CONTACT intraining Running Centre   email:  [email protected]    Podiatry & Training Programs | Running Groups

3 Reasons To Get Your Orthotics Checked Now

3 Reasons to get your orthotics checked now

Reason 1  Make the most of your health fund

You may only have until December 31st to use up your remaining extras cover.  If you have podiatry cover, then you are usually eligible for a new orthotic each year.  This gives you the chance to leave a pair in your running shoes, and even have one made for your dress shoes. 

Reason 2   Make your life easier

It is so handy to have a second pair of orthotics – one for your long run shoes, and one for trail shoes or your speedwork shoes.  Keeping a pair in each shoe stops the frustration of changing it around, and reduces the wear and tear as you move it from shoe to shoe.

Reason 3  Refresh your current pair

Most orthotics will last up to 18 months. If you have used them a lot in the year, you can refresh that pair by simply replacing the covers.  This is a low-cost way to create a fresh feel for your orthotics and to give a little more life to them. 

 

Stay running happily … Make the most of your Health care funds and

BOOK in to our podiatrists at intraining Running Injury Clinic BEFORE December 31st to make the most of your health fund.  

 

07 3367 3088 | [email protected] | Book an appointment

Come and see us at 535 Milton Road, Toowong

3 Signs your shoes are too small

3 Signs your shoes are too small

Your feet should not hurt when you run. 

If they do, then you need to find out why that happens and make some changes.  The most common reasons for uncomfortable feet when running is because your shoes are one or more of these:

  • too short
  • too shallow
  • not the right shape.  

Here are the three signs of shoe not fitting you right:

#1 Numb toes

After running for 8 to 10km, your toes start to go numb or tingly. It’s usually the third and fourth toes that are affected the most and you will get relief when you take off your shoes.  Annoyingly, this will only happen when you are running. 

This numbness is a sign of irritation and pressure on the nerves that run between the toes.  The reason it happens later in your runs is because your foot expands with increased blood flow and muscle use after a while.  If your shoes don’t have enough space  around then (aka too small) then they become squished.  

Feet that are flexible can also develop this numbness.  When you stand on one foot the front of it flattens.  Runners with flexible feet will get even more flattening.  This makes your foot wider than what you would expect.   So when you are buying shoes, make sure you check that the front of your foot does not have bumps showing  or feel too much pressure from the sides…  check the width.  

High arched feet can also be a problem contributing to numb toes.  If you have a high arched foot you need to ensure the middle of the foot is deep enough  to accomodate its height and even lace the shoes differently.  

Tip: 

Even if you have a relatively normal or slightly thin feet, check that it’s not one that flattens to be wider when you stand.  A common sign can be small bumps on your fifth toe.  

What to Change: 

If this is you, you need to go to a wider or deeper shoe.  This can be tricky if the rest of your foot is narrower, but there are a variety of shapes in shoes and ways to customise your shoes to fit and run well.  

#2 Blisters & Black toenails

Black toenails should not be considered ‘normal’ for a runner.  They occur more frequently with long runs and races but can be avoided. The reason they occur is from repetitive rubbing or ‘bumping’ onto the inside of the shoe.  Think about how many steps you take running, and how many times your toes will be hitting the end or top of the shoe.  A lot!!  

There are different reasons black toenails form. 

  • a shoe is too short  (the most common)
  • a shoe is too shallow at the end because the upper is tapered towards the toe
  • you have the wrong shaped shoe for your feet and toes are rubbing
  • your toes move more than they should when inside the shoe because of the way you run – your biomechanics.
  • with a longer or deeper pair of shoes.

Tip: 

Buy a different shoe – size, or shape.  Toes that continually go black from trauma (being beaten constantly in their shoes), eventually can thicken.  This is a permanent damage and will make it even more difficult as an older person to fit into shoes.  

Change:  

The biggest change is the size and shape of the shoe.  If you have done this and still have problems then you need to see a running podiatrist to review your foot biomechanics.  

#3 Hot feet or a lump under the foot

The feeling of a lump, your sock bunching up or a stone under the ball of the feet is another sign of tight shoes.  This has the same pattern as your numb toes, starting after a while with the foot starting to feel warm or hot. This is not a fun experience at all and can completely ruin the enjoyment of your runs due to the pain.  To compensate for this pain, you may also start to alter how your foot is landing on the ground leading to a secondary tendon injury – a much harder one to resolve.  

Tip:  

Check the fit of the shoe just as you did for the numb toes.  Sometimes this injury starts as numb toes and turns into the stone-like pain.  

Check also the age of your shoes.  This is a common sign when the cushioning in your shoes has worn out.  Remember that the midsole (cushioning) can wear out with no visible signs.  

Changes: 

Larger shoes if they are newer.  New shoes if you have done a lot of exercise of they are old.  

FINALLY…

Your feet should be comfortable, especially when you run the longer distances. It is not normal to get these pains and they are often pretty easy to get rid of with the right size and fitted shoe. 

Make sure you take the time to think about the fit and feel of your feet when you are buying new shoes.  Stand in them, run in them and check you don’t have any obvious signs while in the shop suggesting they are too small.  Even a little too small can escalate to larger discomfort on your runs. 

If you have answered yes to any of the above signs come and talk with our running team at intraining Running Centre. They can help you with some tips to modify your shoes or help you find the right pair.  There are so many different shape designs to running shoes that usually we can help you find a pair to suit.

You’ve tried all those changes and still need help?

If it is an ongoing pain, then you should book in to see one of our running podiatrists, because there are other in-shoe management strategies and we can determine if there is another underlying cause, such as neuroma’s, bursitis, nerve impingements, or joint capsule injuries.  

Don’t live with this pain.  Take the steps to make your running more enjoyable again.

Phone us on 07 3367 3088 , or come in and see our running team.  They know what signs to look for and can help you find the right shoe.  

By Margot Manning, Podiatrist, intraining Running Centre CEO, Runner,  and Coach.

Importance of good running form

Emily Donker
Article by: Emily Donker (intraining podiatrist, coach and runner)

Running form – Why is it important?

Everyone can benefit significantly from learning more and practicing good running form. Developing good running technique encourages better motor patterning and muscle recruitment. This will help improve your running efficiency and reduce the risk of fatigue including overuse injuries – particularly with longer and more frequent running.

However, there are very few situations in which you should actually try to change your running technique. Everyone runs differently, and should run differently because of their body structure (amongst other factors).

So… you might ask, why would I participate in a running form workshop?

Learning about good running form, and practicing various different running drills and techniques will provide you with an understanding of the factors that contribute towards good form. Although you might not change your technique per say, you can learn and implement relevant changes to improve your running form and longevity.

FIND OUT MORE ABOUT OUR NEXT WORKSHOP

intraining Running Form Workshop

Running form can be complicated, but it doesn’t need to be.

Three key concepts of good running form:

  1. Body position/posture
  2. Foot strike position
  3. Cadence

Gaining a better understanding of the natural variation in these concepts and how you can make changes (if you need to), provides the basis for our intraining Running Form Workshops.

The three concepts are closely linked, and influence one another. If you can learn good body position, you are much more likely to develop a good foot strike position and cadence.

plyometrics drill
Running drills: Form part intraining Running Form Workshops

Body position and posture

Running drills are great for learning and developing specific simple muscle activation and teaching good running posture. They will help you to feel how you are running and how your limbs and body are moving through space. The progression of drills teaches good body position and posture, co-ordination, strength and power.

“Over time, through learning and practicing specific drills, you will gain a much better sense of your own running technique and any form faults that may develop as you fatigue.”

Good foot strike position

Developing a good foot strike position is all about where you strike the ground in relation to your body’s centre of mass (COM). Regardless of whether you strike on the heel, midfoot or forefoot, your foot should strike the ground underneath the body. Landing infront of your COM is known as overstriding, and is a common form fault. It creates braking forces which slow you down and significantly increase the amount of force transmitted through your joints – thus also increasing injury risk. Having a loud foot strike can indicate overstriding, but may also be linked to other issues.

Running cadence

Ideal cadence (stride frequency) is different for everyone and is strongly determined by the length of your limbs, but is also affected by other factors. Essentially your cadence should remain relatively constant regardless of what pace you’re running. Your stride length should be the factor that changes, and will be longer for faster running compared to slower running if the same cadence is maintained. A common fault amongst runners is to maintain stride length, and decrease (slow down) cadence as they fatigue. This increases the likelihood of overstriding and developing injury.

Generally, your running form is much better when running fast compared to running slowly. This is not to say that slower runners have worse running form – just that for your given ability, your technique is likely to be best when running at tempo pace (approx. 10km race pace) compared to your long run or easy pace. Running slower increases ground reaction time, and decreases your ability to generate power from tension within the tendons (eg. Achilles). This is why it can be better in some cases to run faster when returning from injury, but you need to be cautious with load.

Group Running Form1
Correct posture, foot strike and cadence can reap benefits in improvement in your running speed and injury prevention.

Running form and fatique

Running form also tends to worsen with fatigue. Being aware of how you run, and the form faults that you tend to develop as you tire is very beneficial, because you will learn to identify and feel when you are not running ‘properly’. You can also learn simple cues to help address these form faults whilst out running. Learning about running form and practicing running drills is a great way to find out which drills resonate most strongly with you, and which help you to develop cues to assist with maintaining your own running form.

intraining Running Form Workshop

Everyone is different

There are many different theories proposed about what is ‘ideal running form’ and the ‘best way to run’, but as stated, there is no one way to run that will suit everyone. It’s important to discuss and learn about running form with experienced professionals, with knowledge of running biomechanics, and also of potential structural issues that may prevent certain movements from being possible. The intraining Running Form Workshops are run by a team of podiatrists, who are all runners themselves. They bring a lot of experience in dealing with running-specific injuries, and teaching running form.

intraining Rehab logoBy participating in the intraining Running Form Workshop you will improve your knowledge of the three main concepts of good running form and learn specific running drills, which will provide you with a better understanding of your own running form and form faults, and help you to develop the confidence and skills to adjust your form on the run for more efficient and enjoyable running.

The coaching and clinical team conduct running form workshops throughout the year that can help you improve your running form.

The next intraining Running Form Workshop is coming up soon.

Click here for more information.

School shoes vs running shoes?

Article by Emily Donker. Podiatrist, coach and triathlete
Article by Emily Donker.
Podiatrist, coach and triathlete

School shoes vs running shoes. They are different!

There are a few things that you just shouldn’t do (for various reasons – not explored in this article), such as:
–    Eat soup with a fork
–    Go 4WD and beach driving in a beetle
–    Use a time trial bike for mountain biking
–    Swim whilst fully clothed
–    Go for a run in business shoes

… and you also should not send your children to school in running shoes, or out for a run wearing school shoes.

Back2school2

Just as it does for adults, footwear plays a significant role in preventing and managing children’s injuries. Wearing shoes that are appropriate for the task at hand will reduce injury risk, ensure better comfort and prolong shoe life.

BacktoschoolWearing the same pair of shoes day in and day out can cause significant and excessive wear, and inappropriate wear patterns to develop – especially when young, active children are the culprits. Children’s shoes are renowned for taking a beating in the schoolyard, and running shoes in particular are not designed to withstand the rigours of lunch-time play. Scuffing to the outsole and midsole can easily result from rough games and change of direction, whilst the lightweight, breathable upper is also easily damaged and does not provide sufficient support. Specific ‘school’ shoes will offer a more sturdy and hard-wearing outsole, and ideally a leather upper.

Wearing shoes that are excessively worn, or that are not designed specifically for running can increase the risk of injury. So, if your child is running regularly, they should be treated to a pair of running shoes, which are to be used only for running. These will be lightweight, more breathable and more flexible than their school shoes and therefore encourage a more comfortable and natural running stride.

You should encourage your child to stay active, and ensure they remain healthy and injury-free by wearing suitable shoes, by having specific shoes that are used exclusively for their various different activities.

Want to your kids to stay injury free? Visit the intraining Running Centre for expert advice and get your children fitted correctly.

Make appointment

Sore ball of foot?

Margot Manning
Article by: Margot Manning podiatrist and running coach

Sore ball of your foot?

It could be a plantar plate tear

What is plantar plate tear?

Plantar plate tears occur when there is trauma from over-extension or bending of the joint. Swelling in the ball of foot is a common sign you may have a plantar plate tear. Common incidents that we see contribute to plantar plate tears are:

  • Slipping on loose rocks whilst trail running
  • Climbing stairs
  • Running steep hill repetitions
  • Repetitive burpies
  • Skipping

Tinglingtoes2Each of these activities can hyper-extend the forefoot and can lead to plantar plate tear. Whilst not the sole cause, bio-mechanical issues are often a contributing factor to plantar plate tears, usually as a result of:

  • Instability of the foot
  • Excess force placed at the ball of the foot during toe of

How to diagnose a plantar plate tear?

Diagnosis for plantar plate tears is best seen on MRI. The MRI will determine the presence of the tear and can help differentiate this injury with those listed above and any other possible diagnoses.

PlantarPlatetearHow to treat a plantar plate tear

Treatment for plantar plate tears needs to be done with a podiatrist initially to offload the injured plate and to correct bio-mechanical issues. Runners need to stay off hills until there is no pain. If there is no resolution, the next step is surgical repair.

If you have swelling in the ball of your foot and feel you may have a plantar plate tear, we recommend making an appointment to see one of the podiatrists at the intraining Running Injury Clinic. The sooner you are able to receive a correct diagnosis and treatment the sooner you will be back running pain free.

Make appointment

Groin pain and strains

Article by Doug James (intraining physiotherapist and podiatrist)

Groin injuries – What you need to know

Groin injuries are an increasingly common injury in distance runners. Previously it was predominantly footballers that would develop these injuries due to the forceful nature of the kicking movement, however, runners are now reporting more injuries in this region. Despite being a ‘personal’ area of the body, assessment and treatment of these injuries should occur promptly to reduce the likelihood of it developing into a more severe and chronic injuries.

There are a large number of injuries that can cause groin pain. While the pain can be due to injuries to tendons, muscles or ligaments in the groin itself, groin pain may in fact be referred from an injury elsewhere which makes diagnosis more difficult.

Acute groin injuries

Doug_GroinpainAcute groin injuries are those that start suddenly and are usually due to muscle strains in the adductor muscles on the inner thigh. Adductors attach to the central part of the pelvis and pain can be felt anywhere from the knee to the groin. These injuries often feel like a tightness, however, attempts to stretch the injury can exacerbate a mild muscle tear into a more serious injury. Continued bouts of stretching an adductor tear may induce adductor tendinitis which can cause long-term discomfort that is difficult to settle.

Adjacent to the adductor tendon insertions is the pubic symphysis which is where the two halves of the pelvic girdle are joined together with cartilage. This cartilage can become irritated from adductor tendinitis – an injury known as Pubic Symphysitis – and can also be triggered by running on hard surfaces with poor shock absorption. If poorly treated, a more severe version of this injury, Osteitis Pubis, may emerge where part of the pubic bone is eroded, and a much longer recovery time is needed (including up to a year off running).

Osteitis Pubis is not the only groin injury that involves damage to the pelvic bone. Pelvic stress fractures are a dangerous injury, and shouldn’t be ignored. These often start as dull, non-specific groin pain that will become sharper with running and exercise. A stress fracture can develop and requires a substantial amount of time to settle.

Imaging can be useful to help accurately diagnose groin injuries.

  • Ultrasound can identify soft tissue injuries such as adductor strains and tendinitis
  • MRI is often more effective to detect any damage to the bone.

When imaging fails to detect a problem in the area where the pain is reported, suspicion of referred pain arises. It is important to have your injury assessed by a podiatrist or physiotherapist.

Referred pain

Referred pain that is felt in the groin can originate from many sources including the hip joint (in the form of cartilage tears or joint inflammation), abdomen (abdominal muscle strain), and lower back (tightness and/or disc injuries). Due to the magnitude of potential areas of concern, a thorough examination is necessary with a podiatrist or physiotherapist.

Most groin injuries respond well to resting from activities that cause pain. Care needs to be taken with cross-training as even non-weight-bearing exercises such as swimming can exacerbate the injury. There is often a link between weak core and glute muscles and groin injuries. Improving core and lateral glute strength is useful as both a prevention and (at a suitable time) rehabilitation of the injury.

Be proactive in seeking help. Early diagnosis and management may avoid prolonged time out of training. If you have lingering groin pain, make an appointment and start moving towards pain-free running again.

 

Book an appointment here or Call 07 3367 3088.

Achilles injury and footwear

Article by Doug James (intraining physiotherapist and podiatrist)
Article by Doug James (intraining physiotherapist and podiatrist)

Achilles injuries and your footwear choice

Footwear can be a contributing factor to many injuries, and Achilles tendon injuries are often affected by your shoe choice. If you are currently suffering from an Achilles tendon injury (such as tendinitis / tendinosis, or bursitis) there are a number of footwear factors to consider.

Heel pitch

Many running shoes have a 10mm heel pitch (ie the heel cushioning is 10mm thicker than the forefoot cushioning). This tends to help reduce stress on the Achilles tendon by raising the heel higher towards the calf muscle. Running in shoes with very low or no heel drop can increase the discomfort felt in the tendon, particularly if you have tight calves.

Heel and ankle cuff height

DJ Shoe hee cuff height
Heel cup height on left may aggravate your Achilles

The height of the ankle cuff can impact an Achilles tendon by placing undue pressure directly on the tendon . While a higher ankle cuff often feels more stable, it may also exert pressure on the tendon, exacerbating symptoms.

Heel cup shape

While a narrow heel cup may help reduce heel slippage inside the shoe, it may result in pinching of the Achilles tendon. Compare the angled and rounded heel counters in the two shoes shown below. An irritated Achilles may find relief in a more rounded heel cup.

Notice width of heel cup between two shoes
Notice width of heel cup between two shoes

 

This was a brief snapshot of some footwear considerations to look out for that may impact your Achilles. If you have injury concerns or experiencing Achilles tendon pain, it is worth seeing a podiatrist at intraining Running Injury Clinic to have your injury, footwear and gait assessed.

Make appointment

 

Is your gait causing shin pain?

Article by Doug James (intraining physiotherapist and podiatrist)
Article by Doug James (intraining physiotherapist and podiatrist)

Gait related shin pain

Running injuries are common. In a given year, runners have a 70-80% likelihood of developing an injury that will prevent them from running pain free for at least a week. While there are many different types of injuries that can occur, some people may be more prone to a particular injury while seemingly resistant to others. There are a lot of different factors that can account for this including age, sex, training history, biomechanics (and more) however of these, running technique is one of the few factors that can be changed.

It needs to be mentioned that no particular running technique can guarantee that you will be injury free. Different, and sometimes worse injuries can develop when people attempt to change their running style. The aim of this article is understand the types of shin injuries that can develop from running, and the factors influencing them.

Shin injuries are commonly lumped under the umbrella term of ‘shin splints’ by some medical professionals. This rather obtuse term neglects the specific location, onset and severity of the injury – all factors required for correct diagnosis and subsequent treatment.

Make appointment

Running can cause injuries to muscle and bone in the shin
Running can cause injuries to muscle and bone in the shin

 Antero-lateral shin pain

Pain on the outside part of the front of your shin is usually related to the Tibialis Anterior muscle. This long muscle is responsible for lifting your foot upwards at the ankle joint. The muscle can become overworked if subjected to more exercise than it is used to and tends to become sore after the run, with pain disappearing a few days later. This injury is frequently seen in those that are new to running, or returning after time off from the sport. People that tend to heel strike (i.e. land heel first) are far more likely to be affected by this injury, and athletes are also more at risk if running in incorrect footwear – particularly if the shoe is too stiff (resulting in foot slapping), or lacks adequate pronation support.

Heel striking occurs when the runner’s heel lands on the ground first – usually in front of their centre of mass – and the further in front, the more of a problem this poses. In this position the Tibialis Anterior muscle is working to have the toes lifted higher than the heel to prevent tripping. The forefoot then rapidly lowers putting further strain on the Tibialis Anterior as it is responsible for the controlled descent of the foot. Once the foot is flat on the ground, the Tibialis Anterior may be subject to further strain if the foot heavily and/or rapidly pronates (rolls inwards).

The Tibialis Anterior can be put under even greater levels of strain when running downhill as this tends to amplify the slapping movement of the heel-to-toe progression.

Key points you should know

  • Your running technique can predict the type of injuries you get
  • “Shin Splints” is a commonly used term but utterly innaccurate
  • A running assessment can help identify faults leading to shin injuries

Postero-medial shin pain

Pain felt on the inside part of the shin along the edge of the tibia (shin bone) is often diagnosed as Medial Tibial Stress Syndrome (MTSS), or more recently known as Medial Tibial Traction Perisostitis (MTTP). Irrespective of the nomenclature, the injury usually begins as a broad area of discomfort along the inside part of the shin. This usually starts as a mild discomfort at the start of the run, but resolves after a few minutes. The pain is usually a response to an increase in loading along the edge of the tibia causing swelling around the periosteum (outer lining of the bone) initially, which can progress to bone damage thereafter. The increased loading is usually from higher running volume or intensity (or both) than is usual. Conjecture exists as to whether damage is due to force generated at foot strike, associated muscle tension from the Posterior Tibialis muscle, or some combination of both.

Training load plays a large role in the development of this injury, however there are certain gait factors that may increase the likelihood of developing it. Over-pronating can play a part in increasing the tension in the Posterior Tibialis muscle, which in turn exerts a traction force on the tibia. Overstriding (landing too far in front of the centre of mass) increases the initial impact forces transferred through the lower limb and shin that can also damage the tibia. Additionally, running in shoes that offer insufficient cushioning (i.e. are worn out, or offer less support than the athlete is accustomed to), and under-pronating can increase shock that also affects the tibia and lower limb.

Worse still…

Overstriding and heel striking are two common factors in shin pain
Overstriding and heel striking are two common factors in shin pain

With both of the injury areas mentioned above, after a sufficient reduction in training (and in some cases complete rest) for a suitable period, the injury will recover and heal. There are two notable exceptions to this however – shin injuries where pain becomes worse with running need to be investigated immediately. Sharp localised pain (on the front or side of the tibia or fibula) can be the sign of a stress fracture and should never be run on as this will steeply increase the injury severity and healing time required. Management usually involves rest (the amount of which can be calculated somewhat more precisely with the aid of an MRI scan), a fracture boot (in some cases), and a considered return to exercise plan.

The other critical shin injury not to miss is compartment syndrome. This is a dangerous injury where pressure builds up in the muscle sheath persisting for hours after exercise and can lead to permanent damage to the muscle and nerves in the leg and foot. This often requires surgery. If you suspect you have a stress fracture or compartment syndrome this should be investigated immediately.

For the injuries mentioned earlier, specific changes in running gait, footwear, and training can help to reduce the severity and reoccurrence of these injuries and possibly lead to better performance as well. If you’ve been dealing with running related shin problems, contact the intraining Running Injury Clinic for an appointment.

600x600-workshops-logoIf you are training more without realising the benefits of increased performance, it may be a simple modification to your running form that will result in the benefits you are looking to achieve. The intraining Running Injury Clinic conduct running form workshops on a regular basis.

If you are interested in improving your running form or reducing your risk of injury, sign up for the Running Form Workshop on 8 October or 3 December 2017.

For more From the Sole injury articles click here.

RunTalk Ep07 – What is Prehab?

runtalk-intraining-logoWelcome to RunTalk episode 7 with Steve, Margot and special guest this week – intraining Running Injury Clinic podiatrist and physiotherapist, Doug James.

This week together with our guest Doug James, we discuss how prehab should form an important part of your training regime. Prehab incorporates sports specific strengthening to assist with injury prevention as well as improving function and form whilst running.

Click here to listen to episode 7 of RunTalk

Episode 7: Strength and conditioning – with Prehab.

Featuring Guest: Podiatrist, physiotherapist and marathoner, Doug James

Doug_JamesPrehab is a proactive approach to avoiding pain and injury. A common afterthought with runners, often when it is too late and you are already injured. Prehab encourages strength work – including Pilates, running drills as well as stretching which assist in providing you with the foundation to running and staying injury free. Listen up and learn with our guest podiatrist and physiotherapist, Doug James on running specific prehab exercises that will help you get the most out of your running.

Click here to find out more about Pilates and strength and conditioning classes offered in Park Road, Milton.

About Doug James

  • Completed New York Marathon and Las Vegas Rock ‘n Roll Marathon
  • Qualified podiatrist
  • Qualified physiotherapist
  • New parent

Click here to check out the February edition of ‘From the Sole’ newsletter with some fantastic articles by intraining clinicians where you can learn about everything running.

RunTalk Ep06 – Stress Fractures

runtalk-intraining-logoWelcome to RunTalk episode 6 with Steve, Margot and special guests this week – running parents; Aidan and Peta Hobbs and Clay and Michelle Dawson. Aidan Hobbs and Clay Dawson are both intraining sponsored athletes who have both experienced injury set backs and come back stronger upon return. Both Aidan and Clay have recently become parents and have also both been crowned Brisbane Marathon Champions in 2008 and 2013 respectively.

This week together with our guests we discuss stress fractures; how to identify a stress fracture and common areas that stress fractures occur. We also discuss with our guests the changes required to run as a new parent as well as how to create a routine around the rigors of family life.

Click here to listen to episode 6 of RunTalk

Episode 6: Stress fractures and running as a new parent.

AidanHobbs
Aidan Hobbs on his way to 16min 5km

Unfortunately, stress fractures are fairly common in runners and often occurs as a result of overuse, inadequate recovery and even poor footwear choice. Listen up and learn how to determine if you have a stress fracture, where fractures are common and why the occur. We also get some insight from our guests on how to make the most of running as a new parent and ways how to incorporate training sessions with the family.

About Aidan:

  • 2008 Brisbane Marathon Champion
  • 1500m: 3.59 (2016)
  • 3000m: 8.50 (2017)
  • 5000m: 14.59 (2017)
  • 5km with a pram: 16.28 (2016)

About Clay:

  • 2014 Brisbane Marathon Champion
  • Marathon PB: 2.30.44
  • ClayDawson
    Clay Dawson on his way to another Brisbane Road Runners Club title

    Half Marathon: 1:10

  • 10km: 31.20

Article: Interested in finding out more about Stress Fractures and Bone Stress? Click here to view the full article

Top myths of running shoes

MYTHS about Buying Running Shoes

Buying new shoes can be a daunting task. With such a wide selection of shoes available and so many myths about buying shoes, how do you choose the shoe that best suits you?

Media covers every latest fad as if it is the new truth and everything we believed in the past was wrong. Footwear evangelists and marketing companies promote their latest invention/gimmick as being the only way to go. With so many companies more interested in your money than you, how do you ensure that the shoe you are buying is the best shoe for you?  How do you trust the advice you are given is to help you with your running and not help someone else with their cash flow?

The best thing to do is be an informed, cynical consumer.  There is nothing wrong with questioning the advice you are given.  If the answers do not make sense to you then they are probably worth researching further.  At intraining we embrace your questioning nature.  This article is our way to help you become that informed consumer by debunking the many myths of running footwear selection.

myths3

FIT MYTHS

Foot size should be measured to select the right size of shoe.

At intraining we never measure your foot size.  The reason for that is the right fit is not related to the size on the shoe.  Length, width and depth on different models, even in the same brand, can vary by up to a size.  If you have your foot measured and think that is the size you will be in all models then you are much more likely to end up with a shoe which does not fit.  Fit is also a personal preference with some people wanting more room than others.  We check every shoe on your foot and give you feedback on what the right fit should feel like.

A thumbs width at the end is what you need in a running shoemyth5

This old myth only works about 10% of the time.  It is definitely worse to have a shoe too short than too long however both can be a problem. If you are only running up to 5km having your toes close will not cause many issues however if you are doing runs beyond 1 hour you will be at increased risk of losing toenails.  Having shoes too long can affect the location of where your toes bend vs where the shoe bends in the forefoot.  If this is not in alignment then it increases the forces under the ball of your foot.  Shoes that are too large can cause you to claw with your toes to keep the shoe on your foot.

Your footprint is related to the shoe that is best for you

Footprints only tell you about the weightbearing area and not about how your foot functions.  It is possible to have a small weightbearing area but a lower arch if you have a rigid foot.  You can get a better idea about what type of shoe you need by looking at the foot when sitting and standing.  It is more important to identify if you have a rigid or flexible foot than a high or low arch.

Women with wide feet can go to a men’s shoe

While this is true to an extent, most women with wide feet will have to compromise other fit factors when going to a mans shoe.  One of the big structural differences between men’s and women’s feet is that women have narrower bones.  That means narrower heels and shallower feet even if they have a wide forefoot.  If a woman goes to a man’s shoe for width or length they will likely be moving around inside the shoe.  There are many different models available at intraining for women in wide and narrow feet and foot sizes up to 12US.

BIOMECHANICS MYTHS

Pronation is bad.

Pronation has been blamed as the main cause of injuries in runners since the 1970’s.  Research had not been conducted on pronation injury risk until the last 10 years.  While the few percent of people who have extreme pronation have an increased injury risk, for most people the research has shown that people who do not pronate get the most injuries.  Some studies have found an inverse relationship with pronation and injury where the more you pronate the less your injury risk.  The purpose of pronation is to deflect force and rigid feet that can not pronate can not dampen the forces of impact as well.

There is a best way of running/moving for everyone

myths1

Different running techniques like Pose, Chi and natural running try to put everyone in the same box.  Because we are all designed differently we can not expect to run the same.  Heel striking is commonly identified as being a problem for runners.  In fact a new study has shown that the injury risk of heel striking and midfoot/forefoot striking is the same, however each way of running has a higher risk for different types of injuries.  Other factors like forward lean, arm carriage and cadence all change depending on your structure and speed.  Many studies have found that the further away you move from your preferred running style the less efficient you become and the more energy you use.

Orthotics and Footwear

Most runners who have seen a podiatrist and been prescribed orthotics will have the orthotic made up first and then are told to find a shoe that it fits.  In some cases they are told to buy a neutral shoe because the “orthotic will give you all the control you need.”  The best way of making orthotics for runners is to find the best shoe possible first and then to make the orthotic to work with the shoe.  Shoes have much more potential to have an impact on the support for a runners foot then an orthotic because of the thickness of the sole and the variety of materials used.  Orthotics should be helping to customise the shoe to the runners foot.  Without the right type of support from a shoe an orthotic may not even be able to function the way it is designed.  Rigid three quarter orthotics are not able to have an impact in propulsion so most runners need to have full length devices to support their running biomechanics.

GIMIC MYTHS

A soft shoe is a cushioned shoe

Many people confuse softness with cushioning.  In biomechanics terms cushioning is shock attenuation.  The goal is to dampen the peak impact force in the belief that this will reduce injury risk.  The main mechanism to achieve that is the coordinated contraction of your calf and quadriceps muscles.  Soft surfaces and soft shoes have been shown to increase the peak forces that go through the knee.  This may be caused by the reduction in feedback from the ground disrupting the runners timing of the muscle contractions to dampen the force of impact.  Force equals mass times acceleration.    Your body weight and how hard you hit the ground are the factors that affect force.  Cushioning is then dependent on the firmness in the midsole rather than the special material the particular shoe company has used.  In fact firm midsoles generally have better cushioning.  As midsoles age they lose their resistance to compression and lose their ability to dampen shock.

Insoles offer extra cushion and are needed in new shoes

The purpose of an insole is to mold to the shape of the foot over time.  This increases traction inside the shoe and makes the shoe more comfortable.  It does not contribute anything to cushioning in comparison to the midsole of the shoe.  As with orthotics, the shoe is much more effective at controlling the foot than an insole.  Rather than adding an insole when you buy a new shoe it would be better to get the right shoe in the first place.  If you really need something more than a shoe offers you would be better seeing one of our intraining podiatrists to have the shoe modified or to make an orthotic.

Pressure Pads can determine the type of shoe you needmyths4

Two dimensional weight bearing forces do a poor job of predicting the forces that may lead to injury.  Running pressure pads must be able to record data at a minimum 100Hz and must be re-calibrated every 40 hours of use.  Looking at pressure pattern whilst walking does not provide an accurate representation of running form.

Walking analysis can determine what is needed in a running shoe

The most important factor when buying new shoes is to be able to run in the shoes before choosing the best one for you.  There can be subtle factors which affect the balance and function of the shoe which can only be identified when running.  Walking has about half the impact forces of running.  Running has a float phase when both feet are off the ground.  Footstrike is very different walking and many more people are mid-foot or forefoot strikers running than walking.  Shoes can feel good while walking that do not work at all when running.  Unless you run in the shoes before buying them it can be impossible to know which shoe will suit you the best.  At intraining we additionally try to have you run with a different shoe on each foot so you can do a direct comparison between them.

Article by Steve Manning (podiatrist, runner and level 4 athletics coach)

Achilles tendon injury – Can you avoid it?

Can Achilles tendon injury be avoided?

Achilles tendon injuries are very difficult to treat due to their unique physiological structure and their ability to undergo huge changes in load and stresses.  The rehabilitation of the tendon can be time-consuming, particularly if left untreated for some time.  This will also be dependent on how the injury occurred, the age of the person, prior damage to the tendon, hormonal factors and the biomechanics associated with the individual.  A management plan that is adaptable to the temperamental nature of the Achilles tendon is needed to address these many different aspects.

In an effort to avoid developing an Achilles tendon injury in the first place, you would think there might be some preventative measures that could be taken.  Footwear, stretching and exercises, massage are all forms used by runners in an effort to stay injury free.  The question would be is there any evidence to truly support any one of these areas?Small_Achilles

In March, this year, a paper was published in the Journal of Science and Medicine in sport reviewing research on the preventative measures taken for tendon injuries.  This paper divided its findings into three categories:  stretch and exercise intervention, shoe adaptations, and other interventions.  There was no evidence for… click here to read the full article in ‘From the Sole’ June clinic newsletter.

By: Margot Manning (podiatrist, runner and coach)

Shin Pain

Shin Pain…  By Margot Manning (intraining Podiatrist)

A preventable and manageable injury. Common causes include excessive or rapid rotation of the leg bone (tibia), and muscle fatigue.

Everyone’s foot and leg have their own ideal movement path, which should be complemented by running shoe choice. If the shoes offer too much, or not enough support, then excessive rotational forces occur and the surrounding muscles and connective tissues are strained beyond their normal range. This repetitive tension results in microtrauma and pain for the runner.

Repetitive and excessive forces on the tibia most commonly occur from overpronation of the foot. Ensuring your shoes are suited to your gait pattern and provide appropriate control is the easiest step to preventing this mechanism of injury. Some people have more unusual biomechanics that can not be controlled with footwear alone and requires more tweaking to the shoes or insoles.

Shin pain from muscle fatigue occurs because the foot loses the ability to transition from initial foot strike to toe-off. Slapping typically occurs with forefoot loading because the muscle contractions are no longer coordinated with the movement. Downhill running, increased training load, and overstriding are contributing factors. The best way to reduce the risk of shin pain from this is to be aware of your foot strike and hip position. Feeling and listening to your footfall and focusing on your hip position and being tall (rather than slumping) can help reduce the chance of shin pain.

Shin pain can be preventable in most cases by reviewing footwear, training, and running form. If you are experiencing shin pain regularly, or as a chronic or recurring injury, then it is worth seeing one of the intraining podiatrists who specialise in running injuries to manage pain and reduce the risk of repetitive injury.

If you have a running injury causing you discomfort, visit the intraining Running Injury Clinic. Click here to make an appointment online or call us on 07 3367 3088 to speak with one of our friendly staff.