Sunday, June 9, 2013

The Wounded Warrior Half Mararthon 2013

The Wounded Warrior Half Mararthon was in a word: WET!

You have to feel bad for the Dallas Athletes! They put together a spectacular rae and planned for hot and humid. It rained. At 6:45am it was pouring buckets with thunder and lightening! Crazy! We all hung out in the parking garage at the Marriott. I'm sure they loved that! The race was delayed 15 min, then a half hour, then an hour to let the severe weather cell go through. Hanging out with a few thousand of my closest friends in a parking garage...love it!

The race started in a drizzle.....then a downpour! The race was awwesome because it was mostly on trails....oops they flooded. We went around one large floodde area and through two others. I hate wet feet!

It was awesome to see lots of people from Team in Training and many military groups! One group of guys carried three very wet American Flags along the entire course. I bet their shoulders hurt! I was also so happy to see lots of friendly faces at the Lake Grapevine Runners and Walkers Aid station! Thanks Guys!!!

I high fived a lot of people and then came upon one of my patients who wasn't supposed to be running (a small tendon tear...oops) and she was beating me!! Crazy tough girl. Tomorrow she gets a cast, but today a medal!

A crazy day, but a good time was had by all. Sometimes the most zany races are the best!! Love it!



Friday, May 31, 2013

When Do I Need New Orthotics?

Contrary to popular opinion, custom foot orthotics do not last forever! It is amazing to me how many runners come in with an injury and take orthotics out of their shoes that were made when I was in high school! If your orthotics are more than 5 years old, they probably need to be replaced. Feet change and the devices start to wear out.

If you can't remember how old your orthotics are, here are some tips on how to determine if it is time to replace them:

  • Your feet hurt!!! That pain you had reduced or cured with the device has made a comeback – I can’t think of a better reason to get your feet and devices checked
  •  Yourorthotics are held together with duct tape, gorilla glue and cardboard – those home modifications just don’t do the trick
  • If your orthotics wobble, you may fall down – motion in devices that wasn’t there before can lead to foot pain and instability
  • The top cover looks is thinner than you remember or has comletely fallen off – with time all materials will flatten and wear, if your top cover is paper thin, looks like a piece of foam Swiss cheese, or has been missing for months, get it replaced.
  • Cracks do not give character – cracks in the shell of device can occur with prolonged use, glue is not the answer and neither is duct tape.
  •  Added modifications are lost, loose or not providing the control or pressure relief they used too – just like top covers, modifications can flatten with time, and they can loosen and get lost.


These are just a few subtle reminders of when you need to have your orthotics replaced.   Obviously other problems occur.  While most devices last for several years, most insurance companies will replace a device yearly if problems with device are noted, so don’t hesitate and stop by for an evaluation. Just like eye glasses, your orthotics should be evaluated at least once a year by your favorite podiatrist!

Wouldn't a new pair of orthotics feel wonderful?

Sunday, April 28, 2013

There is Life After Running - Seriously!


There is Life After Running……Seriously

“When one door of happiness closes, another opens; but often we look so long at the closed door that we do not see the one which has opened for us.” Helen Keller, author, political activist, and speaker

This is my profound thought for today. We often, as runners, feel like our world is coming to an end when we can’t run due to an injury; or even worse, a permanent disability. This often happens in older runners due to knee issues or chronic back pain. Foot and ankle arthritis or a torn tendon can also cause a premature end to a running career.

Instead of looking at what we can’t do, we often need to rejoice in what we can. When I turned 40, I realized that I needed to start cross training so I wasn’t beating the heck out of myself every day. I reinvented myself as a triathlete. I hadn’t done any swimming seriously in over 20 years and couldn’t remember the last time I was on a bike. I had always just run!

I had a goal: a sprint triathlon in 3 months! I made a list and borrowed a triathlete friend for a shopping trip to the cycling shop. A cute pink road bike later, I was on my way. A bathing suit, cap and goggles were procured and I jumped into the pool at the gym. Surprisingly, my swim form and bike balance were not all that bad. A conservative training program and lots of encouragement got me to my first triathlon. That was 2008.  I have done many sprint and Olympic triathlons; 6 Half-Ironman and 2 full Ironman triathlons since then. I’m a stronger but slower runner now, but honestly my body feels way better.

Many of my patients have had the same type of result with cross training. Some have given up running for cycling due to an old injury or two. Yoga, pilates, cycling, circuit weight training, elliptical, swimming, and even Zumba can be fun diversions form a chronic ache.

The world does not end if we can’t run. Often its not a "I can’t run", but perhaps " I should run less often" scenario for most people. Take it from me, find something fun that will get your heart rate up and sprinkle it into your running. Your body will thank you. Cross training (also known as relative rest) is not a death sentence but can be a door into a whole new you! Who knows, you may find yourself owning a pink bike!!




Thursday, April 11, 2013

Reative Rest Options For Active Running Injury Recovery


It happens to all of us at one point or another. It doesn’t matter if you have the muscles and strength of LeBron James from the Miami Heat or the speed and soccer skills of Wayne Rooney from Manchester United. Sometimes there is just no avoiding it: we all suffer from a sport’s injury at some point in our lives. This week it was Derek Jeter from the New York Yankees still sidelined with his ankle injury from last season!  A running injury does not have to be a death sentence to your cardiovascular fitness, there are alternatives to keep you going while your body is healing whether you have a twisted ankle, plantar fasciitis, or a much too common stress fracture. Do not despair; relative rest can actually be a good thing! 
I love my swim training for triathlon!  Michael Phelps would certainly agree, swimming is an excellent, low-impact alternative to running.  As the water supports your body, your joints do not experience the same level of stress and impact they do during a run. There’s no doubt that swimming is a strenuous sport, allowing you to increase your endurance and reach your cardio fitness level just as easily as running. Besides working out, water is also frequently used for rehabilitation purposes, such as kicking your knees back and forth to build strength and increase range of motion after a knee injury or writing the alphabet with your foot to help the healing process of an ankle sprain. If you are someone who often struggles with shin splints, incorporating a swim into your training regime can help to eliminate this problem. Moreover, swimming is a total and complete body exercise, working everything from your arms and abs, down to your heels and toes.  And who knows, you may even decide to try a tri! 
Hate to swim? Fear of drowning or looking stupid in the pool?  If you are more of a land mammal than a dolphin, biking can be another substitute for running. A stationary bike is a great start following an injury as it enables you to adjust the resistance you’re pedaling against to minimize your pain. As you heal, you can increase the resistance and adjust your speed accordingly, or even switch over to a road bike. Similar to swimming, biking reduces the amount of stress on your joints when compared to running, but can still be used to burn calories and boost your endurance. 
 When swimming and biking can’t satisfyingly scratch your itch to run, why not try something completely different? It might not be the first thing you think after an injury, however yoga could be another new and unique alternative to running. And yoga is not just for girls! Some of the best yogi I know are guys who run with us in Grapevine at the Lake Grapevine Runners and Walkers Club! Yoga exercises work to stretch and extend every aspect of your body, including your skin, your muscles, your tendons and your ligaments. All the varying yoga postures will increase the flexibility of your body and ultimately help you to avoid future muscle tears and injuries. Yoga can be utilized as a way to build strength as well. Such stances as the upward dog and downward dog require you to support your body weight with your arms. These postures are then out held for a period of time, compelling the use of your muscles to maintain your balance. The benefits of yoga will not only help you avoid injuries in the future, but will help to perfect your overall running form through improved posture. It is important to keep in mind that some yoga poses will actually irritate your injury, so keep that in mind while you venture into the yogi world.
Last, but never least; you can try circuit weight training. This is combining 3 or 4 different push: pull combinations with light weight training that will increase your heart rate and increase your muscle metabolism at the same time. This is great off season training and recovery training. Think about it, burn fat and build muscle. What could be bad! You may even get some decent looking shoulders, abs and back out of it as well!
 When you do find yourself suffering from a an annoying injury, it can be difficult to accept the fact that you cannot and should not run. Furthermore, that runner’s high, the natural endorphins our bodies create when we run for long distances, can allow us to easily ignore even our most excruciating pains. As addictive as the runner’s high is, I urge you to listen to your body! You will know better than any doctor in the world when something is not right. When your body is sending you signals to take it easy, don’t ignore them. For example, what started out as three to six weeks off may quickly escalate into a year’s worth of recovery time if you push yourself past your limits. Listen!
 No matter what, always stay positive! Don’t forget that you will bounce back from an injury, just like you always have in the past. As long as you have the desire and drive to run, an injury will never hold you back for too long.
Happy Recovery!

Friday, March 29, 2013

Stinky Feet Solutions!

Runners feet stink! Yes, true for almost every single one of us! We sweat in our shoes and wear wicking socks to get the moisture away from our skin, but they still stink! Why?

The foot funky odor is usually due to bacteria and fungus. Your feet sweat and have the same type of sweat glands as your arm pits. Your pits stink too, but that's another blog....

Seriously, the home remedies for stinky feet include everything from soaking in ice tea, apple cider vinegar, Listerine, organic corn meal, rubbing alcohol, warm Jello, bleach and vodka.....really!

Sounds ridiculous, but if your feet stink you will try just about anything.

Two things that have a little more science behind them is to add zinc to your diet. Take 50 mgs twice a day and this will help if any of your foot odor is due to a zinc deficiency. Check your multivitamin, because you may already be taking zinc daily and not realize it.

Sanifeet solution is a better scientific way to kill 99% of the foot odor causing bacteria and fungus. This is a soaking solution that you use 10 minutes two or three times a week to maintain clean sanitized feet! This is available at both the Grapevine and Keller, TX Healthy Steps locations!


Wednesday, March 20, 2013

Custom Orthotics vs Off the Shelf Arch Supports


In this video, Grapevine podiatrist Dr. Marybeth Crane of Foot and Ankle Associates of North Texas explains why custom orthotics are frequently better than prefabricated orthotics.



Custom foot orthotics are made to fix the biomechanics of your foot; however, they’re not for everyone. If you don’t have an underlying problem, but just need a bit of arch support, an off-the-shelf insert may work well for you. However, if you have a repetitive stress injury or foot deformity, then the only thing that you should be using is a custom foot orthotic.

When choosing a practitioner, you need to make sure he or she is experienced in making the orthotics that you need. A three-dimensional scan or cast of your foot should also be made in order to make your orthotic—which is considered the gold standard.

The second thing to consider is which shoes your orthotics need to fit into. Your podiatrist should consider this when fitting you for your custom orthotic.

The last thing to consider is how long your orthotic is going to last. Based on your size and use of the orthotics, your doctor should be able to give you an expected timeframe.

If you’re experiencing foot pain, the first thing to do is visit a Grapevine foot doctor. We will examine the causes of your pain and develop a treatment plan just for you, in order to get you back on the path to a pain-free lifestyle. http://www.faant.com 

Wednesday, March 6, 2013

Dr Comfort Flex-OA Shoes Help With Knee Osteoarthritis

We put them to the Dad test. He reveals at least 20-25% relief of knee pain with Dr Comfort's new Flex-OA shoes. Much better than traditional athletic shoes! Dr Crane's Dad was our wear tester. Check out the video