulfilling running journey.

FAQs

Q1: Will Runner’s Knee Pain Go Away?

A1: Runner’s knee pain can significantly improve, and in many cases, it can indeed go away. By adopting a mid-foot strike and implementing adjustments to your running routine, you can mitigate the factors contributing to the pain. Consistency in these modifications and proper rest and recovery increases the likelihood of bidding farewell to the runner’s knee pain.

Q2: Is It Okay to Keep Running with Runner’s Knee?

A2: Running enthusiasts often find solace in the rhythmic pounding of their feet against the pavement. However, for some, this joy can be hindered by persistent heel pain after running, raising the question, “why does my heel hurt after running?” Additionally, another common concern echoes, “why do my knees hurt when I run?”.

Continuing to run with runner’s knee should be approached with caution. While some individuals can manage mild discomfort, persistent or worsening pain may indicate the need for a break. Understanding the potential risks and benefits is crucial. Exploring a mid-foot strike can be a proactive solution, redistributing impact and potentially alleviating stress on the knees.

Q3: What Food Makes Knees Stronger?

A3: While diet alone may not entirely solve knee pain, incorporating specific foods can contribute to joint health. Foods rich in omega-3 fatty acids, such as fatty fish, walnuts, and flaxseeds, have anti-inflammatory properties. Additionally, including sources of vitamin C, like citrus fruits and broccoli, aids in collagen formation, supporting the strength and integrity of your knees. Remember, a balanced diet is key to overall joint health.

A man in a suit and tie smiling.
Author

Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

Helping active people STAY active

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Dr. Kelsey Houston
PT, DPT, CERT. CN

Dr. Kelsey Houston is a dedicated and skilled physical therapist with a passion for promoting health and wellness. Originally from Damascus, OR, she pursued her graduate education in Arizona, earning a Doctor of Physical Therapy degree from Franklin Pierce University. Throughout her academic career, she honed a strong foundation in evidence-based clinical practice, patient-centered care, and rehabilitation techniques.

Dr. Houston also brings a background in athletics, particularly competitive soccer, which has fueled her dedication to sports rehabilitation and orthopedics. She earned a degree in Clinical Health Sciences from Portland State University, further deepening her knowledge of the human body and its movement mechanics. Her clinical experience spans a wide variety of settings, including outpatient clinics, hospitals, and rehabilitation centers, where she has worked with patients of all ages and backgrounds.

With a particular focus on orthopedics and sports rehabilitation, Dr. Houston is committed to helping patients recover from injuries, manage chronic conditions, and return to active lifestyles. She takes a patient-centered approach, using her expertise to help individuals improve their quality of life.

Outside of her professional work, Dr. Houston values maintaining an active lifestyle and enjoys hiking, running, and spending time with friends and family.

Dr. Kelseys Credentials 

  • Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)

Dr. Taylor Calixto, PT, DPT Cert. DN, PCES

Physical therapist headshot at Continuous Motion Physical Therapy in Goodyear AZ

Originally from Seattle, Dr. Taylor Calixto has always had a passion for sports, health, and movement. A lifelong soccer player, she was drawn to physical therapy after recovering from a shoulder injury. She earned her undergraduate degree from Boise State and completed her Doctorate of Physical Therapy at Western University of Health Sciences, where she developed a strong foundation in evidence-based, patient-centered care.
While in school, Taylor discovered a passion for pelvic health, inspired by two mentors who helped shape her path. She earned her dry needling certification in 2023 and completed advanced pelvic floor training in 2024. Dr. Taylor is committed to empowering patients through personalized, compassionate care—whether they’re returning to sport, navigating pregnancy and postpartum, or addressing pelvic health concerns.

Ashley Hardman - Performance Coach

 

Ashley Hardman brings a wealth of experience and passion to her role as a Performance Coach. She graduated from Brigham Young University (BYU) with a Bachelor of Science in Exercise and Wellness and a minor in Psychology, while also competing as a Division I softball player for four years.

During her fifth year at BYU, Ashley interned with the Olympic Strength Coaches, where she oversaw training programs for all campus athletic teams and ran the Gymnastics strength program. She went on to intern at EXOS in Carlsbad, CA, where she assisted in training club swim athletes, military personnel, retired NFL players, and NFL prospects.

Ashley’s diverse background also includes working as a physical therapy aide, a chiropractor scribe, and a personal trainer at a private gym. After relocating to Arizona, she returned to her alma mater, Estrella Foothills High School, as the Strength and Conditioning Coach, where she taught Weight Training and Athletic Performance classes, and led after-school strength programs for all campus sports.

Now at CMPT, Ashley is committed to helping clients achieve their goals by pushing them to become the best version of themselves. She believes in making 1% progress every day—for herself and for those she trains. Her personal approach to coaching builds strong relationships with clients and athletes, creating a motivating and supportive environment for lasting success.

 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified

Dr. Tyler Smith, PT, DPT

Physical Therapist

Dr. Tyler Smith is a Doctor of Physical Therapy with nearly a decade of clinical experience helping patients recover from injury, eliminate pain, and get back to doing what they love. He earned his Bachelor of Science in Exercise Science from the University of Akron before going on to earn his Doctorate of Physical Therapy from the University of South Florida. His background in exercise science laid a strong foundation for his hands-on, movement-focused approach to rehabilitation.

Dr. Smith is currently completing the American Academy of Manipulative Therapy (AAMT) Orthopedic Manual Physical Therapy Fellowship — one of the most prestigious post-graduate programs in the profession, held by only a small percentage of physical therapists. This advanced fellowship training reflects his commitment to delivering the highest standard of manual therapy care to every patient.

A standout specialty of Dr. Smith's is his work with golfers. He holds a Titleist Performance Institute (TPI) Medical Level 2 certification, the gold-standard credential in golf fitness and rehabilitation. Dr. Smith has spent years assessing and treating golfers of all ages and skill levels, understanding the unique demands the golf swing places on the body to design individualized programs that reduce injury risk, improve performance, and keep golfers on the course. He is also certified in Dry Needling and specializes in cervical, thoracic, and lumbar spine manipulation, as well as the evaluation and treatment of overhead athletes.

Outside the clinic, Dr. Smith enjoys being active and spending time on the golf course.

Credentials

Dr. Elana Trejo, PT, DPT

Physical Therapist

Dr. Elana Trejo has been a competitive athlete for most of her life and brings firsthand understanding of what it means to train hard, push through physical demands, and want to get back to full performance — not just feel better. That drive has taken her all the way to the competitive karate world stage, where she will be competing in the Karate World Championships this year.

Dr. Trejo earned her Doctorate in Physical Therapy from Franklin Pierce University and has spent three years treating a wide range of musculoskeletal and orthopedic conditions, including post-operative recovery, chronic pain, and acute injuries. She is trained in manual therapy, therapeutic exercise, and a variety of evidence-based modalities.

Dr. Trejo has specialized training in pelvic health through Herman and Wallace and ICE Pelvic Health, two of the most well-regarded pelvic floor programs in the country. She works with patients navigating leaking, pelvic pain, prolapse, core dysfunction, pregnancy-related discomfort, and postpartum recovery — always with a lens toward keeping them active and performing at their best.

Her dual background in orthopedics and pelvic health means she can dig deeper into what is actually driving your symptoms and build a plan that gets you back to doing what you do.

Credentials