Registration

I hope everyone is enjoying the new year and has begun preparing for the RTTR.  For those who plan to participate in the actual event, running or walking, registration is required.  The following link has information on the methods of registering.  If anyone has trouble registering let us know and we'll see if we can help.  Run on!


http://www.jog-inc.com/Race_to_the_Rocker.html

Jenn's First Run

I just got home from my first run/jog/walk of 2012!
I use my iPhone to listen to whatever channel I want to on Pandora. It's a pretty big motivator for me while exercising.

It was nice to have Springfield to myself again. That's a huge reason why I love to run so early. I can't sleep anyway, so I might as well make a healthy choice.

The weather was pretty nice for it being January 16th around 0230/0300.

Blue Powerade is my favorite drink, especially since I'm going strong without consuming caffeine and soda for about 4 months now. For the most part, I drink water though. This is after my run early this morning. I'm a hot mess but feeling good!

I definitely hope to make this a habit, so I can lead a healthier lifestyle, lose more weight, and "Race to the Rocker" with all of you! Best of luck with preparation, everyone! Love, Jenn

Pull up limpling

Well, I avoided posting on this blog mostly because I've been unable to run since I ran a 5k in the middle of December.  I tried running yesterday and made it a mile before I shut the run down.  Last week I only made it a few hundred feet before pulling up limping.  This indicates progress.  I have decided to not make any more attempts for at least two weeks.  I've purchased a bicycle trainer which will allow me cycle without leaving home.  This will allow me to keep my cardiovascular system in shape.  I'm bummed that I'm unable to run but glad that I have other mean to stay in shape. If there are those of you going to RUN the Race To The Rocker and have not started I encourage to do so to prevent pulling up liming during the race.

Josh

P.S. The biggest problem with people who know better is that they don't listen to advice they give others.

The following link and article appeared in podiatry today and while at times the article is medically wordy I thought this addressed some common misconceptions about barefoot running.  The actual article has a slew of  references for those interested.

http://www.podiatrytoday.com/tackling-10-myths-barefoot-running

Tackling The 10 Myths Of Barefoot Running

Volume 25 - Issue 1 - January 2012

Author(s): 

 Nicholas A. Campitelli, DPM, FACFAS

This author investigates common misconceptions about barefoot running and expounds on the positive effects of minimalist footwear.

Barefoot running, minimalist running and natural running are all terms that describe running in a manner that allows our foot to function the way it was designed (or has evolved). This happens through the use of little or no shoe at all. Many runners suffering from chronic injuries are adopting this way of running and are experiencing relief of symptoms to find themselves running with enjoyment and a more relaxing form.

   I too have been cured of a running injury, which I suffered from for over eight years after transitioning my gait to that of a “barefoot” runner. Without further ado, here are the 10 myths of barefoot running.

   Barefoot running leads to stress fractures. Without a doubt, the most common concern with barefoot or minimalist running is the development of a stress fracture. While there have been documented cases of this in the literature, stress fractures occur as a result of a change in activity without gradual adaptation and are not directly related to the shoegear or lack thereof.1 We actually should see a decrease in the likelihood of stress fracture given the change in stride and cadence that one acquires while running barefoot.2

   Stress fractures occur secondary to overuse without the body having adapted adequately as proven by Wolff's Law.3 In fact, if we adhere to Wolff's law in theory, we should see weaker bone trabecular patterns on those wearing cushioned running shoes due to decreased intrinsic muscle strength, resulting in a proportional decrease in the force acting on the respective bone.4

   I have flat feet and I need support. Lees and Klemerman have demonstrated that there is no correlation between foot type and running injuries, specifically with a pes planus deformity.5 During barefoot running, we avoid heel striking and land more on our forefoot or midfoot. Once the forefoot strikes the ground, pronation of the entire foot begins (not isolated pronation of the subtalar joint) and continues until the point where the heel touches the ground. Arch height becomes irrelevant as does the commonly described concept of pronation with the heel striking the ground first. With a forefoot/midfoot strike, pronation is very beneficial and helps to absorb shock.

   I weigh too much. While this is a common excuse to not run, being overweight is not reason enough not to run barefoot or in a minimalist shoe. In 2010, Leiberman and co-workers were able to demonstrate that habitually unshod runners were able to generate smaller collision forces than shod heel strikers.6 In other words, by forefoot striking, we decrease the force that transmits through the lower extremity, thereby reducing torque forces to the ankle, knee and hip joints.7Clearly, we can see that if people weigh 250 lbs, they would be placing more force through their joints by heel striking then by landing on their forefoot.

Would Bad Knees Inhibit Barefoot Running?

I have bad knees. Osteoarthritis of the knee is a common concern among many runners, especially older individuals who have run the majority of their lives. There are many theories as to why running is bad or even good for your knees. So many in fact that elliptical machines were invented to be used as a form of exercise similar to running without causing excess pressure to the joints.8 However, these elliptical machines do not reproduce anatomical motions and an in vivo force analysis reveals there is less force with walking than with an elliptical trainer.9-11

 As I noted previously, we know that ground reactive forces are greater with heel strike in comparison to unshod or barefoot runners who adapt a more forefoot strike pattern.6 Numerous studies have demonstrated higher ground reactive forces and mechanical stresses to the knee while running in traditional running shoes as opposed to barefoot.12-13 A recent study published in the British Journal of Sports Medicine looked at patients with knee osteoarthritis over 12 months and found no difference between wearing a lateral wedge orthotic versus a control flat insert.14Similarly, a systematic review of literature demonstrates that external knee adduction moment and pain associated with knee osteoarthritis is higher in individuals wearing sneakers in comparison to those who do barefoot walking.15

How Do Orthotics And Plantar Fasciitis Come Into Play With Barefoot Running?

I can't do barefoot running because I need to wear my orthotics. Orthotics have become more overutilized in the practice of podiatry then ever before. It is very common for me to see runners present in my office with plantar fasciitis, a normal arch, cushioned running shoes and orthotics they have worn. When running barefoot or in a minimalist shoe, we do not need to control motion at the rearfoot because heel striking is not occurring and “excessive pronation,” as described by Root, does not occur. While we have numerous studies that do not support the use of orthotics for running injuries alone, it becomes a challenge to convince the patient they are not needed.16-20

   I have plantar fasciitis so barefoot running would be too painful. This article was not intended to discuss the pathomechanics or treatment options of plantar fasciitis. However, we are anecdotally seeing resolution of symptoms in those who adopt this style of running. One potential explanation is the development in strength we see to the intrinsic musculature, specifically the abductor hallucis muscle, which is a primary supporter of the arch.21-25

   Another overlooked phenomenon is the fact that the majority of running shoes place your ankle into plantarflexion. This forces the body to compensate by increasing lumbar lordosis and increasing pressure to the heel as opposed to having more even distribution throughout the foot.

Addressing Other Perceptions About Barefoot Running

An atrophied fat pad would prohibit barefoot running. This is another common myth that patients acquire from various sources, including medical professionals. Most, if not all, of us have treated a patient who complains of forefoot pain or calluses, and then simply blames the problem on a lack of adipose tissue or cushioning below the metatarsal heads. While this seems to be a possible etiology, there is no evidence to date that the fat pad of the sole of our foot actually atrophies on the forefoot or the heel region.26,27 With common forefoot pathology such as hammertoe deformities, we do see the fat pad migrate distally producing more prominent metatarsal heads but typically, this is in severe cases, such as rheumatoid arthritis.28 Patients at this stage of a deformity are typically not runners.

   Barefoot running causes severe calluses. Calluses on our feet form as a result of shear force on the plantar surfaces of the skin that produces excess friction. Shear force that occurs in the horizontal plane is the key to understanding this concept. Direct pressure does not produce calluses or we would see a high preponderance of heel calluses in runners as the majority of runners heel strike.

   Root discussed the formation of forefoot calluses secondary to shearing forces associated with propulsion as well as to the central metatarsals due to increased loading for an excessive period of time and abnormal shear.29 Root's observations hold true for someone who heel strikes when running as we see increased force placed upon the forefoot during what he described as the propulsion phase. Observation of the gait of a barefoot runner or one who strikes with the forefoot/midfoot demonstrates that the propulsion phase as described by Root becomes very minimal in existence, if it even occurs at all.

Good Form Running in association with New Balance provides training to adopt this style of running and we can see that by developing forward momentum, we carry the contralateral limb forward instead of having forefoot propulsion.30 By doing this, we decrease the force present to the forefoot, especially the shear force. Not only is this beneficial for reduction of the shear force but we see a decrease in the ground reactive forces acting on the first metatarsophalangeal joint, which can reduce sesamoiditis.

   I run long distance and cannot do that barefoot. What many of us fail to realize is that we have been running for thousands of years and we know that early runners began running either barefoot or with very minimal shoegear such as moccasins.31 In 1960, Abebe Bikila won the Olympic Marathon in a record time of 2:15:16.2 while running barefoot.32 Zola Budd recorded numerous middle distance world records while running barefoot in the 1980s. Ken Saxton (well known among the subculture of barefoot runners) finished 14 marathons in 2006 unshod and has since completed a total of 56 marathons, including the Boston Marathon, all while running barefoot.33

   You could step on glass. This is my favorite excuse for not running barefoot. Numerous times, people ask me the question of “what happens if you step on glass?” There is debate on this topic among medical professionals as well as early adopters to this style of running. What is my answer? “Don’t step on glass.” This concept of “barefoot running” is not about what you are wearing on your foot. It is about how you are running and allowing the foot to perform the way it was designed and intended to perform. Once the form is perfected and the runner abandons heel strike (which runners can typically learn on a treadmill barefoot), the next step is to protect the skin of our foot while not compromising the proprioceptive feedback from ground.

   There are numerous options available that have recently become known as minimalist shoegear. FiveFingers (Vibram), Minimus (New Balance) and the Trail Glove (Merrell) are just a few of these shoes.

   FiveFingers has quickly become the market share leader due to its ability to allow the toes to function individually and allow full range of motion of the forefoot as well as the midfoot and rearfoot joints with a zero drop.34 Nike as well was one of the very first to introduce a less supportive shoe in 2004 known as the Nike Free.35 While this is a very flexible and non-supportive shoe, it does have a considerable amount of cushioning, which can interfere with feedback and increase muscle recruitment to provide control.

In Summary

Barefoot running is about learning to run the way our body was intended to using the foot as an ideal shock absorber and not relying on a shoe that compromises the anatomical position of the foot and places one at risk for injury. Using a true minimalist running shoe can achieve this and still protect the foot from the environmental dangers.

   Dr. Campitelli is a Fellow of the American College of Foot and Ankle Surgeons. He is board-certified by the American Board of Podiatric Surgery. Dr. Campitelli is in private practice at Northeast Ohio Medical Associates with various offices in Ohio. He is an Adjunct professor at Ohio College of Podiatric Medicine and is a medical Advisor for Vibram USA.

Tough times

It's been tough the past couple of weeks to get out the door for a run with school coming to a rapid close. Tomorrow is my reset day and I'm determined to pick up my training where I left off.

Busy Times

For those of you who have not heard, we are expecting a child in June. We apologize for our lack of posts recently but this will be the trend until Josh has finished school for the semester. We'll try and post small things here and there if we can. We hope everyone enjoyed the thanksgiving holiday. Here's a picture to sum up what we feel like doing most days around here.

The Barefoot Professor

While an informative post of our new footwear, Soft Star Shoes, will be coming at a later date, the below you will find a nicely put together video on the philosophy, and physics, behind forefoot/barefoot running.