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In this episode we to Chris Knighton, Coach of Knighton Run club and learn all about his amazing book for runners “Run Faster Marathons: The Proven Path to PR.”  (We will also hop into the chapter that tells us 10 running rules to live by.)   The title pretty much sums it up, and is also the reason why we invited Chris onto our show.Chris had sent us a copy of his book and we fell in love with it. It is precise enough for a good read and now we have Chris come onto our show and talk to us as we go through the chapters of his book. Super fun.       Join our facebook group: www.facebook.com/groups/SpeedStriders Follow us on instagram @runningpodcast Check out our website: www.runningpodcast.us   Tags of topics:#Marathon #Running #MarathonTraining #marathonnutrition #speedstriders #runningpodcast #racerecap #racereview #runner #mentaltraining #beginnerrunner #attitudeofgratitude #BostonMarathon     INFORMATION ABOUT COACH CHRIS KNIGHTON:Coach Chris Knighton is the head coach at Knighton Runs Marathon Coaching and the author of the book, Run Faster Marathons: The Proven Path to PR. He is a trusted running coach and passionate distance runner living in Providence, Rhode Island with his wife and 9-month-old daughter   Born in Boston, Massachusetts, Chris did not start running until his late twenties but quickly grew into a consistent top-10 finisher in road and trail races throughout New England. He has been a vegan athlete for his entire adult life and credits much of his success in sports to making healthy diet and lifestyle choices.   In 2014, Chris left a soul-crushing job to pursue his dreams. He thru-hiked the 2180-mile Appalachian Trail that summer and realized if he had the courage and capacity to accomplish this journey, he should easily be able to take on any life challenge.   Chris brings this mentally to his own running and coaching. He believes that the skills and confidence we develop to run faster marathons directly correlate to what's needed to overcome any personal or professional challenge. Chris empowers his athletes to do what is necessary to go confidently in the direction of their dreams.   Chris received his USATF Level 1 Coaching Certification in 2019 and is Track & Field and Cross Country Coach at St. Mary Academy – Bay View in Riverside, Rhode Island.   Chris's first book, Run Faster Marathons: The Proven Path to PR is available now on Amazon.   Knighton Runs Marathon Coaching was founded in the Summer of 2019 by Coach Chris and Erica Knighton. Our mission is to help passionate athletes run faster marathons and develop their confidence to take on any life challenge. We named our athletes The Knighton Lions because of the bravery they demonstrate in pursuit of their goals. https://knightonruns.com/  Book: https://www.amazon.com/dp/B09TTHF3QF     My Social Media Links https://www.instagram.com/knightonruns/    https://www.facebook.com/knightonruns/   https://twitter.com/knightonruns              1       Join us as we inspire and motivate runners to achieve their goals and become the best version of themselves.          2       Our podcast is designed to help runners of all levels improve their training, nutrition, and mindset.          3       Get ready to be motivated and inspired by the stories and experiences of successful runners from around the world.          4       Tune in to learn new tips, tricks, and insights on how to take your running to the next level.          5       As runners ourselves, we understand the challenges and triumphs of the running journey, and we're here to help you every step of the way. Hashtags:          1       #RunnersCommunity          2       #RunningMotivation          3       #FitnessPodcast          4       #MarathonTraining          5       #NutritionTips          6       #MindsetMatters          7       #HealthyLifestyle          8       #InspiringStories          9       #FitnessJourney             10       #TrainingTips

Athletes, especially long-distance runners, sustain a lot of injuries in their career. Their injuries mainly affect the lower extremities, like the calf or the foot. Wearing the appropriate gear and proper shoes, as well as using orthotics, can make a lot of difference.  Dr Colin Dombroski joins us in this episode to explain the benefit of orthotics to foot health. He also talks about common running injuries and how wearing the correct shoes can prevent these. If you are a runner and want to know more about orthotics and the science behind shoes, then this episode is for you.   Get Customised Guidance for Your Genetic Make-Up For our epigenetics health program all about optimising your fitness, lifestyle, nutrition and mind performance to your particular genes, go to  https://www.lisatamati.com/page/epigenetics-and-health-coaching/. You can also join their free live webinar on epigenetics.   Online Coaching for Runners Go to www.runninghotcoaching.com for our online run training coaching.   Consult with Me If you would like to work with me one to one on anything from your mindset, to head injuries,  to biohacking your health, to optimal performance or executive coaching, please book a consultation here: https://shop.lisatamati.com/collections/consultations   Order My Books My latest book Relentless chronicles the inspiring journey about how my mother and I defied the odds after an aneurysm left my mum Isobel with massive brain damage at age 74. The medical professionals told me there was absolutely no hope of any quality of life again, but I used every mindset tool, years of research and incredible tenacity to prove them wrong and bring my mother back to full health within 3 years. Get your copy here: http://relentlessbook.lisatamati.com/ For my other two best-selling books Running Hot and Running to Extremes chronicling my ultrarunning adventures and expeditions all around the world, go to https://shop.lisatamati.com/collections/books.   My Jewellery Collection For my gorgeous and inspiring sports jewellery collection ‘Fierce’, go to https://shop.lisatamati.com/collections/lisa-tamati-bespoke-jewellery-collection.   Here are three reasons why you should listen to the full episode: Discover the benefits of orthotics and modern imaging techniques in foot health. Learn more about common running-specific injuries and ways to prevent them. Know about the brain-foot connection and the knock-on effect of footwear. Resources The Foot Strength Plan by Colin Dombroski The Plantar Fasciitis Plan by Colin Dombroski Born to Run by Christopher McDougall The Ben Greenfield Fitness Podcast SoleScience Connect with Colin: Website | Email | Facebook | Skype: solescience   Episode Highlights [03:14] Colin’s Background Colin designs and manufactures custom foot orthotics.  His researches revolve around general footwear, lower extremity therapy, and how these things interact to make people better. Colin works on 3D printing orthotics, which shows how the foot works or moves in real-time.  He works with people to get them back on their feet and do what they want to do. [04:36] How Foot Imaging Works Colin uses a 3D motion analysis lab to study the workings of the lower extremities. Alternatively, he also partners with the WOBL lab to do biplanar fluoroscopy. This procedure maps out somebody’s foot in 3D space.  It helps understand what is happening to the foot in real-time; it shows feet in a shoe under different circumstances.  Colin looks into the best way to make an orthotic for someone. Imaging helps to see what is happening in the foot when a person is barefoot, in a shoe, or using orthotics.  [09:56] Are Orthotics Generally Good? Orthotics are neither good nor bad; we cannot generalise.  It may be suitable for someone with arthritis but may not be beneficial to someone with no problems.  Orthotics are used as tools to help people with recovery and performance.  Colin’s job is to tell people whether they need orthotics or not.  When they have done their job, they’re removed. [12:57] Rehabilitation vs Orthotics In mild foot aches, over-the-counter devices can work well.  Orthotics are not a first-line treatment for some conditions.  Look at other things first before going down the route of orthotics.  Foot strengthening is very beneficial.  Do simple things that make feet work as feet.  [16:55] Does Wearing Shoes Result in Weaker Feet? Not walking for a few blocks is just as harmful as having shoes that do not fit you.  Poorly fitting shoes can be bad for you.  Women wearing high-heeled shoes for a long time can have a lot of foot problems later on.  Colin recommends we exercise moderation when wearing heels.  [25:15] How to Prevent Running Injuries Injuries usually result in a mismatch between the style of a person’s foot and the kind of shoe they wear.  Footwear should fit into your foot design so you don’t cram your toes.  Some shoes may fit while you are buying them in a store, but they may end up not fitting at all or when you are already running long distances. If you don’t know how the sock liner, width, toe spring, and heel drop of the shoe interact, the potential for injury is more significant.  Listen to the full episode to learn more about the running injuries that Colin has encountered and how to prevent them. [32:42] Running on Concrete vs Running on Natural Terrain The natural terrain is easy to run on compared to concrete.  Mitigate the force of initial contact to avoid injuries.  Listen to the full episode to learn more about what type of shoe you need for different surfaces. [34:29] On Transitioning Your Footwear If you want to go barefoot, do it gradually. Scientific literature has discussed the importance of transition shoes. If you’re going to drop your 10- to 12-millimetre heel drop shoe to 4, you need to have a 6- to 8-millimetre transition shoe.  [37:22] How Often Should We Change Shoes? Do not let shoes sit on shelves for more than two years because the material stiffens. In general, alternating shoes are good after 6800 kilometres.  However, this still depends on how quickly you wear out the outsole of your shoes.  Having shoes with different heel heights for different types of running would be very beneficial.  [42:59] The Brain-Foot Connection When you ignore stabilisers and prime mover muscles, you get a mismatch in balance and performance.  It’s important at the lower leg holistically.  Colin acknowledges that we get a different sensation if we’re barefoot versus when we have socks and shoes on. However, it’s a misnomer to say that putting on footwear reduces your proprioception or sensation. Your brain adjusts to the sensory input being thrown its way. [48:39] Achilles Injuries Achilles injuries result when people change the drop of their shoe or change their running style too quickly.  There is a genetic predisposition for people with Achilles issues.  Using things like heel lifts in footwear takes some load off the Achilles, allowing it to heal. Any ankle restriction can make you use your Achilles differently.  Listen to the full episode to learn about the importance of a multidisciplinary approach in looking at conditions.   7 Powerful Quotes ‘If someone's not getting the right kind of results, it could be that they just need to be adjusted. But then some people don't believe that they need to be adjusted. They believe your foot functions best one particular way’. ‘I think that a lot of people have lost the ability to connect with their brain and their feet and they need to get that ability back’. ‘It's not putting everything into a box of good or bad, you know, but it's looking at it holistically’. ‘We get back to my point where [we do things in] moderation. There's a time to spend time in the sand, there's a time to spend time in the trail, and there's time to get on the road’. ‘If you can get that little bit of variability where you're lengthening some days, you're shortening some days, you're doing different things and your body is used to that, then you're going to be more adaptive. But if you lock into that one pattern, it's going to be so much harder to change’. ‘You also need to have a really good understanding of the whole anatomy of the body because you have to be holistic in your approach’. ‘You know your limits better than somebody else. But I think that there's also a time when you do need to respect the knowledge that someone's gone and spent time attaining.   About Dr Colin Dombroski Dr Colin Dombroski is a podiatrist and a foot specialist of 20 years; he is also an author and a researcher. He works in the world of shoes, orthotics, rehab, and range. He specialises in any feet issues, from plantar fasciitis to Achilles injuries.  Connect with Colin through his website. You may also reach out to him through email or Facebook.   Enjoy the Podcast? If you did, be sure to subscribe and share it with your friends! Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends so they can know more about the proper shoes to use for running.  Have any questions? You can contact me through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram and YouTube. For more episode updates, visit my website. You may also tune in on Apple Podcasts. To pushing the limits, Lisa   Full Transcript Of The Podcast Welcome to Pushing The Limits, the show that helps you reach your full potential with your host Lisa Tamati, brought to you by lisatamati.com. Lisa Tamati: You're listening to Pushing The Limits with Lisa Tamati, your host. I have a fantastic gift again for you today. Gosh, I managed to come up with some amazing people. So I have the guest Dr Colin Dombroski, who is a podiatrist and expert on everything foot. He's known as the foot specialist. He is the author of two books, Healthy Strong Feet, and The Plantar Fasciitis Plan. He's a researcher, and also has a shoe—a specialist running shoe shop. He knows everything about the cutting edge of foot health.  So this is a topic that's really important, obviously, for all the runners listening out there. Or if you're having any sort of issues with your feet, maybe you're dealing with plantar fasciitis, maybe you have to have orthotics, or you've got arthritis, or you've got bunions, or you've got problems with your Achilles or further up the kinetic chain, then this is the episode for you because we're going to be talking about the cutting edge of science. Dr Colin is really up on the latest thing. He has all the fancy gadgets in his lab that he does. And so it's a really, really interesting conversation that I have with Dr Colin.  Now before we go over to the show. If you are also looking for—doing a running training plan that fits your life and without having to think about how to assemble the entire plan yourself, then please come and check out what we do at Running Hot Coaching. We have a brand new package that we now offer and there's a fully customised package to you, to your goals, to your injuries, your lifestyle, anything that's holding you back, and we can customise it to you. And you'll also get full video analysis done with this package and a one-on-one consult with me in a personalised plan for your next event. Whether that be a marathon, a half marathon, ultramarathon, 10K, it doesn't really matter that's up to you. And you get 12 months of access to Running Hot Coaching’s whole resource library and all the other plans that are available on me, so it’s a super, super deal.  You also get access to our community of over 700 runners from around the world that we get to coach nowadays and hang out with them. And also we do live events on occasion and do regular educational webinars and so on. So everything running. If you want help with it, then we would love to help you get in—make the best out of your running. Okay, so check that out at runninghotcoaching.com.  Right, over to the show now with Dr Colin Dombroski.  Lisa Tamati: Well, hello, everyone. Welcome back to Pushing The Limits. It's your host, Lisa Tamati here. And today I have Colin Dombroski with me, all the way from Ontario in Canada. So welcome to the show, Colin. Fantastic to have you. Dr Colin Dombroski: Thanks so much for having me. Lisa: It's really, really exciting. So I am going to be talking to you today about feet. You are the foot guy. You are known as the foot guy. Colin, can you give us a bit of a brief background, why are you known as the foot guy? Dr Colin: Well, I mean, I'm a Canadian certified podiatrist first and foremost. So I'm trained in both the design and the manufacturer of custom foot orthotics, foot orthotics in general, footwear and lower extremity therapy care, and how those things interact to get people better. And so, we started that back in 2002. And since then, I've gone on to do PhD work in Health and Rehabilitation Science, and research and everything from the basic 3D printings of orthotics to how the foot’s actually moving in a shoe using things like a biplanar fluoroscopy and CT imaging to really understand what's actually going on, as opposed to just kind of guessing and thinking about it or looking at video without actually being able to see inside the shoe.  And so we've seen tens of thousands of patients. We've worked with people over the last 20 years, really working to get them back up and on their feet and doing the things that they want to do to stay healthy. And for some people, it's as simple as walking around the block and for other people it's going to the Olympics in Tokyo. Lisa: Wow, fantastic.  So you're deep into the science... Dr Colin: Yes. Lisa: ...of the absolute cutting edge of what we can do now for foot issues and optimising foot health. So tell us a little bit about some of the fancy stuff that you can do, like, how that—you said there you can look into the inside a shoe or...  Dr Colin: Yes. Lisa: ...rather than just looking at video. How does that work? Dr Colin: I'll tell you on the research side, there's all kinds of fancy stuff that we were able to do. And so, right now I have an academic appointment through Western University in the School of Physical Therapy. So, I'm lucky enough to be able to do research in what I do specifically. So—and we can do that in a couple of different ways. One is that we actually have a full 3D motion analysis lab at our main business in London Ontario. So it's seven Vicon cameras, much like the way you would see motion analysis for video games or for the movies.  Lisa: Wow. Dr Colin: Well, we use that to study how the lower extremity works in the human body. And so we can either put markers on the foot and cut windows into the shoe, so we can see how things move. That's one way to do it. The other way that we've done it is working with another lab called the wobble lab, and they have two movie x-rays, or what's called biplanar fluoroscopy. And then what we can do is have a CT of somebody's foot, we can take those bones out, we can map them in three-dimensional space. And at 17 times per second, we can move that bone model on top of the actual movie x-ray model to understand what's happening to the foot and the bones in real-time in a shoe, under different circumstances, whether that's no orthotic, orthotic, and we can compare that to their walking barefoot as well. Lisa: That is insane Colin. I have no idea. Dr Colin: Yes. it's a cool thing. And if you go on the website, if you go on—I think we have a fluoroscopy video up on stuff about feet. But if we don't, there's certainly one up on the research section of SoleScience, and you're able to actually watch, you can see what we're looking at through this thing.  Lisa: Wow. Dr Colin: And it's really cool to know. And what's really interesting when we look at this stuff is that we wanted to know when we make somebody an orthotic. What's the best way to do that for someone? There's different ways that we can capture somebody's foot, whether we use a foam or a wax method or a plaster mould of somebody's foot, we wanted to know kind of based on a couple of different styles, which one might actually control the motion of their foot a bit better. And we were able to show that one was more effective than another—made a small amount with a very specific foot type.  So, if you have a flatter foot, there are ways of making it that are more effective. But what was really interesting out of that was to look at what was actually happening with the foot when someone was just walking barefoot, when they were just walking in their shoe, or when we put an orthotic in there? Because you know if I can go on a bit of a tangent, there's lots of scary stuff on the internet these days about how, ‘Oh, you don't want to walk in shoes and orthotics because it makes you act like you're walking in a cast. And why would you want to do that'?  Well, what's really interesting is that when we looked at someone's foot walking barefoot, and we compared that to the most supportive thing that we use, they still kept up to 96% of their original motion.  Lisa: Wow.  Dr Colin: So, think about that for a second, 96% or one motion.  Lisa: Yes.  Dr Colin: So, you're really at that point, if someone's keeping that much of their original range of motion, you really have to wonder, ‘What are we actually doing with these things?’ And I'm going to argue that it's more than just the shoe on someone's foot. It's more than just the device in that shoe, that there could be a lot more actually going on with these things than we fully understand even though we have the best research methods to be able to look at it.  Lisa: That's amazing. I mean, I'm really, really interested because with orthotics, I've recently gone and got my mum an orthotic and you don't know my mum's story. But she had a massive aneurysm five years ago, has dropped foot on the right side, incredible rehabilitation journey, written a book on it. But we're not having such success with the orthotic yet. We are having success with a Dictus where it's helping lift her foot. And I've had in the past two experiences with orthotics when I've had different issues, like, I can't remember now what specifically, I think it was plantar fasciitis. And I've tried different things, admittedly a while ago, and things have obviously moved on. But I haven't had that much success.  So I'm like, as a running coach, I should know more about the latest in science as far as orthotics go. And whether they're my initial reaction back then was, ‘Well, I don't think orthotics are really working for a lot of people’. That's been the feedback from other people as well. So obviously, the science has moved forward and it is offering new insights and you can actually see in real-time what our bones are doing. I mean, it's just absolutely mental, that's crazy and cool. So do you think—isn't it like walking around with a cast on your foot? We've got this whole barefoot craze that's been in the last few years and then we've got brands like Hoka One One coming out with really cushions. So, I think people are a little bit confused as to what they should be doing.  Dr Colin: Yes, and rightfully so. Lisa: Our orthotic is good. Our orthotics in general is—can we generalise when it's very specific. Dr Colin: Nope. Not at all. We can’t generalise it all and that's the problem when it comes to this stuff is that people are trying to fit everybody into a box. And saying that either it's really good, or it's really bad. It’s either of those things? Like, to the end of the day, if you really need them, if you have rheumatoid arthritis, and you're unable to walk around the block, and I'm able to get you active again, they're really good for you.  Lisa: Yes, absolutely. Dr Colin: Right? But if you have no risk factors, if you have no biomechanical abnormalities, if you have no foot deformities and no other issues, then what's the benefit of wearing them at the end of the day? And so to that end of things, a lot of the time, I feel as though we're missing the middle ground. We're missing the fact that people can use these things, either as a tool to help them with recovery and performance that we can then work to wean them off, if they so choose, or if they need to be, or we use them because there's a real thing where structure dictates function and injury.  But again, why are we looking to see whether or not people are either yes or no, off or on? It's more of a continuum. And I kind of like to look at people and the fact that over on this end of the spectrum, here, you've got people who are so gifted biomechanically that they can do anything they want to do, despite doing it wrong. They can go couch to marathon in old worn-out shoes with poor sleep with bad nutrition, and they can do it and they don't get hurt. And you've got people on the other end of the spectrum that can do everything, right, and work with the best coaches and get the best equipment and eat and sleep and everything else. But they're plagued with injury, right?  Most people are going to be somewhere in the middle, the question though, so, which side of the spectrum do you lie more towards? And that's where I feel my job comes in, is to figure out where that is, and then how to appropriately apply these things, whether or not you actually need them. And I build a business on telling people when they don't need them.  Lisa: That's brilliant.  Dr Colin: And when they don't need them anymore. So, it's actually quite shocking when someone comes into my office for their ninth orthotic, and I say, ‘Well, tell me about it'. And so they—we talk about stuff, and we come to the conclusion that they just don't need them anymore.  And they're shocked, they think that these things are like a lifelong sentence. And they're not. For some people, they are the difference between being able to be active or not. And for other people, there's simply a tool, and we use that tool appropriately, and we remove it. Lisa: That is absolutely gold, Colin. And what a fantastic approach in, like, working with people with disabilities and stuff, I know there are definitely times when we do need them, and they're going to benefit and it is very much about the skill of the person who's fitting the orthotic and knows, obviously, what they're doing. And there’s a lot of advertising out there; rubbish sort of advertising that you see with different standard gum, pick it off the shelf type things, what's your opinion on those types of orthotics?  Dr Colin: Well, I mean, if those—so, if something like that, like if an over the counter device works for you, for—let's say you have a mild case of metatarsalgia. Let's say you have a small ache in the front part of your foot when you're active, and you've done all the rest of the conservative therapy things. You're strong, you're flexible, everything else is ticked off, and you're still not doing well. Sometimes removing that little bit of mechanical stress can be enough that allows the tissues to heal and you can move on. Right? So in those cases, yes, they work quite well.  But in some cases, if you have a foot type that doesn't match up with that shaped plastic that's pushing against your foot, it might not work so much. And kind of to your point where you were saying you had them for plantar fasciitis before, and they just didn't work for you, it could be a multitude of reasons why they didn't work for you. And we see that all the time.  And if someone's not getting the right kind of results, it could be that they just need to be adjusted. But then some people don't believe that they need to be adjusted. They believe your foot functions best, one particular way. And they say, ‘Here, this is for you. This is the way it should be, get used to it'. Lisa: And then it's the whole side of: you should be doing strengthening exercises and rolling and stretching. What's your take on the whole on that side of it? So the rehabilitation side of it as opposed to the orthotic side of the equation? Dr Colin: Well, so my—the way that we teach about orthotics is that orthotics for some conditions are not a first line treatment unless you have significant risk factors. If you're diabetic, then yes, 100% we're making you orthotics. But for a lot of people especially let's take plantar fasciitis for instance. If you come to me and you've had plantar fasciitis only for a few weeks, there is a whole host of other therapies that you can try before you even need to think about that. Is removing the stress off the tissue, the strain off the tissue with the device and footwear appropriate? Heck yes, it is. But there are other things that you need to look at first before you even go down the route of orthotics which is actually why I wrote my first book. And it's to tell people the things that they can do at home to be able to get themselves better for four to six weeks before they have to see somebody like me to think about orthotics.  Lisa: Okay, so what was the title of that book, Colin? Dr Colin: Oh, it's called The Plantar Fasciitis Plan.  Lisa: The Plantar Fasciitis Plan and that is available on Amazon? Dr Colin: Yes.  Lisa: Okay, so in New Zealand, we might struggle with Amazon, but we don't have Amazon down here, believe it or not.  Dr Colin: I have no idea. Lisa: We can access it, but some things can ship from over the air and some not so. But we'll put the links in the show notes for sure for those listening who are overseas and want to read that book. Okay, so you mentioned... Dr Colin: And to speak to your last question...  Lisa: Absolutely. Dr Colin: ...which was, what do you think about the whole foot strengthening part of it?  Lisa: Yes.  Dr Colin: I think it's very important, I think that a lot of people have lost the ability to connect with their brain and their feet, and they need to get that ability back, it's shocking how many people I see that can do something as simple as move their toes, or lift their arch, or do some of the simple things that they need to do to make feet work as feet. Right? And so, getting them back to that foot connection is only a positive thing. Like, the only good things are going to come out of that. Lisa: So, is this like, is this a problem of the modern human because we've walked around in shoes. Did humans, before shoes come along, did we all have great feet? Strong powerful feet because we were barefoot from the get go? So is this a problem of the modern human but like with—I've just done a couple of episodes on breathing and the way that we are chewing is affecting our structure of our mouth and therefore we're not having such good breathing and so on. Is that similar sort of case? Dr Colin: I really think that when you talk to a question about that, it's really hard to compare those two things because we're just not there right now. You know what I mean? So, yes, if we didn't wear clothes, and we didn't drive cars, and we didn't eat the way that we did, yes, things would be different than where they are. But like, we drive our cars to go five blocks down the street to get to Starbucks, we don't walk. So, that alone is just as deleterious as footwear that doesn't fit you properly.  So when it comes to shoes, again, there's lots of scariness out there on the internet, talking about how these things, again, make you walk like your cast or is deforming your feet. And yes, I would agree that a poorly fit shoes that are way too tight cramming your toes, putting stress on nerves and tissues certainly can be a bad thing for you. But do I think that there's this gigantic conspiracy out there that's making the collective feet of the world less strong and everything else? No, I really don't, to that end. And again, as a recovery tool, they can be marvellous things if done correctly. Lisa: Yes, it's a really good approach. I mean, it reminds me of my dad's feet. My dad who recently passed, unfortunately. But my dad had the most amazing, strong, powerful feet, he grew up in the first 13 years of life and not wearing shoes. Came from a very humble background with eight children, and they only had one pair of gumboots in the family. So he grew up with these incredibly powerful feet.  By the time he was in his 50s, 60s, 70s, and 80s, he could walk around barefoot all day, never have any sort of problems. The state of his heels weren't the best. But muscular feet, really strong powerful feet, because he didn't wear shoes until he was older and then still like to go barefoot whenever possible, actually connected to the earth, weed garden all day, and their feet at the most jungles. So I did see it in that. Quite the effects of having that real connection to Mother Earth if you like in developing those sort of strong muscles in our feet.  And then on the other side of the equation. I see people with diabetics or close to being pre-diabetic problems with extremely tender feet and poor circulation in the feet and their feet are just not moving well and have always been in shoes. So it's like opposite ends of the scale via. So, where was I going with this? There's a real broad range of where people are at. Another thing that I think is to consider is women in high heeled shoes, what's your take on that sort of a problem? Like, were lifting your heels up and having a shortened calf. And that's sort of a problem. Dr Colin: Well, I mean, that for too long of a period of time just gives you a whole myriad of problems from metatarsalgia, and progressing bunion issues, and nerve problems, and chronically short Achilles because of that shortening specifically, yes. I mean, we see that all the time. I'm very much a fan of moderation when it comes to these things.  And so for a lot of my patients, if they want to spend an evening, every now and again, where they're primarily sitting in a pair of heels, then I feel as though the trade-off for what they get out of that is okay, comparatively. Again, it's not putting everything into a box of good or bad, but it's looking at it holistically.  Lisa: Brilliant. I think it's a really good approach. Dr Colin: Yes, if you're a retail worker, and you're spending 10 hours a day, on your feet, heels are definitely not the thing you want to be wearing. Lisa: Yes, you've got to sacrifice the elegance, ladies. Sometimes you help that little pushes. Dr Colin: A little bit sometimes. And you know where I end up seeing that a lot? It’s in lawyers. A lot of my patients who are lawyers. There is definitely a culture of dress code and professionalism that comes from wearing heels. And I see a lot of injured lawyers because of that, specifically.  Lisa: Isn't that interesting? So yes, really take heed because I do think doing that on a daily basis, yes. The odd night out in a pair of heels to look elegant is fine, but not doing it every single day, were you really shortening, I mean, just, I'm always sort of relating things back to my life. But with mum having aneurysm, being bedridden pretty much for 18 months before we could get her standing. And I didn't understand at the beginning about drop foot, I missed the boat. And by the time I realised what drop foot was, that had happened very, very quickly, that her foot was now dropped until we're still working on that right through now, to be able to lift set front of the foot up and having to use a Dictus in her case, which lifts the front of the foot up. So it happens very—it happens quicker than what you think. Dr Colin: It can, certainly. Yes. Now the brace that your mum's using, do you mind if I asked you a quick question? Is she using an over-the-counter one or a custom one? Lisa: So it's an over-the-counter Dictus one as I didn't know there was such a thing as a customised Dictus. So it's just a leather strap that goes around with a rubber that goes over inside these two little hooks at the bottom of the shoes that pulls the shoe up. So is there something better, Colin? Dr Colin: Well, so, take a look for something called an Allard ToeOff AFO. And we use them a lot in clinics for patients with drop foot and they're actually designed to be to run marathons and events and they're quite robust.  Lisa: Okay, I’ll take note of that. Dr Colin: And it might be a great training tool too. They're very light. You should wear them under a pair of pants. A lot of people like the fact that they don't see the direct brace.  Lisa: Yes, yes. Yes, exactly. This one's quite ugly. So, is it Allard?  Dr Colin: A-L-L-A-R-D. Lisa: Oh, brilliant.  Dr Colin: So as in Allard ToeOff.  Lisa: Allard ToeOff, I will check that out. See, this is a selfish reason why I get to talk to experts.  Dr Colin: There we go.  Lisa: Because you never know when it's gonna help somebody you know? It's fantastic. I'll check that one out. Yes, because that is a real problem. And there's so many—this is not a rare thing, drop foot. It's a very, very common thing with people with strokes and aneurysms and the like.  Dr Colin: It is. Lisa: So, there's a lot of people dealing with it so going into the rehabilitation side of things. We have a shoe that has a rocker so she's able to toe-off slightly better in that rocker and keep her center of mass moving forward. Rather than sitting really back which she was doing. So yes, so I'm always looking for the next best thing for my mum from the show. So, appreciate that. Dr Colin: No problem. And since you're a runner and all that stuff, the Asics Metaride is my favourite carbon shoe rocker. We've got so many people who really require surgery, fusions, things like that because of osteoarthritic toes or ankles or mid feet that can get into a shoe like that.  Lisa: Wow. Dr Colin: And for people who are that age, they're not nearly as flashy looking as some of the other carbon rockered shoes that are available. Lisa: Yes, but who cares as long as they function properly. Okay, Asics Metaride. Okay, we'll check those one out too. Now let's jump ship and change direction a little bit and go into running specific injuries. So we did touch briefly on playing to the shortest. But what are some of the common injuries that you see? And what are some of the ways that we can prevent? And how does it have a knock-on effect? Like what happens in your feet, knocks on the kinetic chain, doesn't it? Dr Colin: Of course. Yes. So what I take a look at, the one of the biggest things are going to be mismatches between the style of foot that somebody has and their mechanics and the kind of shoe they wind up getting into. And so there's nothing like being able to mismatch the way that your foot wants to move, and then a shoe that's going to either work completely and pushing it in the same direction. So for instance, if you're a supinator, where your foot rolls to the outside, and then you get into an anti-pronation shoe, which a lot of people are—there's actually been research to show that runners are poor judges of their own foot type.  Lisa: Right. Dr Colin: And if they get into that kind of footwear that makes them into more of a supinator. I can't tell you how many lateral column foot pain problems we see and perennial overuse problems and things like that. So simply mismatching your footwear to what your foot is doing can be one of them.  Lisa: Okay. Getting on and off the shelf is not, and diagnosing yourself is probably not a good idea if you're a serious runner who wants to do some serious racing. Dr Colin: Well, maybe it's a good idea to run your findings by someone else who can take an objective third-party look at you. And so some people think, ‘Oh, my foot is so flat, I need to get into this kind of footwear'. And that might not always be the case when it comes down to it. So the footwear component of it is so big. Making sure that it actually fits the way that your foot is designed. So if you have a particularly wide forefoot and a narrower rear foot, looking for things that actually match up with that, so that you're not cramming your toes into a pair of shoes. Lisa: As a run coach, if I can just pipe in there that has been one of the biggest mistakes that I've seen so many athletes buy. They go into a shoe shop that does foot analysis, and they proceed them on a treadmill and so on. So they may have the right type of shoe, but they're after buying the shoe in a cold state. So i.e., they've just walked into a shop, they haven't been on their feet all day, they haven't been running for 30K's, their feet are not swollen.  And then they go and if they do marathons, or especially ultramarathons, their feet are swelling. And especially I've seen this in women where we tend to swell tissues in my opinion, not scientifically-backed or anything but my observation is that women's feet swell more than men. And the size of the shoe is then way too small, especially in the toe box. And this often leads to pain on the top of the foot and the cutting off of circulation there. And I've seen problems with the shins and so on.  Have you—is it a thing? Have you seen this sort of a trend as well, where they're going into the shop, and it's fitting in the shop on the day that they buy it, but when they're long-distance runners, that becomes a problem, especially when they're running under heat? Dr Colin: 100%. Yes, I mean, fatigue is one of those things that wrecks everything. But at the end of the day, when you're not fatigued, and you're ready to take a pair of shoes, and you're trying it on, you don't know how the inside of your ankle is gonna rub against that shoe until you've spent 30, 40, 50k in it to really understand what's happening there. So the idea that something is going to ‘break in’, in quotation marks is something that I like to try to shy away from as much as I possibly can.  The biggest issue that we see from most people is they just fit them incorrectly, right? They fit them too short. And so if things do swell, if there's movement or any of that stuff, you're going to get problems along with the feet, whether it's friction and blisters or black toenails, or what have you. The length of that, and then especially the curve of the toes, makes such a big difference.  And so, a lot of footwear stores these days might not carry the full breadth of width available. And so for instance, New Balance comes in ladies from a 2A to a 2E and everything else in between.  Lisa: Wow. Dr Colin: So it comes in a 2A, and a B, and a D and then a 2E. So when you have to carry four widths of shoes from a size 5 to a size 13...  Lisa: That’s expensive.  Dr Colin: ...including half sizes, that's expensive. And that's only for one colour.  Lisa: Wow.  Dr Colin: Right? So when you think about that, you understand why you might not be able to find the full breadth of width in a lot of these things. Because shoe stores will have a hard time selling through and if they can't, they can't make money and stay open. So, but if you're one of those people that are on either end of the spectrum, then you need to find a place that will cater towards those kinds of things and that understand the nuances and the differences within brands. So, I mean I've seen people go up a full size in between different models of shoes within the same brand of a company.  Lisa: Wow.  Dr Colin: So, for instance, the New Balance 880 and the New Balance 840 fit completely different. The sock liner is three times as thick, the width is more, the toe spring is different, the heel drop is different, all of that stuff. And if you don't know how each one of those things interact with someone, then the potential for injury is just greater.  Lisa: Wow. And yes, I can definitely relate to that having had—I've had many different sponsorship agreements over my career. And some of the companies, a couple of them, I had to actually leave because I just could not wear their shoes and they were so different in other ones that I just absolutely loved and were able to stick with. And I've got a very wide foot. And so I have to be in a men’s shoe. But when I was doing desert races in extreme heat in Death Valley and the likes, I had shoes that were two sizes too big for me.  Dr Colin: Wow. Lisa: So, that's what I worked out was the sweet spot. So at that point, I wouldn't get the blisters and I wouldn't get the black toenails, and I wouldn't get the foot just swelling so much that it's boosting out the sides of the shoes and putting pressure on top of the foot and causing—and I've had it all awful shin problems by having that circulation cut off at the top of the foot.  I remember a race I did in Germany 338 kilometres in five days. So, we're doing 70 kilometres a day. And after day one, my shoes were just way too tight. And by then the damage was done. And an old-timer, who was in the race, said to me, ‘Hey, you need to cut your socks and open your shoes right up'. And that was a piece of advice that I carried with me being from the norm because, and I ended up doing that very often. So even something like a pair of socks that is too tight around the ankle can cause shin problems. I mean, I've experienced that firsthand, and on the top of the funnel as well. So it really makes a heck of a difference, isn't it? Dr Colin: Oh, it's so does and you know, when you're looking at the trail shoes and things like that, the choices become even more frustrating.  Lisa: Yes, yes, yes. Yes, let’s talk trail because what trail—we weren't as humans, like, we didn't evolve to run on concrete and pads. So what's your take on how bad is it to be running on roads and concrete versus the natural terrain of a trail so to speak? Dr Colin: Well, I mean, certainly the natural trait of a trail is going to be easier for you to run on versus concrete and asphalts and those types of things. And when we looked at the literature, and some of the research said that it's—there's been a lot of fun running research that's come out in the last 15 years. But a lot of our initial contact strategies, so whether you stride on your heel, your midfoot or your forefoot, a lot of it has to do with mitigating the force of that initial contact. And so if you're running on an incredibly hard surface, you might adapt to changing your initial contact to be able to mitigate those loads of that initial load.  Whereas when you have a softer, spongier service to do on, you have a bit more leeway to be able to stride in a different pattern. And so for people who are rehabbing from injuries, yes, getting into something that's a little bit spongier is certainly going to be more forgiving. Now, you can take that all the way to running on the beach, and that causing some problems as well just from the increased biomechanics that that causes too. So to get back to my point where moderation.  Lisa: Yes.  Dr Colin: There's a time to spend time in the sand, and there's a time to spend time in the trail, and there's time to get on the road. Lisa: And this trend it transition times, like when the barefoot craze hurt when my friend Chris McDougall’s book came out Born to Run and it sort of revolutionised everybody's thinking was like, ‘We gotta go barefoot because Barefoot Ted was doing it’. And we saw a lot of injuries come out of that. And no, no, no detriment on the book. It was a fantastic book. But people just went too fast, too far too fast. And we really need a transition time if we wanting to go barefoot. Would you agree with that? Dr Colin: Oh, it's not a matter of me agreeing with it, that that's just a matter of scientific fact.  Lisa: Yes.  Dr Colin: I mean, if you want to go from—which so I do agree with it. To that end, yes. There's nothing that's going to increase your risk of getting hurt more than taking off your footwear and going for a barefoot run. If you're used to wearing a maximalist style of shoe, taking it off going barefoot for 21K, you'll be lucky if you don't come back with a stress fracture. And certainly, my practice has been a mirror of that, right? I mean, at the end of the day, I see injured runners all day every day. That's what I do.  So, I like to joke that the greatest predictor of running injuries is running. But to that end, if you want to make these changes, I think they're great for people. And I think that they're able to make these changes in a proper informed way. And so even looking to what some of the scientific literature says they talk about a transition shoe specifically, right? If you're going to go from a regular 10 or 12 mil heel drop shoe to 4, 0, having a 6 to 8 mil transition shoe wouldn't be a bad idea.  There's one company that will remain nameless that when they changed all their heel heights from 12 mil to 8 mil, and no one really understood what that meant. I can't tell you the number of Achilles problems and things that came into the clinic two years after that.  Lisa: Wow. Dr Colin: Because making even that 4-millimetre change in someone who puts in 60 to 80 kilometres a week, and they're used to loading their tissues in a particular way when you all of a sudden change that with up to three times your bodyweight up to 10,000 steps, that's a huge change for your body all of a sudden. Lisa: Wow, that is insane. Just from a very small change. And look we all—lots of people just swap different shoes ‘Oh try those ones, or this time, I'll buy those’.  Dr Colin: Yes, exactly. Lisa: And so is it—and this is the other thing, brands keep changing. Dr Colin: Yes, every season. Lisa: ‘Ugh, damn. It's something new, it was perfect. And now it's gone again, I can't get it’.  Dr Colin: Yes. Lisa: So by a couple of pieces, when you do get something that's right.  Dr Colin: 100%. But even that, don't let them sit on the shelves for more than two years. Lisa: Oh, okay. Why is it? Do they degrade after that you sort of leave them?  Dr Colin: Actually the materials get stiff, the longer you leave them there. And so, that pair that felt really cushy a couple years ago, they let them sit for a couple of years, they're going to be harder...  Lisa: Oh, gosh. Dr Colin: ...when you take them out of the box.  Lisa: Oh, okay.  Dr Colin: So you can't just let them sit for years on the shelf. Lisa: And onto that note. How many kilometres? Like, how often should you be changing? I've always said between six and 800 kilometres max, what's your take on that? Is there a new science around that? Dr Colin: Science is interesting when it comes to that. I mean, there isn't a lot of actual hard science on that. The soft science of it is to look at the bottoms of your shoes and see. If you're a heavier person, at your initial contact, and I don't mean heavy, like actually just a larger BMI. But some people, my wife is a light woman but she sounds like she's going to come through the floor, two floors down when she walks. And so she'll wear out the outsole of a shoe much faster than somebody who strikes the ground a little bit lighter. And so if you look at the bottoms of your footwear and let's say you're only 400K into a pair of shoes, but there's an angle now where the lugs are totally sheared off one side, that shoe was now forcing you to walk that way. And it's not helping your biomechanics at all.  And so yes, I think as it—as a general rule, 6 to 800 kilometres is okay. But if you're not, if you're training on consecutive days, and if you're training in one pair of shoes, you're going to break down the EVA material much faster because that material needs about 36 hours to rebound fully, before it's ready to go again. But if you're training 24 hours, you're going to break down your shoe much faster. Lisa: Wow, that's a good point. I knew that. And I'd forgotten that fact. Thanks for reminding me of that because yes, alternating shoes on different days is something that I used to say, and I’ve forgotten completely about that one. So, that's a really good point. So, having a couple of pairs of shoes on the go, is a really, really good idea. Dr Colin: Yes, 100%. And to that end too we were talking about, with transition shoes, and whatnot, having them even a different heel heights for different types of running would also be great. I mean, so while you're doing a fartlek training, or tempo run, or a long day might be different than what your ratio is, or the all day everyday shoe. And so that little bit of variability, I think, is a really positive thing.  When you get locked into one movement pattern all the time, then your body comes to predict that. And if you can get that little bit of variability where you're lengthening some days, you're shortening some days, you're doing different things, and your body is used to that, then you're going to be more adaptive. But if you lock into that one pattern, it's going to be so much harder to change. Lisa: That seems to be the thing for everything in biology column. It seems to be a push and pull in a variety. You don't want to starve for too long, you don't want to eat too much for too long, you don't want to be too cold or in a thermoneutral zone for too long, you want—the body wants variety change. Not the same diet every day, not the same everything every day, and just by varying things up, we're giving our body a chance to get what it needs, and to have that variation—that push and pull that biology in all levels that I've been looking at seems to be cycling things. Cycling diet, cycling supplements, cycling shoes, cycling, changing in variety keeps the body guessing and keeps it changing, and keeps it so it doesn't go, ‘I've got this. And it's a piece of cake'.  Actually, I thought it just popped in my head. What do you think of Kipchoge shoes? The sub-two-hour marathon, the Nike shoes. Dr Colin: Oh, yes. Yes, I mean, wow, there—this is a fun time to be alive for nerds like myself. So yes, I mean, there's some really cool stuff that Nike’s doing in some of their footwear. And they're—I mean, one of the leaders. But I mean, everyone now is coming out with a carbon plated shoe, and really aggressive rockers, and a lot of this stuff from a performance standpoint. And it'll be interesting to see how it's controlled and how it's covered. And to what lengths can we go to be able to increase the performance of humans? We developed things like oxygen deprivation to be able to increase your red blood cell counts, to be able to increase your performance. Changes in footwear like this are not that dissimilar from that. It's just a question of, how much can we use them? And how does it work with you?  Lisa: Yes.  Dr Colin: Yes, and what's gonna be legal.  Lisa: And at the moment, it is, isn't it? Like it's...  Dr Colin: It is.  Lisa: Yes. And I had a friend, who's a holistic movement coach, I had on the show, actually, a few weeks ago talking about feet as well, the health of feet. And he said, ‘I didn't want to like those Kipchoge shoes', but I— because he's very much into barefoot when possible and developing strength in the feet. He said, ‘But I put’...  Dr Colin: Well, that certainly is the opposite.  Lisa: He said, ‘I have to admit, I run a hell of a lot faster when I'm soaked’. Dr Colin: Sure. Yes. But that comes back to the point of moderation, right? Is that there's a time for that shoe, just like there's a time to be barefoot. And it's using it in the appropriate fashion. Lisa: Wow, that's brilliant. And okay, let's talk about the knock-on effect of how the feet which have and you know this 100 times better than me, there's just a ton of nerves, a ton of bones as most complex structure that we have, the proprioception, and the connection between the brain is just so important that we actually have that neurofeedback from our feet. So, what sort of a fix do—what sort of things can we expect to have happen on a good side from proprioception when we're doing lots of activity? And we're doing lots of different movement types and varieties of training? And how does it help our brain? The brain-foot connection, I think, is what I'm trying to ask you here. Dr Colin: Well, I mean, anything that's going to make you more aware of what your foot’s doing in space is, again, only going to be a positive both from a balance and a performance perspective. It's striking to me that I can see some people perform incredible feats of athleticism, but then can't balance on one foot to do a pistol squat.  Lisa: Yes.  Dr Colin: Do you know what I mean?  Lisa: Yes. Dr Colin: Because they just don't have control over their ankle. And so when people think of their feet, that's one thing. But I mean, the actual foot itself, though, those deep intrinsic layers of muscles are more stabilisers than they are prime movers, right? The prime movers are going to be higher up in the leg, and the tendons of those larger muscles in the leg support the ankle, right? They're the ones that are tibialis posterior, and the perennials and the things that actually wrap around the ankle. So it's a matter of looking at the lower leg holistically, not just the foot itself.  Yes, those little foot muscles are important. But I think oftentimes, some of the higher stuff up is overlooked as well as the actual prime movers and the actual real good stabilizers that way because those things are going to fatigue out relatively fast, and then you're left with the larger muscles to be able to do some of those things. But when you're not paying attention to one of those two, then you're going to get a mismatch in balance and performance. And so it's a matter of being able to look at more. It's about being able to use your abductor hallucis appropriately, being able to use all of those intrinsics to raise up your arch a bit and reduce some strain in your plantar fascia.  I would never go as far as saying you're going to change the structure of your foot by making your foot muscles strong, but certainly, you're going to get a better grip on the ground and you're going to be able to use your feet like feet and not just like a meat slab that hit the ground to be able to get to the next step. Lisa: Yes, is it a bit like if I was to go around with gloves all day, and I wouldn't have the dexterity that I would need to do typing and learn to play an instrument or anything like that. Is that what's happening with our shoes, when we’re in shoes all day, every day, we're just taking away that connection to the brain and the brain's ability to be able to make those subtle adjustments with those little tiny muscles doing their thing? Dr Colin: You can look at it two different ways, right? Because one might say that yes, if you're barefoot and you know you've got skin on the ground, you are going to get a different sensation than if you have sock and then something else between you and the ground. Right? There's just different feedback when it comes to it.  But to say that putting footwear on reduces your proprioception, or your sensation completely, is a bit of a misnomer. Because if you have something that's, let's say, a little bit squishier, and your foot’s moving around a bit more, well, that's also a signal to your brain too in terms of where to fire muscles, and how to fire muscles and using those muscles on top of it. So, I think we can go in both directions. And again, there is a time when it's going to be appropriate. And there's a time when you want to be barefoot and getting that sensory input in just a different fashion to say—because, at the end of the day, I just don't think it's realistic in the society that we live in that we're not going to be out of it completely.  Lisa: We don’t want to come from class, and you know... Dr Colin: And so yes. So it's a matter of figuring out how to do that, in a fashion that's most appropriate, given the circumstances that you find yourself in. Lisa: A bit of a left-field question and a bit of a non-scientific well, oh well, there's probably stuff coming out now. What's your take on having though the connection to Mother Earth and grounding? And that type of thing, and being in the dirt, so to speak, and having the actual contact with the earth? Is there anything to that side of things? Or is it just no scientific data really around that? Dr Colin: There's absolutely nothing wrong with that, at the end of the day, and from a data and a science standpoint, I'm the first one to tell you that I'm not 100% up on that. Lisa: Yes.  Dr Colin: But I was listening to another podcast. It was Ben Greenfield recently.  Lisa: Yes, I like him. Dr Colin: Who was talking about some of—yes, yes, yes, same—as some of the science around that specifically. And I believe that there might be some science that has come out, I just haven't read it to be able to be up on it to be 100% honest with you. Lisa: Yes. I mean, I've heard various things and even like getting your hands on the dirt and gardening and how much of a good effect that can have on your body and your mind and your mood and things like that. Dr Colin: Yes. Lisa: And I mean, we are in science starting to actually see why is it important to go out and have early morning sunlight and circadian rhythms and all of these sorts of things...  Dr Colin: True, true. Lisa: ...and connection to the ground and the effects of the medicine, and I don't think we're there yet with all the science. But my take is—on that is yes, go out and spend 10 minutes a day with your hands and the dirt and connect with the ground. And if nothing, the being in nature is definitely going to calm you down and make you feel better.  Dr Colin: 100%. Lisa: Yes, so that's already, I think—okay, so just looking at some most common running injuries before we sort of wrap up the call. If we can look at like plantar fasciitis and perhaps Achilles and calf muscle injuries and perhaps knees. It's a picture you will cover in a few minutes, isn't it? If we want, the second podcast, Dr Colin. Dr Colin: Yes. We can do a podcast on each one of those actually. Lisa: Well, actually, I think I will be getting you on because your knowledge is next level. Dr Colin: Thank you. Lisa: So let's talk a little bit about say Achilles.  Dr Colin: Sure. Lisa: It's one of—it's a very common problem.  Dr Colin: It is. Yes, yes, it really, really is. And Achilles is a difficult one. Again, depending on where things are at and what we know, whether it's insertional, or midportion, there are definitely are two different protocols when it comes to it. So, from the physio side whether you do eccentric loading, which is raising up on two feet, lowering down on one or whether you're doing a different kind of strengthening programme that really is sort of the physio side of that end of it, where I tend to come in on that and where I tend to see a lot of Achilles injuries are people who wind up changing the drop of their shoe too quickly. And so they're used to running in something that's either too low or too high and then make it an abrupt sudden change, or they change their running style too quickly.  So, it's very common to see people who go—who are heel strikers who want to try forefoot running for the first time and if they do it improperly when you load the ground with your heel, I mean, yes, we know that if you overstride braking forces and everything else are really bad for you and smashing your heel into the ground might not be ideal for everybody.  But if you're running on your forefoot, you're striking, your initial contact is with your forefoot, then you touch your heel. Then you push off your forefoot again, right? So, one is heel midfoot toe, one is forefoot heel, forefoot. So, to that end, you're going through a much larger cycle of Achilles loading. And so for some people, especially who—if gene, you were talking about genetics earlier, we know that there is a genetic predisposition for some people, or Achilles issues specifically if you're one of those people, then that can certainly be a bad thing if you do it too quickly.  And so to that end, we talked about the very first thing we do is deload the Achilles. So using things like heel shoe, heel lifts, and footwear, to be able to, for a short period of time, take some of that load off the Achilles, allow it to heal and then gradually reloaded it as they've been working with their physio to be able to gain back strength and mobility and everything else. The one thing that I like to look at everybody who comes to my clinic because I think it's so incredibly important, is their ability to move their ankle appropriately because their calf musculature is flexible enough.  Lisa: Yes.  Dr Colin: And I'll get into trouble there because some people say, ‘It's not coming from your calf, it's coming from your hip'. It can be coming from your hip certainly if you have things that are changing your pelvic tilt, and it's lengthening your hamstring, and it's doing that, and then you're getting the effect of change that comes with it, it's a matter of just looking at it to understand where that change is coming from. But any ankle restriction in your range of motion can make you use your Achilles in a different way, the simplest way for your body to compensate for that is to out-toe and pronate more, well, you're going to get a rotational stress on your Achilles, for some people that's just going to be too much combined with the kind of running programme that they're doing. And so one thing to think about for sure. Lisa: Wow, this is like, you're a foot specialist, but you also need to have a really good understanding of the whole anatomy of the body really, don't you? Because you have to be a holistic in your approach because, and then this is one of the issues that I have with the medical world in general, now speaking is that they’re so siloed. If you've got a lung problem, you go to the lung specialist, or the pulmonary, if you've got a heart and then the ear, nose and throat are separate, and yet it's to do with your lungs, like, we need to have a holistic ‘Look At It systems’ in the body or the—not even systems, but the entire body, so everybody has to have it.  Dr Colin: Yes. Lisa: And it's difficult because you have to have a specialised education in feet, you can't be an expert in feet and an expert in hips.  Dr Colin: Yes.  Lisa: But you do need a general education to be able to understand: what the roles of the other therapists or doctors or whatever it is in order to have a good understanding. And I think that holistic approach were possible, into sort of disciplinary communication, is really, really important. Would you agree with it? Dr Colin: Oh, that's the only way that I work is multi-disciplinary. And so if there's one specialist that thinks that they can fix everything, then that usually makes me want to run away screaming. And because there's just isn't enough flexibility in your thinking to understand that, maybe what you're doing won't be enough for somebody. And again, can't tell you the number of people that come in to say, ‘I've seen my ex-specialists who said, there's nothing else that can be done. We get them back running within six weeks'.  Lisa: Wow. Dr Colin: You know what I mean? It's only because we were flexible enough in our thinking to be able to say, ‘Yes, we're gonna change this little thing over here. That might be the thing that's going to get you back to what you want to be doing'. So, it’s so... Lisa: I could go in a rant on that, really. I could go on a rant about the amount of times that people have been told, ‘You can never run again'. I was told I would never run when I broke my back when I was a young lady. And that were wrong, 70,000 kilometres later.  Dr Colin: Yes. Lisa: If I'd lifted up to so-called experts who, with my mother who had a massive brain aneurysm five years ago and who said that initial, ‘You’ll never have any quality of life again’. She's got massive brain damage. They were wrong. I spent five years rehabilitating her, but they were wrong, and she's completely normal again. So, it's not just accepting—what I think is important to realise is the limitations of your knowledge and saying, ‘Hey, I don't know, I'm at the end of my abilities'. You might have to look somewhere else, or outside the square, or try something else to talk, to so and so.  Dr Colin: Yes. Lisa: And that's fine. That's good if we get there but not blanket saying, ‘Well, you can never run again because you've got a knee injury.’ The amount of times, amount of runners who have come on doctors said I should never run again because I've got some slight knee problems, and I was like, ‘Really?’ Dr Colin: Yes, no, I agree. So, a case in point in my own life, I have congenital arthritis. That's so bad. I had my first hip reconstruction at 17.  Lisa: Wow. Dr Colin: That left me with a four-centimetre leg length discrepancy. So I've got some real orthopaedic problems. And was racing mountain bikes at almost the pro-level in Canada in downhill at the time, and wanted to pursue that. And I was told, ‘Never ride a bike again', this kind of stuff. And I'll be doing a half Ironman in Muskoka in July...  Lisa: Wow. I love it.  Dr Colin: ...25 years later.  Lisa: Exactly.  Dr Colin: So, ye

Do you ever pay much attention to your feet? Our feet are our first point of contact with the ground, and we walk around on them all day. But most people just wear shoes and call it a day. And if you’re a runner, then all the more reason to maintain good foot health! So how do we take care of our feet? Dave Liow, an exercise physiologist and holistic movement coach, joins me in this episode to discuss feet and how to optimise foot health. We talk about some common foot conditions, and he also shares advice on selecting the right shoes and improving foot mechanics. For runners and everyone else, don’t miss this episode and learn how you can achieve good foot health!   Get Customised Guidance for Your Genetic Make-Up For our epigenetics health program all about optimising your fitness, lifestyle, nutrition and mind performance to your particular genes, go to  https://www.lisatamati.com/page/epigenetics-and-health-coaching/. You can also join their free live webinar on epigenetics.   Online Coaching for Runners Go to www.runninghotcoaching.com for our online run training coaching.   Consult with Me If you would like to work with me one to one on anything from your mindset, to head injuries, to biohacking your health, to optimal performance or executive coaching, please book a consultation here: https://shop.lisatamati.com/collections/consultations   Order My Books My latest book Relentless chronicles the inspiring journey about how my mother and I defied the odds after an aneurysm left my mum Isobel with massive brain damage at age 74. The medical professionals told me there was absolutely no hope of any quality of life again, but I used every mindset tool, years of research and incredible tenacity to prove them wrong and bring my mother back to full health within 3 years. Get your copy here: http://relentlessbook.lisatamati.com/ For my other two best-selling books Running Hot and Running to Extremes chronicling my ultrarunning adventures and expeditions all around the world, go to https://shop.lisatamati.com/collections/books.   My Jewellery Collection For my gorgeous and inspiring sports jewellery collection ‘Fierce’, go to https://shop.lisatamati.com/collections/lisa-tamati-bespoke-jewellery-collection.   Here are three reasons why you should listen to the full episode: Find out how to take better care of your feet. Discover the benefits of going barefoot. Learn how to select the right shoe for you.   Resources Holistic Movement Coach on YouTube The HMC Footy Show, foot exercises on YouTube How to start looking after your feet on YouTube Exercises for bunions on YouTube Holistic Movement Coach website   Episode Highlights [03:29] Why Feet? When he started looking at movement, Dave noticed that the feet were one of the areas trainers had no idea about. People have 28 bones in the feet and 55 articulations from below the knee. Over a third of the bones here are in the feet, which tells us how important they are. It’s an area largely being neglected by movement experts and professionals. [05:45] What Shoes Do to Our Feet So much space in the brain is devoted to our feet and hands, and if you walk around with sensory deprivation chambers on them, you’ll lose that space. The bottom of the foot (plantar fascia) is extremely precarious, full of reflectors that send information to your brain about how you’re moving and interacting with the ground. By wearing shoes, we break that link. [09:56] Improving Foot Mechanics and Foot Health Keep your feet out of shoes as much as possible. Whenever Dave has the chance to go barefoot, he does. By going barefoot, you are giving as much information to your feet as you possibly can. Shoes provide a lot of support for your feet. Not wearing shoes will improve your feet’s strength. A healthy foot is a mobile foot. If you can’t do a lot with your toes, it shows you need to do some conditioning on your feet to make them smarter and stronger. Plantar fasciitis is one of the most common foot problems runners encounter. Listen to the full episode to learn more about some of the most common foot conditions! [17:21] Bunions and How They Affect Your Foot Health The exact cause of bunions is up for debate, but there is certainly a genetic and environmental component to it. A bunion is when your big toe starts to go in and some calcification forms around the joint. Bunions cause compressions in the foot, leading to problems in the nerves between the bones of your foot. There should be adequate space between your toes, allowing your foot to move and breathe. This also applies to your footwear—your shoe should have a wide toe box to give your toes enough space. You can do foot exercises for bunions to prevent the need for surgical treatment. [24:10] How to Deal with Plantar Fasciitis Typically, people who have plantar fascia issues will feel the bottom of their foot locked up, especially in the morning. Increasing your running distance too quickly and incorrect foot mechanics are common causes of plantar fasciitis. Icing the foot takes some of the pain away. Applying light pressure on the affected area can hydrate the tissues and make them healthier. Adding the right kind of load to it will help line up the fibres and make it strong again. Movement issues can disappear if you keep your body balanced. [29:55] On Running Shoes Dave and Lisa talk about a shoe that reportedly takes 4% of your running time. More track records are broken lately due to the improvement in the technology used to create running shoes. These new shoes are all about sports and performance, not health. There are different types of shoes for different purposes. Being barefoot all time can also cause issues because what goes on your skin can absorb what goes on it. [37:11] The Truth about High Heels When you add an incline to your heel, it lifts you and pushes you forward, breaking your kinetic chain. To avoid falling on their faces, people who wear high heels adjust by pushing their posture forward and arching the lower back more. When you’re in high heels, you’re effectively pointing your toes. This shortens the calf muscles, which can end up reducing the motion in your ankle, pulling you into pronation, and collapsing the arch. Wearing high heels often can change the way your muscles work. [44:21] Supplementation for the Cartilage and Joints Dave reads up on what he thinks is useful and what’s not, and he uses it on an individual basis. A decent multivitamin is a good place to start. Dave is a fan of probiotics and fish oil. However, if you’re sensitive to histamine, do your research first before taking probiotics. He also recommends working fermented food like kimchi and sauerkraut into your diet if it suits you. [51:08] Dave’s Take on Orthotics Dave thinks if you have a foot without a structural issue or a neurological deficit, you can do without orthotics. Orthotics provide support and are often prescribed to block motion. Foot mechanics change when you have your foot on the ground versus in the air. A lot of the mechanics that are put into orthotics aren’t done in a closed chain, which changes the whole way the foot works. If you think you may need an orthotic, consult first with someone who knows how they work and can give you proper advice. Dave takes a holistic approach when it comes to foot health [1:00:06] Dave’s Experience with Reflexology There are different types of reflexology, but it’s often associated with feet. The idea is your body is represented in smaller areas of your body that you can access. Dave has tried reflexology on himself, and it worked well. He particularly had some good results with the sinus points around the toes, which help to clear the sinuses. He finds it relaxing, because looking after your feet is looking after your whole body—it’s all connected. [1:02:52] How to Select the Right Shoe Be careful of the marketing of shoe science. In reality, it isn’t the shoe that makes the difference. Pick a neutral shoe that feels good. Research shows the more comfortable your shoe is, the more efficient you are. Get the lightest and the most minimalist shoe that you are happy with.   7 Powerful Quotes from This Episode ‘I’m constantly dumbfounded by how little care people have taken on their feet’. ‘The foot and the ankle are a huge player in my model and certainly one that I think having a very big impact on how people move well’. ‘Shoe choice doesn’t start and finish when you’re done running—it’s throughout the day’. ‘Be careful where you expose your feet to because it will go in you and then we'll take it into your health. There's time and place for everything’. ‘It’s not about speed and power… It’s keeping everything as best as you can in optimal performance and stopping things before they fall down the cliff and being in that preventative space’. ‘If you think you can get everything out of your diet, even if you’re eating organic, you probably can’t… So certainly, some supplementation is useful’. ‘It’s not the shoe that does the running; it’s the person that does the running. Technique and conditioning and looking after yourself and your health has much more effect than a shoe ever will’.   About Dave Liow Having mentored many coaches and trainers in New Zealand and Australia, Dave Liow is following his passion for sport and health and love for teaching. As a health professional, exercise physiologist and the founder of the Holistic Movement Coach Programme, he is constantly striving to find ways to be healthier and move better. You may connect with Dave on LinkedIn or Facebook. You can also visit his website or watch his YouTube videos to learn how to take better care of your feet.   Enjoy the Podcast? If you did, be sure to subscribe and share it with your friends! Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends so they can know how to achieve good foot health. Have any questions? You can contact me through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram and YouTube. For more episode updates, visit my website. You may also tune in on Apple Podcasts. To pushing the limits, Lisa   Full Transcript of the Podcast! Welcome to Pushing The Limits, the show that helps you reach your full potential with your host, Lisa Tamati, brought to you by lisatamati.com. Lisa Tamati: Hi everyone, and welcome back to Pushing The Limits this week. So I have two guests. Dave Liow this time. Now Dave is a repeat offender on the show, and I love having him to guest. He is one of my great mentors. And I hope you're gonna get a lot out of today's session.  Today, it's all about feet or so. This is one for the runners out there for sure. But also for just optimizing your foot health and also the whole kinetic chain, your feet where you connect with the ground obviously, and it affects your whole body. So we go to a deep dive into looking after yourself in regards to your feet. For the runners out there, it's all about playing for charters and bunions and picking the right running shoes. But there's also a whole lot of need for people to just have—want to know about good foot health.  Before we head over to the show, Christmas is coming. So if you want to grab one of my books, or one of my jewellery pieces, I’ll love that. You can head over to lisatamati.com. All the things are on there. And we're gonna be having a little break over the Christmas period. Maybe one, maybe two weeks from the show. I'm not quite sure at the stage, depending on the team's requirements over that period. So I hope you do have a good time of the Christmas. If you're listening to this afterwards, I hope the New Year's starting off really well for you. Before I go over to the show, just a reminder, I do have a couple of places left. We're nearly full on our one-on-one consultations, health optimization coaching. If you have a problem that you'd like to get help with, whether it's a high performance, whether you're a top athlete and wanting to get to the next level, whether you're wanting to work on your mindset, or maybe you've got a really complicated health challenge that you're just not getting any answers for, or you're having trouble sifting through all of the information and getting the right stuff—then please reach out to me, lisa@lisatamati.com. Right. Now over to the show with Dave Liow from the Holistic Movement Coach.  Lisa Tamati: Well, hi everyone. Welcome back. Today I have the amazing, the incredible, awesomest, Dave Liow on the show. Dave, welcome back, repeat offender.  Dave Liow: Hi Lisa. Lisa: I'm super stoked to have you today. Dave Liow: For the podcast you mean, right? Lisa: You’re a repeat offender for the podcast. Coming back to give us more. Not an offender in any other way.  Dave is an expert that I've had on before and he's definitely one of my mentors. And he's been to—Neil, my business partner for many years. And he is a mentor to many of the coaches and top trainers in New Zealand and Australia. So that's Dave's background. And you've got a background in physiology, don’t you Dave? Dave: Yes.  Lisa: You have a company called the Holistic Movement Coach. And will you—we're going to talk today about feet. People are like, ‘Wow, that's really interesting topic to talk about’. But it is. It's really, really exciting. Last time we had you on the show, we talked about the science of life, and that was one of the most popular episodes. So I'm really…  Dave: Great! Lisa: …happy to have you back on and to share some more of your absolute amazing wisdom. So today we've picked feet. What are we gonna to talk about, Dave? What are we going to share about feet and what you need to be aware of? Dave: Well feet’s one of those interesting ones. So from—as a movement professional, which is really my background. Though, being a holistic movement coach, if you just look at movement, you're gonna come unstuck pretty soon. So when I started looking at movement though, one of the things that I noticed that was one of the areas that were neglected were feet.  So we're seeing or looking at people's lumbar spines all the time and come to wideness not losing link from the top of the head. But a lot of trainers and movement professionals weren't even looking at people's feet. They had no idea what was going on, underneath those shoes of theirs. So for those of you who might think about maybe the back, whatever. Imagine if someone was wearing a big potato sack over their whole body, and you couldn't see where the spine was at trying to train them. So trying to work with someone and get them to move well without looking at their feet is to me just crazy.  Lisa: Yes, nonsensical. Dave: Yeah. And we've got 28 bones in the feet. So 28 bones, and we've got 55 articulations from below the knee. Lisa: Wow. Dave: So over a third of the bones are in the feet there. So that tells you about just how important that area is there. We have a look at the muscles that run down below the knee too. We've got 50 muscles. So added it, 276 ortho muscles, I think that's about right muscles. We have 50 below the knee so that shows you just how important there is. And it's an area that I think has been largely neglected by moving professionals. Lisa: Yes, it makes the total amount of sense. And we are on them all day, and we just shove them in a pair of shoes. And sometimes those shoes, you know, like ladies' high-heeled shoes, and tight shoes, and badly shaped shoes and don't do a lot barefoot—going out barefoot. Let’s start there, let’s start like—what does shoes do? When we put a pair of shoes on our feet? What sort of things are we taking away from our brain? Like, I always liken it to going around with a pair of gloves on my hands all day. I'm not going to be able to paint a picture and initiate anything, am I? Because I've just taken away all my proprioception and my ability to coordinate those fine motor controls with my hands. So we get that sort of analogy but actually, we do that to our feet all the time. Dave: And that's a wonderful analogy, Lisa. And so the representation in your brain of your body is called homunculus. So your brain has representations of all your different body parts. And some body parts are represented very, very—have a very large representation in the brain because they may have a lot of sensation and require a lot of fine movement.  So there's a huge representation in your brain of your face because if you look at the number of expressions you can do, and the articulations you can do with your tongue, your lips—there's a lot of area in the brain devoted to the face. Same with the hands as well. So you look at the fine movements you can do in your hands, isn't it? And how pink your hands are say compared to your elbow. It's incredible how much space in the brain is devoted to the hand.  Now one other is the feet. The feet have a massive representation in the brain as well. But with that, though, we know the brain is plastic. It can evolve and it will adapt to whatever environment you're putting it into. If you're walking around with that, the gloves on your hand, or in this case as one of my mentors Phillip Beach would say, ‘With sensory deprivation chambers on your feet’… Lisa: Wow. Dave: ‘…you will lose that representation in your brain’. And the bottom of the feet is extremely propiocept. Isn’t it? So many on that plantar fascia, that part of the foot there, is full of receptors which send information up to your brain. Giving you information about where you are, how you're interacting with the ground, and how you're moving. And without that, and by breaking that link there, there's a price to pay. Lisa: Yes, yes. And we just willy nilly wear shoes from the day we're born, pretty much. And if we're lucky in childhood, we might have run around bare feet a little bit. But most of us have got his feet and shoes all day. So you're saying that the—what did you call it? the munculus? Dave: Homunculus. Lisa: Humunculus? Dave: Homunculus.  Lisa: I never heard one before. I did, like, hear the representations. Like I don't know where I picked this up, some podcasts, some ways, something. If you have two fingers that you tape together for say a month. Dave: Yes. Lisa: When you untape them, you are unable to move them separately because the brain has wired them as being one unit. Another example of this is where people—they lose a limb. The brain still has the representation of that limb, even though the limbs are gone and they feel the pain of that limb. And this is like, the brain is like, ‘Hey, why? Where's my arm gone? Where's my leg gone’? or whatever.  And we're doing this to much lesser degree but when we don't need our toes and our things wiggle and wobble and do the proprioception. Okay, and we can improve our performance. Now, as runners are listening to us, let's talk about a little bit why this is important for runners to be able to sense the grounds and have good proprioception. So what are some of the advantages of having good—taking good care of our feet and maybe going bare feet a little bit. Dave: Oh, massive. One of my buddies, one of the things he has around feet—he has a lot of background in horse training. And he says, ‘No foot, no horse’. If you have a horse which damaged his hoof, then that's pretty much the end of that horse. They can't do a lot. And for you being an ultra-runner, Lisa, I'm sure you understand when your foot goes wrong.  Lisa: Oh, yes. I'm in trouble.  Dave: Yes, you are, you're in a lot of trouble. So I'm constantly dumbfounded by how little care people have take on their feet. I work on my feet every day without fail.  Lisa: Wow.  Dave: I'm certainly not an ultra-runner. I'm not the same class as you guys. But the amount of care that I take on one of my major movement teachers… I know this time when I lift… Lisa: So okay, what are some of the things that you would do to improve your foot mechanics and your proprioception and stuff? I mean, obviously, it's a little bit difficult with our podcasts and we can't show. I’ve got some video but… Dave: So there's that saying, ‘use it or lose it’. If your foot’s in a sensory deprivation chamber, you're gonna lose it pretty quick. So I like my foot to be out of things as much as possible, though... Lisa: Like right now? Dave: Yes. Quite a surprise, no shoe. Yes, I don't really wear shoes much. I wear [10:14 unintelligible] more than other shoes. If I'm running off-road, I'll certainly—and on concrete—I’ll wear some shoes. And we'll kind of talk about the shoe design a bit later on. But whenever I can go barefoot, I will. So if I can give as much information to my feet as possible—that's going to keep them smart, but also gonna keep them strong because shoes add support. That's what they are.  Lisa: Yes. Dave: You will not believe how much support shoes add. And you'll notice when you take them away, if you try and run barefoot, if you've been wearing sickly shoes with a lot of stability that added in there. So by going barefoot a fair amount of time, you get a very strong foot as well. So that doesn't come down to running shoes. And I guess we'll talk about running shoes in a bit.  But if you're wearing running shoes all day, even when you're not running, well, you're adding support there 24/7. I understand that some people might want more support when you're running, when you've got high forces going through your feet, but walking around and running shoes all day or highly-supportive shoes. You're basically walking around with. Lisa: Crutches. Yes, and making yourself lazy. You're making yourself lazy. Yes. Dave: Yes, right. So you're certainly going barefoot as much as possible. Now I do a lot of work at night to make sure that my foot’s mobile. A healthy foot is a mobile foot. So one of the things that they’ll often say is ‘the foot is not a hoof’. A hoof is rock solid and hits the ground and off the coast. So look at what you can do with your hand. Okay, you should do an awful lot with your toes as well and get them moving. So if you've lost the ability to do that, it really shows that you need to do some conditioning work on your feet and get them smarter and stronger.  Lisa: And if you don't, this is where some problems come up. If you can wiggle your toes and all that sort of stuff, you can prevent issues like yes—let's look at a couple of a common running problems that people get. Things like plantar fasciitis is a biggie, or even going up the leg a little bit. Like shin splints, and the problems in the calf, in the Achilles. Are these coming from the feet at all? Dave: Well, they’re coming from running. And there's some sort of mechanics going on there. But think of the foot, that's your first contact with the ground. When that goes wrong, everything in the chain will [12:37 unintelligible]. And if we think about something like a marathon, you've got 30 to 50,000 impact on the ground. That's a lot of race. So something's going wrong. This repetition over and over and over again. That's gonna end up breaking you.  And we're talking about forces, which you can't—two to five times your body weight depending how you're running. Now that’s a hell of force, a hell of a repetition. If something's not working right there, you will pay the price. Will you pay that price? Well, it depends.  But if we look at running injuries, straight off the top. Probably 15% of those will be at the knee. So the knee is normally the one that pays the price. But you know, I often say this in my lectures. Knee’s a dump. I knew that they kind of extracted and they've been—they have a little bit of rotation. But you see that one too much. And they have a little bit of sideways motion, but you don’t want too much of that either. So the knees are dump. So it's not only the knees fault that the knee gets some problems. It's normally the foot and ankle, or it's normally the hip, that's normally where I'll go.  And if you're a runner and you're getting knee pain, I'd be looking at either the foot and ankle. After the foot and ankle I will be looking at their hips straight away. There's something going wrong in those areas there. So about 50% of people will get knee pain more common in females than males by a long shot. Now, we look at kind of around, kind of Achilles as well. That's another area that can get a fair bit of problems as well. That's probably around… Lisa: That's mum, as usual. Ringing in the middle of the podcast. Dave: Calling mum. So around 10% of people get Achilles issues. That's another really common one and that's more a male thing. So that's the case, the 40 plus male is that actually the shoe. But then you'll get your IT band and touch that, which is probably around like 5% of the injuries. [14:32 unintelligible] can be in the foot or your tibia as well. And that's probably around 5% too.  So those are the main injuries. You'll see that getting running back, but knees if I was gonna go after one injury in running, knees are normally the one that pay the price. And there's certainly a big relationship between the foot and the knee. Ginormous. Lisa:  Right. So it's not always go up. Mechanics of the knees is the actual problem is down, or above, or below.  Dave: Yes. Almost always. Unless you've had an impact at the knee? Yes, you can treat the knee and always look at knee because if people come and see you for a knee injury, if you start playing the beat straight away, they'll go, ‘Well, hang on’.  Lisa: ‘What's this going on’? But it does make sense that the kinetic chain and the linking together and trying to find out where the original problem was coming from. Not just where—because like Neil's always said to me, ‘You know, like, if you've got a problem with your ankle, it can affect your shoulder’. And I’m like, ‘How does that work’? You know? Dave: Absolutely. Yes. Where it goes, nobody knows. Lisa: And how do you trace it back? How do you trace up a back problem to the ankle? Or the piriformis? Dave: If you know what it should look like and it doesn't look like what it should look like, well, what happens if you change and make it look more like it should? How does that change things? And that's normally in a nutshell the approach that I'll take. I guess that’s where you need to have a reasonable reference library of saying that, nothing more than my fair share of runners. And I'm sure you have too. I mean, if you feel someone running down the street, now you go, ‘That's not a very experienced runner’, or ‘Oh, boy, that's very experienced runner’. Well, you know that because you've seen so many runners.  So having that, I guess, experience in that database to draw from, and then understand the mechanics, and really add into it what you got. And I know what you gotta do in your Running Hot business. Well, you understand your body and you understand running technique, you can put that together and solve some wonderful problems.  Lisa: Yes, absolutely. But it is like a bit of a counterintuitive thing. I had a guy like, ‘Oh my piriformis’. Like Neil said to me the other day when he saw me, ‘Oh my God. Your bunions are getting really out of control. We got to do something about that’. And I'm like, ‘Oh, is it’? Sometimes you don't notice the things because you're just seeing them every day. You know? So let's talk about—let’s say some specific type of things that we are looking at. So let's look at bunions for that. What are bunions? And what effect can they have on the mechanics of your feet and up the body? Dave: Yes. So bunions—the quarter bunions is up for debate. There is certainly a genetic component to it. So either your mum probably has bunions. I guess. Lisa: Yes. Yes. Yes, you're right on money.  Dave: But that there’s also a big environmental part to it as well. So bunions, when your big toe starts to go in, then you'll end up with normally some calcification around that, well, that first joint—the joint in the big toe—that's probably a better way of saying it, around there as well.  What that does too is compresses the foot. The big toe goes sideways compared to it goes to the next [18:02 unintelligible], that compresses the foot, as well. So we get a lot of compression in that foot. They cause a number of problems. In between those bones in your foot. You've got a lot of nerves that run through there. So when those toes get compressed together, those nerves can get very irritated. Next, become very, very painful.  So and probably just as a little sideline here, if you were to pop your hands just in front of you there—if you're driving a car, listen to this, it's probably not such a good idea. But try this later on, you just put your hand down and look at your hand. So notice the space between your fingers there, that you put your foot down and have a look at your foot, you should also see space between your toes as well. Spacing’s really important to allow that room for the foot to move, to breathe. And also to get those space for all those straps in your foot to go. Lisa: And that’s with you naturally just having the foot there and not trying to spread them but just... Dave: Just naturally you should see space between your toes.  Lisa: Oh, wow. Dave: That you see a nice wide foot there. I love it. I love a good wide foot. Yes, so compression in those toes. And that can be a footwear choice thing too. So if you have shoes, and we've talked about toe box, that's the front part of a shoe. So we go out the toe box, this area through here. So the step front pair of shoes give a wide toe box in a shoe design that lets the foot spread out versus one that narrow and pushes the toes together. Lisa: Gosh. I should know about that. Yes. A lot of the shows that I get, I get sponsored by some brand or whatever. And then like I couldn't wear them.  Dave: Yes, the kiwi foot. Yes, and also this is a column that does this as well.  Lisa: Yes.  Dave: And with me, I've got a nice wide foot. I will not wish you for the narrow toe. It caused me nothing but problems. So footwear choice can be one of the things they also drive a bunion.  Now the other part too is that, when you've got that big toe and that big toes moving sideways, rather than going through the foot, you will often go inside the foot and fall into it. You get more pronation than what you normally have. So we lose the arch of the foot because the way the foot’s designed to move is your desire to move through and move through the big toe.  So, when we talk about the cycle of walking and running, we even have a phase of that called toe off. Because that's a really important part with a big toe pushes off. So if your big toe is going sideways, it's going to be—when you can't go through the toe, we’ll have to go around the toe. And that will cause a lot of wear and tear that can, after a while, that will start to break that foot down.  Now that may require you to drink, unless you do some exercises. In Sydney, we have some real bunion experts and my team, some of my guys love working with bunions. And you can certainly bring that foot back if you have surgery to repair bunions. So if you don't do the work, well the same thing is going to happen again. You just go straight across and they'll end up having to cut your foot open. Lisa: Yes, yes. Dave: My mum had bunions. But I gave her a little exercise program, and I'm pretty sure that's on my—that may be on my YouTube channel.  Lisa: Okay, we might get the link off here.  Dave: And yes, if not, I'll put it on there. And yes, she had some exercise to do for bunions. Her bunions pain disappeared and my mum's in her 70s. So you can certainly reverse that and have her feet are straighter. I’ve had some people come back from their podiatrist and I go to say, ‘What the hell have you been doing? What have you been doing? Keep doing it. Because your toes are straightening, and your foot in better condition’. Lisa: So you can sometimes avoid surgery. Wow, that's pretty amazing. That's pretty amazing. Dave: Well, and even if you have surgery, if you don't do the follow up, you're gonna end up having it again. It’s a huge amount of work with a huge amount of things you can do to help out your bunions. Lisa: Okay, that's really good because I have—got a very neglected bunion. I've always like, ‘Oh, it’s not causing me major troubles yet’. You know? Now I'm thinking, ‘Shoot. I need to address it’, because it's getting, like, Neil noticed that last time I was with him, it's getting worse. And I'm, ‘Oh, this is it? I thought it was the same old, same old’. Neil exclaimed no. And I've got troubles with piriformis. And I'm like, ‘I've been looking at piriformis trying in working on that’. And that could be, could be, could be, might not be, could be a knock on the feet there. Dave: So thinking about how that could relay. If you've got that bunion here, and your foot’s falling into pronation and it’ll take the knee with it, and it will take that whole hip and will rotate in and everything will rotate in there. What stops it? Well piriformis can stop that. So if piriformis is having to make up for a foot function issue there, well, that's worth working.  If you release piriformis, and get that guy—well, now you've got nothing holding your foot together. So where's that guy next to the public often deal on the spine? That's probably where we're going next. And then it could be somewhere else too, or it could travel to the knee. Lisa: Yes.  Dave: So, you know, we talked before about finding the source. Fixing the foot would be a really useful one. And if you're still on your feet, a fair amount, which knowing who you are, you certainly want that contact with the ground. Lisa: Yes. Yes. Yes. Dave: Sort it out. Lisa: Like paying attention to the little changes that are happening in your body because sometimes you think, ‘Oh, no, you know, it's all the same’. And then you don't see changes in your own body when you don't, when you see yourself every day, or your loved ones. Or sometimes you just like got your own little blind spots. Okay, so if we can dig that video out, we'll put that in the show notes for sure.  Let's talk about plantar fasciitis because this is a major problem. One of the most common running problems, especially the people who have up the distance very quickly or done some things here, what is plantar fasciitis and what can we do to deal with it one? Dave: So the left part of fascia is a layer of fat or connective tissue that goes right along the bottom of the foot. And as I mentioned before, that has a lot of receptors on it. So it's very rich in receptors, though can get extremely painful. And typically people who have plantar fascia issues will get out of bed and they'll try to put their foot down, and take a snack, or walk, and start walking, and the whole bottom their foot will be locked up. It'll take a while for that to loosen up so they can use that foot.  More often, you'll get that around the front of the heel, so none of them pointed the heel back in towards the centre of the foot. And sometimes that'll run up in bands as well. Now, the change in volume too quickly is your number one culprit which you mentioned. And that centre area. But certainly some foot mechanics can also have an issue there as well. So the plantar fascia is—in your foot, you've got well, definition you got 50 muscles that run below their knee—all could help control that foot. Your plantar fascia is there, it winds up, and plucky when you bend your big toe. It helps wind up that panic factor to help make the foot rigid to make it to leave so you can push off it.  That's one of the—there’s sort of two main functions of a foot. The first one is to allow the foot to splat is my technical term. Hits the ground and conforms to the surface that it goes to, number one function. Second one is it becomes a rigid lever so you can repel off it. Well, that's pretty much what a foot does. If you have kind of with a narrow down.  So we've got an issue there with that timing between backing and becoming a rigid lever. And the plantar fascia is wearing it somewhere there. Now there's—we can look at the plantar fascia, and you can try and treat the plantar fascia. But there's a lot of layers of muscles and a lot of timing that happened before that plantar fascia that’s been beaten up. So there's something gone wrong with the timing of how you're going from flat to rigid lever that's causing that.  And particularly if you overload into that. So if you've increased your volume too much, that's often the last well, kilometre, or 1000 footsteps that broke the camel's back. So I want to look at what's happening with the ankle and the foot, and I'm always interested in the big toe when it comes to plantar fascia. Lisa: Right, so that's your big lever. Point, really big toes when you push off and you get that elasticity sort of wound up. Dave: Massively important part that big toes. The amount of bones you have in that big toe, and for those of you with bunions, or pinchy injuries in that big toe joint as well. That's a really important one to get looked at. That can have a massive effect on everything up the chain.  Lisa: Wow. Yes. And what can you do about it? Are there some exercises that you recommend? Like, you might have fascia release, you make your ball rolling, that type of thing for the actual plantar fasciitis itself, the stretching and icing, and all that jazz? Dave: Icing can be nice, and that takes some of the pain away because it’s very painful. Having some light pressure in those areas too can help hydrate the tissues and get them healthier again. Because during—if you have some sore spots in their plantar fascia, often they won't have the hydration and the movement, because it's still layers and layers of tissue. Now, if you can get those moving better and hydrated, that will heal better.  Adding some load to it can be useful too, you just need to be careful where you are in their injury spectrum. But it actually does require some loading because the loading will help actually line up the fibres and get that strong again. But it needs to be the right type of loading starting slowly and building up. That sort of mechanics. In big toe, you'd be wanting to have a look at and also what's happening with the ankle. Check that you've got enough dorsiflexion to get into more. How much can you bring your ankle? If you've got a restriction on the ankle and a restricted big toe, your plantar fascia—well, everything in the foot but the plantar fascia, may end up wearing that one. Lisa: Yes, yes. And there's a couple of tricks to do with the dorsiflexion that I can link to another video there that Neil's done. Where you can push that—I’ve forgotten it—talus bone. Where you pushing it back into—because sometimes there’s some sort of a line. Yes, this one,  this one. Trying to find the words. Dave: Restoring their ankle dorsiflexion will be critical. I think that the foot and ankle, I'll look at three main zones in the body. In terms of my model for looking at movement. If you get the torso moving really well, that's very important for rotation. If you're running, you get the pelvis and hips moving really well, that would be my second zone. And the third zone would be the foot and ankle. So if you can get those three zones working well, normally I take 85% of the movement issues will just disappear. Right? And so the foot and ankle are a huge player in my model, and certainly one that I see having a very big impact on how people move well or done don’t move well. Lisa: Yes. Now, that's really good. So the torso, the pelvis, and the feet. So working on those areas in trying to get things balanced.  Dave: Yes, well, the big thing on that that's where I missed them.  Lisa: And those are the three areas—the key areas—and obviously it's the score a lot of work Dave but yes. It's everything from drills and exercises and it's what we do, what you do.  Let's look at now, for runners, talking about running shoes, and buying running shoes, and picking a shoe that's good for you and what you're doing. You were showing me some running shoes before and for people on the podcast, you can't see, but says Kipchoge ones, what do you call them? What are those shoes? Dave: So these are Nike's Zoom Fly shoes. So for those of you who are listening to this, rather than watching it, so this is the shoe that Kipchoge wore to get his sub-2-hour marathon. And they have fibre placement, which have an awful lot of recoil. And also, it is over four centimeters of foam here, but the foam has incredible amount of recoil.  Lisa: Wow.  Dave: So the theory is these will take 4% of your running time.  Lisa: Wow, that’s messed up.  Dave: There’s actually a spreadsheet, which I got hold up to. We can actually look at your running times and calculate how much of a difference it would make to your running performance. And yes, I mean, who wouldn't pay for 4%?  Lisa: Yes. Dave: Mostly runners, my straight line runners, will compete in these. And you'd be a magnet to, if you want to run fast on straight lines. These are extremely high and extremely unstable. If you wouldn’t run on trail with these, no way.  Lisa: Like the HokaOnes, you know, like really deep into the thing that a big sole...  Dave: No, these are high. And they're incredible amount of recoil. They do push you very much, your forefoot style. So what I’ve noticed for days, I totally didn't want to like these. Lisa: Cause you want more people to go bare feet. Dave: I ran in them last week. This is ridiculous.  Lisa: Ridiculously good.  Dave: The speed and ease is something else. And certainly most of my runners who run straight liner, competing in these and certainly in the meantime and now, unless athletes have sponsors, those are the shoes they are picking up. And why wouldn't you if you can—I mean getting 4% improvement in performance is there's something else, even with training. If you can get that by paying for it, why wouldn't you? Lisa: So basically, it's elasticity that they're using. It’s the spring, it's the coil, it's the ability to bounce you off the ground, it's like being on a trampoline. So you're gonna get more force.  Dave: Right.  Lisa: Taking your foot. Dave: Well, yes. The energy is returned a lot more efficiently. So you'll notice that there's a whole host of track records been broken lately, and then closed the marathon. And yes, the technology had a big part in playing it. I think that the next Olympics, the shoe feature extremely heavy. And a lot of a lot of other manufacturers are using this technology now. And they have a lot stricter with the technology they can use in those events now. So there's the level playing field.  Lisa: If you want to level the playing field, it's a thing—if we start having an unlevel playing field, and that's where it becomes a bit problematic.  Dave: And they're recouping broken now. And there'll be more broken with this sort of new technology coming through. Lisa: And from a foot health perspective, are they okay, in that respect, or you just didn't want to like them?  Dave: No, it's not about—it’s sports. Sports is not about health. Lisa: Performance is not about health. No Dave: No. Lisa: It should be but it depends… It’s not always the case. Dave: That's the point, though. I mean, if you wear these around all throughout the day, why would you do that? And having four centimeters of foam between you and the ground can  be put to sleep. So look, I would—if I'm wanting to do a fast run and I don't really do much of that anymore—but if I was doing a faster training run with them, with a buddy of mine who runs pretty quick, I would definitely wear these.  I'm walking all day barefoot. I'm doing full exercises throughout my day. I'm waking up my feet all the time to look after my feet in-between. So you know, this foot choice, shoe choice doesn't stand finished when you're running. It's throughout the day. And that way, you'll choose a different type of shoe. If I was wearing a shoe during the day, my normal shoe would be something that's very minimal, which allows my foot to feel the ground and do things, if I need to wear footwear. Lisa: Yes. And sometimes you don't, you know?  Dave: Yes. And I think that's an important thing too. We've always—there's always extremes. Yes. So I'll see the odd person is taken to the extreme, and they'll go barefoot all the time. And I think you need to be careful of that too. So from a health point of view, yes. So where I live, you wouldn't run—I have run some trails barefoot but there are sharp rocks around there. But also we have snakes there which is a bit of a problem. So I've done the odd barefoot run, but it makes you pretty nervous. The other part too, is what goes on your skin, goes in you. Lisa: Yes, me too. You talked about that on—what was it on? Something you were talking about the other day. You were talking the skin and your feet.  When your lectures that I was learning from you, right? And you were saying how your daughter was barefoot, which was great, but you went to get some picture with the car.  Dave: Yes.  Lisa: And she wanted to run across the full court bare feet and you said, ‘No, put your shoes on’. Dave: Yes. Gotta have shoes. If you go into public toilets, or you're going on a forecourt of a petrol station, if you're walking barefoot on those, those chemicals are getting into your thing.  Lisa: Yes. So also, if you're walking barefoot too, and certainly in Asia and I have an Asian background, you bringing into your house when you go in there too. So be careful where you expose your feet to, because it will go in you, and then we'll take it into your house. Lisa: Yes. Dave: So yes, there's time and place for everything. Lisa: Yes, yes, that's so true. And this is where some other minimalist shoes come in. So and like, social etiquette and stuff, you don't—you can't go to the gym without some sort of footwear on. Most places will tell you off. Well, gym maybe. Dave: My gym, we actually have a gym shoes off policy, right? If we want people to move well, we need all the sensors working well. So we want as much information from those shoes from those feet as possible. So people understand where they are on the ground. Then we have covered where people put their shoes in.  And now not everyone is trying to barefoot. And we have some people who have some structural foot issues who do require some footwear, as well tend to move well. So, if you drop a dumbbell on your foot, having a shoe isn't really going to help you. But as one of my main etiquette contains the meat. Lisa: And most gyms prescribe that you have to have shoes on when you go to them. They do. And these social situations, you can't go to the opera with bare feet. It's not cool. And that brings me to ladies in high heels. What are we doing to our bodies when we wear… Dave: Oh boy. Lisa: …lovely, elegant? We look very elegant in high heels. What the hell are we doing to ourselves? Dave: Okay, so yes, you mentioned that word kinetic chain before. And the idea there is when you change one part, it will change something else with. That's what a kinetic chain does. Okay, a closed kinetic chain. So when you add an incline to your heel, and lift yourself up there, that pushes you forward. So if you have a stiletto on or something very high, you’ll fall on your face unless you adjusted. So where will you adjust? You'll normally do that by pushing your pose forward, by arching your lower back more. So often, the problem that you'll see with high heels will be it changes up the chain.  As well as that when you're in high heels, you're effectively pointing your toes. So if you're in a flat shoe, you'd have been in your ankles. In a high heel, your toes are pointed more. So what that does is that will shorten the calf muscles. And that’s why, if you look at a woman in high heels, she has more definition in the calves because those calf muscles are shortened up. But if you're wearing high heels an awful lot there, what that will do is shorten up that calf, it may make it harder for you to bend that ankle again, which will cause you some different issues, and for those of you who are a bit more technical minded too, peroneus longus, okay, will be one of the muscles which is a part of the action which will be shortened. The peroneus longus comes around a riff underneath the foot and a wrench into the base of that big toe. So it pulls you down into pronation so it collapses the arch. So if you've been wearing high heels an awful lot, that peroneus longus can shorten, which can end up reducing your amount of bend in your ankle and also will pull you into more pronation. Apparently, the good thing that allows you to splat, but remember we also want to make the foot rigid after that so it can repel often.  But if you end up mucking around with muscles, and changing the way they work, and certainly by placing a high heel, and you're certainly going to do that, that will do that. And it will change the way the peroneus longus works and wears out the muscles, which will change that timing, that intricate timing that we need to have in the foot. Lisa: Wow. And so ladies, keep your high heels for special occasions and not everyday use if you can. And I mean I—working with mum and she was in the bed for a long time, bedridden. Drop foot, you know, same thing basically. But just on a horizontal because she couldn't stand so she couldn't get that dorsiflexion happening, and then I was not aware of it at the time that this was a problem when it was happening, and I caught it quite late. And then we had to have her in a boot to try and straighten that out and now she's got a rigid ankle pretty much. So she's got no dorsiflexion, therefore she can't roll over the front of your foot and off nicely. So her whole gait is more flat footed. And these things knock on very early. And then it happens quite quickly that you start to get dropped foot.  Even if you think about life, wake up in the morning and that first time the foot hits the floor, and you've got like, ‘Oh yes, stuff. Stuff on the calf muscles feeling scuffles within the Achilles. And this is a—getting onto the Achilles toe’. If you're getting that initial stiffness when you get up in the morning, there's something brewing and maybe start to look at it. Achilles is a good—that's a good indicator that so step in the morning. How are you feeling? If you're bouncing out of bed and you can get out of bed and run down the hallway and you find you've got nothing, then you probably, not too bad. Dave: I think that's a great point here. You should wake up feeling reasonably good. I mean it’s not a margarine commercial. You shouldn't jump out of bed, ‘Hey. Hello world’. That's probably the only thing you'd be happy about if you're eating that stuff. But that's a whole other conversation.  I had a professional athlete who I was working with, and we were talking one morning and was actually helping, deciding—standing up, deciding we were gonna go with him. And he said, ‘Yes. So how things young is young? What’s your story? I didn't have a car stand up. And then I go, ‘Sharon district’. About 40 minutes later, I'm ready to move. That's normal, right? ‘No, no, that's not normal. Your body normal is not being in pain and struggling to move. That's not normal..  Lisa: Oh but it's age, Dave. That's the next thing, he’ll tell you. It’s just normal aging. Dave: So now I think too, you know. Let’s you've got a—sorry for those of you who are in different hemispheres. But a classic car in the southern hemisphere was a Ford Cortina. Now imagine you've got a 1984 Cortina in your garage, and it's chrome. It's beautiful. And you've looked after it wonderfully. That car drives fantastically in your own town, you think this is the best car ever. But if you take a 1980 Ford Cortina, and you don't maintain it, and you just drive it hard, you won't have it here today.  Lisa: Yes.  Dave: Okay. So if you've got a classic car, it can run really well. But you need to put some extra care and maintenance into it.  Lisa: Absolutely. Dave: That's all it is. So, but you can have a young—you can have a new sports car. You can trash it's probably gonna be a little bit better. But yes, so the older you are, the more keen you’re taking care of your classic car. Lisa: We fit into the classic category now.  Dave: That's another spin on that too. You know, ages is one thing.  But I kind of look at these young athletes, I think you're—you can you can keep up with me. You haven't got the experience I've got. Play that card. It's not there's not just physical is a lot more that goes on to it. And take a look at the outer world. And know that certainly, the more of a mental game that's required, the better it suits your experience.  Lisa: Yes, in Roman times, like, it's not about speed and power after a 100k, it sort of starts to come down to… Dave: Yes. Lisa: So yes, it is. It's an attitude for life. There's a number of rounds on the clock, but it's keeping everything as best as you can in optimal performance and stopping things before they fall down the cliff, and being in that preventative space. And that's what we're both all about. And that's why you’re taking good care of your joints, and your muscles, and your hydration, and all of those exercises is really, really key. Let's talk a little bit now around, what's your take, I'd like to hear just on general and for joints and cartilage and stuff? Things like sulfur, MSM, conjugated salt, and so Glucosamine, that sort of supplementation for cartilage and joints you know anything about this? If it’s a cool thing or not? Dave: It's really cool at one of my key areas. Look, supplements are strange one. And certainly my take on that really changed over the last few years. And now if you think you can get everything out of your diet, even if you're eating organic, you probably can't. So there's certainly some supplementation useful. I'm very big on getting an evidence base on that though.  So there's this push where we've almost seen our science as lying now. We need to be able to do our supplementation, to what you want to choose. But what I found now is basically you become a victim to marketing now. So there's a fine line between the two. So I read up on what I think is useful, and what's not, and I use it on an individual basis. But I'd like to cover the basics first, and often think that we're thinking they're tasting things like curcumin. Another problem with curcumin by the way, as well some other some other supplements here when you're not even looking at the basics. So do the big rocks first. Lisa: Yes, I'm big on those pretty you know those ABCD. Selenium, zinc, magnesium-type base. Not sexy, but very essential for genetic functions. Yes. Dave: A decent multivitamin is probably a bloody good place to start, and then you can start fine tuning from there. Sure. I take a few other things, as well. I'm a big fan of a decent probiotic, and veering those probiotics around. I think that's really important. And I use that as a food source as a supplement. I do like my fish oils. I think there is a part to play in that.  Lisa: Yes. Those are wild. Dave: Wild, wild, wild small fish is the way you want to go and watch out for the processing on those as well, they can get... Lisa: Very very important to get the right fish source, you get right fish source ,and you'll be doing the opposite to what you need to kick the company out especially... In our next conversation. I know we're getting a bit off topic but probiotics, I've done quite a lot of study around the probiotics, and some of the problems of probiotics, and has domains, and causing inflammation and allergic reactions. Have you found any one in particular that you'd say, ‘Yes, that one's been really good for a lot of people’. This got a good clinical base to it? Dave: Yes. There's a few brands that I tend to like. These… Lisa: Deep in here without any proof on that question, but I was interested for myself because I'm looking at our probiotics. Dave: Syntol is a brand I quite like. Syntol, S-Y-N-T-O-L iis a brand that I've used for probably the last decade. That's an industrial strength one which works really well. Also Bio-Heal is another one, which I think is a pretty decent one. And the reason I like those brands is that they don't need refrigeration. And the Syntol is more spore one so it can be a bit bitter as well. Lisa: Yes. Because it's got to get through the digestive, the stomach, the action, into the lower. And I know like the science in this area is still a very much an evolving space. And a lot of this, I have had a couple of clients been on probiotics that you get out of off the shelf or supermarket type thing. They ended up with histamine reactions and things like that because they do have often—so if you're sensitive to histamine and you might want to check it out a little bit more, and just be toe in the water and find out. So it's a little bit hard to know because I think the jury's still out in some regards. But I think but the spore based ones… Dave: Yes, there seems to be built in there. I feel like most fermented foods, they won't suit everyone, for sure. They served me really well. So I make my own kimchi. I make my kombucha. I make my own sauerkraut. Do some water kefir as well. I often use a little bit of fermented foods to help my gut work. And every culture and everywhere in the world has some form of fermented food. And we realize as developing communities that we need to look after our gut health needs, and we didn't have refrigeration was probably the other thing as well. Then those are very health giving. And it still exists in most cultures today, and it's certainly something that I'd recommend if it suits you to work into your diet. Lisa: Yes, and that is where I know—working with the PH-316 epigenetics programme that we do that there are certain biotypes. And one of them that can miss to watch the amount of fermented foods because it can again—cause histamine problems in inflammation in the body—so that is a bit of a bit more a personal genetic thing too, as rather than across the board.  But to be fair, I think that's everything needs to be personalized nowadays. And we've got a lot I wouldn't say we've got an all sass but there is a lot of science around what type of thing for what person and which genes, for which foods, and I don't think it's by any means perfect yet. The science behind it, but we can get a bit of an idea on some of these things. So just because it's healthy for Dave doesn't necessarily mean it's going to be healthy for Lisa, you know? So a little bit of experiment, and I'm a big experimenter, versus showing one of my athletes into my pantry. And it looks more like a cumulus isn't well supplement shop rather than a...  And I don't take on things all the time but I'm always experimenting on my own body, and trying to optimize, and to see what sort of things are having which effect and then trying to take note of it, and keep track of it, and trying to work out. A little bit hard when you keep chucking 100 variations at things. It's not exactly a clinical study where you do one variation. But… Dave: Eating is one.  Lisa: Eating is one. Yes, exactly. And keeping testing. But back to the whole foot scenario talking that—I mean, you and I can end up in bloody all sorts of areas. What's your take on orthotics? I wanted to ask that again. Jury's out of my mind on orthotics and I'm not sure. Dave: That’s a real polarizing one. I'm gonna make myself unpopular with some people here, but here's my take on it. I'm not—I'm not a [51:17 unintelligible]. If you have a foot that hasn't got a structural issue, or a neurological deficit, you can work without orthotics. Okay, so orthotics add support, and they will normally block motion. Okay, that's what they're pretty much designed to do.  So normally, when they describe orthotics, they'll look at, ‘Okay, there's too much motion. We will block that motion so that the foot can do its thing’. You block motion, some way though. What we know is that motion will be taken up somewhere else. And in that closed chain, where that motion goes will often have problems.  So let's have a look, if you've got a foot that doesn't dorsiflex well, so the ankle doesn't bend well. Now what will happen is the only way you can bend their ankle now is to roll inside or to over pronate. That's the only way you can go there. But rather than go through the foot, you go around the foot now. So what may happen is, if you have no thoughts to stop that pronation, go, ‘What's happened now’? Okay? Now you can't pronate the foot, you can't work at the ankle, what's going to go next? You may end up taking up a knee. But now you'll end up with a knee issue, when you may come in with a foot issue. You may end up with a knee issue, or it may end up going into the hip or the lumbar spine, or as far as into the neck, which is a common thing or even to the head.  I've seen from people who've had a foot issue and they get hit out when they start hitting the pavement because it goes right through the chain. And that's it ends up tearing them up. So when you enter [52:53 unintelligible], if you've got a painful foot, it can be very useful temporarily to change what's going on, or a structure or neurological deficit. Otherwise, think of a crutch.  Okay, if I break my leg, ‘Oh, I want to break around my knee without smashing my knee to smithereens. I want to break around my knee and I want to wear crutches to start with’.  Now, oh boy that feels so good having extra support in there. And I've restricted that range around my knee because it's too painful to move. But 10 years later, I wouldn't want to be still be wearing that same brace on my knee with a crutch. And I wouldn't want to go in there each year and get that brace changed a little bit and realtered. So I look at some of your thoughts that come into me and I look at that foot and I look at your foot and I go, ‘I have no idea’. I kind of—foot mechanics is tricky stuff. But I've put a fair bit of work into it. Like I understand how feet generally work, I think. I look at that foot and I look at that person, and I think, ‘I can’t see what’s that relating to at all’. I don’t know what you’re seeing, but that's not what I see.  And there’s a few things around some of the theory of orthotics which are a little bit tricky around foot mechanics change when you have your foot on the ground versus when you—whether your foot in the air.  Lisa: Of course.  Dave: A lot of the mechanics that are put into orthotics aren't done in a closed chain, which changes the whole way the foot works. Though, there is some stuff there. I've had piles of orthotics thrown away over the year. I have products come into me and I go, ‘What?’ And I'll test them. It'll take people with them, without them, and they'll go better without them. I had some people that do need them though, because they had some neurological issues for their head structural foot issues, where their foot is broken beyond repair, where it does need some help.  And making good orthotics, definitely—for those of you who maybe have a diabetic foot or have had some issues around there. Some of the orthotics I've seen that have come and have been worked about and are amazing, though there is some there are some amazing work on orthotics. And that's probably my outtake on this one. So finding someone who's very good at that, and looking after a foot in trouble is a real skill. Lisa: It is. I've got a friend, Lisa Whiteman, who owns a China podiatry clinics, right, throughout New Zealand, and their stuff is next level. But the science and technology that they have in order to get the right things for that. So if you're thinking of doing it, make sure you go to somebody who really knows this stuff, and not just any sort of orthotic. And test it, and try it, and see whether you're getting something through up the train, fix that. And question with the immediate, long term—I've never had any benefit out of an orthotic. And I've only got, again, one anecdotal in me.  But we're not—like dealing with someone like my mum with a neurological problem, and limited dorsiflexion. I am considering the next opportunity I get to take down to Wellington to go and see my friend and go into her clinic and get her an assist, that might be, for example, a situation where something like that could be called for, because she's lost that motion and the ankle, so we haven't got it to work with. Dave: So we do have problems from the bottom up. So the foot can cause a problem going up, but also it can probably be going

Whether you are a beginner or experienced ultramarathon runner, you need to be well-prepared for every run you do. Ultra running has its bright side — the uplifting community, the sense of accomplishment, and the goals of becoming stronger. However, there are certain risks involved in the sport, and as an athlete, you need to keep yourself informed. In this episode, Eugene Bingham joins me to explain the dangers of extreme sports and marathons. We share personal stories about the damage it could do to the body — experiences that should serve as a warning to runners. Eugene also discusses things to be aware of before and during races that can endanger us, giving us five specific tips for preparation and self-management. Don’t miss this episode and learn more about the risks of and preparations for ultra running and other extreme sports!   Get Customised Guidance for Your Genetic Make-Up For our epigenetics health program all about optimising your fitness, lifestyle, nutrition, and mental performance to your particular genes, go to  https://www.lisatamati.com/page/epigenetics-and-health-coaching/. You can also join our free live webinar on epigenetics.   Online Coaching for Runners Go to www.runninghotcoaching.com for our online run training coaching.   One-on-One Health Optimization Coaching  If you would like to work with me one to one on anything from your mindset, to head injuries,  to biohacking your health, to optimal performance or executive coaching, please book a consultation here.    Order My Books My latest book Relentless chronicles the inspiring journey about how my mother and I defied the odds after an aneurysm left my mum Isobel with massive brain damage at age 74. The medical professionals told me there was absolutely no hope of any quality of life again, but I used every mindset tool, years of research, and incredible tenacity to prove them wrong and bring my mother back to full health within 3 years. Get your copy here: http://relentlessbook.lisatamati.com/ For my other two best-selling books Running Hot and Running to Extremes chronicling my ultrarunning adventures and expeditions all around the world, go to https://shop.lisatamati.com/collections/books.   My Jewellery Collection For my gorgeous and inspiring sports jewellery collection ‘Fierce’, go to https://shop.lisatamati.com/collections/lisa-tamati-bespoke-jewellery-collection.   Here are three reasons why you should listen to the full episode: Learn about the risks and dangers of extreme sports and ultra running. Gain valuable insight into the things you need to be aware of before and during marathons. Understand the importance of listening to your body.   Resources Death of a runner: The rare condition that tragically claimed a life by Eugene Bingham Desert Runners on TVNZ   Episode Highlights [04:01] The Dangers of Extreme Sports and Ultramarathons Eugene participated in the 2020 Tarawera 100-mile race where an experienced runner died. The runner’s death certificate showed that he had a multi-organ failure, acute respiratory distress syndrome, and rhabdomyolysis. However, it was difficult to pinpoint the true cause of death since it can be a result of accumulated health conditions. [09:50] What Is Rhabdomyolysis? Rhabdomyolysis, or muscle breakdown, is quite common for runners. As the muscle breaks down, myoglobin from the muscle is released into the bloodstream, clogging the kidneys. It can be difficult to tell when this happens since symptoms can be easily mistaken for simple muscle soreness. This can happen to everyone, not just those who do extreme sports and ultra running. [16:27] Importance of Self-Management At some point, we have to ask ourselves if the damage we’re doing to our body is worth it. There are risks, and you have to be prepared for them.  There is a culture of not quitting unless you’re taken by the ambulance. However, we have to listen to our body before it gets to that point. [20:19] Mental Toughness and Listening to Your Body As we grow, our physical abilities and mental maturity changes. Accept that the body may not be able to take what it could years ago. The goal of pushing your limits is good but keep in mind that you also need to train and prepare yourself. Being mentally tough also means knowing when to stop and rest. [22:53] Ultra Running: 5 Tips to Remember Do not take drugs like ibuprofen and Voltaire.  Drink when you’re thirsty and do not over drink.  Be prepared for a range of weather conditions. The race does not end at the finish line. Replenish yourself after every race. Look out for each other. [28:08] Always Have Support Eugene shares his experience of having hallucinations but was kept safe by his companions. Form connections and friendships with the people you meet in races. They are bonds that last forever. Listen to the full episode to hear Eugene and Lisa share more stories about how people have helped them during races! [38:33] Conditions to Be Aware of We need to be careful about dehydration. Symptoms of hyponatremia (having low sodium levels in your blood) are swelling, nausea, and lightheadedness. Low levels of potassium and electrolyte imbalance can result in tetany seizures. Electrolyte tablets are beneficial — make sure they have all the nutrients you need. Having no appetite after a race is dangerous. We need to replenish our bodies straight away.  [47:10] Risks Are Exponential When you exponentially increase the distance you run, you exponentially increase our risks as well. All races are relative to pace. Never underestimate a race by distance. Take every race like a big deal and don’t become complacent. Recovery after a race is also crucial. Don’t succumb to peer pressure and sign up for a race immediately after. [51:53] Quick Checklist Do not expect that you can do it just because you’ve done it once before. Be aware of conditions such as rhabdomyolysis, heat stroke, hyponatremia, dehydration, seizures, electrolyte imbalances, and breaking ankles. Plan well — note altitudes and paths. Running is just like driving. Driving is considered dangerous but we don’t avoid it; we just take extra measures and precautions to make sure that we are safe.   7 Powerful Quotes from This Episode ‘People need to be really conscious of the risks — they need to be prepared to put the time in. You've got to prepare your body and you've got to know your body’. ‘Having lined up at the start line with someone who didn't make it home — that really reinforces that these are real risks and you have to be prepared for them’. ‘The race doesn't end at the finish. Some of the most dangerous time is after that: when people get to the finish line and drive home, they're tired — you can crash easily’. ‘Sometimes there's a bit of competition, isn't there. But, number one, you've got to look out for each other. You are comrades — you've got to have each other's backs’. ‘It is incredible, those connections you make. Even if you don't see each other again, but yes, you've got that bond. That's forever’. ‘Take those precautions. Just be a bit careful. We want to push ourselves. Yes, we want to be out there. Yes, we want to find new limits, but we also want to get back home’. ‘Respect the distance. You cannot run something like this without respecting it’.   About Eugene Bingham Eugene Bingham is a senior journalist at Stuff, co-host of the Dirt Church Radio trail running podcast with his mate Matt Rayment and an ultramarathon runner. In a career of almost 30 years, he’s reported and produced news and current affairs, winning multiple awards as an investigative journalist. His work has taken him to three Olympic Games, and a number of countries including Afghanistan, the Philippines and the Pacific. No matter where he goes, he always packs his running shoes. He has a marathon PB of 2h 43m and his longest event is the Tarawera Ultra 100-mile race which he ran in February 2020. Eugene is married to journalist Suzanne McFadden and they have two grown-up boys. You can listen to their podcast on Dirt Church Radio. You can also follow and support them on Patreon, Instagram, and Twitter.  Have questions you’d like to ask? You can reach Eugene at his email.   Enjoyed This Podcast? If you did, be sure to subscribe and share it with your friends! Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends so they can be aware of the dangers of extreme sports and ultra running. Have any questions? You can contact me through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram, and YouTube. For more episode updates, visit my website. You may also tune in on Apple Podcasts. To pushing the limits, Lisa   Full Transcript For The Podcast! Welcome to Pushing the Limits, the show that helps you reach your full potential, with your host, Lisa Tamati. Brought to you by lisatamati.com.  Lisa Tamati: Well, hi, everyone, and welcome back to this week's episode of Pushing the Limits. Today, I have journalist and ultramarathon running legend, Eugene Bingham, to guest. And Eugene is the host of the podcast, Dirt Church Radio, which I hope you guys are listening to. It's a really fascinating insight into the world of running and trail running. And he has a really unique style, him and his friend, Matt Raymond, run their podcast. So I hope you enjoy this interview.  Today we're talking about the dangers of extreme sports, not just ultramarathon running, but doing—pushing your body to the limits. While, you know I'm definitely a proponent of going hard and mental toughness and pushing the body and all that sort of good stuff. We also need to know about the downside. We also need to know about the risks. And recently there was a death, unfortunately, at the Tarawera Ultramarathon of a very experienced ultramarathon runner. And so we're going to dive into some of the dangers and some of the things that need to be aware of when it comes to pushing the body to the limits. And so you have an informed consent and an understanding of what you're getting into when you're doing these sorts of things.  Before we head over to the show, though, please give them a rating, review to the show if you enjoy the content. Really, really appreciate the comments and the reviews and if you can do that on iTunes, or wherever you're listening, that would be really, really appreciated. And if you haven't sold your Christmas stocking yet, please head over to my shop and check out my books, Running Hot, which is chronicling all my running adventures in my early days, Running to Extremes. Both of those books bestsellers, and my new book, Relentless - How A Mother And Daughter Defied The Odds, which is really a book about overcoming incredible obstacles, the mindset that's required, the stuff that I learned while I was running and how it helped in this very real world situation, facing a very dire situation within the family. I hope you enjoy those books and if you have read them, please reach out to me, give me a review. Again, if you can, I'd really appreciate that you can reach me at lisa@lisatamati.com.  And just a reminder too, we are still taking on a few people, on one on one health optimization coaching, if you're wanting to optimise your health, whether it be with a difficult health challenge, that you're not getting answers to mainstream health and you're wanting some help navigating the difficult waters that can sometimes be, please reach out to us. And we deal with some very intricate cases. And I have a huge network of people that I work with that we can also refer you out to. I am not a doctor, but I am a health optimisation coach and an epigenetics coach. And we use all of the things that we've spent years studying to help people navigate and advocate for them, and connect them to the right places. And this is a very different type of health service if you like and it's quite high touch and it's quite getting into the nitty gritty and being a detective basically. And I'm really enjoying this type of work and helping people whether it be with head injuries, with strokes, with cancer journeys, thyroid problems, or all these types of issues. Not that we have it or every answer there is under the sun. But we're very good at being detectives working out what's going on and referring you to the right places where required. So if you're interested in that, please reach out to us lisa@lisatamati.com. Right, now over to the show with Eugene Bingham.  Well, hi, everyone, and welcome back to the show. I have Eugene Bingham. I know he's so famous, he actually sit down with me to record this session. So fantastic to have you here. Right? How are you doing?  Eugene Bingham: I'm very well, thank you. And thank you for having me on. Such an honour.  Lisa: Fantastic. Yes. Well, I was lucky to be on your show. And you've been on mine, and we just really connected. So I wanted to get you back on because you've just written an article, which was very, I thought was an important one to discuss. And it was about the tragic death of an ultrarunner last year or this year in the Tarawera Ultramarathon. And while we don't want to go too deep into the specifics of that particular case or we'd like to know what you know about it... Eugene: Sure.  Lisa: ...but wanted to have a discussion around the dangers of extreme sport or ultramarathon running and some of the things we just need to be aware of. So, obviously Eugene and I—neither of us are doctors or any of this should be construed as medical advice, but just as—have to give them out there...  Eugene: Absolutely.  Lisa: But as runners and people who have experienced quite a lot in the running scene, and I've certainly experienced enough drama, that it is something that we need to talk about. So Eugene, tell us a little bit about what happened? And what are you happy to share  Eugene: Sure.  Lisa: ...and what you wrote about in your article, which we will link to in the show notes, by the way. Eugene: Yes. Thank you. Sure. Yes, so I was a competitor in the Tarawera hundred mile race in February, which as you said—when you said last year, it does feel like last year, doesn't it? Oh gosh, it feels like it was five years ago. But it was February 2020, all those years ago. And in that race was sort of about 260 of us lined up. And then that race was a runner an older—oh, he’s 52. So from Japan, a very experienced runner, had run Tarawera previously, had run lots of other miles, and ultraraces. And unfortunately, about a kilometre or so from the finish, he collapsed, and about 34 hours into the race. And although people rushed to help them, and he was taken to retro hospital, and eventually to Auckland City Hospital, he died. And I remember, I remember the afternoon we heard about it, and Tarawera put it up on its Facebook page to let us all know that one of our fellow runners had died and I stopped. It was a shock.  Lisa: Yes. Eugene: You know we do this thing, because we love it.  Lisa: Yes. Eugene: And because we get enjoyment from it. And he was someone who paid the ultimate price.  Lisa: Yes.  Eugene: So I—we're a couple of hats, and one of them is a journalist, and so I—but really, what first kicked in was, I really want to know what happened. I really wanted to know what happened. I've had health issues myself, had a few scares and so on. A few wobbles and races, and I thought—just from my point of view, I was really curious to find out. But I also thought it was important to find out for other runners... Lisa: Yes, absolutely. Eugene: ...or say, I listen for others. And so I started to see if I could find out. COVID got the way a little bit and distracted me. But eventually I did manage to track down what happened there. Yes. Lisa: And what was the result of the findings in this particular case? I mean, we're gonna want to discuss a few.  Eugene: Sure. Lisa: I think, in this case, it was a couple of things, wasn't it? But this is without picking—and we're certainly not picking on anybody or any, not race, or anything or saying this is bad or anything. But what was it that you discovered in it?  Eugene: Yes. Lisa: So with that, research.  Eugene: Sure. So initially, I remember the talk was that he might have had a stroke, or there might have been some sort of underlying condition.  Lisa: Yes.  Eugene: But I got a hold of his death certificate and it shows that he had multiorgan failure, and acute respiratory distress syndrome, which are both conditions that they can be in multiple causes of those sorts of things. But the one that jumped out to me was Rhabdo. You're gonna make me say that? The proper name for it. Lisa: Rhabdomyolysis Eugene: Thank you. Lisa: I'm an expert in rhabdo. Eugene: So yes, that was the third one on the list. And that was the one that really jumped out at me.  Lisa: Yes.  Eugene: Months earlier, I'd spoken to Dr Marty Hoffman, who's in a University of California Davis in the States, and he's sort of recognised around the world. Basically, if there's an ultra—there's a paper about medicine involving ultrarunning, you'll find Marty Hoffman's name on it, he knows this stuff.  So I'd run to him months ago, at the suggestion of a friend, Dr John Onate, and I had a good chat with him. And he sort of ran through the list of what we could be looking at here, but he was really—it was a stab in the dark at that point. But he told me then that they’re hipping no deaths from rhabdo, knowing deaths from rhabdo from ultrarunners.  Lisa: Yes. Eugene: Yes. And no knowing deaths from ultrarunners of the AH, exhausted and just talking it, ‘How can I train you’?  Lisa: Yes.  Eugene: So we were kind of that, like, ‘What could it be’? Yes. So when rhabdo appeared on the desk fit, I rang him back and said—I actually emailed him and said, ‘Hey, this is what it says’. And he was very surprised because he keeps track of deaths of ultrarunners around the world. And as he said, there hadn't been one recorded before, doesn't mean there hasn't been one, of course.  Lisa: Yes, it doesn't mean. Eugene: It's just no one, yes, no one knows what causes.  Lisa: And I think a lot of these things will have contributing factors in—completely unrelated but going through the journey with my dad recently it was at the end, he had multiple organ failure.  Eugene: Yes.  Lisa: He had sepsis however, and before that he had an abdominal aneurysm.  Eugene: Yes. Lisa: So it shows the progression like it. What did he actually die off?  Eugene: Yes. Yes.  Lisa: He was born with the failure probably, or zips as chicken or eek scenario. Eugene: Yes. Lisa: So these things, one leads to an acute respiratory syndrome  Eugene: Yes. Lisa: And they all lead on from one to the other when the body starts to shut down, basically.  Eugene: It's a cascade isn’t it?  Lisa: It’s a cascade. That is a very good way of putting it. So rhabdo—and while there is perhaps no documented case of a death from rhabdomyolysis, I don't know if they—I know in my life, I've had rhabdo. I can't even remember the number of times I've had rhabdo.  Eugene: Yes. Lisa: I took away kidney damage from it and the last few years, I've been trying to unravel that damage and undo that.  Eugene: Yes.  Lisa: I'm getting there slowly.  Eugene: Yes, yes.  Lisa: So it is a very as if quite a common thing. Eugene: Yes. Lisa: So we don't know whether in this case that was actual final, what actually did it? It certainly would have been a major contributing factor.  Eugene: Yes.  Lisa: Well, what is rhabdo? I suppose we better explain what rhabdos are. Eugene: Yes. So I mean, well, from your experience, you will know better than me. But I spoke to Dr Hoffman and to Dr Tom Reynolds, who's the race doctor for—one of the race doctors for Tarawera.  Lisa: Yes. Eugene: And they explained it as the muscle started to break down and the myoglobin from the muscle being released into the bloodstream. And then it basically just starts clogging up the kidneys and just causing real damage in your kidneys. The problem with it is the symptoms for sort of sound like a lot of other things and also can just sound like what you might expect running an ultramarathon. Lisa: Yes, the kind of that also. Eugene: Yes, tenderness of muscles, a bit of confusion, and so on. And then even some of the blood tests that you can do to pick it up. So they look for CK—you're much more proficient in the medical world than me. Lisa: Not more. Eugene: But the thing that they test for—it basically there was an experiment at Western States a number of years ago, where they tested bloods of people in Western states and they tested something like 160 runners, all of them had elevated CK levels.  Lisa: Yes.  Eugene: So in part, it's just a function of ultrarunning, your muscles are gonna break down to some extent. So that makes it very, very tricky to find out, to discover it. And Dr Hoffman said, ‘Sometimes the first sign that you get that someone's got rhabdo, is they have a seizure’.  Lisa: Yes.  Eugene: So it can be a tricky, tricky condition to pick up. Yes, that's really—it's hard, isn't it? It's really hard. Lisa: It is hard and—but when you are going for—and some of these races are 24, 36, 50 something hours, you're going to have some breakdown of muscle and you… Eugene: You are. Lisa: I mean, keeping an eye on the colour of your urine or if you are not producing… Eugene: Yes, that’s an important one. Yes. Lisa: It is probably the easiest thing to think about. Because like you say, the nausea and headaches and confusion and fatigue are all very general parts about running anyway. So keeping an eye on it, like getting a pouch of fluid. What I would find is that in the lower abdomen, and I don't know if whether this is an actual medical symptom or not. But in the lower abdomen, I've developed this pot gap running and, it wasn't fat, obviously.  Eugene: Yes.  Lisa: ...within a couple of hours. It was fluid, and would usually coincide with my kidneys—they’re not producing or producing very little output. So I think there might be a sign that something's going on there.  Eugene: Right.  Lisa: In rhabdo, like, we're talking ultramarathons, but I have seen a case of rhabdo in a half marathon in summer.  Eugene: Yes.  Lisa: Yes. So a mild case, but enough to be taken to hospital. So it's not even just people doing the extreme extreme stuff.  Eugene: Yes.  Lisa: But it is a very—and you have to ask yourself, how much damage are we doing every time we do and I often asked, ‘Why are you not running anymore’? ‘Why are you not doing it anymore’? And apart from life's gotten a bit crazy. Am I? Indeed yes.  Eugene: Yes, yes.  Lisa: Should I have not got the time to be doing offers? I want longevity and while I love ultras, and I love the culture. And I love what I got to do. And I'm certainly not, I mean, I train lots of ultrarunners. I for myself, don't want to put myself at that risk anymore. Now that I'm also 50 and I want longevity. And therefore my health comes before my sporting ambitions now. It didn't when I was younger, but now with—unfortunately, one of the side effects of studying medical stuff for the last five years, is that I'm now a little bit more cautious.  Eugene: Yes.  Lisa: Because ignorance is bliss.  Eugene: Yes.  Lisa: What you don't know, you just go and do.  Eugene: Yes.  Lisa: You don’t actually know the implications and sometimes, you don't actually know the implications until well down the track, like, you use to check. Eugene: Yes. yes, sure. Lisa: That's where I'm sitting at the moment, as far as the sort of the dangers and the risks. I mean, how did you feel as a runner, who—you were in the same race doing the same distance? You're a little bit north of 25 now. Eugene: Jump 47. Lisa: You're 47?  Eugene: Yes. 47, yes.  Lisa: And did this make you stop and think about, ‘Do I want to keep doing this stuff? How do I feel about it’? Eugene: Yes, it sure does. It sure does make your family think of that, doesn't that? I think it reinforces that you need to have really good self management. You need to be well prepared. I spoke to—when I spoke to Dr Reynolds, and I said to him, ‘We had this big conversation about all the cold coloured urine and all that sort of stuff’. That sounds a bit odd, and a little different other conditions that can come about. Yes, and so on. And I said to him, ‘Boy listen to all of that. Do you recommend people run ultramarathons’? And he said, ‘Look. At three o'clock when the medical team is full. And I've got my hands full, I look around, and I go, What the hell have we been doing this for’? But he says, ‘But it's a small proportion that gets badly affected. And as long as you manage your risks, and you're aware of it’, he said one of the things that he's really concerned about is people jumping up the distance too quickly. Lisa: Yes.  Eugene: Or the runner suddenly, ‘Wow, I'm gonna run 100 miler’, because it has become, I think it's… Lisa: The new marathon.  Eugene: I told him, I spent more time trying to talk people out of doing milers than I do in trying to talk them into doing milers. I don't think I talk to any other or talked anyone into doing a miler. It's a very personal choice. I spend a lot of time talking to people out of it, makes me so again. But again, I don't know if that's a good idea, mate.  Lisa: Me too.  Eugene: Yes. And it sounds bad.  Lisa: Yes.  Eugene: Try running podcasts. Lisa: I know. You know, my buddy out running. Eugene: Yes. But I just think people need to be really conscious of the risks.  Lisa: Yes.  Eugene: And they need to be prepared to put the time in. And that's one of the things that you've identified. You've got to prepare your body. And you've got to know your body. I mean, I took—I've been running my whole life. And I didn't take the decision to enter the miler, lightly, certainly would now knowing what I do know now. And when I say no, I mean, I'd always heard of rhabdo. I'd heard of AIH, I'd heard of dehydrational systems.    And you sort of think about you sort of like, ‘Yes, yes, yes’. But having lined up at the start line with someone who didn't make it home that really reinforces that these are real risks, and you have to be prepared for them. You have to be ready for them. So, I'm not gonna stop ultrarunning, I don't think. But I'm certainly going to be a hell of a lot more careful. And listen to my body.  Lisa: Exactly.  Eugene: Sometimes you can get that. I find one side of ultra running that I struggle with a little bit is the whole kind of ‘You're not going to quit unless the ambulance takes you off the course’ kind of thing. I don't like that. I don’t really like that. Lisa: I totally agree. Eugene: You know, I agree. I love the whole mental toughness thing out of it. Don't get me wrong. That's one of the things that I enjoy about it. But you have to listen to your body. You have to listen to your body. I've pulled out of a 100k race, where I could have pushed on. You know. Looking back, it's like, ‘Yes, I could have pushed on, at what cost’? You know?  Lisa: Yes.  Eugene: Yes, it just wasn't worth it. Could I push through and be out there for another hours and hours and hours and hours? Putting myself...  Lisa: Yes.  Eugene: Yes, sure. I could have but what was the risk? What could have happened? And what do I get out of it? Instead I actually came away from that race having learned a hell of a lot of lessons. And they prepared me for the miler, actually. Lisa: Yes. And I think that’s some beautiful attitude and in a very wise mind. Some of the things that I did in my younger years or even—I’m talking 40s. Eugene: Yes, yes. Lisa: We're stupid. There is no other word for it. And especially in the 30s, my 30s, I thought I was bulletproof and I could push and I had that mentality, you're going to have to drag me away, framing and I have seen lots of others. And I have nearly pushed my body on a number of occasions to the point of death and I've been very, very lucky not to have died.  I've had tetany seizures, which is where your potassium level and your electrolytes are so out of whack that the whole body cramps and so I'm having a heart attack. I was luckily at that at the point that I head out, I was in Alaska, and I'd been for six weeks out in Yukon with poor nutrition and so on and pushing the body every day. I just come off a mountain when this tetany seizure hit. Luckily, I was two minutes from a hospital, and they saved my life.  Eugene: Wow. Lisa: But that would have been deadly very quickly. I've experienced extreme levels of dehydration in the Libyan desert where we only had like one and a half to two litres of water a day in 40 plus temperatures. And gone to the point where I no longer was in control of my body, and my—not only just hallucinations but the central nervous system starting to shut down. Massive kidney damage, and taking nearly two years to recover from that.  I’ve had food poisoning while running across Niger, and again bleeding at both ends pushing it to the absolute limit I did pull out of that race at 64 hours after 222Ks but that was way too late. I've gotten away by the skin of my teeth. Not to mention going through war zones or military body areas Eugene: Yes. Lisa: Or being in really dangerous situations and that's a whole podcast in itself. But it wasn't worth it. Now I think I was just so afraid of failure I was so afraid of not achieving that, which I'd set out to do that. And I have to think about it now and go I wasn't in—people who are in war scenarios or some survival situation where you have to freakin go to the limit alive. Eugene: Yes. Lisa: But I wasn't in there. This is a—well, Libyan desert ended up like that, but you know what I mean? Eugene: Midnight summer bitches.  Lisa: Oh yes, it’s some stupid shit. It really was. But at what costs? Now, I've had a lot of health issues in the last five to six years and a lot of that comes from—I haven't been able to have children you know and so on and so forth. And these are the contributing factors  Eugene: Sure enough. Lisa: That's the only reason for certain things, but now as a coach and as an older wiser woman, I don't want to see people pushing their bodies to that point where they actually close to dying or causing major damage to the body.  Eugene: Yes, yes.  Lisa: It really is not worth it. Eugene: I mean this pushing the limits isn't there. And mentally, I think there's a lot to be said for having a goal that's going to stretch you when you are going to go for it. But the key is to be prepared, isn’t it? To actually have done the training...  Lisa: The training  Eugene: ...to prepare your body. To test—so that you know when your body's screaming at you, you know it’s saying, ‘Okay, you know what, you know to pull the pen or you know to stop and rest or whatever’. I think there was some good—Tom Reynolds had some five tips which are really good.  Lisa: Yes. Let’s hear them  Eugene: To prepare yourself for an ultra especially ultras but even marathons I suppose  Lisa: Absolutely. Eugene: Number one on his list, and I think he would make this number 1, 2, 3, 4, 5 is don't take drugs like Ibuprofen and Voltaren and those sorts of things.  Lisa: Super important. Eugene: Do not take them. Yes, super important. The second one is drink to thirst. You know that you can have problems—your own problems if you have too much liquid.  Lisa: Yes, which we’re talking about in a sec. Eugene: Yes. Be prepared for the conditions. Have a plan for a range of conditions. So make sure you've got thermals. Make sure you've got your jackets and sawn and layers that you can take on and take off especially if you're going to some of these remote areas that we go to as ultrarunners.  Number four, the race doesn't end at the finish. Pack warm clothes, get some food ready that you can eat, some liquids. And another thing that he pointed out to me is actually some of the most dangerous times is after that finish line. When people get to the finish line, and drive hard, and they're tired. Lisa: It's so true. Eugene: You can crash easily for a second crash.  Lisa: Yes.  Eugene: And number five is look out for each other. and I think that's so important. Sometimes there's a bit of competition isn't there? But number one, you've got to look out for each other Lisa: Yes.  Eugene: You are comrades in this together and you've got to have each other's backs. And there's little relationships that you build up with someone you've never met before. I still remember having a good chat to a farmer from Jordan. I spent a lot of hours with him at Tarawera. Haven't spoken up since, never met him before in my life, but there we were together at Bizmates on the trail. Lisa: Awesome. Eugene: Keeping an eye on each other. Looking out for each other. You make sure they've got their bottles filled at the aid station. You make sure that they're not getting confused or anything like that—just looking out for each other. Simple isn’t it? Lisa: That’s gold. Eugene: And that was the five tips that he gave. Actually, they're pretty good tips. Lisa: They are very good tips, and a couple other ones to pick out like the training. In my early days as a coach, I remember taking an athlete who went from half marathon to running the Big Red Run 250Ks. Eugene: Wow. Lisa: Inside a month.  Eugene: Oh. Lisa: Now on a red mat, that was stupid.  Eugene: YeS.  Lisa: He came over to do 100k to be fair, and he was doing so well. He just decided to carry on and to do the whole thing. And it was an incredible achievement.  Eugene: Oh, yes.  Lisa: However, broken my butt. Like, it never was quite the same afterwards. And he wasn't ready. He wasn't, like, his body wasn't ready. So when you prepare your body, when you're training, you doing these long runs, and you're doing back to back running, and you're doing strength training, you're doing mobility work, all these things are preparing the muscles so that they don't break down so quickly and they don't need—you don't need about rhabdo.  And another big piece of the puzzle is the experience side of things. Because then you can actually start to feel when your body's doing a chick or not. As I run, I used to do like little chickens every half hour or an hour I'd go right I'm doing a control like a pilot would before he flies the airplane. ‘How is everything? How am I feeling? Have I ever drunk in the last 10 minutes? Have I eaten anything? When was the last time I weighed? When was the last time’... Just doing a mental checklist as often as you can.  Now one of the hard things with ultra though is that you start to lose your brain function, so all the blood flow is going away from your executive function up here and you become like a bit of a moron. You’re like, ‘Oh, oh’. Eugene: Absolutely. Solving maths? Impossible. Lisa: Impossible. Or maybe doing a 24 hour race, the one at the Millennium Stadium, and there was some guys they’re testing us just for a laugh, doing Noughts and Crosses as we run around the track and our brain function is a day and night wore on just we weren't even able to add up one plus one anymore. We just completely like, ‘Eh’? He’s got low blood and my brain is not functioning. So what that does mean is that your ability to make good decisions is also impaired. I remember saying to one of my friends who was a paramedic and she was with me in Death Valley, in the second time I did Death Valley. And she says, I said to her, ‘You are responsible for my health’. I was lucky I had a crew in that situation. If you pull me out, you pull me out. I know that you won't pull me prematurely because you know what, it's taken me to get here. But my life is in your hands and I respect that. I respect you. I respect your knowledge as paramedic. If you tell me it's over, it's over. And she will be able to make that decision because I knew from my personality and from my matter that cost me to get there wasn't going to be pulling out anytime soon. So sometimes if you can have in the case where you have a crew have somebody say, ‘This is now getting dangerous’. And it's a fine line. Like I pulled my husband out of a race once, Northburn, a race that I co-founded a few years ago in the South Island. And he was doing the 100k and he actually rang me on the cellphone, and it seem the case, we had a massive storm up in the mountains. It was wild. It was his first 100k, he was in the mountains. He was scared shirtless. He was hypothermic. And I was like, ‘Oh my god, darling, just come home’. You know? So that was—and he could have pushed on.  Eugene: Yes. Lisa: And mentally that cost him a lot because he pulled out, and he didn't push over that hub. So there's this fine line between it should’ve been ours... Eugene: But he lives to tell the story.  Lisa: Exactly, and he's done that, so it wasn’t... Eugene: Exactly, that doesn't matter, you know? We love those stories. I love reading your books. I love reading the things that you've been through. But, my gosh, when you think about the risks as you say and the cost, and that's a common story. You're not alone in there, That's the sport we’re in.  Lisa: Yes. Eugene: It's ridiculous to me. But you know, it's a tough one. And it's, I think that's a really good idea. Having someone who's who's got your back. Someone who you can trust, like you say, they're not going to pull you out you know just because you stub your toe. Oh gosh... Lisa: Just because you’re... Eugene: Exactly. Exactly. Who hasn't? But you can trust them so that when you've gone to that thin line, bang!  Lisa: Yes.  Eugene: Come on my area.  Lisa: Yes.  Eugene: And I was lucky to have a really good mate who phased me. I went through some hallucinations. Nothing major. But he thought it was—I had my mate. And he was looking out for me. In fact, he laughed at me. Lisa: What did you see in your hallucination? Eugene: Oh, I hit home. So we were running around on an unfamiliar course. We were coming around the back of Blue Lake. Up towards the Blue Lake aid station. So about 120km. And it was just before sunrise. So, you get that funny light.  Lisa: Yes.  Eugene: It's still dark, but the light is changing. And I swore coming up to the aid station, I swore I saw a robot sitting off to the side of the trail. And in my photo frame mind, I justified it as ‘Oh, it must be like reading, it must be scanning us telling the aid section that we're coming’. And so I saw it. And said to my mate, ‘James, there’s a robot. It's pretty cool’. And he's like, ‘The what’? ‘The robot there’. And he's like, ‘There’s nothing, man’. And I think it was a tree or something. I don't know what it was. But it's funny how I justified it to myself. So it was fine. And then after the light changed, I got a couple of situations where it's quite unlikely to cause hallucination or is vision going. But I—the ground was just like liquid glass. Lisa: Wow, that’s cool. Eugene: I was like, ‘Oh, should I put my foot down or not’? And James said, ‘What are you doing? Come on’! It was like, ‘What's going on with the ground’?  Lisa: [32:58] inaudible the glass. Well. Eugene: So that was but—people have some great hallucinations, don't know. But the point of that was, I had my mate there. It was never unsafe. And I'm grateful for that. So I think that's a really good tip, Lisa, to have a crew with you. Lisa: I think hooking up. Or if you're in a race where you don't have crew—which most of them are. And that you do hook up with somebody. If you can try and not too many people because then your pacing will be all out. But if you can just hook up with one person or maybe two at the max. I remember running the Gobi Desert in the Sahara with same gash who was in the desert runners movie together and this is great footage and desert runners is playing at the moment on TVNZ if anyone wants to check it out, it’s a cool movie. And yes we're running along holding each other's hands, bawling our eyes out, and but we got each other through both of those messiest days, both in the Sahara, and in the Gobi. And we ran together in India as well but with crews in that case. But that comradeship that we have there was just gold. It just helped.  When you [34:17] escaped shirtless you hit someone the and we did get lost and we did fold our paces and we did have all sorts of dramas and we kept each other going through all those hard times and I think that's one of the beautiful memories for me that I take away from that. And there were other people I've done the things with... And the depth of connection that you have with a human being when you've gone through something like that it's just next level. And that's one of the beautiful things because we’re talking about all our negatives here but it is just like—she’s a very amazing woman that one. She’s done incredible things. Eugene: It is incredible, isn’t it. Those connections you make.  Lisa: Yes.  Eugene: The friendships you forge. Even if you don't see each other again, but you've got that bond. That's forever.  Lisa: Yes.  Eugene: Those moments that you shared when you're vulnerable. Lisa: When you're up [35:11] Creek and literally. Guys who didn't even speak the same language or a woman I remember running in the Sahara at one point with a—I was crying, she was crying. She was from South America somewhere, didn't speak a word of English, or another French guy picked me up in Jordan when I was running across there and I'd passed out and he came along, picked me up, got me into the next checkpoint. The French guy and Niger, it's just like, ‘Wow’. The stuff that you help each other through. It's gold, but does this do happen, you know?  Eugene: They do. They do. Yes. Lisa: We have one in the Gobi Desert. We had a young man, Nicholas Kruse was only like 30 or 31, I think. And he was first time doing it. And he wasn't trained enough, I don't think. And he—I think he underestimated the thing. And he unfortunately probably paid the ultimate price. And then you've got also the dangers. I mean, you got cases like with Turia Pitt, the forest fires in Australia, or there are things that could go wrong. Eugene: Yes, absolutely. Lisa: Even in these organisers' races. You have falls where you've hit your head and concussions and... Just because you're in an organised event, do not think that there isn't an element of danger, or that you're going to have to be self-reliant, you cannot. And inside these countries is beyond the abilities of the organisers actually to cover every base. Eugene: Absolutely. Well, even in races in New Zealand, we go to some remote places, and races route is difficult to get. You're not just going to be able to ring up 111 and get an ambulance there.  Lisa: No. Eugene: It's not like that. I've been in a 100k race where—because there have been lots of runners going through this. It was a narrow bit of the trail. And it was really dry there. And runners have been going over this bit of land. And basically, as the day wore on, it sort of started to break down a little bit. And I was just the unlucky one stick on the trail in a way. And I slid down this bank...  Lisa: Oh my god. Eugene: ...and down, down, down, down down, thinking, ‘Uh-oh, when's this going to stop’? Luckily, I hit, I came to a stop on a tree, not badly. And then basically had to scrape my way back up. Now, I was fine. But you know, those sorts of things can happen if I stumbled in a wrong way as I came off the trail and hit my head, whatever. So you are—yes, you will, I mean, it’s not... Well, I mean, when we've been out on a run in a cotton wool, so [37:57] do we. But we don't want to go everybody. But you don't need to be conscious. Lisa: I'll be conscious of it. I think... Eugene: And even when you're training too, when you're training, when you are going out in remote areas. Make sure you tell someone where you're going. Preferably run with some other mates. Maybe think about taking a locator beacon with you if you're going somewhere really remote.  Lisa: Absolutely. Eugene: Have a phone with you, do those sorts of things. Take those precautions. Just be a bit careful. Yes, we want to push ourselves. Yes, we want to be out there. Yes, we want to find new limits. But we also want to get back home.  Lisa: Yes, we want to come home to our families and not die on the way.  Eugene: Yes. Lisa: If we can. I mean, people can take it to the level that they want to go to, but just don't want people going and thinking that everything's safe because it's an organised event or because hundreds of other people have done it, means absolutely nothing. Eugene: Absolutely.  Lisa: I’ll tell you, like how many thousands of people have climbed Mount Everest, but it's still a frickin dangerous thing to do. Eugene: Absolutely.  Lisa: Doesn't mean it's safe just because lots of people have done it. I think like—if we just went through a bit of a list now of some of your things that you'd like from a medical perspective, that you should gone this research on and find out about.  One of them, so we've talked about rhabdomyolysis. Dehydration is the opposite, is well known, dehydration is what we think about more, and that's certainly something that can then can lead to troubles. And you've got hyponatraemia or EAH, so hyponatraemia let's just talk about that one briefly because it's a biggie. Hyponatraemia is a low sodium level in the body. I've had it. Lots of people give this. And it's again, a hard one to diagnose because it is very similar to the opposite problem, which is dehydration. So hyponatraemia you've actually got too much water on board.  One of the signs of this I'm even doing was 100k, one of those Oxfam ones. And because we'd been walking for so long, it was a walking running situation thing. And I got really bad hyponatraemia in that one. I was drinking a lot. I wasn't having my electrolytes, right. And my hands were like elephant hands.  Eugene: Wow.  Lisa: So that's an indication that there's something going on. So look for signs like that, look for swelling, edema. And yes, that could like...  Eugene: Nausea, lightheadedness, those sorts of things as well. Lisa: Coordination, going haywire. And the problem with hyponatraemia is you don't want to just be thinking it's dehydration and then drinking more. So it's an—it's a low sodium. So, your potassium and your sodium are having antagonistic relationships in your body. And you have, for every three bits of sodium that gets pushed out of the cells, three bits of potassium come into the cells. And it's like, it acts like a pump. And it's actually what helps your muscles contract.  So if you get that sodium, potassium, ainger, other electrolytes out of whack, there's a whole lot of things that can happen. hyponatraemia being one of them. In another one being a tetany seizure, which is what I mentioned what I had in Alaska.  Eugene: Yes, so what's that? Lisa: So this is where—in my case, it was a potassium that was really, really low in the body at 1.4. Like it’s deadly... Eugene: Wow.  Lisa: Deadly low. And I'd had in the couple of weeks building up to this actual seizure. My hands were doing this, and I was cramping all the time. And that was so—if you ever start doing that, like this weird thing where your hands are starting to spin. Eugene: So, like dinosaur hands on. Lisa: Yes, so your fingers—for those listening can't see me do my funny thing here. It's the muscles contracting and your fingers are pulling in. So I remember, swimming at some point, and the lead up to this with this was happening to me. I was like, ‘What the hell's that’? And then it would go off again. But there was a sign that I didn't have enough potassium as I found out later. Eugene: All right. Lisa: So then I had, a couple of weeks later, this tetany seizure, and it started with the whole body. Just like every muscle in the body cramping all at the same time, the most painful thing you can ever—like really bad pain, including your face muscles, including your heart, which is the problem.  And in there, the pain was horrific. I thought I was dying, I was. Luckily I just come off a mountain, or was taking shelter in a public library because it was pouring with rain and freezing cold. And this happened in the library. And there was a paramedic in the library who just happened to be fixing a light bulb. He saw me go down.  Eugene: That’s one of the 43:10 [inaudible] moments. Lisa: Yes, that was very lucky. He put a gel straight into my mouth. He just happened to have a gel on him. And that gave a little bit of glucose and stuff too, and managed to release the seizure for a couple of minutes before it happened again. But by then he got me into the ambulance and around to the hospital pretty quick, smart. And they were able to save me. But that could have been deadly. That could have been a massive heart attack on the way out. I've seen that also happen and we were in the outback of Australia with friend Chris Ord. And he had a seizure at mile, coming in at 90 sort, and we've been running in 40 odd degrees heat and he'd been taking electrolyte tablets. So people electrolyte tablets are absolutely crucial. You've got to have them. The ones he was taking didn't have potassium. They had everything else in them but their ratios weren't right. And he ended up—we had to—again incredible pain, whole body seizing, racing him into the hospital Alice Springs.  What I did do and what you can do in a case like that is give him three cans of Redbull—not advertising for Redbull or because generally that’s a shit thing to be drinking. And this case, with what it's got in it and the sugars and stuff that helped. So yes, but that's just a potassium sodium balance.  Eugene: Yes .That's the thing, isn't it? We're missing with our chemistry. We're missing with the body's chemistry. I don't know what it was but I had one race where I just finished and as soon as I finished, I started shaking.  Lisa: Oh, yes. Eugene: Shaking and shaking. I couldn't stop for hours. And it wasn't cold. I wasn't cold. Lisa: Oh, I know what it is. Eugene: Well, what is it? Because... Lisa: I don't know the name of it. But I've had that many times. It's basically where you've just got nothing left in the body.  Eugene: Yes, somebody said to me, glycogen. Yes, just the glycogen is gone.  Lisa: You just got nothing, you got nothing to heat because you know we heating ourselves all the time with our glycogen supplies and our glucose is running out of their body. And you were just on absolute zero basically, taking your blood sugar, I bet you’re in a really, really low  Eugene: Right.  Lisa: And so like, in Death—I’m telling my bloody stories, but...  Eugene: Why not? Lisa: A member in Death Valley. We be head like 55 degrees during the day, I’ve had heat stroke and had all that. And then at nighttime, it was 40 degrees. And I got shivers. I was doing that. I was like this and it was 40 degrees.And I was like, ‘Really, what the hell is going on? It's 40 degrees’. It was a lot colder than it had been, but I just had nothing left in the tank and therefore I was shaking.  And that can be a real danger when you say in the Himalayas, which I've also done and that's where you just cannot warm up. You can't keep your heat going. And these can run into other problems where you just stuck—your blood sugar just keep dropping, and you can end up when—going into a coma just because your blood sugar is too low, and you got hypothermia. Eugene: The other problem that happens. And I've had this a couple of times after ultras is I just have zero appetite, I can't, I just can't face the thought of food. You got to get something into you, you go start replenishing your body, you got to look at soups or something to get some nutrition back into it. Because like you say, it can be dangerous. Lisa: And that's a recovery too, like, if you can get something in it will help you recover a heck of a lot faster even like just generally fully training runs, if you can get something in within an hour. But usually within an hour, you just do not feel, you just feel like vomiting if you eat too much. So you just have to take a little, little, little nibble, nibble, nibble. And something that you're really—usually savoury salty things that you will get have a taste for. So soup or things or something like that. Just trying to eat something in. My gosh, there's a lot to be worried about. Eugene: And that's the thing, that's the thing. These are all things that you need to be conscious of. But you manage your rests, don't you? You can manage them. And what one of the other things that Dr Reynold said, and I think is pertinent today, what just what we're dwelling on the bad things is that these risks are exponential. So he says, ‘Don't think that you run 100k all year, well, then 160Ks, that's only another 60k’. It's an exponential increase, and an exponential increase in those risks as well. So conscious of those things as well.  Lisa: So watch when you're jumping up in this.  Eugene: Yes.  Lisa: And also don't fall into the trap of thinking, ‘Oh, I did it once. Therefore, it's a piece of cake. I could do it either’. I've run into this where I came off the back of a Himalayan one. I just done 222Ks. I thought it was the bee's knees. And then I went and did it just a couple of weeks later and I hadn't recovered properly a 50k in Australia. And the wheels freakin came off at 25k. It wasn't the—I had to be risky for some beer drinking Ausies in the middle of the bush. I'll tell you your ego suddenly deflated.  Eugene: Yes, absolutely, Lisa and it's—I learned that lesson even just with the map just for the marathon.  Lisa: Don’t say that. Eugene: But just for the marathon. I ran my first marathon when I was 21 and I trained for it. And so I found it actually quite easy. I don't mean that—I wasn't fast but but it was I got to the end of it. I can't keep waiting for the wall. The wall never came. I got—I thought, ‘Ah’! So I made the mistake thinking marathon is easy. A piece of cake. Yes, run up on the next one. [49:13] ecruzi hardly did any training.  Lisa: Oh.  Eugene: My bad, so bad. And it was like it was just the marathon telling me, ‘Sunshine’...  Lisa: Respect. Eugene: ‘Respect the distance’. You cannot run something like this without respecting it. And it was a good listen.  Lisa: Good listen. Eugene: Good listen, I'll let my listen. But I let my listen.  Lisa: And in by that token, respect any distance. People often say to me, I'm just doing it, I'm just doing half marathons, or I'm just doing marathons and because I've done lots of ultramarathons they think, ‘Oh, that would be nothing for you’. And I'm like, ‘Hell no’. Eugene: Hell no. Absolutely. Lisa: Every distance has to respect because it’s sort of basic thing for starters. 100 metres is a long way when you're going at Usain Bolt and 5k is really fast when you're going at your maximum. And a team K is an attunity. It's all relative to pace for status. And the second thing is never think because you did it once. Next time, it's going to be sweet. And Eugene has given us an absolute good example of that. And it is. It’s like take every race is that first is a big deal. And you have to prepare your body for it.  And don't—oh, another mistake I made this was awesome. Another embarrassing thing. So you know. Done 25 years of stupid stuff and then when my mum got sick I didn't train obviously properly for 10 months and then I ran across the north on and raising money for charity a friend who’ve died, Samuel Gibson a wonderful man that we lost. And I was so moved. I decided I'm going to run anyway. And I have not been training for 10 months because I've been looking after my mum and I sort of thought out, this sweet, have done this backwards and upside down. I can do this. Oh my God, my ass got handed to me. And I got through it. But oh, hell, it was hell. It was not funny. So prepare. And even though you've done it a100 times doesn't mean you still got it. Eugene: That's right. That's right. Lisa: I assume I don't got it now. Eugene: And that point you made earlier about recovery, too. I did a 100k race and then you had this plan to recover, to take weeks off, got peer pressure. Mates we're doing a 50k. ‘Come on. Come on, man. I don't want peer pressure. Peer pressure’. ‘Okay. You’re already lined up to this 50k race’. Oh boy. And it just set me backwards. It set me back so far, you know?  Lisa: Mentaly too. Eugene: Yes. Absolutely. Absolutely. Yes. Yes. Yes. So, yes, respect things. Lisa: We've got to respect things. We've got to not expect that our bodies got it just because we've done it once before. Be aware of things like rhabdomyolysis, heatstroke, hyponatraemia, altitude if you're doing altitude, podcasts in itself, be aware of burnout...  Eugene: Hypothermia. Lisa: ...hypothermia, dehydration. All of these things are things that we can and do happen to be seizures, electrolyte imbalances, getting lost, going through dangerous places, breaking ankles, and all that sort of thing. So part, it is, can happen. So, be aware of that. And we're not saying don't go out and have adventures, because that'd be really critical. But prepare for those adventures. Get proper training. Get proper coaching. Know what you're in for. Eugene: It's like driving a car. One of the most dangerous things we do. But we make sure we wear our seatbelts, we make sure our cars have got a Warrant of Fitness and the service, and everything. We make sure there's air in the tires, we make sure there's fuel in the tank, and our bodies have got to be like that as well.  Lisa: Exactly. Eugene: That driving is so so dangerous. You know, so many people a year die on our roads.  Lisa: Yes, more than ultras.  Eugene: Yes, so we don't not drive. We just make sure that when we drive we are prepared and our cars are prepared. Well, that's the same as running. There are risks, not as much as driving. But there are risks, but we just make sure we've got air in the tires, we've got fuel in the tank, that we're serviced, and ready to go when we line up for races. Lisa: Brilliant. Eugene, you've been fantastic today. And now you've got another thing to get to. So I want to thank you for writing that article. And thank you for your honesty and openness about this because it's really important that we do talk about it in our running community and to share the good, the bad and the ugly. So I think it's important. And keep up the great work. Of course, people should go and listen to Dirt Church Radio. It's a fantastic podcast that  Eugene: We have great gear that’s wireless.  Lisa: Honoured to be on your show, mate. And I love talking to you and I love what you do. So thanks very much, mate for being on the show today.  Eugene: Anytime. Thanks, Lisa. That's it this week for Pushing the Limits. Be sure to rate, review, and share with your friends and head over and visit Lisa and her team at lisatamati.com

Estas comenzando a correr? Pues en este episodio te brindamos algunos consejos básicos para cuando vas a correr en diferentes lugares. Que cosas debes saber cuando corres en una pista? Que debo tener en cuenta cuando voy a correr en carretera? Que debo esperar si corro en un Trail (sendero)? Son consejos básicos para que comiences con el pie derecho. Contáctanos!==========================================Web : www.corriendosobre50.comFacebook: https://www.facebook.com/Corriendosobre50Twitter: @PodcastCS50Instagram: Corriendo sobre 50Youtube: https://www.youtube.com/channel/UC0gKOA3brV9OOgtJp3z9JKgAyúdanos a crecer! Comparte nuestros episodios, subscríbete, síguenos en nuestras paginas de redes sociales!Gracias por escuchar Corriendo sobre 50!

Coach Kevin and Coach Holly talk with Dr. Max Paquette about RPE, his biomechanics research, coaching elite level athletes vs age groupers, and what it is like to coach his wife, professional runner, Lauren Paquette.

Coach Kevin and Coach Holly answer runner questions about how to manage life stress and running, when to push through an injury, what is a good pace, and fueling.

In this year-end episode of HWYRT, Bryan and Peter discuss what the new year might hold for each of them. They talk up goals and sub-goals, possible upcoming races, and how they both hope to avoid injury. Plus, a bonus listen to the “unaired” half of their interview with Darrell and Megan McTague of the "So THIS is Fitness" podcast, recorded on location a few hours after the Millinocket Marathon. Happy New Year to all of you out there in Pod-land! http://www.sothisisfitness.com http://www.racetherunways.com   http://november-project.com/2017-npsummit-location-details-boston-june-9-11/