Tag Archives: shin splints

Day 3: Top 5 gifts for Endurance Athletes

OK gang – let’s say that you are an athlete who has to stand on one leg at some point in your sport. This could be running straight ahead, cutting laterally on the soccer field, jumping up for a rebound during a game of pick up – literally any weight bearing sport! You need to learn how to properly USE your foot. So many running athletes don’t have proper coordination of muscles inside their foot. If you can’t move your foot, your foot position will fall apart when running, jumping, cutting, and anything else you do.

What’s the secret?

#1 – understand your foot. Years ago, I made this video for Running Times. The focus was on how to prepare your foot for minimal running shoes (because that was the trendy thing to talk about at the time) but let’s be 100% honest here – the criteria I point out are valid and critical for ANY running athlete. So take a look at it, and make sure you can separate out the “right way” to use your foot muscles. Yes, its hard for most of you, and yes it gets better really, really quickly if you invest a few minutes a day.

#2 – buy a Rocker Board

The single best way to improve your foot strength is to use a rocker board. First, tilt the board so that it is at 45 degrees to your body. The reason for this is that axis of pronation in the foot is closer to this orientation then it is straight across. You want to make your training functional. Since the only way you can control the board is by using your foot, it’s critical to keep the “triangle” of the inside and outside ball of the foot and the end of your big toe firmly down on the board. (if this doesn’t make sense, watch the video!) While standing with good posture, touch the toe side of the board down to the ground, then the heel side. This is one rep. Repeat for 2 sets of 20 reps. Then rotate the board 90 degrees so that you are working the opposite 45 degree axis (on the same foot) so that you complete 2 sets of 20 reps in each 45 degree axis on each foot several days a week. If you need support, feel free to stick one finger on a wall. It’s better to get help and control what you can than to flop about aimlessly. I don’t have a video of these made, but I have pics in my book.

So where can you get one of these things? There are quite a few places, and a lot cost about 80-110 bucks!  too much! The cheapest place I’ve found is from Sportsmith.net. I have 2 of these in my clinic and we have one at my house. After you’ve learned proper foot muscle coordination inside your foot, there is no better piece of equipment out there to use on a frequent basis. And you can use it to kick up virtually any single leg exercise.

Note – a rocker board is quite different than a “wobble” board. A rocker board pivots around 1 single axis and is great to “train” proper foot stability.  A wobble board is essentially a ball on the bottom of the board and is completely unstable in all directions. Sure, a wobble board is more unstable, but its one situation where more instability isn’t better. Get the rocker board, and have fun improving your balance!

Coffee talk with Endurance Planet


If you are tired of listening to the same old tunes during your workout, check out this podcast I did with Endurance Planet. We get into some gritty  content here. Basically, the idea that you don’t need “more”, you need “better”. And then you need more of the “better.”

Skill first, dosage second. If you are looking for ideas on where to start your transformation next season – start here.


Help for New Runners: a conversation with Healthynomics

So, you read the “4 exercises every runner should do this month!” in Runner’s World. You even like the 6-pack abs you see on the cover. You wonder how many miles you have to run before yours pop out like that too?

Your best friend challenged you to sign up for a 10K in a few months. And your trip to the running store left you so confused on what to buy that you are thinking about just wearing the beater shoes you use to cut grass.

and we haven’t even started a conversation about chocolate milk being the best recovery drink or not…….there’s a ton of info out there. Over the course of my career, I’ve worked with many thousands of runners. If you ever wondered what kind of simple advice goes a long way to set you on the right course for a smooth start and long term success, you just might want to check this out. Healthynomics asked some questions – and you’ll get some answers. Take a listen here: 

Getting Started With Running: Choosing shoes, prepping the body, and more!

Does barefoot running really impact injury or performance? Evidence for the peanut gallery

Screen Shot 2014-05-16 at 2.34.30 AMOK…..most of you are going to have a field day with this blog post, so let’s just get it out there. Barefoot running came in a BIG way. And like most BIG things that come quickly, its fading at a rapid rate. A lot of people think barefoot runners are nuts, and begging for injury. And others think that the injury risk is the same as those who wear shoes, but the location of injury in the body will just move from one to another. Well, I’m not really a fan of speculation.

Some years ago, I put out a survey to barefoot runners with some simple questions. How much to you run barefoot? Why did you go down this path? Did barefoot running impact your injury risk or performance? Over 500  runners responded. Thank you interweb.

To be 100% forthcoming, the study is biased towards runners who have actually tried barefoot running (not minimal footwear, but true barefoot). Duh, you had to have experience running barefoot to answer the questions! Barefoot runners are a passionate bunch, but we made the default assumption that people tell the truth. And yes, its just a survey. But it provides an interesting slant. Instead of wondering if barefoot running works, why not just ask people who do it?

This study, “Barefoot Running: Evidence from the Field” was just published in the Journal of Sport and Health Science, and you can get a full download right here. And for those of you who just want the simple version, the abstract is below.

Now I’m not saying that all of you should ditch your shoes for 100% of your mileage. But this idea of barefoot running supports a very critical concept. Feet are capable of some pretty good work. Barefoot running, when done in the right volume and circumstances, can be a great training tool to help you build a better body. And no matter what side of the barefoot debate you stand on, putting better bodies into running is a concept we can all get behind.



Running is becoming an increasingly popular activity among Americans with over 50 million participants. Running shoe research and technology has continued to advance with no decrease in overall running injury rates. A growing group of runners are making the choice to try the minimal or barefoot running styles of the pre-modern running shoe era. There is some evidence of decreased forces and torques on the lower extremities with barefoot running, but no clear data regarding how this corresponds with injuries. The purpose of this survey study was to examine factors related to performance and injury in runners who have tried barefoot running.


The University of Virginia Center for Endurance Sport created a 10-question survey regarding barefoot running that was posted on a variety of running blogs and FaceBook pages. Percentages were calculated for each question across all surveys. Five hundred and nine participants responded with over 93% of them incorporating some type of barefoot running into their weekly mileage.


A majority of the participants (53%) viewed barefoot running as a training tool to improve specific aspects of their running. However, close to half (46%) viewed barefoot training as a viable alternative to shoes for logging their miles. A large portion of runners initially tried barefoot running due to the promise of improved efficiency (60%), an attempt to get past injury (53%) and/or the recent media hype around the practice (52%).

A large majority (68%) of runners participating in the study experienced no new injuries after starting barefoot running. In fact, most respondents (69%) actually had their previous injuries go away after starting barefoot running. Runners responded that their previous knee (46%), foot (19%), ankle (17%), hip (14%), and low back (14%) injuries all proceeded to improve after starting barefoot running.


Prior studies have found that barefoot running often changes biomechanics compared to shod running with a hypothesized relationship of decreased injuries. This paper reports the result of a survey of 509 runners. The results suggest that a large percentage of this sample of runners experienced benefits or no serious harm from transitioning to barefoot or minimal shoe running.

Road vs. Cyclocross Bike Fit: what’s the difference?

A lot of hype concerning the difference between fitting a road bike and a cyclocross bike could be cleared up if we all agree on two simple things: put the engine in the right place, and then adjust for handling and comfort. Let’s break this down.

Saddle position

Your pedals are driven by large muscles surrounding the trunk, hips and knees. In fact, about 98.8% of the force you deliver to the pedals comes from your hips and knees. That’s right, the ankle only produces a very small percentage of your total power. So it makes sense to have the saddle height and setback (also called for-aft position) the same between your road and cross bikes to maximize power production. Why would you select a saddle position that compromises power output? Keep it simple. If you like your current saddle placement on your road bike, there is zero reason to change it on your ‘cross bike.

Handling and comfort

Good bar position allows you to move around while properly weighting the front end for corners and technical terrain | Photo © Jill Rosell Photography

Good bar position allows you to move around while properly weighting the front end for corners and technical terrain | Photo © Jill Rosell Photography

Okay, now here’s where things are a bit different. Instead of rolling your slick tire down fresh asphalt, you’ve got to contend with dusty pumice, wet grass, rocks, roots, and the nutrient ‘crossers crave: mud! In short, it’s critical to have a good handling front end. This means that you want to have a little less weight on the front so that you can lift your front end over obstacles easier. Careful though, too little weight on the front end will bring your torso too upright make it hard for your front tire to bite and send you skittering wide towards the outside of the turn. Let’s see how this all plays out in fit.

  • ‘Cross bikes typically have a higher bottom bracket. If you were smart, you’d kept your saddle in the same place as your (properly fitted) road bike.  This means that your saddle is higher in the air than your road bike. Since your saddle is higher, your handlebars also need to be higher.
  • Hand-grip placement for optimal handling: A lot of people rarely use their drops on their road bike. Then when on the ‘cross course, they find that they are forced into the drops on steep downhills to brake and get a better grip on the front end. Most riders find the bike is much more stable when conditions get squirrely if they use the drops. So if you are going to be in the drops, make sure you are comfortable.

So what’s the secret recipe to make sense of it all?

It’s simple really; the goal is to get the bars a bit “closer” to you. And you can do this in three different ways. You can run a shorter stem to move the bars closer, you can run your bars higher (by putting a few spacers under the stem or by using a stem with more rise), or a combination of both. I typically recommend that riders start by raising their bars first (because this usually only means moving spacers or flipping a stem). Setting up the bars with some combination of “up and back” will allow you comfortable access to the drops for good grip and handling, and while still allowing you to have optimal engine placement so you don’t lose any precious watts.

Powerful, sketchy, and somewhat comfortable. Yeap; sounds just like ‘cross racing!

Brain Power: Athletes, Coaches, and Clinicians – Join us for a great event in Bend, or beyond

Today, we’ve got a smattering of amazing educational opportunities to announce:

This Thursday in Bend, OR @ 7:30 at the Westside Clinic: Athletes – Please join Jay Dicharry PT (REP Biomechanics Lab Director) Matt Lieto (Pro Triathlete) and Keats McDougal (Ironman Canada & Tahoe Director) for a night of Mobility and Multi-sport discussion. Jay will provide the latest research on mobility and best practices for multisport athletes. We’ll answer the most common questions: What does stretching do for the body? When should you stretch? How long? What’s the difference between dynamic warm-up and stretching? And how does soft tissue work play into this whole discussion? Next,  Matt will discuss his training plans and and upcoming race prep considerations. Matt will show you how the lessons he’s learned along the way can help you prepare better for your next event. Finally, Matt will lead a Q and A with Keats. They’ll provide an overview and considerations of these two challenging courses. It will help you prep for this year’s race, or feed your stoke for next year!  Stick around after for a question and answer session with our panel. And yes, we’ll have beer. Cost: free. No brainer!

This weekend in Boulder Colorado (7/13-7/14): Calling all healthcare professionals – are you tired of getting your information on running mechanics from the mainstream media? Would you be interested in a immersive weekend of education that is based around hundreds of peer-reviewed articles, hands on clinical assessment, and gait cues? We’ll construct a framework of what we know about running mechanics and their effect on performance and economy. And more importantly, we’ll show you how this information applies not just to the masses, but to your individual patients. In short, this is all the stuff you wish they had told you in Med school, PT program, or ATC curriculum. There are still a few spots left. See here for details.

August 23-24th in San Jose: Tri-athletes and would-be coaches– are you looking to get your Level 1 certification? Then join us for the USA Triathlon coaching clinic. Two days packed full of essential knowledge to help you and your athletes succeed.

Sept 21st and 22nd in Bay Area: Running Coaches – this one is all for you. We are going to delve into the truth behind running mechanics, screening strategies for your team, the impact of strength training to improve performance,  discuss the role of footwear, and more. Andrew Allden chairs this event – he’s brought in a knock out panel each and every time –  Learn to think outside the box to take your team to the next level @ this USATF Level 3 Coaching Seminar. More info here

Yea, I know – blogging and tweeting is supposed to make us all smarter. But you know what really makes us smarter? talking face to face. See you soon!

The running shoe industry has been taken by storm: TP Striders

Revolution, not evolution.  The latest innovation for your feet is not from the behemoth with swoosh. Its not from the company who brought you “those funny toe shoes.” Instead, this latest venture was announced last night on prime time television.

Its innovative “dual-purpose outsole” has a unique feature to help you out of a certain situation that always seems to come on about 1 mile into your run. Run prepared! If you’d like learn more, check out the video below.