Heel to Toe Drop: The Ultimate Guide

Posted on 24 July, 2023 by Jovana Subic

We spent over 300 hours reading 30+ scientific papers and analyzing 2,300 running shoes in our database to help you gain an in-depth understanding of heel to toe drop. 

intrographic heel to toe drop

What is heel to toe drop?

Heel to toe drop is the difference in height between heel and forefoot in an athletic shoe. It’s measured in millimeters, going from 0 to 14mm in running shoes. It’s also called heel drop, shoe drop, shoe offset, heel differential, toe drop, pitch, gradient. 

Based on a heel drop, shoes are split into 4 categories: 

  1. Zero drop (0mm), 
  2. Low drop (1-4mm), 
  3. Mid drop (5-8mm), and
  4. High drop (8+ mm) shoes. 

These categories were given D0, D1-4, D5-9 and D9+ names in this guide, respectively. 

difference between stack height and heel drop

Heel drop should not be confused with stack height (or cushioning), the amount of material between feet and the ground. They are completely independent of each other. 

Which heel drop do I need? 

Heel drop is something that usually worries advanced runners. If you’re only at the beginning of your running adventure, this is not something to obsess about.

The go-to heel drop is considered to be 10mm. There’s no science to back this, it’s just the most common heel drop when it comes to standard running shoes. It’s a good starting point and if you want to take this road, take into account one factor only: your health condition, injury-wise.

This is simply because different heel drops affect different body parts and, if you have (had) any injuries, you’ll want uninjured regions to absorb the impact. The lower drop will load your ankles and Achilles more, the higher drop will load your knees and hips more. 

When buying a new shoe and deciding on a heel to toe drop, these are the things to pay attention to:  

  1. Comfort: a new heel drop might feel odd at first and needs some getting used to. This usually happens when going for a lower or zero heel drop. Zero drop might even feel like a negative drop if you’ve never tried it before. The shoe should be comfortable in the long run. 
  2. Foot strike: know your strike. Take it into account when choosing a heel drop - shoes with a higher heel drop allow for a more comfortable heel strike, while lower heel drop tends to push feet forward during running and allow for a forefoot and midfoot strike. This is not the rule, especially when the heel stack is taken into account, along with your current running form. 
  3. Health/injuries: Which parts of your legs are absorbing the impact and being loaded depends, among other things, on the heel drop. You want a heel drop that will reduce the load in the injured region. Find out below what a certain heel drop might do to your knees, ankles, Achilles tendons, hips. 
  4. Terrain: What we feel when our feet hit the ground is the information needed for our body to adapt. Thanks to this information, especially when trail running, we optimize our stride and we adapt to the changing terrain by absorbing the impact as gently as possible. This way, our proprioceptive awareness increases. For this to happen more easily, it is recommended to choose shoes with a lower heel drop for trail running. 
  5. Heel drop change: If the change is big (think 4mm and up), consider the adaptation period. It is a must when going for a low drop or a zero drop (as documented in this study).
    There are two currents out there: the first one, saying if your heel drop works for you and you experience no issues, stick to it. No need to fix what’s already working. The second one says one should alternate between different heel drops for the sake of foot and leg muscle strengthening and running-form improvements. 
  6. Distance: With fatigue, we change our foot strike (to find out more, we suggest looking at studies by Giandolini et al. 2016 and Jewell et al. 2017). When trail running, the change is also noticeable on the uphills - legs get tired, Achilles get tired, we stop pushing up on our forefoot. Keep this in mind if you’re choosing a new heel drop for your long-distance runs. 

The effects of a heel drop 

Heel drop influences running kinematic and kinetic patterns (as explained in this study).

Heel drop effects

Low High
low drop effects High drop effects
The lower the drop, the greater the potential to improve cadence. Foot switch is slower in higher drop shoes.
Lower and zero drop shoes promote midfoot and forefoot strike. A higher drop allows for rearfoot strike because the elevated heel helps with high impacts when the heel hits the ground.
Lower heel drop might help with ITB, (anterior) knee pain, gluteal overuse syndrome. Higher heel drop might help with plantar fasciitis, Achilles tendinopathy (stiff Achilles), calf injuries.
Low drop shoes allow for more ankle flexion during landing. The ankle absorbs the impact and works as a spring. These shoes can place greater stress on the foot, ankle, lower leg. [1] High drop has a higher knee flexion moment. This means it has the potential to load hips and knees more, similar to heel strike. [2]
The overstriding rearfoot strike might be influenced by a lower drop. Overstriding forefoot strike might be prevented with a higher drop.


Detailed overview of the range of effects heel to toe drop has: 

  Lower heel drop Higher heel drop
Cadence The lower the drop, the greater the potential to improve cadence*. The lower drop allows for the step length to be shorter. The footswitch is slower in mid (6mm) and high (10mm) shoes when compared to zero-drop ones.
Footstrike Runners were 9.2x more likely to run with a forefoot strike in minimalists compared to regular running shoes, although 70% of runners in minimalists continued to rearfoot strike (Cheung et al. 2016).
Heel drop has the potential to influence foot strike. Lower and zero-drop promote midfoot and forefoot strike because the ankle is needed to act as a spring and to smooth the impact as much as possible.
Wearing zero-drop shoes doesn't guarantee a forefoot strike.
A higher drop allows for a rearfoot strike because the elevated heel helps with high impacts when the heel hits the ground.
Running form

The overstriding rearfoot strike might be influenced by a lower drop. During the overstride, no (or low) drop will offer less support during the impact, which signals that the stride should be shorter.

If a forefoot strike pattern is not clearly adopted, runners cannot benefit from the potential advantages of minimalist running shoes concerning the reduction of impact magnitude (Chambon et al. 2013).

Overstriding forefoot strike might be prevented with a higher drop, because, during the overstride, the heel gets in the way and touches the ground before the forefoot, which signals the stride should be shorter.
Shoe drop of standard cushioned shoes (high heel stack and good cushioning) does not seem to influence running biomechanics in the long term (Malisoux et al. 2017).
Effects on the body

A low drop (D4) has a bigger vertical loading rate than a mid- (D8) and high-drop (D12) shoes and maximum ankle moment. It also has a decreased maximum knee moment (Richert at al. 2019).

Significantly higher ankle dorsiflexion moments have been observed in zero-drop shoes when compared to D6 and D10 (Besson et al. 2019).

Zero-drop shoes allow for an increased net joint ankle flexion moment than mid- (D6) and high-drop (D10) shoes (Besson et al. 2017) in female runners.

This means that it can place greater stress on the foot, ankle, lower leg, similar to the forefoot strike. It allows maximum ankle movement.

A high drop has a higher knee flexion moment. This means it has the potential to load hips and knees more, similar to the heel strike.

Zero-drop shoes could be a great alternative for women with knee pain or weakness. It can attenuate knee strain at the expense of the ankle joint (Besson et al. 2017).

Low-drop shoes (D6 and D0) were found to be associated with lower injury risk in occasional runners (<6 months of weekly practice over the previous 12 months), whereas these shoes were associated with higher injury risk in regular runners (≥6 months) (Malisoux et al. 2016).

A higher drop could be interesting in women with stiff Achilles tendon-like high-heeled wearers (Csapo et al. 2010).
After analyzing 553 runners with a 6-month follow-up, injury risk was not modified by the drop of standard cushioned running shoes (Malisoux et al. 2016).

*There is a well-known concept that a cadence - number of steps per minute - of 180 is something to aim for. Usually, and especially at the entry-level of running, we tend to make a smaller number of steps per minute, which also means we make longer steps. To improve cadence usually refers to getting that number higher.

The popularity of zero-drop and low-drop shoe models is a thing of fluctuation. Their popularity tends to peak every now and then, while the high-drop shoes tend to have a more uniform increasing trend. 

For this analysis, we used Google Trends and we took into account 20 shoe models that have been on the market for the past 10 years. 10 models are zero or low drop, while the other 10 are high-drop ones. 

Popularity overview

The first rise of the low-drop shoe popularity could be correlated with the release of the “Born to run” book (2009). Afterward, Hokas appeared on the market in 2010 (although maximalist shoes, they are low-drop), Altra shoes hit the US market in 2011, Meb Keflezighi won the Olympic marathon trials in low-drop shoes in 2012. Our database has almost 700 low-drop running shoes

This also goes in line with the state of the running shoes market (based on the RunRepeat database): mid-drop and high-drop shoes combined are dominating the market, there are 3.3x more of them than zero- and low-drop shoes together. 

Shoe market split by heel drop

Heel drop and other shoe features 

Heel to toe drop is only one of the shoe features. While it can play a significant role, it’s not the only one. For this section, we analyzed 2,300 running shoes in our database. 

Heel drop vs. terrain

When looking at the heel drop of road running vs. trail running shoes, it’s noticeable that the percentage of trail running shoes increases with the decrease in heel drop. This is well explained with the general preference for shoes with lower profiles when it comes to trail running because they allow for a quicker adaptation to the terrain.  

Heel drop vs terrain

Heel drop vs. stack height 

High heel drop doesn’t mean high stack height. In our database, we found shoes with a 10mm heel drop and heel height (stack height) that goes as low as 17mm. On the other end, there are zero-drop shoes with a heel height that goes as high as 36mm.

What this clearly underlines is that low heel drop doesn’t necessarily mean low stack height as might be expected. Enters Hoka, most famous for their low drop and high stack. 

Heel drop vs stack height

Heel drop vs. shoe weight 

The lower drop doesn’t always mean lighter shoes and vice versa. Example: there are zero-drop shoes that weigh 600g, while, on the other hand, there are shoes with a heel drop of 10mm that weigh 128g. 

Shoe weight vs heel drop

Zero drop shoes 

Special enough that only them, with one heel drop value, have a whole category. This happened because they tend to resemble barefoot running, or that was the initial idea. To get the barefoot feeling with some protection for your feet. 

One would think that shoes with 0mm heel drop would get maximum points for being minimalist and “more natural”. However, there are brands that go a long way to make such shoes more comfortable - Altra being the most recognizable here with zero drop but a lot of cushioning and even arch support. This in no way gives the barefoot feeling while running. For those really into the barefoot movement, Vibram FiveFingers models turn out to be the most popular ones. 

There are no studies that support claims of zero-drop shoes being better for running in general than shoes with higher heel drops. It’s, as with all other heel drops, a matter of personal preference. There are studies, however, that claim a certain adaptation period is needed when changing your heel drop to a zero drop. This is the most important thing to memorize when it comes to zero-drop shoes. 

If these shoes are your choice, set the filters to match your preferences and browse through almost 350 zero-drop running shoes.

What is the best heel to toe drop? 

There isn’t an ideal heel drop, but there is the one that works for you. While a 10mm heel drop might be the best for you, for someone else it’s 4mm. 

To emphasize this, we looked at the shoes of winners (top 3 places) of the most popular marathons in 2018 and 2019 (Chicago, New York, Boston, Tokyo, Berlin, London). Heel drops of those shoes ranged from 4mm to 12mm. The same thing happens when looking at trail races. We did the same for Ultra-Trail du Mont Blanc, for the 100k, 145k, and 170k races. We’ve found heel drops going from 0mm to 8mm. 

What all this points out is that heel drop is only one piece of the puzzle. One pair of shoes (or heel drop) won’t solve all your problems. The best approach is the holistic one. Observe it all: proprioception, muscle strength and activation, running form, posture. Each piece of the puzzle can be improved, heel drop might only get you so far. 

Jovana Subic
Jovana Subic

Whether it's a vertical kilometre or an ultra, climbing in the Alps or exploring local mountains, Jovana uses every opportunity to trade walls and concrete for forests and trails. She logs at least 10h/week on trails, with no off-season, and 4x more on research on running and running shoes. With a background in physics and engineering management, she prefers her running spiced with data.