Endurance.Net Ridecamp Archives

Right on Dr.Q...now you know why my two favorite chiropractors are both 
endurance riders!!

BTW, Sarah..I did find alot of relief when I switched from my Ariat Terrains 
to a trail running shoe with lots of room in the toe. Bought them a half 
size bigger and put in a sport foot bed to take up the room in the 
back..works wonders! I still wear my Ariats for training rides in the winter 
though as the trail runners are mesh/cold/not waterproof.



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> From: Bruce Weary DC <bweary@xxxxxxxxxxxx>
> To: Ridecamp@xxxxxxxxxxxxx
> Subject: [RC]   Foot Pain
> Date: Tue, 07 Aug 2007 07:33:00 -0700
>
>  Hi Sarah--
> Two of my favorite sayings in health care are: "There are only two things 
> in the world you can cure--bacon and ham." and, "When you hear hoof beats, 
> think horses, not zebras." In your case, you may actually be able to cure 
> your foot pain. I address this problem because it is quite common among 
> distance riders. Secondly, it's more likely a "horse" not a "zebra" in that 
> your problem isn't likely to be from pathology, Patrick's comments about 
> cysts notwithstanding, since they do occur, but are rare.  You have all 
> heard of carpal tunnel syndrome. It is named for the "tunnel" formed by the 
> wrist bones, or "carpals," through which the median nerve passes into the 
> hand. Impingement from various structures in the neck, arm, wrist or hand 
> can produce the symptoms of carpal tunnel syndrome. It is often 
> overdiagnosed and misdiagnosed, but still very common in today's "keyboard 
> world." Similar bones, called "tarsals" exist in the foot and are very 
> tightly packed, to allow weight bearing and some mobility in the foot. 
> There are tiny nerve branches that pass through the "tarsal tunnels" to get 
> to the front of the foot and the toes. Prolonged pressure, exactly like 
> that produced in horseback riding, can cause these nerves to go numb, 
> tingle, ache or burn. It may take varying amounts of time in the saddle to 
> produce it, some people get it more than others, and some not at all. If 
> the joints of the feet are functioning normally, there is usually no 
> problem as long as the rider is conditioned for long times in the saddle. 
> If these joints become dysfunctional, or "stuck" there is less wagon room 
> for these nerves to glide and move, making them more prone to the effects 
> of prolonged pressure. With me so far? The best treatment I know of for 
> this condition, and I have treated it hundreds of times, is foot 
> manipulation. If you can find a chiro or osteopath who is skilled in foot 
> manipulation, you're fortunate. It provides amazing relief, and along with 
> proper riding shoes, stirrups, and letting the foot hang out of the stirrup 
> from time to time usually cures the problem. Just like a good slab of bacon 
> or country ham.  FWIW,  Dr Q
>
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