Self Motivation to Exercise

Why do most people not achieve their goals? Great question! 

I had a patient today who was in to get a new pair of orthotics. They were quite worn and she was having recurrent foot pain. We discussed shoes, stretching and new orthotics. Then I asked the million dollar question, “When are you going to get serious about losing weight?” For every pound you lose in body weight, you lose 3 pounds of torque on your feet. It is amazing on how just a few pounds can impact your foot health.  She gave me some hollow excuses and then said’ “I just can’t get motivated.” 

This is not uncommon. Unfortunately, we are part of the microwave generation and many lack self-motivation. I personally always have a race on the calendar as a carrot to chase. If I’m not training, then the race will be humiliating or hurt really bad! That’s part of my motivation. The other part is the personal well being, you could call it the “runner’s high” that I get out of my workouts! They just plain make me feel better! 

I’m going to try to find something that is inspirational at least once a week during this holiday season to try to help you motivate yourself to start reaching your goals way before the New Year! Remember, Rome was not built in a day! Baby steps every day towards your goals and all of a sudden you find you are there!

Motivation is what gets you started. Habit is what keeps you going. -Jim Ryan

Reasons To Run

"The reason we race is not to beat each other, but to run together......"

A great sentiment for a Fall Monday morning.

This weekend saw the cancellation of the NYC marathon for obvious and logical reasons. I did have some peeps who made the trip to New York and were saddened not to be able to race, but their stories of how bad the city was hit by Hurricane Sandy and how awful the streets looked and felt, put the race cancellation into focus.

This weekend was also Ironman Florida and we had lots of competitors from the area have great races! The weather was favorable and lots of PR's were set! Got to love Ironman. It makes you feel invincible to cross that finish line!

Last, but never least, was the running of the annual DRC Half! This is one of the few years I have missed the race. The DRC Half marathon is a great race on a cool course and is run by runners! Shocker! This hometown race is always a great event and this weekend was no different. Lots of great reviews from veterans and newbies alike. It traditionally marks the 4 weeks until the White Rock Marathon (Now known as the Dallas marathon, but always going to be White Rock to us) and is a great warm up race for the marathon. Seeing some of the times this year, it looks like many are ready for the big race!

Happy Monday to all. Pick a race. Put it on the calendar! It will help you stay training through this busy holiday season!

Run Happy! And often!

2012 Ironman World Championships in Kona, Hawaii is in the Books!

It was a hot sultry day in Kona, Hawaii when over 2000 triathletes raced into the record books yesterday. The day held many stories and we will highlight a few local ones and follow the Iron Nun. A great day was had by Dr Ron Tribendis from Frisco. Dr Tribendis is my friend, coach and favorite go to chiropractor. He finished well in 9:52:48. Della Irby from Copell had a great day on a hot and hilly course and finished in 12:11:36. And Laurie Lukanich from Grapevine finished her first trip to the World Championships in 13:57:41. Great job! Janet Dixon, CPed, got the lucky duty to be sherpa extrodinare for the day! Jealous! Proud of all of my peeps! Kona is an extremely hard course and did I mention it was a hot day? Unfortunately, Sister Madonna Buder at 82 years young had to drop out on the bike after a little over 8 hours in. Her toughness and perseverance is an inspiration to all! I figure the only way I will ever personally get to race in Kona is to qualify in the over 70 year old category or the lottery! All the athletes should be proud just to get to Kona and amazed at the awesome finishes! The season is now officially over.....What's on the horizon for next year? Hmmmm.....stay tuned!

Ironman Mont Tremblant 2012 Video Race Report

Experience the Ironman Mont Tremblant weekend with the girls from FAANT and their families and friends! Here is a little taste of Ironman madness! Enjoy!


Love it!

Ironman Mont-Tremblant was Amazing!

Ironman Mont-Tremblant was in a word: Amazing! The entire city joined together to welcome all the triathletes. They repaved the roads, rolled out the red carpet (literally there was a red carpet on the road from the swim exit to transition) and put together the most organized race weekend I have ever experienced in any sport. The venue at Mont Tremblant, Quebec was breathtaking. This cute little village on the mountainside was perfect for a family summer vacation with adorable shops, lots of activities for young and old and a great venue where families could stay right on the mountainside and catch their triathlete many times during the race without having to travel anywhere!

We flew into Montreal on Thursday night and drove the almost two hours to the village of Mont-Tremblant. The hotel was lovely and about 400 yards from the finish line. Perfect! Friday included packet pick up, a practice swim in the crystal clear mountain lake, picking up my bike from Tribike Transport and a short bike ride to explore the course. Wow! Super hilly in the just the small portion around the finish line. This was a harbinger of what was to come! A little shopping, a gondola ride and then an extremely well attended pre-race welcome dinner. When have you ever seen more than 5,000 people at a pre-race pasta dinner? Never! The tent was overflowing and excitement was in the air.

It was the little things that you noticed. They repaved a large portion of the bike course. Permanent street signs marking the bike and run course. People to help you everywhere that actually knew what they were talking about. Super organized packet pick up that flowed quickly and efficiently.  Lots of pre-planned entertainment for the whole family! A sense of welcoming excitement everywhere!

Saturday was a day to explore and rest. Check in the bikes and drop off all the transition bags. Big dinner and early bedtime. Sunday was race day!

Since the swim start was less than a half mile from the hotel, I didn’t have to get up before 5 am to get to this race! 5:30am to body marking then check on my bike. A short walk to the swim start and we were ready to go! I actually had a small melt down on the beach when I realized I forgot my goggles at the hotel! I was less organized than the race officials! Janet had an extra pair, but my super-sherpa, Peter, ran back to the hotel and got my goggles before we started. Thank the Lord the hotel was so close! The Canadian anthem, a fighter plane fly over and we were off.

A tremendous beach start! A wide beach so it wasn’t extremely crowded at the mass stat. It still felt like swimming in a washing machine, but the crowd thinned out quickly on the way to the first buoy. No sense of drowning today.  The water was amazingly clear and a crisp 70 degrees. Perfect for a comfortable wet suit swim. Janet and I both had a good swim and were out of the water and into transition practically together.

Onto the bikes we go! The first half of the bike course (two loops) was absolutely gorgeous! There were great crowds, lots of volunteers, tons of spectators yelling in three languages and breathtaking scenery along the way. The countryside was dazzling and the air was crisp and cool but not cold. The hills at the beginning were challenging but not horrible. A nice warm up for the backside of the course!

The wind started to pick up and a light rain started to fall just as I headed into the last 20K of the first loop. I was doing just fine until the rain. Steady and on pace. Janet was rocking the bike course, as we all knew she would! The last part of the first loop was incredibly challenging. So many hills I stopped counting. I thought I was never going to see transition! My brakes were wet and I was freezing! I was extremely thankful for the light jacket I had put on because it was a little chilly. It kept me from going hypothermic in the chilly rain. The rain subsided and I hit transition for the second time. Oh no! I had to do the loop again! The hills were so daunting and my legs were already dead. Back onto the course I went for the second loop. I slowed considerably and then rain returned. Ugh! Janet was about an hour ahead of me by the time I hit transition to go on the run. She was doing awesome! Me, not so well…. There were times in the last half of the second loop that I wasn’t sure I was going to make the bike cut off! The last hills were sadistic! Who puts a 15% grade hill in the last 6 miles of a 112 mile bike course? God has a sense of humor and the race was on a mountain side! I saw a lot of the mountain! They don’t make hills like that in Texas!

As I exited transition and tried to run, my legs protested. Internal whining and a little negative self talk ensued. I was fast walking the first few miles to see if I could “embrace the suck” (see previous blog) and get my butt moving. When I saw Janet going the other way on the first loop of the run, she was smiling and looked good.  I started to run (maybe you would call it a fast shuffle, but it was all I had). The run was also two loops, but they were nice enough to make about ten miles of the course along a dirt trail in the woods and predominantly FLAT! I made lots of friends on the run (shocker to anyone that runs with me – yes, I talk non-stop). Chatting away as I tried to keep myself moving. I was laughing at myself. Due to the fact that my bike potion was so slow, I found myself in an unusual position in the back of the race with the elderly, physically impaired (lots of walking wounded) and the people like me that perhaps hadn’t trained as much as they should’ve for the killer hills! This was an interesting group and lots of great stories were told as we all trudged toward the finish.

My only complaint about the course (can’t really complain about the hills, I knew it was on a mountain when I signed up!) was the fact that we had to run right by the finish line to enter the second loop of the run. This was great for spectators, but the crowd was cheering you on and telling you that you were almost there when really you had 21K left. Ugh again! It was just mean! You could see the fish line but knew you had to go back out for a second loop! At this point, my daughter Caitlin was very inspiring yelling, “You can do this Mommy!” and jumping up and down with excitement. It got me motivated to finish hard. I sucked it up and started to run again; this time at a decent pace. My legs were killing me, but the last 21K weren’t going to get done under the cutoff without a little push. It is times like this that you realize why Ironman is not for the mentally weak. You have to dig deep and overcome your natural instinct to quit and call it a day!

There were many times in the last loop that I thought I was nearly the last person on the course. The people behind me were dropping like flies. We had lost a handful to the bike cutoff and a few more to the sag wagon. At one point on the run course, I had a personal guide on a mountain bike with a headlight. They had thought of everything. They had medical volunteers patrolling the last half of the run course making sure everyone was OK. I had a nice chat with an EMT from Toronto on his bike, who said he was so inspired by the athletes that he thought he would try an Ironman! It was infectious! Even though there couldn’t have been more than twenty people left on the course that were going to make it in by midnight, there were still lots of spectators along the course! And yummy hot chicken broth! Nectar from God! Amazing! Dark, cold, windy and yes, the rain started again!! I had to keep moving at my pathetically slow run pace! One foot in front of the other! I chatted with a fellow from Toronto for about the last 7 miles. We were both hyperaware that we had to keep moving at a decent pace or midnight was going to come and we were not going to make the finish! Onward we trudged, running the flats and downhill while walking the hills. The last hill at 2K to go looked like a mountain to my weary legs, but you could hear the excitement at the finish line.

I picked up my pace and glided to the line. Whew! Made it with a half hour to spare!  Mike Reilly (the voice of Ironman) stopped me just before the finish line, put his arm around my shoulders and turned me towards the to crowd of spectators saying, “Mary Crane from Grapevine, Texas, these people have something to tell you!” The crowd shouted together, “You are an Ironman!” What a moment! Even though I had been there before, nothing can equal the emotion I was feeling at that moment. Elated to have finished and emotional since there were so many times during the race I had thought of quitting and giving up.  I had dug deep for this one and succeeded. I can’t explain the emotions. I was disappointed with my performance because of the times but elated to just have made it to the finish line. A fantastic ending to a tough day.

The finish line people were also amazing! I had a personal guide to get my medal. The winner of the entire race, Romain Guillaume from France, gave me my medal and kissed me on both cheeks. What an awesome guy! He had finished almost 8 hours before me, but came back to give out medals to the stragglers at the end of the race. My family was waiting for me with big hugs and happy faces. The time was forgotten in my daughter’s hug! The look on her face made the day all worth it. I had embraced the suck and won! Janet finished almost an hour before I did and had a great day! A monster personal best for her on a killer course! She deserved it! She worked so hard this year! I am proud to be her training peep!

Ironman Mont-Tremblant is easily going to rise to the top of the destination races! It was extremely challenging, but so incredibly well run for all! Kudos to the people of Quebec! They get an A+! The race experience was excellent, even if my time was not!

Video to come in a few days……Back to work I go on Wednesday!

Strengthening Your Feet for the Upcoming Season!

So many people are ramping up their marathon or half-marathon training programs for this fall or are kiddos about to embark on cross country season. Most injuries are caused by too much, too soon, too fast syndrome! I find strengthening the muscles of your feet and ankles can really help to reduce many common overuse injuries. Here is a simple video reprise from last season's collection that I think you will find helpful! Enjoy!

Embracing the Suck: Ironman Mont-Tremblant is Almost Here

I was watching the London Olympic ‘s Women’s marathon this morning and thinking of my upcoming Ironman in Quebec. (Yes, I was up at 5am to watch the race and was on my bike trainer so I wouldn’t waste the training time) The announcers were talking about the work these women put in day after day for years that culminates at their shot for Olympic gold. They also talked about the way an Olympic gold could really change many of their lives, especially those from African nations. Although I did find their commentary interesting, the one thing that struck me was the comment that at least 30 of the woman had the athletic talent to win gold, but it was the ability to embrace the suffering inherent in the marathon distance that eventually meant the difference between Olympic champions and also ran.

It reminded me of an article I read in Triathlon magazine by Chris McCormack (for those non-triathletes he is “Macca” and a hugely successful triathlete and pretty neat guy) that had this topic as its theme. “Embrace the suck!” is Macca’s mantra when thinking about long course. He also felt that mind over body and how you controlled your mind during a race meant the difference between successes and also ran or in some cases DNF!

There was one study that had half the athletes doing math problems while doing weight reps and half the athletes concentrating on the weights. Guess which one fatigued earlier? Of course the ones spending mental energy on math and losing focus of the reps. Focus is the key to success!

What does all this mean? My musing this morning comes down to why we do this sport. Whether you are a marathoner or a long course triathlete, you challenge yourself to perform races that most people think are insane. Why? The challenge! The edge! Whether our goal is to finish or a time goal or to win, a satisfying race is accomplished when we come to the edge and come face-to-face with our inner weakness.  The edge comes when the risk is compelling enough to make it all count.  I find myself asking myself, “Why am I doing this?” about halfway into a long race. How I answer is the difference between success and a less than optimal outcome. Whining is not an option. At that point, I might as well throw in the towel.  Perishing on the pavement is also not a good option. Confronting this inner voice and trouncing it makes the race a success!

After finishing my first Ironman, I went back to work the next week with the feeling I could do anything! Not only was my mental attitude better at work, but it was also better at home. I had embraced the suffering and succeeded so nothing was impossible, even the whining of my 13-yr-old! I find in business, the same mantra holds true. If you embrace the suck, meaning put it all on the line knowing it will take work, suffering and an uphill battle; you usually succeed. Why? Same reason, the risk is compelling enough for us to put in 100% effort! We can’t lose when we bring our “A” game!

I have a significant challenge in 2 weeks at Ironman Mont-Tremblant.  The course is at altitude and is very hilly! I will conquer the course and finish the race, which is my goal this year. I know I will be asking myself why I am racing and what does it matter to anyone except myself that I finish. My self-talk will tell my inner voice to suck it up and finish no matter how bad I feel, for myself, for my friends and family and for all my patients following their doctor! I inspire them to take on life’s challenges and win! If it were easy, everyone would do it!

Bottom line: Embrace the suck!! In a race and in your life! You embrace the pain and the challenge, then deal with it and succeed!

Paula Radcliffe Sidelined from London Olympic Marathon Due to Arthritic Foot Injury

Paula Radcliffe, the world record holder in the women’s marathon, withdrew from the Olympics today. Radcliffe, 38, has competed in four Olympics, but has never won a medal.  She experienced a flare of degenerative arthritis in her foot about 3 weeks ago and just can’t push off normally. She was quoted to say that her joint was “degenerative and badly damaged’, but does not expect that this will end her career.

Radcliffe failed to finish the 2004 Athens Olympics marathon and was 23rd in Beijing four years later after deciding to race while still recovering from a stress fracture in her thigh. She finished fourth in the 10,000 meters in Sydney in 2000 and was fifth in the 5,000 in Atlanta.

She is a three-time winner of the London Marathon, and had hoped for one more big victory in the capital.

Sadly, this is probably the end of her Olympic hopes. At 38, it is doubtful she will return to top form in 2016 at the age of 42. Doubtful, but not impossible!

Degenerative arthritis of your foot can be treated with anti-inflammatories, injections, functional foot orthotics, physical therapy, and surgery. Surgery can included cleaning up the joint, fusing the joint or replacing the joint with an implant or spacer. If you suffer from arthritis in your foot, there are many treatments available. Contact us or visit your local podiatrist to discuss your symptoms and options for treatment.

All is not lost for Paula Radcliffe. She will return to running, but will probably never claim that elusive Olympic medal.

Dr Oz on Better Flip Flops

I couldn't have said it better myself....check out Dr Oz on why you should wear good, supportive sandals even when wearing flip flops. He recommends my favorite Orthaheel flip flops....available at Healthy Steps DFW in Grapevine :)

Which Hydrates Better: Water or Sports Drinks?

This time of year we seem to be focused on hydration. A heat wave is sweeping the country and runners are feeling like they are running on the face of the sun, even early in the morning.

 Water is by far the most popular fluid choice during exercise. However, sports drinks actually do a better job of hydration, while also providing other benefits that water does not. There are lots of ads out there touting that this drink or that drink are better than water. Is this true?

Yes!

Sports drinks actually do hydrate you better than water. This is because of three things:
 1. The osmolality of most sports drinks is closer to that of your blood, so it absorbs faster.
 2. Most sports drinks contain electrolytes, which help to regulate your fluid balance.
 3. There is sodium in sports drinks that actually makes you thirstier, so you actually drink more.

The ideal sports drink is under debate, but you should chose one that has at least 15mg of sodium and contains at least a little protein. It turns out the protein makes it absorb more too! One study showed that athletes retained only 53% of plain water, 75% of traditional sports drinks and 88% of a carbohydrate and protein mix sports drink.

Water is a great drink choice outside of workouts, but during exercise you're much better off with a sports drink. In this case, there's truth in advertising.

The Mezamashii Run Project: Test Drive a Pair of Mizuno Running Shoes

Mizuno is looking for a few passionate runner to test drive, and they hope, embrace their shoes. The word "Mezamashii" means brilliant or eye-opening. They want you to have that kind of fantastic run! If you are a passionate runner or triathlete, like most of my readers, then apply to be part of the project. What do you have to lose except maybe an exceptional running experience. (I am need to emphasize the I am not endorsing or being paid by their project, but I like the idea. Test drive and decide for yourself)

 

To apply to join the project, click here and then click on apply for an invite on the top right of the screen.

 

Good Luck....

Buffalo Springs Lake 70.3 Triathlon Video Race Report

The FAANT girl are at it again. The road to Ironman Mont-Tremblant goes through Lubbock, TX.

The Road to Ironman Mont-Tremblant Goes Through Lubbock

Janet and I decided we needed a hilly warm up 70.3 race about 2 months before Ironman, so of course we picked the hardest course we could find; Buffalo Springs Lake 70.3 Triathlon in Lubbock, TX.

This was the same weekend that Mont-Tremblant was having their warm up race as a 70.3 on the same course as the Ironman race, but who has the time or the money to go to Quebec twice in one summer? No, we thought, we will drive to Lubbock.

That was our first mistake! We jumped in the car Friday morning and drove the 300 miles to Lubbock. What a beating! There is nothing between Fort Worth and Lubbock but wind farms, crops and cow patties. At one point, we were laughing at all the small towns with population 250ish! Really? We stopped in a Dairy Queen about 100 miles from Lubbock to get a snack. The people in the restaurant looked at us like we had dropped in from another planet.

After a lovely drive (NOT), we checked into one of the nicest hotels in Lubbock, the Holiday Inn (smirk). It actually was not horrible and was clean. Lubbock is not exactly a happening town. There really isn’t much in Lubbock other than Texas Tech and lots of cotton fields. We went to the expo on Friday night and got our numbers. The race shirt was the ugliest one I have ever seen!! A steak dinner and a beer, then off to bed.

Saturday morning we decided to go out to Buffalo Springs Lake and watch some of the sprint triathlon as well as check out the water temperature and the horrendous hills we had both heard about. If you listened to most of our friends, the hills were mountains and we were going to perish on them. Well, the water temperature was about 76 and even though they said it was going to be wetsuit legal, we both decided on speed suits. The lake was gorgeous! The hills were steep, but nothing like the mountains that had been described! We rode out bikes up and down the first 3 hills and decided we would live! A nap then a pasta dinner and we were ready for bed!

4am came really early. We had our breakfast and hit the road about 5am. We ran into a little traffic jam getting into the canyon. Seems there was a race going on! Got to the parking lot and then had to walk our bikes down a gigantic hill to transition. Found our spots and we were ready to go.

Swim waves were interesting. All the women were in one huge wave so the start was a little challenging. Then the majority of the men started just a few minutes later. Needless to say, they ran us right over! I got punched in the eye and was happy I was wearing double swim caps so I didn’t lose my goggles. Then I got kicked in the face and got a bloody lip! Ugh! At least the water was relatively calm and the temperature was very friendly! My swim time was not stellar but I got to transition only bleeding from my top lip!

Onto the bike course we went. The first hill is almost as soon as you leave transition and it was almost a 9% grade! Sadistic! After conquering the first few hills it was relatively flat but the wind kicked up as soon as you left the canyon. My swim was so bad I was convinced there weren’t too many people behind me until we hit the third hill, which was another sadistic grade, but this time I was catching the downhill. Now I know what 40 mph feels like on a bike! Scary!! Sadly I reminded myself I had to go back up that grade on the way back! At this point I saw the crowd behind me as I made the first turn around. Whew! I wasn’t in last place. That would be embarrassing! Janet passed me just about the 30 mile marker like I was standing still! Man is she fast on the bike!! The fourth hill is a long winding grade with killer turns and a skinny road. In other words, as your butt is being kicked by the grade you have to watch out for the people coming down out of control on the turns and trying to kill themselves and you. Written on the road was SLOW DOWN on one side and THANK MIKE FOR THE HILLS on the other! You then hit a long stretch of windy farmland in which you began to cook. Literally. My nutrition and hydration were great and I actually had to pee for about the last 25 miles! A good sign!

I had the pleasure of cheering on a few of the hand-cyclists as they were challenged by the hills. Those guys are tough!! Back into the canyon I went after feeling like I was challenged but not beaten, hit the last two hills and wanted desperately to get off my bike!!

Into transition I went, ditched the bike and found a port-a-potty. Running shoes and a little more sunscreen, I was ready to run! Who turned up the heat? As soon as I hit the asphalt, I felt the heat. Thanks Mike for the roving ice carts. He put people on golf carts with large coolers of ice to help with the heat. The hills on the run were not that bad, but were sadistic in the fact that they were long and it was almost 100 when I started running. When I hit the 6 mile marker, the volunteer at the aid station said it was 105! Crazy! The heat was just wafting off the road. I had ice chunks in my bra and down my pants as well as down my back just to keep my heart rate from spiking. It was walk:run the whole way. Walk through all the aid stations then run until your heart rate started to spike again. A beating! I passed Janet at about the 7 mile marker. She wasn’t faring much better than I was. We were both in hunker down and get it done mode.

I was so happy to enter the park and see the finish line, I almost cried. I crossed, got my medal and shirt then headed for the lake. I barely took my shoes off before I dived in. The water felt amazing!

So that was Buffalo Spring Lake 70.3 Triathlon. A butt whipping of a race, but a great challenge on the road to Ironman Mont-Tremblant. The hills were a challenge, but totally doable. The heat is what got you. Now I understand why it is a Kona qualifier. It was harder than Ironman Texas because of the heat coupled with the tough course. Mike, you are a sadist! And , Yes, we will be back!!

PS. Janet won her category, so she got to go home with a really cute buffalo trophy which she named Leonard. ☺ Very cool!

PPS. Video on the way.....soon

New Orleans 70.3 or More Like 67.1 2012

The Road to Ironman Mont-Tremblant went through New Orleans. It was a crazy weekend of wild, windy weather, cancelled swim and fun times for all! Dr Crane encouraged her friend Linda in her first attempt at the distance and now we all have a new Personal record at 67.1! Nuts....enjoy the video madness.

The Swim It! Saving Lives in Open Water Swimming

The Road to Ironman Mont-Tremblant Goes Through New Orleans

The road to Ironman Mont-Tremblant went through New Orleans this weekend. As many of you know, that follow this blog, Janet decided to go to Galveston and I chose New Orleans for our early season half Ironman. I chose New Orleans because last year in Galveston, I had a really hard time staying upright while biking into a 30 mph head wind. I thought New Orleans would have better weather! God has a sense of humor!

New Orleans Ironman 70.3 was in a word - windy! Crazy, insane windy!! It was also only 67.1! The wind caused the race director, Bill Burke, to have to cancel the swim for the second year in a row. I actually felt bad for the guy since so many people were so upset, but when we got down to the water on Sunday morning, it was obvious that drowning was a risk given the 5 foot and higher waves!

We actually did a run-bike-run triathlon, which was much better than what they did at the Poconos 70.3 last year. At that race, after cancelling the swim, they attempted a time trial start of the bikes starting participants 3 seconds apart. This sounds good in theory, but the roads were very wet and there were crashes all over the place! In New Orleans, they were creative and wanted to keep the relay teams intact, so they made us run 2 miles to start then ride 52 miles (shortened due to road closures) and then run 13.1 miles to finish.

I met my friend Linda, from Arizona, in New Orleans and she was pretty anxious to do her first 70.3. She is attempting Ironman Arizona in November, so she needed a warm up race as well. I made a pact that I would never race without Janet again! Every time I go to a race without Janet, the weather sucks!

The best part of my race was the beginning of the 2 mile run. They started us in pair about 2 seconds apart and I was in the 5^th wave (40 and older women). This wave included all the “old” ladies. I started near the back of the wave and was just completing the first mile when I came upon a woman with an “81” on her calf.  I glanced at her and then realized it was the “Iron Nun”! Sister Madonna Buder is a Catholic nun who has completed over 400 triathlons and is an inspiration to all at The Ironman World Championships every year! (If you haven't read her book, it will inspire you!) I said, “Good Morning Sister!”, just to make sure it was her and then had a short conversation running along with her.  Such a positive person and it was a thrill to meet her. She is still running strong and should be an inspiration to all of us to keep moving! I told her I only hope I am still competing in 40 years!

After the short run to warm up, we jumped on our bikes to brave the wind. Crazy, insane and, at times, dangerous wind! I was trying to maintain 19-20 mph but no such luck. I worked very hard to keep 17.8 mph average into a 25mph+ head wind! It seemed like the wind was in your face no matter what direction you were going in! There were only 4 hills on the entire course, (Louisiana hills also known as overpasses ha ha) and at the top of one of them, a gust practically threw me off my bike. The bike actually felt like it went airborne for a second! I finished the bike in one piece and was happy to start running.

Then someone turned up the heat! The run was a double loop with awesome crowd support and plenty of aid stations! Thankfully lots of water and wet sponges since it was so hot! Very flat with a few small hills but overall a nice rolling course.  The casts of characters were out, just like most races. We had 3 Spidermans, guys in jester suits, and my favorite….guys running in their wetsuits with goggles and all, probably protesting the no swim!

I was happy to wave to Sister Madonna on the run and shamefully happy she was on the other side of the road about 5 miles behind me (who wants to get beaten by an 81 year old!!). I finished strong and with a smile. Legs of jelly from pushing hard on the bike made for a slow run, but overall a good day! No pesky plantar fasciitis showed up, so I think I have cured myself with EPAT finally! I have some work to do before I am ready to tackle the mountains in Quebec, but I earned my post-race beer today! Linda finished not so far behind me with a big smile!

Next up….Buffalo Springs 70.3….

Got Ball of Foot Pain?

The Long Road to Ironman Mont-Tremblant FAANT Girls' Style!

The road to Ironman Mont-Tremblant in Quebec officially starts for the FAANT girls this weekend. It’s finally time to admit that I better get my butt in gear and get training a lot harder. Janet has been in full gear for about 6 weeks or so….I’ve been lazy until the last two. Looking at the calendar, we have only 20 weeks to go and the challenge is mighty! For anyone who wants to laugh at us or is just curious, go to www.ironmanmonttremblant.com and take a look at the elevations on the bike course. We must be out of our minds. We live in almost the flattest state in the union, so we pick the Ironman with the most hills we can find J

Today’s video blog is just a taste of what we have in store for our friends! In two weeks, I am “participating” in the Ironman 70.3 in New Orleans and this should be a good barometer of how poor my fitness is at this point! Janet and I will be racing in the 70.3 in Buffalo Springs (Lubbock, TX) at the end of June! Hopefully by then it won’t hurt so bad!

A 50 mile bike ride (Janet actually continued and did something on the order of 100 miles) on Saturday followed by an hour or so open water swim on Sunday with a short run afterwards sounds like a great Easter weekend! Thanks go out to all our friends from Lake Grapevine Runners and Walkers who joined us!

That’s all for now….I hope you enjoy this next adventure with us.

For more, follow us at www.myrundoc.com (Crane) and www.healthystepsdfw.blogspot.com (Dixon). I promise it will be good for a few chuckles along the way.....

Can Compression Socks Make You Run Faster?

Podiatrists have been prescribing compression socks for years to treat things like chronic edema, lymphedema, varicose veins, and to prevent deep venous thrombosis; but recently they have started showing up on perfectly healthy runners. Yes, sometimes compression socks are used to treat shin splints, but do they make you faster? Can you run longer in compression socks? Many runners and triathletes swear by wearing compression they feel faster and recover better. Do they really work? Is there any scientific evidence that they really work? Or is this just more running lore?

In 2007, one study showed no increase in endurance or speed, but they were shown to stimulate blood flow, helping legs recover faster from a hard run. OK, so they help recovery, but can they make me faster? That early study didn’t think so, but that’s why we kept looking.

Most theories about how compression socks improve running performance focus on the physiological and biomechanical support of the lower legs.

It is assumed that compression socks may enhance venous return to the heart through a more efficient calf muscle pump, leading to increased endurance capacity. And there is the notion that because muscles are kept more compact, balance and proprioception are improved and muscle fatigue is minimized. Sounds reasonable, but again, what does the research show?

It wasn’t until 2009 that a German study clearly showed that they enhance performance during hard runs. And research done in South Africa and New Zealand both show that knee-highs also improve recovery by boosting blood flow in the extremities. In fact, even compression socks (not your Grandma’s TED hose) have been shown to increase resting arterial circulation by 30% and 40% under physical strain. Many compression sock companies even tout that they have studies that shoe an increase in running efficiency by 5%, which can equate to taking 12 minutes off a four-hour marathon. Crazy? Maybe not?

Yet they still aren't for everyone. One German study conducted on super-fit elite athletes (not most of us in the back of the pack) reported no performance payoffs from compression. According to the study, the socks work better when they're squeezing more performance out of non-elites (you and me).

Lots more studies to come, but if donning some hot pink knee socks will take 12 minutes off my marathon time, bring them on!

Should Diabetic Runners Use Sports Drinks?

I get a lot of questions from diabetic runners about the use of sports drinks during exercise. Should they drink straight water or a “diet electrolyte solution”? Can they mix in or use a regular carbohydrate-electrolyte solution for carbohydrate replacement and energy?

Great question! Drilling down a title further, most diabetics are truly concerned about spikes in blood sugar and bottoming out during exercise, which may cause fatigue symptoms and decreased endurance. There is some validity to these concerns, but studies show the benefits out weigh the risks as long as you are utilizing 5-8% carbohydrate solution. Higher concentrations will delay gastric emptying an actually slow rehydration which can lead to dehydration especially in our hot climates. A recent article actually explains this well: “Drinking carbohydrate-electrolyte solutions before exercise does produce, during exercise, rapid rises in blood glucose and insulin concentrations, followed by a sharp fall in blood glucose. However, as exercise continues, blood glucose concentrations normally return to pre-exercise values. It is interesting to note that, even on the occasions when blood glucose concentrations fall to hypoglycemic values during the early part of prolonged exercise, the subjects in these studies do not report any adverse sensations.”

Interested in learning more? Click here to take you to the original article.

New Study: Foot Orthotics Can Prevent Running Injuries

The top three questions runners ask about custom foot orthotics are:
1. Should they use orthotics in their shoes while running if they don’t have an injury?
2. If they have fatigue in their legs while running or a jacked up gait, they often wonder of orthotics will help?
3. Should they wear orthotics forever after an overuse injury?

The answers are yes, yes and yes!! A new study showed that orthotics have a significant benefit in reducing running injuries as prophylaxis. It makes common sense, that if you have an underlying biomechanical deficit, orthotics give you better alignment so therefore should reduce overall abnormal stressors and subsequently injuries. Now there is a new study that shows just that! Piggy-back that on years of biomechanics research and the answers get much more clear.

This study demonstrated that the subjects who wore orthotics had "a significantly reduced rate of exercise-related lower limb injury across the training period". The authors emphasized that participants were not treated for an injury with orthotics, but were prescribed orthotics to prospectively reduce the risk of injury. In addition, they believe that these "preventative results can be cautiously extrapolated to a recreational running setting and should be considered by sports and exercise medicine professionals."

We generally prescribe foot orthotics to treat specific injuries. This study indicates that orthotics can be a valuable prophylactic tool for injury prevention, supporting orthotic use in at-risk populations (e.g. runners) for medial stress syndrome, iliotibial band syndrome and Achilles tendinopathy. Considering the results of this study and the results of a previous study on the use of orthotics in runners by Mundermann, it is recommended to use at least a pre-fabricated Powerstep orthotic which incorporate a medial heel skive and rearfoot post, as a cost-effective means of providing prophylaxis with corrections proven effective in runners. Runners with a previous history of these injuries and/or those that develop symptoms would be good candidates for custom orthoses based on the results of these two studies.

Franklyn-Miller A, Wilson C, Bilzon J, et al. Foot orthoses in the prevention of injury in initial military training: a randomized controlled trial. Am J Sports Med 39(1):30-37, 2011

Mundermann A, Nigg BM, Humble RN, et al. Foot orthotics affect lower extremity kinematics and kinetics during running. Clin Biomech 18(3):254-262, 2003

Spring is in the Air in DFW...Time to Dust Off the Running and Cycling Shoes!

So Spring is in the air in the DFW area! Time to dust off your bike and running shoes and head outside. Forego the treadmill or the trainer for fresh air! Yea!

So if you are like me, it’s also time for new running shoes. The battered winter pair have had it! How long are running shoes good for? About 500 miles or six months, whichever comes first! Now an aside about the recent craze in minimalist shoes, just because they are “minimal control and cushion” does not mean that they last longer and don’t need to be replaced. In fact, I found my more minimal shoes seem to wear out faster.

So you haven’t reached the 500 miles or six month expiration date because you have been lazy the last few months of winter? Please at least decontaminate your shoes! Take a spray anti-fungal (my favorite is Mycomist) or use a shoe sterilizer (like Steri-Shoe) and get rid of the cooties that have been growing in those idle shoes. Don't have something to decontaminate your shoes? Stop by Healthy Steps and they can hook you up! This is especially important for cycling shoes that have been sitting in the closet or garage all winter. Cultures of these kinds of shoes show fungus among us, as well as, staph, strep and nasty pseudomonas bacteria!

Also time to take a look at the sock collection. Socks don’t last forever and tend to shrink. If your socks are too small, you can get black toenails and even lose toenails just from the pressure of the socks! If your socks are more than a year old, toss them and buy yourself a spring treat of new socks!

And last, but never least, it’s time for girls to take a long look at their jog bra collection. Just like socks, these bra tops need to be replaced about once a year if you expect any supports for “the girls”.

Enjoy this first taste of spring coming to Dallas-Fort Worth….who knows, next week it could snow; but my money is on spring is here to stay! Enjoy it before the sultry summer descends upon us!

Doctors Can Get Hurt Too!

Confessions of Myrundoc: Do as I Say, Not as I Do.....

Time to come clean. Yes, I too can fall victim to a running injury. And yes, of course it's a foot related issue. Turns out the old adage is true that doctors are the worst patients, just like plumbers often have leaky pipes at home :) in fact, I think doctors are the worst patients only trumped by pilots. Yes, it's a control issue!

Because I'm the local authority on running injuries I of course started to treat my injury when it was in its mild form....Not! No, I did like most of my patients and ignored it until my foot hurt so bad the day after a race that I could barely out my heel on the ground. Yes, I suffer from the dreaded and incredibly common plantar fasciitis in my left foot. Why? A combination of the perfect storm.

I would like to blame it on the White Rock Marathon, you all remember that glorious day.....45 degrees, pouring rain....but if I'm honest, it started way before that. I ran the DRC Half in November with bronchitis (also a brilliant move) then barely trained the rest of that month as I was getting over my upper respiratory infection. Couple that with an incredibly busy November and December in the office and the OR; you get poor training schedule, exhausted body and depressed immune system. Oh yeah, I also ran the White Rock Half marathon in the pouring rain and had to run the Bold in the Cold Half marathon because my running club was putting it on and the medal was cool.

Long story short, what started as a little tightness at the Phoenix Turkey Trot over Thanksgiving (oh yeah, ran that too, then climbed Camelback Mountain the next day), became a swollen, sore foot by the first weekend in January.

So what do I do? I stopped running. This wasn't really a choice since I could barely put my foot on the ground the day after Bold in the Cold. I started icing, taking Advil and lots of stretching. I looked at my shoes and realized I had five pairs I was working on and all of them were dead. My orthotics were 3 years old and needed replacing. I started wearing nothing but a brand new pair of running shoes to work and clogs on the OR. I even let my partner give me a steroid injection. And I got in the pool and on the elliptical and bike so I didn't gain a million pounds!!

A month went by and I was somewhat better. Maybe 50% but still couldn't run. I was now starting to get annoyed and my staff wanted me to get back to running so I would stop being cranky! Onto EPAT....why have technology if you aren't going to use it? What is EPAT. Yes, I had the EPAT procedure performed the first week in February and yes, it hurts like hell but way worth it. I was about 70% better after the first treatment and 80% after the second. I still did the night splint (incredibly annoying but effective for the first thing in the morning owie), had gotten a brand spanking new pair of custom orthotics and still wearing nothing but running shoes, clogs and a two inch heel when necessary.

I went for my first run in 6 weeks yesterday in Napa Valley, CA. I was in wine country for a conference and my foot was feeling so much better. I did 4 miles of walk run and did pretty well. Tight but not painful! I'm going to have my third EPAT this week and I think that should do it. Maybe I will let the staff video it so you can all join in.

What did I learn? Listen to my own advice. If I had started stretching, icing and looked closely at my shoes and orthotics at Thanksgiving; this whole saga probably could have been avoided. Stubbornness and the fact that when I close my eyes I'm 19, did not help me recover. Thank God for technology! The EPAT certainly saved the day for me. I'm sure two months of physical therapy would've had the same result, but time was short and technology available! Bring on the triathlon season! First race St. Pat's Sprint Tri in Keller on March 10th!

Are You Suffering From Excusitis?

Are you suffering from excusitis? Meaning you have way too many excuses of why you can’t exercise? Need some motivation to get back on the road? Here’s a good one: Exercise will improve your love life!

Often people think of exercise as something that will possibly make them look better and maybe live longer. But, it doesn't just stop there. Exercise can improve all aspects of lives, especially relationships with friends, family, and signifiacnt others.

Become a Better You. Exercise can make you feel better about yourself. How you perceive yourself is obvious to others around you. Every day that starts with a run always seem to be a great day!

Attract Positive People. When you feel better about yourself, you attract the right crowd. Attract others that are positive to be around. You really are the average of the five people you hang out with the most!

Be a Role Model. When you exercise, other aspects of your life improve. Your body wants to eat better, sleep sounder, and be more active. Your family will notice and your kids will be forced to eat better!

Meet More People. Exercise can help your fear subside. Your positive choices for your body will help your confidence; and therefore more inclined to meet others. My running club is my family away from home.

Good Relationships Become a Goal. With any exercise, creating goals help you succeed in every workout. It's the same idea with relationships. The more you create goals the more natural it becomes. Think of it as something you want work and improve on every day. A goal not written down is a mere wish! Once you start writing goals down its amazing how they happen!

Communicate Better. When confused about how you feel and what you want for yourselves can be difficult to share with others. Studies show exercise helps your brain think more clearly, which will help your communication skills with others. Who doesn’t want to communicate better?

Exercise cannot fix everything in your life, but it definitely can make you a better version of yourself! Want a better love life? It's important to work on you first and then show others what you're made of. You will be amazed with the results!

February is the month for love….I love running!

11 Common Sense Tips to Run Injury Free!

My patients in my Grapevine, TX office are always asking me: “Why do some runners always seem to be hurt and others can run forever and never sidelined?” Great question!!

Amby Burfoot tried to answer that question in an article in Runner’s World in March 2010. He states that George Sheehan, MD, the medical editor of Runner’s World in the 1970’s, felt that one in 100 people were “motor geniuses” and never got hurt. The rest of us were destined to be injury plagued from time to time.

Ralph Waldo Emerson stated “that there is a crack in everything God has made,” meaning that nothing is perfect and that can be translated to runners as well!

An extensive review of the medical literature by Burfoot reveals a great number of papers on running injuries, but no conclusions. It turns out that running injuries can be caused by being female (funny), being male (more likely), being old, being young, pronating too much, pronating too little, training too much, training too little, having new shoes, having old shoes, and it goes on…..

So what can we conclude? Most of us will get hurt at some time during our running career! So what can we do to prevent major, career threatening injuries?

1. Know Your Limits. This is a hard one. Some people cannot tolerate long distance running year after year. I’ve seen this in my office all too often. Some people try again and again to get to the marathon distance, but just keep getting hurt. Everyone has a threshold. Learn yours. Follow the rules and avoid too much, too soon, too fast syndrome! If you get to 15 miles and get hurt every time, maybe your body is trying to tell you something. Work on your 5K time instead of trying to attempt a marathon yet again.
2. Listen to Your Body. I give this advice every time I talk to a group of runners. Many do not listen. If you get out of bed feeling like you got run over by a train, perhaps a little rest in is order; not a long run! Most injuries do not spontaneously occur; they start with little aches and pains. Ironman triathletes are the worse! Do not “train through the pain”. That’s just plain stupid (and yes, I’ve tried to do it too!)
3. Consider Shortening Your Stride. I have to admit, I hadn’t really thought of this advice until I read Amby Burfoot’s article. It makes sense. Overstriding increases stress, so shortening your stride will soften the landing when you run. I think this is also why the recent “barefoot” or “minimalist” craze has taken a string hold. It’s hard to overstride in minimalist shoes!
4. Strength Training Can Help. One thing that has been shown to decrease running injuries is strength training. This is especially true in women. Core strength training twice a week can really help you avoid the doctors office and prolonged time on the couch.
5. Ice is your Friend! See my video on first aid for tendonitis, rest and repeat every time you have an ache or pain. A little rest, ice, compression and elevation goes a long way!
6. The Surface Makes a Difference. Here’s great tip: Don’t always run on the right side of the road facing traffic! It allows you to see the cars coming at you, but here in Texas, it means you always run on a slight slant that causes a functional leg length discrepancy. (And don’t try to make up for it by putting a lift in your left shoe- that’s stupid too!) Also try to vary your surfaces, one day on the road, one day on the track, perhaps a treadmill day or a day on the golf course. Trails are also a good thing to put in the mix. The same thing, at the same speed, on the same surface all the time can quickly add up to an injury.
7. Too Hard, Too Often is a Recipe for Disaster! When I was younger (about a thousand years ago) I used to “race into shape”. Not a great plan unless you are a gifted teenager! Too much speed work or too much racing beats the heck out of your body. Always follow a hard day with an easy one, or two if you are over 35!
8. Stretch. I’m not going to debate the value of stretching. I’ve done that in other articles. I know there are some people who think stretching is bad. I’m not one of them! All I know is that runners that are tight get hurt a heck of a lot more than those that are flexible.
9. Cross training is not a Bad Word! When I turned 40 (yes, about 5 seconds ago), I took up triathlon. Why? Because I knew as a thin female runner, getting older, I needed to cross train to keep up my aerobic fitness and decrease the stress on my body. This lead to a love of swimming and eventually an Ironman. Who says you can’t evolve as an endurance junkie? Seriously though, swimming, biking, the elliptical, circuit weight training….These all help to maintain your fitness and change up the stressors n your body.
10. Shoes Make a Difference! Find the shoe that works for you. Your podiatrist or a good experienced shoe sales person can help you, but bottom line….get a shoe that fits and is the correct type for your foot type. The reason there are a million shoes are on the market, and growing, is that there is not one perfect running shoe (although this doesn’t stop people from asking for it!)
11. Orthotics Can Help! I realize that many people are shying away from corrective orthotic and trying to embrace the minimalist wave. Not everyone can run barefoot and not everyone needs orthotics. If you continue to have similar injuries over and over, what’s the definition of insanity? Doing the same thing over and over, yet expecting a different outcome! If you are one of those biomechanically perfect gazelles, more power to you! But most of us could use a little help in that department. In many cases, you can correct some biomechanical problems with strengthening and stretching, but let’s face it….most of us are too lazy to do the work to correct our biomechanical imbalances. Orthotics can help. Think of them as eye glasses for your feet. The majority of us could benefit from a tire realignment!

Best advice I can give: listen to your body, increase slowly and have a plan! If you are one of those oft injury plagued runners, take a look at these tips. Are you following the guideline? If so, take a spin in triathlon! It has saved a lot of weekend warriors…….

Thanks to Amby Burfoot and his crew. I have liberally borrowed from their content and just put in my two cents worth. If you want to read his article, “The 10 Laws of Injury Prevention” you can find it in the March 2010 edition of Runner’s World.

What are Your Plans for 2012?

I ran a great half marathon this weekend in Grapevine, Texas. Bold in the Cold Half was put on by the Lake Grapevine Runners and Walkers as a celebration of the 15 year anniversary of the club. Fun was had by all. It’s crazy to me to think that I’ve actually been a member of LGRAW for 14 years!! Love this club! Such a great crowd and it was fabulous to see so many of my patients and even my staff members running one of the races (5K, 15K or Half-marathon).

My time was not memorable since I’ve been a little lazy and working too much during the holiday season, but what was memorable was the joy of running with so many others that truly enjoy the ability to get up early on a Saturday morning and challenge themselves. I was talking non-stop during the whole race (shocking) and cheering for all the other runners as the course had the whole field criss crossing each other several times. The pure joy of running was palpable. It reminded me why I love this sport!!

In the afterglow of such a day, it’s time to sit down and hammer out my athletic goals for 2012. I’m already signed up for Ironman Mont Tremblant in Quebec in August. I also have New Orleans 70.3 in April and Buffalo Springs 70.3 in June. I’m thinking we should sprinkle in some shorter races in the spring then pick a fall marathon. Perhaps New York? Maybe Kansas City? Send me your thoughts.....

Remember, a goal not written down is a mere wish; so take a few minutes and think about what you want to accomplish in 2012. Perhaps a PR? Perhaps a new distance? perhaps your first triathlon? I want to finish a full ironman and not require an IV! I also want to PR at the 70.3 distance. I would also like to run a quality marathon under 4 hours, since I haven’t broken 4 in 5 years!!

Take the time, write it down and make a plan. You will thank me later!

When is a Bunion not a Bunion?

When is a Bunion not a Bunion? When it's hallux limitis!


To read more on this subject, click here