2009 August | Total Care Podiatry

Hiking in Boots or Trailrunners…which is right for you?

Hiking in Boots or Trailrunners…which is right for you?

Boots have been the choice of hikers for more than a century.

However, in recent years with the advent of the ultralight movement trailrunners have gained widespread popularity amongst the crowds that are traveling light…but which one is right for you?

Hiking boot

Hiking boot

Hiking boots have long been a backpacker favorite.

Sturdy construction, good ankle support, thick toe and heel protection, and a steel or hard plastic shank that runs beneath the arch of the boot are typical qualities of a well made hiking boot.  Traditionally made of leather, the boot has always been the favorite of backpackers hitting the trail.  There are many reasons for this.  The solid construction of a hiking boot, properly fitted, gives added support to a hiker’s arches and ankles.  The reinforced heel and toe of a boot keeps toes and heels safe from rocks that might otherwise bruise these parts of the foot.  In addition, the solid shank running beneath the arch of the foot allows bootwearers the added versatility of stepping on rocks without painfully bruising their arches.  A solid shank also aids in carrying heavy weight that otherwise might cause a person’s arch to fall after days on the trail.

So, what are the drawbacks to wearing boots?

Well, to begin with, boots can often be difficult to size properly.  All people’s feet are different, and unless you have several hundred dollars or more to get custom boots made, you will probably head off to your local outfitter to buy one of a number of brands and styles mass produced for today’s hikers.  The standard rule of thumb is to buy your hiking footwear one size up from your around town footwear.  So, if you usually wear a size 10, you’ll want to go up to size 11.  This accounts for the swelling of your feet that a day spent going up and over mountains will bring.  In addition, many people do not wear their boots for the proper break-in period.  Typically, solid leather boots take longer to break in than composite boots, or completely synthetic boots.  Figure at least twenty to thirty miles for composites or synthetics, and 50-100 miles for full leather, although some synthetics are now ready right out of the box.  Check to make sure the toe box has enough room for your toes, and that the heel cup is snug.  You do not want your heel sliding up and down, or your toes rubbing on the boots.  Both of these will bring blisters, and potential problems.  Lastly, boots are heavier, and when they get wet, they take forever to dry.  There is no such thing as completely waterproof, and any experienced backpacker will attest to this fact.

Thinking you might want to go with a trailrunner?

Twenty years ago most hikers carried in excess of fifty pounds of gear.  The miles, the pounding on the feet, and the technology mades boots a must, but today’s hiker has options because of the lighter loads they are carrying.  Gear weights amongst experienced hikers often now range between 15 and 40lbs, with the majority hanging in between 20 and 30lbs.  This lightening of the load has led to many ditching the heavy boots, in favor of a lighter, more comfortable footwear alternative.  While there are midweight boots that stand somewhere between the traditional boot and trailrunner, trailrunners themselves usually resemble a sturdy running shoe.  Many have reinforced toe caps, and heels, and many have a skid plate on the bottom to protect the arches of the feet.  Most styles of trailrunner are made of synthetic or composite materials, and this makes them far lighter than their heavy leather counterparts.  Many trailrunner shoes are often a full pound or two lighter than a traditional boot.  Sizing rules for boots also apply to trailrunners, meaning most should move up a full size in whatever footwear they choose to hike in.  Trailrunners are also usually ready right out of the box.  Just lace them up, and hit the trail.

The drawbacks of trailrunners often reflect the person wearing them.

This means before hopping on the bandwagon you need to ask yourself the following questions:

What season are you hiking in?

If you’re planning a winter expedition in deep snow, boots are probably the wiser of choices.  They offer better insulation, and if crampons become necessary for ice, then boots are far easier to fit them to.  On the other hand, summertime is ideal for trailrunners.  More ventilation, and quicker drying times means that trailrunners can often dry in hours while you hike on.

How much weight are you carrying?

This can be kind of tricky, because weight carried also lends itself to a question of strength.  Smaller people, weaker people, and older people sometimes will want the extra support a boot can give.  Larger people, stronger people, younger people, and people carrying less weight may choose the lighter more flexible trailrunner.

Do you have any foot, knee, or ankle issues?

The way footwear fits affects your gait.  This means the right footwear can help you walk better, and the wrong footwear can hurt the way you walk.  If you have weak ankles you will probably benefit from the added support of boots.  On the other hand, wide feet, and people with toe issues might benefit from the flexibility that a trailrunner affords.

In my experience I have hiked in both boots and trailrunners, and in the end it was my feet that made the final decision for me.

I have seen and experienced the good, and the bad of both.  However, years of hiking in boots led me to a badly scarred ankle that now blisters way too easily, and a joint problem on my left big toe.  Both injuries forced me into trying trailrunners in a search for a comfortable alternative.  I have lost a toenail or two hiking in trailrunners, but other than one blister I have been blister free for four years, and the flexibility of the trailrunner has helped to ease the pain in my toe joint.  Now don’t get the idea trailrunners are perfect.  Hiking in the winter requires waterproof socks for insulation, and although there is protection for heel, toe, and arch, the protection is far more minimal than a traditional boot, meaning you will get bruised toes, heels, and arches when a misplaced foot finds a rock.

How to choose?

Begin with a reputable outfitter, and bring your loaded pack.  Any good outfitter, will welcome you with loaded pack, because shoes feel different with 40lbs on your back.  If your new to this, ask for help selecting footwear.  You should be asked where your going, what you’ll be carrying, how far your going, and how many miles a day.  You may not be asked all of the above questions, but if none are asked, then you’re dealing with someone who is not an expert.  Finally, they should size your foot.  If they only ask what size do you want, run, and go to someone who can get you in the right footwear.

Whether you choose boots or trailrunners, the right footwear is a blessing on the trail.

It can increase your speed and distance hiked each day, and make minor leg and foot pain disappear.  Once found, hikers can be extremely loyal to their footwear of choice.  Packs are important, as are sleeping bags, and tents, but your footwear will be the most important gear you buy, so take the time to get it right, and you will find yourself one very happy backpacker!

July 30, 5:16 PM  David Greenstein Altana backpacking examiner

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Callus and Corns

What are callus and corns?

A callus is a build-up of thick, hard skin and caused by excessive pressure. The body produces callus in an attempt to protect underlying tissues.
Often calluses form causing little problem, however if the skin builds up and gets too thick it can become quite uncomfortable to walk on and sometimes burning and painful.
Depending on foot structure calluses can occur in a number of patterns as a result of clawed toes, bunions or other alignment problems.

Corns commonly occur over prominant joints or areas of very high pressure. These are compacted callous often with the consistancy of a pebble. Corns can make weight-bearing and walking extremely uncomfortable.

How do I treat painful Callus and Corns?

· Visit your podiatrist to have the callous reduced or removed using scalpel or through gentle filing.
· Use moisturising cream on the feet daily for dry skin, this helps to maintain soft, supple skin.
· Speaking to your Podiatrist about using silicone pads to absorb shock and stress through the foot.
· Soft Orthotics can often help to redistribute areas of high pressure in the foot reducing callus build-up.

WARNING : This information is for educational purposes only and is not intended to replace professional podiatric advice. Treatment will vary between individuals depending upon your diagnosis and presenting complaint. An accurate diagnosis can only be made following personal consultation with a Podiatrist.

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Cracked Heels

What are Cracked Heels?

‘Cracked Heels’ is often how people describe a condition where the skin on the heels becomes very thick, dry and hard. The formation of cracks may also be visible in this thick, callused skin. The skin bordering the callused area may appear red and sore. Cracked heels form gradually over a period of time and when any of the associated callus becomes too thick it can be very uncomfortable for people to stand and walk on.

heel fissure / cracked heel

heel fissure / cracked heel

Sometimes the callous can crack and create painful splits called fissures, which can become infected. In these instances it is important to have the callus treated by a Podiatrist to reduce the callous and/or address any infection that has occurred.

What causes them?

There are a number of things which may lead to a person having cracked heels:

  • Wearing open backed shoes with no socks
  • Walking around in barefeet
  • Skin condition involving rapid skin thickening
  • Wearing synthetic material on the feet either from hoisery or shoes

How can it be treated?

Moisturising the heels daily.

Gently filing the heels with a foot file once – twice a week.

Limiting the period of time you spend barefoot

Heel callus can be reduced by a podiatrist which can often help it to be managed much more easily at home through routine moisturising and filing

moisturising you feet

moisturising you feet

WARNING : This information is for educational purposes only and is not intended to replace professional podiatric advice. Treatment will vary between individuals depending upon your diagnosis and presenting complaint. An accurate diagnosis can only be made following personal consultation with a Podiatrist.

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Football Boot Update 2009 season

Training and Playing on Hard Grounds –

What are the risks?

While we have been blessed with rain this year, it won’t take much time for grounds around our region that are not artificially watered top dry out once the summer sun takes effect. Playing football on Hard ground will present challenges in many areas of your pre-season training and possibly through the season 2008 unless we continue to have above average rainfall. Hard ground is obviously unforgiving, as many have found out already!  But, apart from the immediate pain felt when coming in contact with the hard ground, playing on these surfaces can lead to minor injuries that can compound to further increase the risk of a major injury. For example after playing if you pull up with sore and cramping muscles or stiff and swollen joints, these are indications that you are at risk of a muscle tear or joint sprain.

The body uses the muscles and joints in the feet, legs and pelvis to compensate when you run, quickly change direction, crumb for the ball or jump, mark and land. In doing this over the length of the game, the body will need to use all the flexibility and strength in your muscles and all the range of motion your joints have.

This will be even more so in the coming season. Hard ground will cause increased stress to occur in your feet and up into the legs and even into your back. The forces on the joints of the midfoot, (arch), ankle, knee and hips alone will put some players at risk of injury depending on their structure. This increased stress will also be placed on your muscles, as they will be working to protect the joints as well as allow the normal movements you need to play Australian Rules football. Of course it is possible that it may continue to rain, some people predict it may be a wet year due to the La Niña circumstances,( opposite to El Niño), over the next 3 months. If this does occur it will turn dried out areas of grounds into muddy zones. This will bring with it instability issues that will also place high stresses on muscles, ligaments and joints

How Do You Lessen the Risk of Injury?

If there is a lack of muscle flexibility or strength either your performance will suffer or, if you push your body to achieve in this situation, then an injury may well occur.  Just a simple warm up before the game may not be enough. You should pay special attention to how the following areas would lessen your risk of injury and I would encourage you to discuss these with the medical staff.

  • Strengthening exercises
  • Flexibility exercises
  • Mobility programs
  • Boot selection
  • Appropriate insoles and orthotics

Once you know what areas you need to work on, you can address them during the break before we get back to 2008 pre-season training.

Boots and injuries

Ankles and Arches:

Almost everyone has rolled their ankle when playing football.  Some players, however, will regularly roll their ankle either because they have had a significant injury in the past or their foot structure has a natural tendency to do so.  For these players it is imperative to get boots that support the ankles, place the feet in as normal a position as possible and support the feet through the twisting and turning of our game, e.g.; when you’re crumbing.  These movements also of course place high stress on the arch muscles and ligaments. If you have had arch strain or heel pain you need a boot that will particularly support this area and only bend at the forefoot and be stable through the midfoot into the rearfoot area.

These are the features you need to look for:

1. Well supported and stiff heel cup — which will tend to hold the rear foot and heel vertical.

2. Heel wedge or midsole — which will tend to hold the heel slightly higher than the forefoot in the same way your foot is held in all your other shoes e.g. runners, school shoes etc

3.a The sole unit should be stiff under the arch and heel. If you hold the toe and heel areas of the shoe and twist the sole should not twist easily: This is called Torsional Stability

3.b The sole unit should bend easily at the forefoot, just behind your big toe joint: This is called Forefoot flexibility or the Flexpoint.

NOTE: Fitting of the boot is most important to make sure the sole’s flex point is just behind the bigtoe joint.

Hamstrings, calf muscle and Achilles tendons:

If you’ve had problems in the past or your flexibility in these areas is poor even though you’ve tried to improve it, then a boot with the heel wedge is imperative.  Almost all of your other shoes will have the heel higher than the forefoot, however most football boots have the heel at the same level as the forefoot because that’s how soccer players like them.  This situation can create great strain on your hamstrings, calf muscles and Achilles tendons and with the side to side and crumbing movements of our game, combined with tripping over your opponent’s foot or your foot going into a divot in the turf the stress placed on these tissues may be so great that you sustained an injury.  By buying a boot with the wedge or midfoot or having an insole that incorporates a heel lift, you lessen the potential for this occurring.

Knee or hip problems:

If you’ve injured these areas in the past, then I recommend the Asics range of boots and some of the Puma boots because of their sole unit. The blades configuration under the forefoot has a circular pattern which came about to address the common mechanism of knee injury: which is when someone tackles you from the side with your foot planted on the ground, which rotates your body while your lower leg and foot remain held by the stops in the ground in a straight position.  This places huge torsional stress at the knee and is often responsible for ligament damage.

  • Asic’s football boot range sole unit allows your forefoot to rotate as the top of the body rotates in this situation, significantly reducing the stress on the knee and the potential for injury.
  • Some of the Puma range has been purposefully designed to have a combination of the blade alignment as well as the placement around the outside of the sole that aims to allow a similar function to that of the Asics sole.
  • Also, both Adidas and Nike are also designing their modern boot soles with the blade and stop configuration to address this issue.

Football Boot Selection for Season 2009

The first point to note is you will need to have a pair of boots designed for hard ground football and another pair with blades or stops if the ground becomes muddy from rain.

Hard Ground Football Boot Options:

Adidas +Absolado PS TRX TF

This is a turf/ synthetic surface boot that has the upper design features of the Predator style. The Adidas Predator boot was originally designed with ripples on the front part of the shoe to enhance this ability and to actually put topspin on the soccer ball to improve accuracy when shooting for a goal. This boot has had some significant improvements since last season.  The upper has a slightly repositioned the  *Asymmetrical Lacing and improved placement of the ‘Preditor Ripples’ allowing a larger ‘sweet spot’ to make contact with the foot ball. It also has an improved midsole unit is full length EVA giving an approximate 10 mm heel wedge. The forefoot flexibility and torsional has significantly improved. The outsole with many smaller blades to spread out pressure and improve grip especially on turf type surfaces

*Asymmetrical lacing (laces to one side of the forefoot).

This is an important design feature for soccer players, as the placement of laces can affect your ability to curve the ball when you kick it. Also this system may allow players to improve the fit of the boot as it can be laced up firmer without causing pressure points. Also as the part of the foot that contacts the football is covered it offers more protection.  However if you have a high arch structure this can cause fitting issues.  We can often relieve this to some degree with different lacing techniques on the standard football boot, but not with a side lacing type.

Asics Gel Lethal Ultimate IGS 4

Asics have redesigned this boot especially for the soccer market reducing it’s bulk and weight in particular and adding kangaroo leather in the toe area. The sole and midfoot configuration design is largely unchanged, however Asics notes it has changed the lacing to mildly ‘Asymmetrical’ as it aims to improve comfort. Along the same idea this boot is now available in a wider width version called 2E. It still provides a full-length polyurthethane midsole to provide cushioning, with a 10mm heel wedge. The flex point of the forefoot is the best in this group and torsional stability is excellent.

Puma King Exec TT

This is another boots that have been improved with design changes from last year, mainly from customer feedback commissioned by the Australian office of Puma. It has rubber blades with a full length EVA midsole which, with the CELL unit in the heel, provides very good cushioning and an approximately 6mm heel wedge. The arch area has been reinforced to provide excellent torsional stability and support. The forefoot flex point is also much improved to provide optimum function.


It is fair to say that boots in this category has seen substantial improvement in their features. This is probably in recognition that more and more player around the world are playing soccer and football in drier conditions and are demanding the same features seen in the more traditional boots.

Soft / Muddy Ground Football Boot Options:

Almost all the boots in this range have not changed markedly from last season, there is a NEW boot from Asics. There have been colour changes and some improvement in areas that were shown to be problematic. These areas are improved upper material, torsional stability and durability of the sole unit: (the midsole and outer sole).

Adidas:

1. The + Predator Powerserve TRX and Absolion. Designed with soccer in mind, the main design feature of the predator in the past has been the strips of rubber on the inside top of the forefoot, designed to spin and curve the soccer ball into the goal. The Powerserve boot has done away with the exchangeable different weighted Powerpulse insoles. Instead Adidas has redesigned the insole to use a chamber under the forefoot area filled with Tungsten powder. Adidas notes this technology shift the weight toward to the point of impact, “allowing more powerful shots and increased flexibility”.

2. The + F50 Tunit. This range of boots continues the development of this revolutionary approach of customizing the boot to the player. You can choose from several interchangeable uppers, chassis and stud sets: for Soft, Firm and Hard Ground! Is it a fantastic new development that will allow players to tailor the best combination or just a gimmick?  To address durability problems that occurred during last season, there have been updated materials, however I am not sure how this innovative boot would stand up to wearing it for training and games throughout the full season.

3. The ADI PURE TRX . Adidas has in this category returned to the PURE’ traditional lines with the upper made from soft leather and the sole unit and blade placement: the traditional Adidas configuration is still available in the Copa Mundial boots. Mick T’s favotie. This unit provides good torsional stability, however because of the reinforced forefoot blade plate charecteristics, the forefoot flexpoint is poor.

Asics:

The Asics football boots are my favorite because they have design features from consultation with sports medicine health professionals.  This has made the boot highly safe, but as far as pure aesthetics is concerned, it is perhaps not quite as attractive as the other brands.  Over the past few years Asics has tried to address this to make their boots look more trendy while keeping the basics of the sports medicine principles intact. Asics AFL boots have a 10mm heel raise to offload the Achilles and hamstrings.

1.  The Gel lethal 10. This boot has been built up from the original design of about 7 years ago that had a midsole, probably the best moulded cleat design in the competition and has many characteristics of runners.  There has been some changes in the sole unit to reduce it’s bulk and weight by the midsole having a lower profile and, to offset any loss of torsional stability, having the thermoplastic midfoot support increased. There has been some improvement in the toe area stitching to lessen the impact on the foot when kicking.

2.  The Gel lethal Hybrid. The main feature of this boot is the combination of blades and screw-in stops for improved traction on muddy grounds. The midsole design has been stiffened using their Solyte material which has reduced 50 grams of the boot’s weight. It also comes with 2 choices of removal stops, standard rubber stops and new rubber studs ( for harder grounds) to provide some options for different ground conditions.

3.  The Lethal Tigreor ST/IT. This is Asics new boot to compete with the ‘ Performance and Speed’ boots of Nike and Puma. It is built on a racing last with external heel counter. However it is designed with a 10 mm heel lift, which provides protection by reducing the pressure and impact forces on ‘’ the feet, legs and lower body”, but also “ allows the foot to come into action far sooner than traditional flat boots

Nike:

1.  The Air Zoom Total 90 Shift & Supreme. This is Nike’s premier boot range.  It has a wide forefoot and has a New built-in thermoplastic S.P.P.technology  for improved “ball control and shooting accuracy”,
( a similar idea to Adidas Predator boots for soccer players).This also incorporates Nike’s E-vent technology to “keep the foot dry”. Nike has also gone back to the moulded stop design rather than blades, believing it has improved the comfort and reduced the pressure under the foot in doing so.  It has a marked Asymmetrical lacing system design from it’s soccer heritage. Finally, the boot has a thermoplastic heel counter and support frame, which is claimed to reduce the risk of rolling your ankle.

2.  The Mercurial Vapor Aero. These shoes are a highly technologically designed shoe, with the outsole design being based on the Super Fly sprint spike used at the Sydney Olympics. It is claimed to improve and enhance acceleration. The synthetic upper of this boot is designed to act as a second supportive skin that is lightweight, providing comfort.  This boot has had improvements in the forefoot flexibility and a carbon fibre reinforcement linking the heel cup and sole giving better torsional stability from last season. Laces are completely hidden by a cover for improved ball handling, however lacing the boot each time it is worn may become a headache!

3. The Tiempo Ronaldinho and Air Legend II. The Ronaldinho is a noted by Nike as “an unique fusion of strength, durability and touch” being made somewhat more robustly than the Air Legend II. It’s cushioning system comes from the insole shock absorption material. The Air Legend II is similar in design with perhaps somewhat more protective features. This is seen in the substantial flexgroove in the forefoot, the glass fibre shank under the midfoot and the Zoom-Air heel unit giving good shock absorption and comfort. Both are also deep wide boots and have a removable insole that makes it a good choice for fitting an orthotic if required. Niether of the boots however have any heel wedging or lift

Puma:

1. The v1.08 This has always been an amazing football boot, but for season 2008 it has been substantially redesigned to make it more robust and functional. It is however probably limited in our TAC Cup competition!  It’s ‘design statement’ issued by puma is that this boot has but one aim and that is “to get you to the ball faster” and is designed for the game day’s play only, not for training!  The first thing that strikes you is the material used for the upper, this is too make it feel like a sock around the foot. The  Carbon fiber composite sole has been changed to separate them into 2 units with the sole having forefoot and rearfoot blade zones  and the carbon fibre incorporated into a midsole. The external heel counter unit is still present but is more integrated in a ‘wrap-around’ design. Lastly components are stitched together so not to use glue, which is an environmental push through all Puma’s product range. The materials throughout the whole boot have been improved to make it a far more useable boot with better function. However, the person who wears this boot should preferably have almost ideal biomechanics and little or no history of injuries.

2.  The v-Konstruct II Technology. This boot has had several areas upgraded to improve functionally and address problems. Last season’s boot had real issues, as the external heel ‘cradle’ was far stiffer than the sole unit allowing the sole to flex through the midfoot. This has been addressed by making the sole unit stiffer and the external heel cradle more flexible. While this has improved this problem, it still exists on some of the range and if you are interested in wearing this boot, please speak to me before buying, so I can assess your compatibility. These have the Puma shock absorption system in the heel called duoCELL to reduce the shock at heel impact and  now does provide some small amount of heel wedging.

3. The King. This boot has returned to a more familiar style leaving the technological advances to be in the above boots. This boot now has a better fitting last shape which may well be more comfortable for the average person, especially those with a more square foot shape, than any previous King boots. The leather upper is designed for comfort and is traditional in shape, however has the Asymmetrical lacing design. The sole has been markly improved in torsion, but especially forefoot flexibility.

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Chilblains

What are chilblains?

Chilblains are small itchy swellings on the skin, which can become painful over time. They are a localised form of vasculitis, which is an inflammation of the blood vessels in the skin. They can look like red or purple discoloured areas of skin, and commonly affect the toes, soles of the feet and the backs of the heels.

If chilblains are left untreated, they can swell and dry out, leaving cracks in the skin that can expose the foot to infection.

Chillblain

Chillblain

What causes them?

Chilblains are caused by the skin’s abnormal reaction to cold. The tiny blood vessels in the feet and other extremities constrict and become narrow. In extreme cases, the surface of the skin may break and sores or ulcers can sometimes develop.  When exposed to warmth, the blood vessel can’t handle the sudden expansion and fluid can leak into the surrounding tissue and cause swelling and irritation. Chilblains typically occur a few hours after being exposed to the cold.

How are they treated?

If you have recurring chilblains it is  recommended that you see a podiatrist

WARNING : This information is for educational purposes only and is not intended to replace professional podiatric advice. Treatment will vary between individuals depending upon your diagnosis and presenting complaint. An accurate diagnosis can only be made following personal consultation with a Podiatrist.

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