Posts Tagged ‘orthotics’

Run 6 – Thursday, March 4, 2010, oh man.

Okay. Remember how I said that I had been trying to run since I was 18. Well, the cycle is something like: don’t run for a long time, run, inflame a tendon (patellular tendonitis, IT band-itis, etc.), quit running to let it heal, and don’t run for a long time….. I am continuing the cycle.

On Thursday, I was on the fence for running, but I ultimately said to myself, “Self, let’s try to establish this routine and go run.” So, that’s what I did. I met my friend, and we did a different location run/walk for about 3.5 miles. I wore my super stiff running shoes with orthotics. When we finished, the run proved to be another posterior tibial inflamer! WAHHHH!!!!

I am not going to lie. At this point I was incredibly disappointed. I went home Thursday night and did the ice, heat, ice cycle twice. It felt better by the time I went to bed. However, Friday morning was another story. The left foot really did not like it when I walked on it. I even broke down and took ibuprofen when I got to work. I was at wits end.

How can I prove to the world that I can run in barefeet with my flat feet  if this stupid tendon won’t stop hurting?! Doesn’t it understand that this is really important? GGGAAAAHHHH!

Then, I realized this is part of the process. The process of getting my feet acclimated. So, hang on tight, folks, as I take you through some additional steps for getting over the beginning bump of working out with flat feet.

First, I enlisted the help of the physical therapist I had been to in October when I was going to start training for a half-marathon (no specific half, just any half-marathon at this point). However, once I quit going to him, I pretty much just stopped running and working out period. Man do I need to have some stick-to-it-tiveness in my life.

Anyway, I emailed him about the inflammation with two quesitons: 1. How long does it take inflammation to clear up. 2. Should I stop weight-bearing exercise while letting the inflammation heal?

His answers: 1. 2-3 weeks depending on the inflammation, etc. 2. YES! Stop the weight-bearing exercise immediately.

He also said that ice is the only thing that I needed to do (no ice, heat, ice), and that I should do 15min 3x’s MAX ice per day. He also recommended that I come in for an appointment so he can see my foot and give me some pointers on training in barefeet (his company had recently done a mini-seminar on barefoot running – what timing!).

My response since then, I iced for 15min on Friday night. I am planning to call on Monday to make an appointment, and hopefully I’ll see him next week to get new stuff going.

Second, I had an appointment with my chiropractor (I see my chiropractor at least once per month, and I highly recommend this action for everyone – more on that later), and at the end of these appointments, I also have a massage to help the body’s muscles realign with the adjustment or something.

During this particular appointment, I was worried because I was getting a new massage therapist. It turned out that I had absolutely nothing to worry about. She was fantastic and very in tune with the body. It was interesting because they keep a file on me, and she knew about my history with TMJ even though I didn’t mention it. I always get a little freaked out when the massage therapist goes, we’ll need time to massage your jaw for your TMJ, when I have only mentioned that my left posterior tendon is killing me. My massage therapist is AWESOME!

Ok, back to the massage, when she got down to my legs, it was the usual OMG pain in the quadriceps from all the new work they’ve been doing (expected), but there was this excruciating pain across the top of my ankle. She said that this is a band of muscles that the wrist and ankle have because they are the “weak link” in the body. Well, let me tell you, my band of muscles were super tight! She worked on the left foot first, and then the right foot. Her observation was that the “right foot is a lot less gristly than the left foot.” And boy was she correct!

Overall, I felt so much better with my chiropractic adjustment and massage, that I am going to increase the frequency during my early stages of training. I will start with once every two weeks and see if that is enough. I am also going to enlist the help of my physical therapist. Let me tell you, folks, it really does take a village!

This is not the end! It is merely an obstacle on the way to success!

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Run 5 – Monday, March 1, 2010 – Uh Oh….

So, I spent Sunday blogging :-), which gave my unhappy posterior tibial tendon a rest. I will say that I hobbled all day, but I noticed a reduction in pain by Sunday night. This was important because I have a standing run scheduled with my friend every Monday on the wonderful 3 mile gravel loop.

I decided that going ahead with the run would be fine given that I take it easy during said run and wear my orthotics and super stiff running shoes if I don’t feel that it is at least 50% better by 4pm. I also decided to wear my Danskoâ„¢ shoes today as they are supposed to be so good that you don’t need your orthotics with them.

Sidetrack for the Danskoâ„¢ shoes:

Up until today, I had no idea why these shoes were so great or why people loved them so much. I bought mine on the recommendation of my mother, who loves hers, and she bought hers on the recommendation of her foot doctor. Why not? My mom thinks they’re great, and she and I share some foot similarities. Plus, they are doctor approved. I wore them, and I liked them. However, they didn’t make me jump for joy because they felt so good. That is until today.

I now know why the Danskoâ„¢ shoe is so great for flat footed or orthotic wearing people, even without being able to put orthotics in them. Those shoes do all the work for your foot! I mean, my tendon didn’t do anything. The shoe is so rigid that your foot does not have to push off or bend or do anything! It was amazing to my over-worked and inflamed tendon. I was quite pleased with my Danskoâ„¢ shoes on my morning commute (walk) to work, and I had been really worried about really aggravating that tendon.

Back to the run:

Throughout the day I paid attention to how my left foot felt. It didn’t really get “better”, but I didn’t want to bow out of my run since I am establishing a behavior. I decided to go ahead and run, but I had to wear my orthotics and super stiff running shoes. I was very bummed.

We got to the super 3 mile gravel loop and decided to do the loop in run/walk mode. I noticed the difference in shoes immediately. Running in my othotics is like running with a corset on my foot. I couldn’t move my feet to adjust for objects in my way as quickly as when I am “barefoot”. I couldn’t adjust my forefoot at all. I really tried to maintain mid-foot running today, but it was really difficult as my running shoes are definitely pushing me to heel run. Not to mention, I was aware of my IT bands, again. Yes, after one day! I haven’t felt them at all in my “barefoot” runs. AAAAARRRRGGGGHHHH!

However, my tendon was much relieved and made it through just fine. It is happily icing right this minute. I also noticed that I hobbled not at all and the pain was considerably less after my run today in the orthotics. Hmmm.

So, I am now determined to get this tendon feeling better, and to take it more slowly with maybe a half barefoot/half running shoe run. I haven’t decided. I am going to do more balancing exercises specifically for the left ankle. I have found the most effective to be standing on the Bosu® on one foot for 30 seconds. Talk about challenging – definitely be prepared to fall off 🙂

I am still disappointed, but I will say that my right foot is adjusting perfectly. It is no longer sore. All I have to do now is get my left foot up to strength. I think I can! We shall see.

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Welcome to my world!

Hello and welcome to the world of running with flat feet. I have been running on and off (due to injuries and laziness and car accidents) for over 15 years, and I have been continually learning all about my body, my feet and how it all works together. This adventure began the summer before I started college.

My best friend, Amy, got me to run with her that summer so that we could look hot for the boys at our new schools. This adventure started well for us. I found that I could run, which I had previously thought was impossible. Lo and behold, if you just go for it, you usually find that it is not impossible.

So, I started school and ran intermittently (especially when the freshman 15 started creeping 0r shall I say just dumped itself on my body). Usually I would run successfully for a few weeks, and then I would have to stop due to shin splints.

After two relatively unsuccessful years, my right knee started really bothering me. So, I did the responsible thing and went to the doctor for a diagnosis. I had patellular tendonitis. Yep, it meant that my knee hurt. So, I iced and continued to run. No one told me at that time that I should stretch or strengthen – that came much later.

The next year, I went out for a run to blow off some steam, and I pounded away at the concrete sidewalk. Yes, this hurts me to think about it, too. I seriously injured myself, but did not want to admit it. I had severe pain in my left foot. Four months after that run, I went back to my foot doctor to find that I had fractured my lateral sesmoid bone and had a hairline fracture in the bone of my fourth toe all on that same foot. I ended up having to have the lateral sesmoid removed, which has caused some interesting side effects such as splaying of my big toe – more on that later.

So, what did I do after that? I kept running, of course! The next year, while running, my hamstring began to really bother me a lot both during and after a run. At this point, I was in graduate school, and I followed a reference from the  university health center to go to a physical therapist. I had no idea what they would be able to do for me.

First, I ran with tape on my shoe and ankle with a video camera recording my feet. Then, I was told I would have to have prescription orthotics – plaster molds, baby! After that I was stretched in every conceivable fashion and given all kinds of exercises for my hamstrings.

I wore my orthotics religiously. I changed my shoes to accommodate orthotics. I stretched and strengthened. I will say that I have never had shin splints since wearing orthotics.

However, after my hamstring issues came IT band problems. I had switched schools. So, I switched physical therapists. They applauded me for wearing my orthotics religiously. The difference with this physical therapist was that he told me we needed to treat the problem, not the symptoms. He looked at how my core was working – oh – it WASN’T! And he looked at my glutes – they weren’t doing anything either. Turned out that at this point, my hamstrings were doing all the stabilizing as well as their own job. This also led to the increased tension on the IT band as they tried to help to the hamstrings. “Eureka!”, I thought. “Now, I will be able to run pain free!”

So, I stretched; I strengthened; I even did exercises to strengthen my big toe; and I ran on grass, etc. Then, when my symptoms did not really improve, my physical therapist told me that I would never be able to run.

I did not believe him.

I still do not.

After having my orthotics for about 4 years, I went to a new doctor to get a new pair. More plaster, but this time, the doctor cut away the padding under the big toe on both feet to enable them to do more work. I also learned around this time that I should have a callous under my big toe because it should be doing the push-off motion. Well, my callous for push-off was under my second toe. Hmmmm…..big toe still not working. Could that be the cause of some symptoms? Maybe…

I returned to working on the strengthening exercises for the big toe with more vigor! This had to work! All the while I am buying the stiffest motion control shoes I can find because that’s what I needed, right?

During this time, I graduated from graduate school and got a job. The running was very intermittent as I switched to a very high stress job. Then, I changed fields: I started teaching; then, acting; then, coaching, etc. Finally, I returned to running only to find that the old IT bands were still inflamed at the smallest of runs. ARRRRGGGGGHHHH!!!

I continued to run despite the issue. I added massage once per month. Then, I got in a car accident. Halt to running for one year. During that year, I moved across the country, got married and started a new job.

After moving, on the recommendation of a friend, I found a chiropractor in my new city. I was all kinds of out of alignment. I had a shoulder problem (couldn’t raise my arm above my head without pain), TMJ, and my right hip was killing me all the time. Running was out of the question. Walking was a daily necessary pain as my new city was awesome and pedestrian friendly.

After 6 months of chiropractic and massage, I started running again. With the responsibilities in my new job ramping up, I did not stick with it.

Last summer, my chiropractor went to a conference where he learned about how we might be doing it all wrong. Maybe the body doesn’t need all these fancy orthotics to function correctly. Maybe the body was built, even with imperfections, to function at its best without help. He also learned of Vibramâ„¢ Five Fingers. He told me that they were shoes with a pocket for each toe, and that they simulated barefoot walking as well as stimulated the bottom of the foot.

Ok, I’ll try anything once. So, I bought some. They were amazing. Unfortunately I was so enamored of using them, I jumped in too quickly and the top of my right foot ended up swollen. I was not running in them at this point. I was walking (I walk one mile one way to work) in them and wearing them all day. Turns out that if you read the Vibramâ„¢ website, they tell you to ease into the barefoot sensation – especially if you pronate! Duh!

Anyway, I stopped wearing them for winter because I only have the Sprint model and a pair of injinjiâ„¢ socks, which do not really keep my feet as warm and toasty as I would like.

Now, we come to the present day. My husband and I spent a week skiing, which really felt good as far as being active. Once we got home, I resolved to try and run in my Five Fingersâ„¢.

This blog is an attempt to document my steps in the process. I want to track what my feet feel like. Research that I do. Information to share on how things are going – what to look for if you, too, are starting down this track.

Basically, I want to test my hypothesis that I can run barefoot with my flat feet. I think that by going slow and not jumping in too fast, I can make this a reality.

Be on the lookout for pictures, and I will start with my first run experience tomorrow!

For now, good night, and good running!

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