Thursday, April 12, 2007

Shoes contribute to weak feet and poor posture

".... I believe shoes are a contributing (e.g., not primary) factor in the development of postural distortions. The foot was designed to walk barefooted which allows the intrinsic muscles of the foot to function and maintain their strength (as you walk, the toes are able to grasp the sand or soft ground). In shoes, especially with hard innersole surfaces, this cannot occur. The toes cannot function as they do barefooted, and hence the intrinsic muscles of the foot become weaker. This is compounded by the fact that many healthcare providers prescribe arch supports to help reduce the symptoms caused by a weak foot. Unfortunately, this only increases the problem. For example, for you put a cast around the knee, the muscles atrophy. Similarly, when you put an arch support underneath the foot, the intrinsic muscles of the foot atrophy." Professor Brian A Rothbart, Podiatric Physician and Surgeon
Photo: Lorraine and Gary Moller ~1958 Putaruru.
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Gary Moller comments:
I went barefoot the best part of my first 16 years, playing soccer, rugby, running cross-country and even hockey without shoes. My first 5 mile run was barefoot along a country road with a barefoot mate. My sister, Lorraine, did the same and her strong feet carried her to an Olympic bronze medal in the marathon at age 38.

All of my children were raised as barefoot as society would allow them. When a strethch and grow was given as a gift, the feet were cut out with a pair of scissors. Shoes were mostly open sandals and the toe boxes were spacious and the soles flexible. No tight stockings were allowed and bed clothes were light and loose so as not to distort the growing feet. All of my children have strong and flexible feet. They are set up for life by what we did for them in their first years.

The key to keeping toes comfy in the cold weather was not to swathe them in thick socks but to keep the central body core warm as toast so that excess heat was radiated away by the little pink toes. To understand more about this, please read my e-book about Hypothermia and Sport.

The photo to the right shows the feet of a child who has been raised mostly barefoot and the feet of an adult who was raised with restrictive footwear and stockings.

Professor Rothbart is dead right when he comments about arch supports. This is why I am generally opposed to the ise of orthotics to correct foot postural problems with these. Read my e-book here for more about this topic. I have yet to see a single case where orthotics are justified.

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    Tuesday, March 20, 2007

    Simple solutions to injury and training problems

    "Hi Gary, just a quick note to let you know how I have got on with the formthotics I got from you. Myself and a friend had planned a 3.5hour run for last night. I was a bit sceptical before the run about how I would go with blisters etc. However with new shoes a full size smaller than previous pairs, the formthotics from you and new thin running socks my feet were great, no problems at all which is amazing and a first - I am so relieved. Having come through that run with nothing other than tired legs I am going to commit myself to the Rotorua marathon. Thanks for you advice, I might have spent a small fortune lately but to run for over 3 hours and not even a hint of sore feet is well worth the $$ for me."

    Gary Moller comments:
    This keen female runner and cyclist in training for a marathon was suffering badly from a number of foot problems for which there seemed to be no easy solutions. Her prospects of making the start line for the Rotorua Marathon in good condition were diminishing by the day. As you can gather she is now a very satisfied customer.

    As is often the case with most injuries of non-violent causation, the solutions can be remarkably simple and almost always of the "self-help" kind. Seldom, if ever, does a drug, injection, scalpel or expensive orthotic resolve the problem. Most often the solutions lie in a person's training structure, their coach, doing corrective exercises, small adjustments to their equipment and even just changing one's shoes, socks and inner soles!

    If you have injury or training issues that bother you, please do not hesitate to contact me and I will do my best to assist with finding a lasting solution.

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      Sunday, November 05, 2006

      Ankle pain in older runners

      Gary
      I have been running since I was a boy; I won my first school title when I was 10, and since then I have run ever since. In April this year I turned 40, so have been running for 30 years, reasonably consistently.
      Whilst I've had my share of reasonably serious injuries (many self-inflicted, but a number being managed as I get older), my biggest concern is after a 1 hour plus run on hard surfaces, my feet and/or ankles just hate it, and I spend the whole run, waiting until it's over. I did a easy 75 min flat run with my mates yesterday, and I just couldn't wait until it was over. In terms of shoes, I wear Asics 2110 at home and work, so a reasonable shoe.
      I am actually worried for the first time ever about how this might affect my running. Any suggestions of what I can do? Likely treatment or supplements?
      Regards
      "B"
      Photo: sometimes, foot and ankle problems are easy to spot; more often, the trouble is not so obvious and, unfortunately, there are no single, quick-fix solutions.
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      Gary Moller comments:
      Thanks, "B", for consenting for this going onto the web: The problem you describe is one of the most pressing faced by "ageing" runners. If not resolved, the runner may be forced into giving running away and we can't have that happening, can we?
      The best approach to dealing with foot and ankle pain is to tackle the problem from several different angles and hope that one, or a combination of the following suggestions have a beneficial effect:


      • Run, step and bound barefeet weekly in sand. This is what the great coaches of old, like Percy Cerutty, always had their athletes do as part of their training. When Otago athletes of the 1970's were at their height of national prominence, coaches like Alastair McMurran had regular bounding sessions up the massive sand dunes of the Otago Peninsula (I had the dubious pleasure of doing a couple). This type of training helped develop and maintain strong, flexible feet and ankles. This type of training is all but forgotten nowadays and much to the detriment of runners. This type of training is all the more important as we get into our 40's and older. Joints, muscles and tendons thrive on being flexed and extended through their full range of movement. On the other hand, repetitive and restrictive movement, such as running on pavement is not good for feet and ankle joints.
      • Try different shoes and fit semi-orthotic inner soles. Although I prefer Asics myself, an obvious measure is to try a few different makes and models. The change can be remarkable when it comes to ankle pain. I have 4 different pairs that I rotate, including a pair of Asics designed for off-road running. The semi-orthotics I recommend are Formthotics Active which can be purchased here. A measure as simple as an inner sole change can give relief.
      • Do your ankle and foot exercises. If your feet tire as a long run progresses, the arches begin to drop, shock absorption diminishes and the outer borders of the ankle joints may be bruised which you may really feel upon getting out of bed the next morning! Here is the link to the E-Pub on the subject. Of course, these do not replace sand dune running!
      • Get your leg pulled! Yes, get a strong massage therapist to get stuck into your feet and ankles, working on mobilising all of those tight sinews and joints, including the main ankle joint. Manipulate a child's supple feet and the contrast with a typical runner's feet will shock you. So get into it and don't neglect the sand running which flexes the feet better than any masseur.
      • Take Glucosamine, Chondroitin and magnesium daily. Joint food preparations help guard against arthritis and may even help reverse the process. If the feet and calf muscles are tiring prematurely and cramping, this may be partly due to magnesium depletion which is a near universal problem with older runners. If the muscles tire, then the feet cease doing their stability and shock-absorbing work, thus throwing abnormal strain on the structures of the ankles and feet.
      • Run off-road. Buy a pair of shoes designed for trail running and do all of the long runs on trails. The soft surface and constant adjusting of foot and ankle placement is what those feet were designed for and they love it! Take care at first: your lack of flexibility and dulled reflexes from all that road running means you need to take care initially not to stumble or trip. The foot and ankle pain may be stirred up initially; but should diminish and disappear as the feet and ankles strengthen and regain flexibility with regular trail running.
      • Do cross training. Aqua-Jogging done properly and cycling are my favourites. These enable the ageing runner to continue to develop a huge cardiovascular reserve while sparing muscles and joints that have already given more than a lifetime of faithful service!

      (For more about this topic, type "ankle" into the search box to the upper left of this page and search this blog.)

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