IAFF Unanimously Supports Olympic 50 KM Race Walk (yay)!

It’s official – IAFF strongly supports the 2020 Tokyo Olympic 50 KM race walk event. Additional details can be found in the attached Press Release as well as an interview with Olympian race walker Evan Dunfee after he heard the news.

50km_Race_Walk_Press_Release

Canadian Evan Dunfee elated IAAF keeping 50K race walk

Thank you to EVERYONE who signed Chris Erickson’s petition and supported this important effort.

Special thanks also to Paul DeMeester, who flew to London to the IAFF Council meeting site, booked into the same hotel the IAAF were meeting in and delivered his impassioned plea for the saving of his event. Paul’s efforts were nothing short of heroic and represent the kind of commitment we should all have for causes that really matter.

 

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Help Keep the 50km Race Walk in the Olympics

Patient and competitive race walker Paul DeMeester has been rigorously training to qualify for the 50km Race Walk Olympic Team Trials.

DeMeester-Perth-10k-October-2016

On 4/12/17 the IAAF will be meeting to vote on whether or not to abolish the men’s 50km race walk at the Olympic Games and IAAF World Championships and the 20km race walk moving to a half-marathon distance (21.1km). As supporters of these events, we should not, and cannot let this happen.

Please join us and sign your name on the attached petition to join the fight to save these historic, Olympic events.

https://www.change.org/p/ioc-iaaf-keep-the-50km-race-walk-in-the-olympics?recruiter=705740714&utm_source=share_petition&utm_medium=email&utm_campaign=share_email_responsive

Warmest regards,

Dr. Jenny Sanders

Cycling Shoes And Sesamoid Pain

Sesamoiditis is inflammation of the bones beneath the big toe joint.

Cycling can exacerbate sesamoiditis, especially when using clipless pedals (this is because your forefoot is locked in). This system provides a more efficient stroke for bikers, but if the cleat is in the wrong place or the last (shape) of the cycling shoe is different than the riders foot, then repetitive injury can occur

Sesamoiditis

This was the case with Lisa. She had been happily riding in the same version of a particular cycling shoe for years, and a change in shoe brought about symptoms of sesamoiditis.

Evaluation of her new shoe revealed that the cleat was positioned too medial (toward the midline). Note the difference between her old shoe (on the left), and her new shoe (on the right).

Image

I also discovered that the shape of her new cycling shoe was curve-lasted, whereas the shape of her old cycling shoe was straight-lasted. (And the straight-lasted design was far more compatible with her foot shape.)

Image

This combination of medial cleat placement and change in shoe last from straight to curved contributed to her painful symptoms of sesamoiditis.

If you are a cyclist who has recently experienced injury, it would be beneficial for you to evaluate your cycling shoes and cleat placement. This is especially true if new symptoms arise soon after wearing new cycling shoes, or after increasing your training frequency, duration, or intensity.

Sesamoiditis can be a challenging problem to resolve, so it’s important to seek immediate medical attention at the first sign of injury or symptoms.

The physicians and surgeons at San Francisco’s Financial District Foot & Ankle Center are experts in treating sesamoiditis, and in treating lower extremity cycling injuries in general. If you have cycling pain, give us a call today at (415) 956-2884.

Product Review – R8 Massage Roller

Ultra-runner Oliver, just brought in a new toy to show me – the R8 Massage Roller. The R8 is a cross between a vice grip, inline skate wheels and a foam roller, and it’s especially designed to alleviate lower extremity muscle tightness.

R8_Roller

Oliver swears by its effectiveness, especially for his iliotibial band tightness. My only caution is to concentrate its use on the fleshy part of the muscle only and to steer clear of bone. Other than that, I like its versatility and ease of use.

R8_Roll

Not All Toenail Fungus Is Created Equal

A patient came into the clinic today with a bad case of toenail fungus. She had seen three other physicians in New York for treatment recommendations prior to making an appointment with me in San Francisco. These recommendations included expensive medications, expensive creams and expensive laser treatments. In spite of the high costs, these treatments are sometimes worth it, depending upon the cause. In her case, though, the particular type of fungus was caused by the continuous use of toenail polish..

Fungus due to frequently polished toenails is called White Superficial Onychomycosis (WSO), and is easily cured with a simple, inexpensive emery board file. Similar to the mold that grows on the surface of cheese, this fungus is easily filed off, leaving the healthy nail below.

WSO_Before_After
Note that salon filing of nails is not rigorous enough to remove this type of surface fungus, so take matters into your own hands and file away WSO before you go in for a pedicure or polish change. This will keep the fungus from getting worse or spreading. It may also save you hundreds of dollars in treatments.

Spin Class and Forefoot (Sesamoid) Pain

Reader Mary makes a good point of caution:

“I love spin cycling and wore mountain bike cycling shoes in class. I fractured my right sesamoid bone in my foot. I did not clip in–just used the cages. I haven’t been able to go back to spin cycling since the injury.”

Sesamoiditis is a common condition where one of the two bones underneath the big toe become inflamed, injured or fractured. This most commonly occurs when there is repeated, constant pressure or force applied to the sesamoids or during a one-time time traumatic event.

This image shows the anatomy of the sesamoids as they relate to the big toe joint.

Sesamoid_Anatomy

This image is of a weight-bearing x-ray, showing an intact sesamoid next to a fractured sesamoid.

Sesamoiditis

I have treated many cases of sesamoiditis and fracture that happened during spin classes. Typically, this happens when the pedal rests squarely below the forefoot or when the majority of the class is spent out of the saddle.

You may need an MRI to confirm that the fracture is healed before going back, and you will definitely need to modify your cycling form. Less standing and less resistance when you do stand will give your quads more of a workout, and will also reduce the force going through the sesamoids.

For more information regarding sesamoiditis, here’s another blog post I wrote https://drshoereviews.com/2012/01/25/sesamoiditis-2/

Cycling Shoes and Bunions

Clipless cycling shoes are notoriously tight. This is great for fit, and not so great if you have a wide forefoot or bunions. If you are a cyclist and suffer from bunions or have a wide forefoot, the following shoe-fitting recommendations should help.

Cycling_Bunion

  1. If possible, try and find shoes that don’t have a strap that tightens over the bump as seen above. Ideally, you will want to wear shoes that have either 3 straps or an offset strap away from the bump as this image shows.

Cycling_3_Straps

  1. If you already have a shoe that secures and tightens directly over the bump, simply undo the strap and avoid using it entirely as the following image shows.

Cycling_Bunions_Unsecured_Strap