Yes, it matters, and you need to choose the right one depending on your condition and your running goals. The shoe drop will affect how you run through your form and prevent injuries. That said, many new researches show health benefits in 0 heel-to-toe drop, as it’s the most natural body posture. Lower drop shoes may help people manage and recover from exercise-related injuries or foot conditions like plantar fasciitis. Higher drop shoes are for beginners with a heel strike, thus causing less stress on the feet.