Tag Archives: Running injury barefoot minimalist

Want a free copy of my book? School’s in session at a local running retailer.

There is a store called “Daddy Ultra Runs” down in Cocoa Beach, FL, and the owner, Hernan Garcia, is giving away my book with every shoe purchase from October through December…..at his own expense. Is this crazy? I don’t even know this guy. Why would a shop owner do something like this?

Let’s look at the reality here. 82% of runners sustain a running injury during their lifetime. Stats show that 42-62% of runners get hurt each and every year. Those numbers aren’t good! In fact some people would look at those numbers and say “running is dangerous – stay away!”

However, my experience treating runners daily for over a decade, and collecting objective information on their running stride in my lab has shown me that running isn’t really the problem. The problem has more to do with a) your body, or b) the way in which you run. While I spend my “day job” doing individual running assessments in my lab, I realize that I can’t see everyone, which is why I wrote the book, Anatomy for Runners. While its no substitute for a full one-on-one evaluation, its the best I can do until I’m able to successfully clone myself.

Let’s be honest, Your local running retailer is the first point of contact for runners. They see way more runners in a day than any local clinician does, and can take advantage of their exposure as educators. They can spread better information to both new and experienced runners, and together, we can work collectively to change those injury stats, and keep you running healthy into the future.

Thanks Hernan, and thanks to all of you who are spreading the word on the book!

Chevy Tahoe or a Mini Cooper? A tip on running shoe selection.

You are about to leave your house and have the keys to both your cars in your hand. Which do you take?

Today, you have to drive through town town to get some groceries, and then to the mall. Its a slow drive on neighborhood streets to the freeway. Your SUV is comfortable, affords a good view of the road, and has lots of room for the stuff you are going to buy. Given the fact that SUV’s account for huge number of sales in the US, the public agrees this is a logical choice.

OK – its the weekend. You are going to flee the city and head up to the cabin. Its a really twisty backcountry mountain road. Turn after turn, its hard to even maintain the posted speed limit. Do you select the SUV that ensures you need to slow down due to body roll, or do you take the sports car? The sports car is lighter, lower, and has a firmer suspension. It was designed for these very conditions. While a stiffer suspension may be less comfortable driving through the burbs, the improved “road feel” you get with the sports car helps you drive better at speed through more challenging roads.

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Time to go shoe shopping! You ask the salesman to pull two pairs of shoes for you. The first feels like a cloud at first step. It feels like you could stand around in them for hours. Your quick run test on the sidewalk in front the shop confirms that same cushy marshmallow feel during your run. Going back inside, you slip on shoe #2. It feels comfortable, but is much firmer. It didn’t grab you at first step as you walked around the store, but when you repeated your short demo run outside, it felt pretty much like the shoe wasn’t even there. The firmer feel felt a bit more responsive.

What running shoe should you buy?

Well, the marketing research is clear. People buy shoes b/c of 1) color, and 2) “first feel”. First feel is that first step you take. You know that sense of walking on a cloud…..the same feeling that made you think you could stand around in them for hours? Well, that doesn’t have anything to do with running shoe selection. Running is not standing. When you stand, you have half your body weight split between each foot. The total load on each each leg is about half your body weight. When you walk, sometimes you have two feet on the ground, and sometimes you have one foot down on the ground. So at the most, you’d have your full body weight on one leg, and at the least, it would be split between both legs. And when you are walking, your feet are on the ground for a long time. If you need to “micro-correct” your muscles to stabilize your body, you’ve got time to do so.

Running isn’t standing. And its not walking. During running, your foot is only on the ground for a very short time: The average runner moving at 7.2 mph is on the ground for only .17 seconds. Decisions on stability need to happen very very quickly, faster than you can actually think about them. And when running, there is no double leg contact. You are either sailing through the air, or in contact with a single leg. That single leg must not only support your full body weight, but about 2.5x’s your body weight.

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So what “car” do you pick? Well, lets look at hundreds of research articles on foot and ankle balance. Almost every single article says that you have a harder time balancing and stabilizing when on a cushioned surface. On marshmallow-cushy surfaces, the muscles that control your foot and ankle kick on too late and not enough to keep things under control. So if you are going to rally around a twisty mountain mountain road, the stiffer suspension on the Mini Cooper gives you better traction and feel. When running, a firmer feeling shoe provides a stiffer surface for the muscles in your foot and ankle to support your body. Said very simply: the foot works better when on a firmer surface.

So do yourself a favor. Go to the store. Try on your shoes. Obviously you’ll stand, and then walk outside or over to the treadmill. But resist the urge to make an impression on the shoe until you are actually running. Of course you should buy a pair that feels comfortable! But most of us are in shoes too soft and squishy to be running fast. Pick the right car for your drive, and the right shoe for your run. Running comfort, not walking comfort, should be key.

Is Poor Posture Stealing Your Power?

Are your shoulders slumped? Both Mom and your favorite drill sergeant don’t take kindly to poor posture. Outside of looks and respect, posture has a huge effect on your running form. If you ‘d like to know how it impacts you as a runner, and how you can fix it,  check out my article in this month’s October edition of Running Times – on news stands, or click here to view it now. Now stand up straight!

20121001-155217.jpgOK – you go to your doc or therapist. He/she gets a funny orange triangle thing (reflex hammer) and gently taps just below your knee. Instantly, you kick out your leg. You get a look of approval, and your doc moves onto to the next thing….. what just happened here? And what does this have to do with running surfaces I spoke of during my UROC video last week?

Your doc is testing your reflexes: an involuntary and nearly instantaneous movement in response to a stimulus. By nature, a reflex is not something you need to “think about” – it doesn’t require any processing in your brain. Basically, your body gets a signal (input), and it produces some type of response (output). So this very simple action of a tiny tap below your knee cap produces a contraction in your quad without your brain telling your quad to contract. Pretty useless right? Wrong.

Reflexes allow us to look at your neuromuscular system. The term “Neuromuscular system” is basically a fancy word to explain something very simple: muscles can’t do anything unless your nerves tell them to. Testing your reflexes let us see if the nerves are transmitting the right signals throughout your body. We know the INPUT is good because we both saw someone whack your knee. What we hope to see is the “right” amount of muscle contraction or OUTPUT. Poor output, such as too little contraction (called “low tone” or hypotonic) or too much contraction (hypertonic) is a sign that the neuromuscular system has a glitch. Little glitches means the system is unstable and produces less than optimal muscle contraction. The reasons for these glitches are a bit outside this blog post! Fortunately, most people will fall into the “normal range.” Performance in this “normal range” is a sign that the nerves do a good job of relaying information throughout your body, and that your muscles produce the “right” amount of contraction. These “smooth” reflexes mean your body has developed a very refined or organized way of moving when its given an input. OK – why are we wasting your time with this little lesson? Gait is pretty much a reflex.

Sure, you can make a conscious decision to walk or run backwards, or skip every third step if you want to. But for the most part, you don’t THINK about taking each and every step when walking and running. It happens sub-consciously at a fancy place in your nervous system called a “central pattern generator.” Over time you’ve learned to fine tune and coordinate this reflex. And spending time concentrating on your running form helps fine-tune this reflex pattern. Ever heard the term perfect practice makes perfect?

Interestingly, when we sprain ligaments, we tear nerves. I explain all this much more in my book, but the key aspect is: torn nerves = less input. Less INPUT = poor muscle control or OUTPUT. What do we do? In therapy we work to improve the INPUT to our body by doing lots of proprioception and balance training so we can get a better OUTPUT. You learn to refine your control, and develop alternate strategies to control your body. Do these gains translate over to running? Yes they do. You can improve your stability after an injury. But you know translates really well to running? Running….on different surfaces!

If you always give the exact same input, you’ll always get the exact same output. If you always run on a treadmill, at the exact same speed, and you never get tired, this strategy works pretty well. Except that isn’t the real world. Your body needs to know HOW to respond when you get a different INPUT. You run up hill, down hill, get tired, change your body weight from day to day, and encounter different surfaces. All these slight differences require slight changes in your technique.

Research shows similar trends for both walking and running gait. When things are always the same, you are more likely to get an injury. When things are out of control you are also more likely to get an injury. But people who have a range of comfortable walking and running patterns have multiple strategies to tap into.

So what’s the take home message here? If you give your body the same INPUT every time, you’ll always get the same response. If you expose your body to different surfaces, you learn to refine your reflexes to produce good quality muscle control on multiple surfaces, and improve control on your typical surface. The trail runners reading this already know, and can FEEL, these differences. However those of you who are stuck on the ribbon of asphault, its time to mix it up. Train on concrete. Train on asphault. And grass. And trail. And uphill. And if it feels weird, its sign that you need to do a bit more of it. Not all at once, maybe just a little bit in small doses. If you can’t take a 4 mile trail home, then maybe run the gravel alley. Jump onto the median and run in the grass for a bit. Exposure to varied surfaces can help you develop as a better runner.

Different input = smoother reflexes

Smoother reflexes = better muscle control

Better muscles control = better runners.

 

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Trail Running Tips and UROC

What’s different about trail running vs road running?

Is there anything you can do do better prepare your body for these differences?

Most all of the elite trail and ultra field is descending into the Blue Ridge Mountains this weekend for the Ultra Race of Champions. Should be one incredible race  – everything from smooth roads to the uber-technical flow of Torry Ridge will be laid out before them.

The team at UROC is trying to improve the visibility of Ultra-marathons, so they are going to broadcast content during the race on their site. Also they asked if I had any helpful tips or tricks for those who favor the rocky stuff and go longer than 26.2. If you’d like to know the answer to the above questions, check this video I made for Competitor and UROC. (you have to click on the link, not the picture) Enjoy!

Best of luck to all the racers!

Baby needs a new pair of shoes

It’s pretty tough for a lot of runners to make sense of all the changes in footwear these days. One key message is that shoes don’t run on their own. You are profoundly more important than the shoes on your feet. This being said, footwear construction can and does make a difference. And when we talk about kids shoes, it affects not only how they walk and run, but more importantly, how they develop.
Want to learn a bit more? Check out the “Shoes for Small Fry” article I wrote for Running Times. As a parent, we all try to give our kids an advantage. I’m well aware that there are a lot of things coming up in my kids life that I can’t control. But giving my kids the gift of strong feet is one I can control. Those little feet just might be passing you up on the race course sooner than you think!

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My 4yr old’s feet: excellent alignment and strong for her scooter, soccer, and the playground. The right footwear will ensure they look this way as she ages through the big game of life.

Do runners with a ball “get it” more than runners?

The media at large has done a dis-service to you, the consumer. They love polarizing images. They love the battle between overly built-up clodd-hopper motion control shoes vs. naked feet. They try to instantly declare one “better” than the other. The reality is that the barefooot buzz has been incredible for ALL athletes. No matter which side of this polarizing topic you stand on, it has directed attention on form. And that’s one of the main things really.

Let’s clear out the sewer lines folks. Barefoot is very DIFFERENT from running in shoes. Sure a good number of folks switch their contact style from rearfoot to forefoot when going barefoot, but a lot DON’T. And while the media loves to harp on this one single factor, its like saying only one tree in the entire forrest is important. And that’s just not true.

Its not so much forefooot vs rearfoot here, its more about where the foot is in relation to the body that counts. Striding too far in front of the body results in bad things. Your feet were meant to be beneath you – not flying out in front. Imagine running over ice. Anyone feel safe over-striding on ice? Didn’t think so……But its not just “runners” who are beginning to take notice. Other “running athletes” are asking question too.

Recently, I had a conversation with basketball journalist Steve McPherson. He was asking me about the apparent rise of injuries in basketball, and wanted to know if anything from all this barefoot hoopla translates over to the hoop. Steve did an excellent job with this piece, “What can the NBA learn from barefoot running?” I recommend you take a look, whether you run with barefeet, wrapped feet, or a ball.

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South by SouthWest Festival: When Biomechanics Attack

Check out the report WIRED magazine did of my talk with ESPN writer Henry Abbott at SXSW music festival. Likely the only time I’ll get to say I presented at the same conference as Al Gore, Bruce Springsteen, Seth MacFarlane, Jay-Z, and Jeffery Tambor (unfortunately not on the same stage at the same time!)

Nice summary, except they didn’t really get one critical point across. You CAN improve your hip flexibility and your hip strength!

Check out the WIRED article here and check out this link I did for Runner’s World a while ago on improving hip mobility

 

Are you ready for minimal?

Looking to get into “less” shoe? Don’t understand why you need to make some changes in your body to help this process? Looking for some help moving towards something new? Check out this month’s issue of Running Times to check out an article I wrote with my colleague, Dr Mark Cucuzzella, on a smooth and successful transition to minimal running shoes.

And if you’d like to see the print word come to life, check out the video “are you ready for minimal” by yours truly on the www.runningtimes.com homepage. Also on their youtube channel here.

When the Big Man in Red calls, you have to be ready

Thought I’d share this with you guys, because it’s a bit different than most of the cases I see here in the lab on a daily basis. So the phone rang on today. The caller ID just said “North Pole” – not knowing what to expect, I picked up and surprisingly spoke to Ms Claus! She spoke very frantically. Santa was overheard in the background, and did not sound jolly. One of their athletes was down for the count less than one week before the big day, and they were in serious need of our services. ASAP. Rudolph is suffering from Achilles pain, and can’t fly at race pace. At his current speeds, they’ll be about 8.5 hrs behind Christmas-Eve night delivery schedule. Kids on all sides of the world should all be able to wake up to their loot. Running late is not an option.

Seems like all this global warming has taken its toll on a number of fronts. Yes, its hotter, and more of you are driving Prius’s (or is that Priui???), and sea level is rising – but folks, reality is now staring you in the face…. and its taking your Christmas presents with it. Typically, the reindeer wind up their training volume when the snow starts to fall in the end of October. This year, October saw record high temperatures. Instead of training, the reindeer were sunning themselves at the lake. A typical week in October looks like this:

  • Sunday: light 6 hr hike through the woods
  • Monday: 8-mile Hill repeats (about 4,000 ft per climb) x 12 reps
  • Tuesday: AM Speed work: 10 x 1.5 miles, all negative split. PM workout: easy 5-mile flight
  • Wednesday: Flight training: Circumnavigation of Arctic circle x 3. 1st and 3rd easy, middle rep at tempo pace.
  • Thursday: Weighted sled training: 3.5 metric tons for 6 miles, 2.5 tons for 4 miles, 1.5 miles for 2 miles at 90% VO2
  • Friday: easy run to Canada and back, with 1 hr of fartlek
  • Saturday: Tempo intensity, all flight – equator and back. Goal time is around 2 hrs.

The Elves in the training room had to be pulled out to help with some last minute Xbox orders, and they are understaffed. So Donner and Blitzen volunteered to get Rudolph down here within 2.5 hours The made it in 2:10. For starters, Rudolph is super nice – a bit too much on the Type-A sometimes, but I guess its that kind of work mentality that gets you to lead the sleigh year after year. He said this is the first time he has been injured. He even did weekly jogs sans horseshoes in the early summer after reading “Born to Run”, but he thought it was the sudden ramp up in volume that really got him.

Head Elf stretches Rudolph after last week

So, we did what we normally do. Got some markers on Rudolph and threw him on the treadmill. Results? Well, Rudolph has some serious imbalances going on. Pretty weak stabilization of his right rear ankle, and some inflammation of his bursae seem to be the culprit here. But the real issue was his weak right hip. Failure to drive off with his hip was actually increasing the stress on the achilles. Using data on our force-measuring treadmill, we cued him to use more of his glutes to stabilize his hip. We fit him for some minimal horseshoes to reduce the lever arm on his ankle. Lastly, we gave him some self-mobilizations he could do on the rooftops to keep him supple throughout the night. So how’d it go? Well, here’s hoping that all of you have something special under the tree on Christmas morning…..on time. Happy Holidaze!!!!