One of the reasons we enjoy watching the Boston Marathon is that it’s the best possible laboratory to observe running gait across a broad population. In those few seconds before each runner passes, one can see a broad spectrum of deficiencies in running gait, and resulting compensations that cost the runner valuable energy. One also sees various pathomechanics that in all likelihood could contribute to various forms of tissue stress. Those stresses could be assessed and managed with a contribution from pedorthics. Some of the elite runners are naturally more favorably aligned and built for running, but that doesn’t mean that they are not in need of optimization of their footgear for enhanced performance and stamina and injury management.