All About Feet

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Anyone who’s read this blog much at all knows I’m way into feet–or I should say I’m way into foot function.  Lately I’ve been investigating the diabolical effects of Morton’s Toe.  I seem to have a touch of this dysfunction and I think it brought on the major foot pain I had during the trail race I did recently. (And to expand on the issue of injuries, I seem to have had every single running injury known to man. There is an upside. I’ve learned how to defeat these various strange villains of movement.)

Because the feet are so intricate and so extremely important to every single thing we do all the time, I want to present some relevant information on how to fix some potential problems many people may have. So here are some videos from some experts in the field of movement impairment and movement improvement: Dr. Kelly Starrett at MobilityWOD.com and Drs. Shawn Allen and Ivo Waerlop aka the Gait Guys.  I’ve found these instructionals to be extremely valuable.  If you’re having Achilles issues, plantar fasciitis, knee pain, hip pain–who-knows-what-kind of pain then this information may be very helpful.

Ski Haus Continental Divide Trail Race Outcome

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I ran the big Continental Divide Trail Race on Saturday and I didn’t come in last. It was on the rough side of brutal (my feet feel like they spent the weekend in Guantanamo Bay) but I’m fairly content with my performance. That said, there’s plenty of room for improvement.

The good

It’s been less than a year since I’ve returned to serious running. I finished in the top half of the participants and middle of the pack for men. (Results weren’t broken down by age group.) This is nothing spectacular but it makes me happy. I simply couldn’t have run this race at all a year ago.

I ran for almost three hours which is well into marathon-time territory. I’ve never done that. That’s good. I bet I can do it again.

Also, the race included a very long downhill stretch near the end (about 3000 ft.!) and my legs held up. Downhill running is typically very strenuous on the muscles. I’m not saying it was easy but I held up and I haven’t been unduly sore since the race. I think I hit it right with my strength program.

My only pain issues were in my metatarsal heads (the part of my toes that attach to my feet; more on that in a moment.) No Achilles pain. No heel pain. No back pain. No knee pain. No hip pain. Don’t call me “bulletproof,” but maybe… “bullet-resistant.” I’ve worked years to overcome chronic pain and I’m on the winning side.

The bad

By far the biggest negative to this race was some severe metatarsal pain, particularly on my left foot and to some degree on my right. (Specifically, we’re talking about metatarsal head pain. The met heads are the part of your toes that meet the feet. Think of the knuckles of your feet.) Holy s__t those things hurt!! And they hurt for quite a while. They’re still sore as I type this. By the end of the race I thought those bones must’ve popped through the soles of my feet. I’ve got to find a solution to this issue before the marathon.

Without going way too much into it, I’ve been reading Anatomy and Biomechanics of the First Ray to get a better feel for what’s supposed to happen and what can happen in the toe neighborhood. Further, I’ve been reading and learning more about Morton’s Toe, including the possible implications and what to do about them. This is a situation in which the 2nd toe is longer than the big toe. Wow… There’s potentially a lot to this issue. For now, I’m experimenting with a Morton’s Toe shim. I’ll probably write more about this issue in the near future. (If you’re experiencing foot pain and your 2nd toe is longer than your big toe, you may well want to look into this Morton’s Toe business. In addition to the links above, the Barefoot Runners Society has a whole discussion board devoted to the matter.)

I should’ve fueled better. I consumed two Honey Stinger gels and one package of Honey Stinger chews. Based on my weight, I should’ve had about two more gels or another package of chews. The race featured a lot of repeated ascents, some of them were quite steep. Then we had a long downhill run to the finish. I was more tired near the end than I expected, though I didn’t bonk. Not that I expected to feel fresh as a daisy, but I have no doubt that more fuel in the tank would have ameliorated some of my weariness. Lesson learned.

The near future

I’m taking it somewhat easy this week. I’m probably only running twice–easy runs with my dog–and possibly a little mountain biking this weekend. Then next week it’s back to work. I’m going to use the FIRST marathon plan. I really like the three-day per week plan. I’ve ordered Run Faster, Run Less which is written by the team that formulated the quality-over-quantity scheme. Assuming my tender toes are up for it, I’m looking forward to a track workout next Tuesday, a tempo run then a long run next weekend.

I’ve got the Park-to-Park 10 Miler on Labor Day.  This is a fun, scenic race and it’s local so the logistics are easy.  Then in a month is my Moby Dick.  I’m planning on running the Denver Rock’n’Roll Marathon.  I’ve wanted to run a marathon for years.  My injuries have gotten in the way.  Now I’m winning the battle and I’m ecstatic to be within striking distance of the event.

Finally, as part of the marathon preparation, I’m going to start doing group runs with the Boulder Running Co. located in the Denver Tech Center.  They do group runs on Saturday mornings. Group runs should do a couple of things for me.  First, I’ll be pushed to run harder.  That’s good. Also, suffering through long runs with other similarly suffering individuals should help the miles go by a little easier.

My Running & Strength Program

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I’ve got a trail race coming up this weekend in Steamboat Springs. It’s the Ski Haus Continental Divide Trail Race. It’s 15 miles with 4800 ft. of elevation. This is the longest race I’ve ever run and it’s by far the longest race I’ve run in over two years–and I’m hugely excited about the prospect. It’s going to be reasonably brutal but beautiful and fun.

I feel like I’m fairly well prepared. I’ve used a modified version of the FIRST half-marathon program. It’s a three-day per week program that uses speed work on the track, tempo or moderately fast runs, and long slow runs. I’ve also been strength training twice per week. The main feature of my workouts have been various types of jumping. A notable Finnish study has shown that explosive jumping-type movements improve running economy in a way that simply running will not.  (I’ve written previously about strength work for runners, here and here.)

(Jumping work like this is sometimes called plyometrics. The definition may vary depending who’s doing the defining. Some insist that plyos must be a rather high magnitude type of activity such as depth jumps off of a high box. Simply jumping or bounding from the ground doesn’t necessarily count as true plyometrics. In any event, the stuff I’m doing for this workout plan involves jumping. You can decide whether or not to call this jumping a plyometric workout.)

I based my plan loosely on this one from the Running Times. I added work each week for three weeks. Plans of this type vary in nature. The Finnish study involved a 9-week plan. The Running Times plan was a 6-week plan.

Plyo workouts are very intense and there’s a lot of loading on the muscles and connective tissue. For this reason it’s very easy to quickly overload things and become overtrained or injured. Further, my run plan involves both track workouts and hill workouts. Those type of workouts are in some ways similar to plyometric workouts and they can be quite taxing. For these reasons and because I know that more work doesn’t always equal better work, I opted for a 5-week plan. I didn’t want to grind myself up too much. Going forward, I may try a longer plyo plan.

Jumping exercises:

  • Week 1:
    • 2 leg jumps up from the ground 2 x 10 reps for both workouts.
    • I simply focused on jumping as high as I could into the air and then landed as softly as possible with as little noise as possible.
    • The soft-as-possible landing approach was used on all jumping exercises.
  • Week 2:
    • 2-leg box jumps x 6 reps
    • Workout 1 is 3 sets
    • Workout 2 is 2 sets
    • First week was onto and off of a 1-ft. high box.
    • Following weeks were onto and off of a 2-ft. high box.
  • Week 3:
    • 2-leg box jumps x 6 reps
    • 1-leg hops onto and off of a small box x 10 reps each leg
    • Workout 1 is 3 sets
    • Workout 2 is 2 sets
  • Week 4:
    • 2-leg box jumps x 6 reps
    • 1-leg hops across a basketball court
    • 2-leg long jump across a basketball court
    • Workout 1 is 4 sets
    • Workout 2 is 2 sets
  • Week 5: Taper week–this week!

I’m backing off my workload this week in order to allow all my previous hard work to take hold. I wasn’t sure at the start of this plan whether or not I’d do any plyos this week. Doing more work this week definitely won’t improve my race performance by much if any. Doing too much work this week can definitely have a negative impact on my race.

Barbell clean & press: Lifting weight overhead is known as a press. Before the bench press became popular in the 70s, the press was the original weight exercise that indicated your manhood.  To get the weight overhead, one must bring the weight from the ground to the shoulders or clean the weight.  The ability to do these things is tremendously useful, fun and generally wonderful. My goal is to clean and press my body weight (200 lbs.). This exercise may have no effect at all on my running. That’s fine with me.

  • Workout one is 3×5 reps. Most recently I used 100 lbs.
  • Workout two is heavier at 3×3 reps.
  • Taper week is only one workout.

Pistol squat: The pistol is an interesting exercise. It’s essentially a squat on one leg. They’re nearly impossible when you first try them, especially if you have long limbs like me. I’m doing them because running is a one-legged activity. Also, I’ve been doing a lot to get my glutes to work correctly. If your knee caves in on this exercise then the glute isn’t doing its job. I keep the knee aligned with the outside of my foot when I do these. This exercise works everything from the foot to the glutes and spine. I figure getting strong on one leg is a good idea.

  • Typically I did 3×3 reps. Other days I did double or singles.
  • I varied the exercise. I started by doing a short-range squat onto a high box, then working down to lower boxes then no box at all.
  • Right now I can do three good pistols on my right and two on my left. I’m fairly excited about my progress. I’ll add weight at some point.

Pull-ups/Chin-ups: What can you say? Pull-ups and chin-ups are very challenging. Done properly they are a tremendous upper body exercise. Hands, arms, shoulders, back and abs all get work here.

  • Workout one is about 4-5×5-6 reps
  • Workout two is 2-3×5-6 sets.
  • I superset most of these sets with the following exercise, the glute/ham raise.

Glute/ham raise (GHR): This one is a tough one to describe. This article describes it well. This is an essential assistance exercise used by Olympic lifters and powerlifters. Very strong people often do them, so why shouldn’t I? We don’t have a genuine GHR machine at my gym, so I’ve done a modified version. Similar to the article, I’ve hooked my feet under a pull-up machine. These are very very tough! So, I’ve used bands wrapped around the machine and myself to give me further assistance in doing the exercise.

You might wonder if a hamstring curl could provide the same benefits. Probably not. The GHR calls on the glutes, hamstrings and abs to contract together. This is similar to how we actually move when we run, jump or lift. In contrast, the hamstring curl isolates the hamstrings. This rarely if ever happens in typical human movement. Further, I’ve found hamstring curls promote overextension of the lumbar spine which is rarely a good thing.

  • Workout one is 3 x 8-12 reps
  • Workout two is 2 x 8-12 reps
  • I typically supersetted this with pull-ups.
  • I used different thicknesses of bands to provide either more or less assistance.

Kroc row: The “what?” The Kroc row is a slang term for a version of the one-arm dumbbell row. Read the linked article to get a full description. I’m doing this to 1) get a stronger upper back to help with my pressing and 2) build my grip for deadlifting which I will resume in the Fall.

  • Workout one is 3×12-15 reps depending on the weight
  • Workout two is 2×12-15 again depending on weight.
  • I superset this one with the ab rollout

Ab wheel rollout: You’ve seen the ab wheel on an infomercial. Doesn’t mean it’s not a very useful tool. This is a very good exercise to engage the external obliques and thus keep the pelvis in neutral. Keeping a neutral pelvis is very important in avoiding back pain. I know because I spent a lot of time not keeping my pelvis in neutral. Mike Boyle’s article dissects the ab wheel rollout very thoroughly.

  • Workout one is 3×5-6 reps
  • Workout two is 2×5-6 reps
  • I superset this with the Kroc row.