It’s been awhile since our last post….

We’ve missed you. Our last post was in August. There have been a lot of fun articles in the news regarding feet and shoes.
First, we have Deborah Jacobs in Forbes Magazine who talks to us about our Baby Boomer feet, and the pains of finding shoes that fit well, but don’t look like they belong on Grandma. Career Coach Marty Nemko discusses Shoe Obsession Disorder and how it can actually boost your career. Think running in Vibram Five-Finger shoes looks odd? How about a new running shoe called the Split Hoof, based on the Japanese Tabi, which will be on store shelves this summer? Of course, the barefoot vs. shod running debate still lingers, and will continue. We’ll look at that further in a future post. OK, on a lighter note, how about a web site dedicated to photos of celebrities’ feet? And lastly, here are some weird foot facts to make you wonder.

Until next time….

Have you heard about the Annual Man vs. Horse Marathon in Wales?

At first glance the annual Man vs. Horse Marathon, set for June 9 in Wales, seems like a joke sport brought to us by the same brilliant minds behind dwarf tossing and gravy wrestling. It was, after all, the product of a pints-fueled debate in a Welsh pub, and for years its official starter was rock musician Screaming Lord Sutch, founder of the Official Monster Raving Loony Party. But the jokiness is misleading: When viewed through science’s clarifying lens, the funny marathon is one of the few sports that isn’t a joke.


Hear me out, sports fans—I’m a basketball nut myself, and so the joke is as much on me as anyone. To see where I’m coming from, you can’t do better than examining basketball’s most physically talented player, Michael Jordan. He was hailed as nearly repealing the law of gravity, and during his prime he made rival players look as if they were moving in slow motion. But Air Jordan wasn’t in the same league as a house cat when it comes to leaping. Consider how casually young cats can jump up onto refrigerators. To match that, a man would have to do a standing jump right over the backboard. And a top-notch Frisbee dog corkscrewing through the air eight feet up to snag a whizzing disc makes Jordan look decidedly human when it comes to the fantastic quickness, agility, strength, and ballistic precision various animals are endowed with.


There’s no denying it—our kind started substituting brains for brawn long ago, and it shows: We can’t begin to compete with animals when it comes to the raw ingredients of athletic prowess. Yet being the absurdly self-enthralled species we are, we crowd into arenas and stadiums to marvel at our pathetic physical abilities as if they were something special. But there is one exception to our general paltriness: We’re the right honorable kings and queens of the planet when it comes to long-distance running.


The Wales marathon has helped demonstrate that. Its originator was a Welsh pub owner named Gordon Green. One day in 1979 he got into an argument with an equestrian friend about the relative strengths of men and horses as distance runners. Green insisted a human could beat a horse in a long race, and to prove his point he helped instigate the marathon in 1980. For the next 24 years, he found himself losing the argument as riders on horseback left human runners behind. But then it finally happened—in 2004 a British man named Huw Lobb won. Three years later Germany’s Florian Holzinger outran the horses, as did one other human contestant. The media loved it—a predictable farce had become a man-bites-dog story. Bookies were less enthused; they had to pay out on bets made at 16-to-1 odds favoring the horses.


The oddsmakers would have known better if they’d been following the work of Harvard anthropologist Daniel Lieberman and University of Utah biologist Dennis Bramble. They jointly proposed in a 2004 paper that we’re superlatively endowed by evolution to go long. Our long-striding legs are packed with springlike tendons, muscles, and ligaments that enable us to briefly store elastic energy as we come down on a foot and then recoil to help propel us forward. Tellingly, the most important of these springs, our big, strong Achilles tendons, aren’t found in early human precursors such as Australopithecus—it seems that the high-end tendons evolved along with other adaptations for distance running in the genus Homo when it appeared on the African savannah about 2 million years ago.


We’ve inherited large leg and foot joints from those ancestors, which spread out high forces that must be absorbed when running. To help ensure stability on two legs, we have big gluteus maximus muscles. (Chimps, which are incapable of distance running, have comparatively tiny butts.) Our clever torsos are designed to “counter-rotate” versus the hips as we run, also aiding stability. And we have an unusually large percentage of fatigue-resistant, slow-twitch muscle fibers, which make for endurance rather than speed. By contrast, most animals are geared for sprinting because they’re either predators that chase or prey that run away, and their muscles thus have much higher percentages of fast-twitch fibers than ours. (Cheetahs’ hind-leg muscles are the fast-twitch-richest of all.)


But what most sets us apart as runners is that we’re really cool—we naked apes are champion sweaters and can dissipate body heat faster than any other large mammal. Our main rivals for the endurance-running crown fall into two groups: migratory ungulates, such as horses and wildebeest, and social carnivores, such as dogs and hyenas. They can easily out-sprint us by galloping. But none can gallop very far without overheating—they largely rely on panting to keep cool, and they can’t pant when galloping, for panting involves taking very rapid, shallow breaths that would interfere with respiration when running. Dogs can gallop for only about 10 to 15 minutes before reverting to a trot, and so their distance-running speed tops out at about 3.8 meters per second. Horses’ average distance-running speed is 5.8 meters per second—a canter. Wildebeests’ is 5.1 meters per second.


Elite human runners, however, can sustain speeds up to 6.5 meters per second. Even run-of-the-mill joggers typically do between 3.2 and 4.2 meters per second, which means they can outrun dogs at distances greater than two kilometers.


Our “sustainable distance” is also hard to beat. African hunting dogs typically travel an average of 10 kilometers a day. Wolves and hyenas tend to go about 14 and 19 kilometers, respectively. In repeated distance runs, horses can cover about 20 kilometers a day. Vast throngs of human runners, by comparison, routinely run 42.2-kilometer marathons in just a few hours, and each year tens of thousands of people complete ultra-marathons of 100 kilometers and longer. (A few animals can match that under special circumstances. Huskies can trot up to 100 kilometers in Arctic conditions when forced to by people. But in warmer climes—no way.)


Given all this, you might wonder why it took so long for a human to win the Man vs. Horse Marathon. For one thing, the world’s top runners rarely compete in oddball races in rural Wales. And the 22-mile run (the Welsh race is shorter than the standard 26.2-mile marathon) through a damp, shady landscape doesn’t usually heat-stress horses much, thus largely negating the human runners’ edge. (Not surprisingly, the weather has been notably warm when men prevailed.) Human runners, by the way, have also sometimes won the annual Man Against Horse Race in Prescott, Ariz., in which contestants clamber up and down a mountain on 50 miles of rocky trails.


But how did we get this way? After all, our brainy, tool-using ancestors could have just sneaked up on prey animals and brought them down with a spear or arrow. Why did evolution shape us as great distance runners?


The answer, argue Lieberman and Bramble, is that snares, nets, and really effective projectile weapons, such as the bow and arrow, were probably invented by Homo sapiens—modern humans. There’s no evidence that early Stone Age hunters had weapons much better than sharp sticks. Such armaments would have required them to kill prey animals at close quarters, where they would have been at high risk of getting fatally gored, bitten, or kicked. Thus, they probably obtained meat mainly via “persistence hunting”—chasing an antelope, for instance, until it was nearly keeling over with heat exhaustion—and scavenging. The latter was very much a running game: When distant, circling vultures tipped them off about a lion kill, they had to get there before hyenas, which strip everything edible from carcasses. And they typically could only outrace hyenas in the hot sun. As a result, they carved out a new carnivore niche: the hot-day meat chaser.


Intriguingly, existing hunter-gatherers still sometimes resort to persistence hunting in hot weather. That’s because the nutritional payoffs can greatly exceed the energy costs of running down meat for us fleet-footed types. In fact, our ancestors’ meat-rich diets probably contributed to the evolution of modern human traits, such as small guts, small teeth, and big brains.


Elaborating on this idea, Mark Mattson, a neuroscientist at the National Institute on Aging, has proposed that our kind evolved superior smarts partly because they helped us record and recall the complex details we encountered when running after food—landmarks, tracking clues, location of water sources, and so on. The fact that endurance exercise is known to stimulate neuronal growth in the brain’s memory-forming hippocampus suggests he’s right. A related recent study also suggests that natural selection endowed us with the ability to experience the “runner’s high,” wiring the brain so that endurance exercise lights up its “endocannabinoid” system in a pleasurable way to reinforce a tendency toward high-intensity running.


In sum, you might say we were born to run. But you also might just as well say we ran to be born. Come to think of it, that would make a seriously good motto for the Wales marathon.


By The Slate, 2 August, 2012


Twin Cities Foot and Ankle Clinic now offers the WellWave Acoustic Trigger Point therapy system in our office. Dr. Felton and Dr. Hechter are two of the first doctors in Minnesota to have this technology available for treatment of both chronic and acute injuries. The most common uses in the lower extremity are Plantar Fasciitis and Achilles Tendinitis, although this technology can be used in any joint, muscle or tendon in the body to help repair damage and decrease pain.

  • Well Wave uses very low frequency sound waves to break up scar tissue
  • There will be some slight discomfort over the affected area, but absolutely no pain on healthy unaffected tissue
  • Well Wave can safely be used over metal implants because it does not cause a heat response in tissues
  • Many patients experience significant relief after just the first treatment

We have been having very good results with the Well Wave so far. Our athletes have been back to their activities much more quickly, and some patients who had been limited for longer than 10 years have increased their mobility and decreased pain.

Just this week, a patient who had not been able to golf at all last year due to Achilles Tendon pain told us that she had walked 18 holes with NO PAIN after the Well Wave was used. What would YOU like to accomplish before summer ends?

Please visit the Well Wave website for even more information

Ask Us About Laser Treatment For Fungal Nails

Laser is an option for treating fungal nails. It is non-invasive, like the oral medications, and there is nothing for you to do at home in between treatments, like topical treatments. We have been using it at Twin Cities Foot and Ankle Clinic for almost two years, and have noticed drastic improvements in many patients who have been treated with laser. Like all treatments, it is not a “sure thing” for everyone, and some patients have come back for a second or even a third treatment, but everyone is at least improved after the first treatment. This is a wonderful option for those who do not wish to go on oral medications or for medical reasons cannot go onto oral medications. Fungal nails can be unsightly and even painful for many patients. It is much easier to treat when we begin treatment early. Please come in for a consultation to discuss which option might be right for you.

You can judge 90 percent of people’s personalities by their shoes, researchers say

This was published yesterday in Yahoo! news:

Researchers at the University of Kansas say that people can accurately judge 90 percent of a stranger’s personality simply by looking at the person’s shoes.

“Shoes convey a thin but useful slice of information about their wearers,” the authors wrote in the new study published in the Journal of Research in Personality. “Shoes serve a practical purpose, and also serve as nonverbal cues with symbolic messages. People tend to pay attention to the shoes they and others wear.”

Medical Daily notes that the number of detailed personality traits detected in the study include a person’s general age, their gender, income, political affiliation, and other personality traits, including someone’s emotional stability.

Lead researcher Omri Gillath said the judgments were based on the style, cost, color and condition of someone’s shoes. In the study, 63 University of Kansas students looked at pictures showing 208 different pairs of shoes worn by the study’s participants. Volunteers in the study were photographed in their most commonly worn shoes, and then filled out a personality questionnaire.

So, what do your shoes say about your personality?

Some of the results were expected: People with higher incomes most commonly wore expensive shoes, and flashier footwear was typically worn by extroverts.

However, some of the more specific results are intriguing. For example, “practical and functional” shoes were generally worn by more “agreeable” people, while ankle boots were more closely aligned with “aggressive” personalities.

The strangest of all may be that those who wore “uncomfortable looking” shoes tend to have “calm” personalities.

“Shoes have great variety of styles, brands, looks, and functions. Because of this variety, shoes can carry individual difference information, but do they? We suggest that the answer is yes,” the study authors wrote.

And if you have several pairs of new shoes or take exceptional care of them, you may suffer from “attachment anxiety,” spending an inordinate amount of time worrying about what other people think of your appearance.

There was even a political calculation in the mix with more liberal types wearing “shabbier and less expensive” shoes.

The researchers noted that some people will choose shoe styles to mask their actual personality traits, but researchers noted that volunteers were also likely to be unaware that their footwear choices were revealing deep insights into their personalities.

Eric Pfeiffer, Reporter



More Than One Way to Lace Your Shoes

Have you ever thought about how you lace your shoes? Many of us haven’t thought much about it since we were 4 and first learned to tie our own shoes. But Ian Fieggen, from Australia, has devoted a large amount of his time creating the largest and most comprehensive web site about shoe lacing that we’ve ever seen. Visit Ian’s Shoelace Site to see many different lacing patterns. If you have kids, they will love this site. Try some different patterns and see how fancy you can get. If you are having pain on the top of your foot, and you have a pressure point there, try Ian’s Gap Lacing Technique. Or if your shoe doesn’t fit quite right, you can try the Sawtooth Method to help align the shoe better. He will also teach you 5 different ways to tie your shoes using two different colors, and has links to online stores to buy colored shoelaces. So have fun with your shoes, and see how creative you can get!

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