Thursday, March 20, 2014
Saturday, March 15, 2014
The latest casualty on the shoe circuit is the Nike Free. A patient this month had pain on the outside of their foot at the end of his marathon. It turned out he had a tear on his peroneous brevis muscle that was visualized on ultrasound. I advised him to take 2 weeks off and reevaluate. He had trained without consequence in the shoe but reached a break point at race pace after mile 20. Stay tuned for how to detect injuries in real time with diagnostic ultrasound and you can see the injury.
Tuesday, February 25, 2014
So it's not just the minimalist shoes that get runners in my office. Here's the bottom lugs one the over-hyped Newton's. The idea here is it accentuate the "Pose" method or Forefoot running. I had a runner come see me yesterday who had been doing fine in the Saucony Ghost and was swayed into trying these out. The problem with the shoes is the crease line and lug distribution put a hot spot near the common location for a neuroma between the heads of the third and fourth metatarsals. She had not developed a neuroma yet but I saw swelling on my ultrasound that could develop into one if she continued with the Newton's. to much distribution to the forefoot. I told her to go back to the Ghost and and take some time to let the swelling reduce. Hype is what sells. Reality is the lesson.