How often should runners replace their shoes? In this detailed discussion, our expert physiotherapist explains how footwear wear patterns, running volume, foam compression, and injury history all influence the optimal replacement schedule. Learn why rotation, drop height, stack height, and shoe type (mileage vs race shoes) matter—especially when managing conditions like Achilles tendinopathy. Discover how to evaluate your running shoes for signs of wear and how tailored footwear advice can support your injury prevention strategy.