Although there is evidence to support differences between barefoot running and shod running for many kinematic variables, there is little conclusive evidence that barefoot running significantly reduces injury rates. If an injured runner is considering the switch to barefoot running to reduce pain or injury recurrence, it should be a decision concluded by both the runner and clinician. Gait pattern and training regimen must be considered because adopting a FFS pattern (as the barefoot runner does) may accentuate certain injuries.