I Survived Longhorn 70.3!

Yes, RunDoc survived her first Half Ironman!

Wow! We were blessed with a great day for racing on Sunday. Slightly overcast and chilly at the start. The elite wave went off just after the sun came up over the water. What an amazing sight. They are so very fast!! I got in the water on the 5th flight (old ladies ha ha) and spanked the swim! It took about 5 minutes for me to get comfortable, but given the water was 70 degrees I was happy to have my wet suit on. Steady rhythm and out of the water in 44 minutes.

Transition was hilarious. The wet suit strippers unfortunately stripped off the bottoms of the girl next to me (so much for public nudity being prohibited) so she was mortified and I couldn’t stop laughing. I had trouble finding my bike in the sea of bikes but then got changed and off I went. I had to keep a steady heart rate during the bike so I would have something left for the run. I also had to make sure I took in enough nutrition and drank enough so I wouldn’t be dead before I started to run. Rolling hills are your friend, but some killer turns were nasty. I only passed 4 people that were actually moving forward. The other 12 or so were either crashed (sorry Diesel) or were somewhere between throwing up or passing out. Being the stellar cyclist I am (NOT), I think at least 2000 people passed me on the bike.

Oh well, I still got through faster than my goal and after a smooth transition started to run. Well, you may call it running but it was more like a slow crawl at first. Then a walk. My stomach was in knots. After a quick trip to the port-a-potty and a little vomitus, I was feeling much better. Guess I actually ate too much on the bike. I was 4 miles in and started to actually run. The run was three loops so I got to see my awesome cheering section of sherpas three times. They reminded me on the last loop that I would make it under 7 hours if I just kept a steady pace (which at this point was 10 minute miles). Boy did it get hot on the run. Thank God for the cold towels, wet sponges and water stations about every mile. It was amazing to me how many people were walking and crawling at the end. Some were even staggering. I finished with a strong charge and made it in at 6:57:59. Yea! An hour faster than I predicted, and under 7, so Janet’s prediction came true. All weekend she was chanting 6, 6, I know you can do it in 6.

A cold Shiner was my reward after the finish line and a good time was had by all. Worst part of the whole weekend was the drive home (and the sunburn)…Thank God Janet was on sherpa duty and loves to drive! What did I learn? Patience and perseverance mixed with a little stubbornness will get you through, but a few more long bricks probably would’ve helped me take an hour off my time. Off season a new bike is definitely in order and oh yeah….wear sunscreen!

A great first Half-Ironman experience! Funny thing, I hurt a lot less the next day than I did after my last marathon. Guess I will have to try another one next season…who knows maybe even a full in 2011! Run Happy my peeps!

Why is My Second Toe Curling?

A great question was received this weekend from a hiker in Louisiana: I am not a runner but have been hiking with a backpack for over 19 years with a non painful bunion most of the time unless we travel too many miles in a day. My question is most recently I have begun to have pain in my second toe . It appears to be developing into a hammer toe. Are there non surgical things to do? Also who would be better to see a podiatrist or and orthopedic surgeon? Are there devices I could wear at night that might help? Thank you for your time.

Great question! Why is my second toe curling? What can I do about it? Who should I seek advice from?

In most circumstances, your second toe is curling because it is trying to stabilize your forefoot in gait. A bunion deformity (a.k.a. Hallux valgus) causes the weight to shift to the second MPJ (or knuckle). Over time, the flexor tendon causes the toe to curl and eventually a hammertoe can occur. This will then become a rigid deformity of the toe and cause pain in the joint.

Non-surgical treatment attempts to take the stress off the joint using a Budin splint, hammertoe crest pad, or an orthotic with a metatarsal pad. Once the toe is rigid, surgery is neede to correct the deformity and reduce your pain.

The best advice I can give if you are experiencing hammertoe pain is to seek the advice of a board-certified podiatric foot and ankle surgeon. You can find a local one at http://www.footphysicians.com/

Hope this helps! Run Happy! And without toe pain!!

Why is There an Epidemic of Heel Pain?

Why does it seem like there is an epidemic of heel pain in the United States? Everyone I talk to has had plantar fasciitis or at least has heard of it. Many can even spell it correctly. (Isn't that scary!) Most people suffer for months and even years before they seek medical attention. Even those treated with traditional methods seem to take just about forever to get better. And there are more voodoo treatments available than Carter has liver pills. Why is that? Seems to me that there is a lot of money in heel pain!

So let's take a closer look.

What is plantar fasciitis? Simply stated, it is inflammation of the ligament that holds up your arch, also known as your plantar fascia.

What causes heel pain or plantar fasciitis? Most experts agree that plantar fasciitis is caused by too much stretching of the plantar fascia, usually because of excessive pronation or flattening of the arch of your foot while you walk. Some people just have excessive stretch because they have flat feet. Others have really high arches and their fascia is under a lot of stress in normal walking. Some are just too heavy. It can be triggered by an injury like simply falling off a curb, excessive stress by a new exercise program, poorly supporting shoes, and many other increases in stress like a new job or carrying heavy objects. There is even one theory that states that plantar fasciitis is caused by weakening of the muscles of our feet from wearing shoes all of our lives. Hmm...Will have to look at that a little closer in the biomechanics lab.

Why does it afflict so many people? Let's think...oh yeah...most of the United States is overweight. Most people choose absolutely awful shoes to wear due to their sense of fashion. Slaves to fashion usually have painful feet! And the flip flop phenomenon has accelerated the epidemic! Those that aren't fat and in poor shoes are usually crazy obsessive exercise-aholics.

Now that we know why it seems that everyone suffers from heel pain at some point in their lives, how can we treat it without breaking the bank? Let's start simple. Better, more supportive shoes are the key to success. Arch supports if the shoes aren't enough. You need to stop the stress that caused the arch to strain in the first place. Then treat the inflammation with over-the-counter anti-inflammatories, if you can tolerate them, and lots and lots of ice. Slow down. (That's tough for more people) And gently stretch the arch of your foot and your Achilles tendon.

When should you seek medical attention? If you have arch and heel pain for more than three or four weeks, and you have done the simple things to alleviate the pain; it's time to see your podiatrist. Not time to go to the shoe store and spend a bizillion dollars on off-the-shelf inserts and funky "proven to work" shoes. Not time to go to the pharmacy for hundreds of dollars worth of gadgets and creams. Time to see your podiatrist, who is the expert in heel pain.

How will your podiatrist treat your heel pain? Every case of plantar fasciitis is different, but some standards of care do exist for treatment protocols for heel pain.

First order of business: You need to rule out anything else by taking an x-ray to make sure it's not a stress fracture or tumor in your heel bone. A physical exam is also needed to assess why you have heel pain.

Then your podiatrist will usually assess your shoes and possible prescribe arch supports or orthotics if your need them. An injection or two of an anti-inflammatory into the heel is often used to break the pain cycle. Physical therapy is also often helpful. A night splint or brace is sometimes used. And if all else fails, you may be put in a cast to rest the area.

Contrary to popular belief, you do not have to suffer from plantar fasciitis forever. Most patients (>85%) will get better with aggressive conservative treatment. It is tedious and frustrating, but the diligence and consistency in the treatment protocol yields excellent results.

Here is the bottom line: if you seek the attention of your podiatrist early, you will get better faster and your treatment will not break the bank. Procrastinators will end up spending a lot more money and the chance of needing surgery to alleviate your pain goes way up!