Podcasts about two rivers treads

Welcome to Protecting Your Nest with Dr. Tony Hampton. Dr. Mark Cucuzzella, Air Force Reserve Lieutenant Colonel (ret), practices at the Veterans Administration Hospital in Martinsburg, West Virginia. He is a Professor at West Virginia University School of Medicine and developed the US Air Force Efficient Running Program. Mark has run competitively for four decades, with more than one hundred marathon and ultramarathon finishes, and he continues to compete as a masters runner with thirty straight years under a 3-hour marathon. Mark owns the first minimalist running and walking shoe store, Two Rivers Treads. He has also been named a Distinguished Mountaineer by the Governor of West Virginia, a Blue Ridge Outdoors Pioneer, Air Force Athlete of the Year, Colorado Academy of Family Physicians' Teacher of the Year, is inducted into the Marine Corps Marathon Hall of Fame (2018), and has received the President's Award from the American Academy of Podiatric Sports Medicine. Mark's innovative work and story has been featured in the New York Times, NPR, Outside Magazine, Running Times, Runners World, Air Force Times, the Washington Post, JAMA, and other medical and media outlets. In this discussion, Drs. Tony and Mark talk about: (00:00) Intro (02:12) Why the obesity and diabetes rates among active duty military and veterans are so high (13:20) The emotional/hormonal aspects of metabolic health (21:05) Which metabolic health interventions are the most helpful for long term success (26:26) The evolution of nutrition philosophy for running (31:56) Learning to be comfortable with the idea of suffering in order to achieve your goals (37:30) The detrimental effects of processed foods and how we can better educate people about this reality (46:00) The Metabolic Revolution and how we can begin to meet the health crisis head on with effective methods (50:51) Outro Thank you for listening to Protecting Your Nest. For additional resources and information, please see the links below.   Links:   Resources Mentioned in this Episode: Part 1 to this episode: https://doctortonyhampton.libsyn.com/episode-226-why-our-health-is-failing-and-how-to-fix-it-wdr-mark-cucuzzella-part-1 Dave Ramsey (financial advice): https://www.ramseysolutions.com   Dr. Mark Cucuzzella: US Air Force Efficient Running Program: http://www.efficientrunning.net/ Two Rivers Treads: http://bit.ly/rfyl-trt Website: https://www.drmarksdesk.com/   Dr. Tony Hampton: Linktree: https://linktr.ee/drtonyhampton Instagram Account: https://www.instagram.com/drtonyhampton/ LinkedIn Account: https://www.linkedin.com/in/drtonyhampton/ Ritmos Negros Podcast: https://podcasts.apple.com/us/podcast/ritmos-negros/id1534043495 Q Med: https://qmedcme.com Symposium for Metabolic Health Lectures: https://www.lowcarbusa.org/smhp-symposiums/san-diego-2022/ How Waking Up Every Day at 4:30 Can Change Your Life: https://www.youtube.com/watch?v=qOEB1Fr0_MM • • Keto Mojo: https://keto-mojo.com/speakers/tony-hampton/

Welcome to Protecting Your Nest with Dr. Tony Hampton. Dr. Mark Cucuzzella, Air Force Reserve Lieutenant Colonel (ret), practices at the Veterans Administration Hospital in Martinsburg, West Virginia. He is a Professor at West Virginia University School of Medicine and developed the US Air Force Efficient Running Program. Mark has run competitively for four decades, with more than one hundred marathon and ultramarathon finishes, and he continues to compete as a masters runner with thirty straight years under a 3-hour marathon. Mark owns the first minimalist running and walking shoe store, Two Rivers Treads. He has also been named a Distinguished Mountaineer by the Governor of West Virginia, a Blue Ridge Outdoors Pioneer, Air Force Athlete of the Year, Colorado Academy of Family Physicians' Teacher of the Year, is inducted into the Marine Corps Marathon Hall of Fame (2018), and has received the President's Award from the American Academy of Podiatric Sports Medicine. Mark's innovative work and story has been featured in the New York Times, NPR, Outside Magazine, Running Times, Runners World, Air Force Times, the Washington Post, JAMA, and other medical and media outlets. In this discussion, Drs. Tony and Mark talk about: (04:29) Why Dr. Mark chose to speak at the Metabolic Revolution Rally and what he spoke about (07:02) The recent USDA meeting that Drs. Mark and Tony were a part of (10:38) Why metabolic health advocacy has become such a huge part of Dr. Mark's life (19:27) Why Japan's obesity rate is drastically lower than that of the US (24:13) What the ‘Double Burden of Disease' is (32:12) Childhood obesity statistics and preventing obesity in children in the US (36:37) Pottenger's Cats and how this study relates to generational health and childhood health (41:00) Understanding the obesity epidemic in Appalachia (45:10) Dr. Mark's physician's pharmacy program and how it is making his community healthier by offering effective incentives (53:19) Government subsidies for farm products—pros and cons—and how the government could effectively contribute to public health (01:00:10) How people can take control of their health for the long term Thank you for listening to Protecting Your Nest. For additional resources and information, please see the links below.   Links:   Resources Mentioned in this Episode: Public Health Collaboration Infographic Comparing Low Carb to Low Fat Diets for Weight Loss: https://phcuk.org/wp-content/uploads/LC-v-LF-RCTs-26.10.2023.png Is it Time for a Lock Down on Sugar? (Article): https://pubmed.ncbi.nlm.nih.gov/34009796/ Pottenger's Cats (book): https://www.amazon.com/Pottengers-Cats-Francis-Marion-Pottenger/dp/0916764060   Dr. Mark Cucuzzella: US Air Force Efficient Running Program: http://www.efficientrunning.net/ Two Rivers Treads: http://bit.ly/rfyl-trt Website: https://www.drmarksdesk.com/   Dr. Tony Hampton: Linktree: https://linktr.ee/drtonyhampton Instagram Account: https://www.instagram.com/drtonyhampton/ LinkedIn Account: https://www.linkedin.com/in/drtonyhampton/ Ritmos Negros Podcast: https://podcasts.apple.com/us/podcast/ritmos-negros/id1534043495 Q Med: https://qmedcme.com Symposium for Metabolic Health Lectures: https://www.lowcarbusa.org/smhp-symposiums/san-diego-2022/ How Waking Up Every Day at 4:30 Can Change Your Life: https://www.youtube.com/watch?v=qOEB1Fr0_MM • • Keto Mojo: https://keto-mojo.com/speakers/tony-hampton/

Dr. Mark Cucuzella is a returning guest on our show! Be sure to check out his first appearances on Boundless Body Radio on episode 25, episode 40, and episode 327 of our show!Dr. Mark Cucuzzella is a Professor from West Virginia University School of Medicine, and a retired Air Force Reserve Lieutenant Colonel. Mark has developed and adopted a protocol for using a low-carb diet for patients with obesity, prediabetes, and type 2 diabetes. Mark is a founding member of The Nutrition Coalition, the Low Carb Action Network, The Society of Metabolic Health Practitioners, and The Hypoglycemia Foundation. Mark also co-authored guidelines on Guideline Central: Low-Carbohydrate Nutrition Approaches in Patients with Obesity, Prediabetes and  Type 2 Diabetes, and the Companion Patient Guide Low Carb on any Budget  - A Low-carb Shopping and Recipe Starter- Begin a Life Free of Dieting and Indulge Yourself in Health. His book Run for Your Life: How to Run, Walk, and Move Without Pain or Injury and Achieve a Sense of Well-Being and Joy summarizes the science and the soul of running, nutrition, and physical activity to help you maintain a vigorous life. He owns the running store Two Rivers Treads, which is our favorite place to order our minimalist shoes! Find Dr. Cucuzzella at-https://www.drmarksdesk.com/Two Rivers Treads WE HAVE A PROMO CODE FOR YOU!! Use TRTBB10 to save 10% on some amazing shoes and some great customer service!!!runforyourlifebook.comWatch Dr. Cucuzzella's talk at Keto Salt Lake 2022!Dr. Mark's references for our conversation today-https://blog.maryannedemasi.com/p/part-1-weighing-up-the-value-of-weighthttps://www.reuters.com/investigates/special-report/health-obesity-novonordisk-doctors/Ragen Chastain Substack articles, all about GLP1, parts one through three!Part OnePart TwoPart ThreeFind Boundless Body at- myboundlessbody.com Book a session with us here!

This episode is available on YouTube: https://youtu.be/tFDd3vfFxvc?si=ysH8Vhj04dt8b5YO Welcome to The Runegade Podcast - we're your hosts Mark and Todd, and we're happy you found this podcast. As always, we'd appreciate a follow, like, share, comment - to help grow our audience allowing us to deliver the best running content to help you be a better runner and feel free to drop us a line at runegadepodcast@gmail.com So lace up a pair of Altras, and get your FloatRun Harness ready, Golden Harper joins the podcast and wow - Golden is a wealth of knowledge, experience and he's a new friend of the Podcast. Golden Harper, one of the founders of Altra Running, a running coach, an accomplished runner and an innovator in the running shoe industry - shares his story running story, and what a running story it has been thus far. And with lots of unfinished business left before him. We discuss common running shoe misconceptions, Super Shoes, the importance of strong feet and how to do this, injuries, motivation, arm placement to influence the best foot strike, how rotating running shoes have been proven to reduce running injury, Super Shoes. From running a 3:08 marathon at the 10, to setting the World Record at the age of 12 with a 2:45, to founding Altra, to being completely interested in helping people be better runners and reducing injuries by focusing on running form - we explore all the terrain. Thank you to Golden, a new friend of the podcast. Use code RUNEGADE20 for 20% P.R. Gear https://prgear.co/ We couldn't do this podcast without an audience, without our friends and a special callout to 2 friends of the podcast: PATH projects: https://pathprojects.com/ - looking for the best running gear? Hats, tshirts, base layers, shorts, jackets ... everything performs. Use code RUNEGADE10 for 10% off (limited time) Two Rivers Treads: https://tworiverstreads.com/- the nations first minimalist footwear store, owned by Dr. Mark Cucuzzella - get the best natural footwear brands here, and they can help answer your questions

Today, we're going to explore the microscopic powerhouses that fuel every step of our runs: mitochondria. Often referred to as the 'batteries' or 'powerhouses' of the cell, these tiny organelles are where the magic happens when it comes to producing the energy we need, whether we're pushing up a steep incline or sprinting towards the finish line. Dr. Mark Cucuzzella rejoins us to help us understand what mitochondria are exactly, how we can create more, and how we can improve the efficiency of these powerhouses is an expert with a rich blend of clinical experience, athletic accomplishment and a passion for wellness. HERE is the link to the article Dr. Mark mentioned. Check out these links: Two Rivers Treads, Dr. Mark's running store. Natural Running Center, a resource with many useful running tips. Freedoms Run Race Series (Full, 1/2, 5K, 10K) Check out this link to learn more about Zone 2 training. Zone-2-2023-v2Download

Dr. Dustin Jones // #GeriOnICE // www.ptonice.com  In today's episode of the PT on ICE Daily Show, Modern Management of the Older Adult division leader Dustin Jones discusses evidence based recommendations on shoe wear for older adults. Take a listen to learn how to better serve this population of patients & athletes. If you're looking to learn more about live courses designed to better serve older adults in physical therapy or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION 00:00 INTRO What's up, everybody? Welcome back to the PT on Ice Daily Show. Before we jump into today's episode, let's chat about Jane, our show sponsor. Jane makes the Daily Show possible and is the practice management software that so many folks here at ICE utilize. The team at Jane knows how important it is for your patients to get the care they need. And with this in mind, they've made it really easy and convenient for patients to book online. One tip that has worked well for a lot of practices is to make the booking button on your website prominent so patients can't miss it. Once clicked, they get redirected to a beautifully branded online booking site. And from there, the entire booking process only takes around two minutes. After booking an appointment, patients get access to a secure portal where they can conveniently manage their appointments and payment details, add themselves to a waitlist, opt in to text and email reminders, and fill out their intake form. If you all are curious to learn more about online booking with Jane, head over to jane.app.physicaltherapy.com. Book their one-on-one demo with a member of their team. And if you're ready to get started, make sure to use the code IcePT1MO. When you sign up is that gives you a one month grace period that gets applied to your new account. Thanks everybody. Enjoy today's show. 01:43 DUSTIN JONES Welcome folks to the PT on Ice daily show. My name is Dustin Jones and today is Wednesday where we're going to be talking about all things older adults in particular. shoe recommendations for the older adult population. Shoe wrecks, heel drop, doesn't matter, barefoot, minimal, conventional shoe, what the heck's the deal with the toe box, what in the world is a shoe last, we're gonna talk about all these things, what the evidence says, and then what we're kind of seeing out in the real world, right? Many of us are seeing in clinical practice or in the context of fitness. Before we get into the goods, just a few quick announcements. Our online MMOA Modern Management of the Older Adult courses are going to be striking up here within the next couple weeks. So Essential Foundations, that is our foundational online eight-week course, is going to be starting October 11th. And then our Advanced Concepts course is going to be starting on October 12th. That's just for folks that have taken Essential Foundations. We've got a bunch of live courses coming up through the fall across the country. The one that I really want to point your attention to is Falls Church, Virginia. That's going to be the weekend of October 7th. 02:51 SHOE RECOMMENDATIONS All right, shoe recs. This is a topic that I really enjoy digging into. I've got a decent amount of experience around shoes. I used to sell shoes right out the gate of PT school. I was working in outpatient PT clinic and then working in the first kind of barefoot style shoe store in the country. Two of his treads out of Shepherdstown, West Virginia, currently in Charlestown. And just had a lot of, made a lot of mistakes, learned a ton, met a lot of interesting folks that were in this space that were really challenging a lot of conceptions. around shoes and what is good for individuals. And I was very dogmatic at one point and I've kind of come to the middle a little bit in terms of what I perceive to be beneficial and the evidence is starting to show that as well. 03:55 THE OLDER ADULT FOOT So when we talk about recommending shoes for older adults, I think the first thing that we need to acknowledge is that the foot is different in an older adult than when you're younger, right? We see age-related changes typically in the older adult population that warrant us to really question the shoe that they're in, right? The reality with the footwear industry is that many of the shoe lasts, lasts being the shape of the foot where they basically create the shoe from. The shape of that shoe last largely mimics what you may see in a younger individual, not necessarily the common things that we will see in older adults. What do we see in older adults? Typically, you're going to see a larger circumference of their midfoot. larger circumference compared to when they were younger, you typically will see a lowering of that arch in many older adults. We often do see that the angle, the toe angles of that first and fifth toe typically do go in, which we're well aware of all the issues associated with that. And we see these changes yet 99% of the shoes out in the market are looking at a younger foot and creating the shoe around that as opposed to an older adult individual. So we need to acknowledge these changes because that is what's going to influence the current evidence-based recommendations. So what I'm going to go through is kind of what the current evidence says, the most recent systematic review looking at shoe recommendations for older adults, and then I want to dive into the whole minimal barefoot shoe versus conventional shoe debate, particularly for this population. So what do we know to be true in terms of some key characteristics of shoes that are gonna be helpful for older adults. One, and probably the biggest issue, is that it fits. I know it sounds super simple and silly, but if you check the fit of many of your patient's shoes or your client's shoes, you will see some very ill-fitting shoes. Whether it is the shoe is too big, there's a lot of wiggle room, their foot is moving a lot within that shoe, or it's the opposite, right? The shoe is way, way too tight for that individual, and that creates a whole host of issues related to skin breakdown related to performance breakdown as well. And so we want to be very aware that it fits well, all right? So that's the first thing. Next thing is that it has fixation. A shoelace system, for example, we could say Velcro as well, but laces are typically better, is that if that shoe is properly fit and it's fixated to that foot, that is going to allow them to do what they need to do when they need to do it, all right? The second thing, third thing is going to be a firm supportive heel counter. So I've got a shoe here. If you're listening on the podcast, you can come to YouTube or Instagram to see the video. So this is just a Reebok Nano. I can't remember the model of this one, but back here, you know, is a pretty solid heel counter. So it's this back portion of the shoe. And so you want this to be firm and supportive. and snug when people put this on so you don't want a ton of room around the heel with this heel counter you want to be nice and snug and that's why trying shoes on is super super important. Next thing is around a 10 millimeter heel drop and this is where some of y'all are going to say no Dustin it needs to be just a zero drop shoe Current evidence shows that 10 millimeters around that range that older adults do really well there. If you start to go above that, particularly above 15 millimeters, you see an objective change in their balance performance through different outcome measures and their postural stability as well. If you're not familiar with heel drop, it's the difference of the thickness of the heel to the forefoot. This information can be hard to find on most websites when you go to look up shoe specs. That's why you want to look up the reviews of that shoe. Typically, a running world, there's a bunch of running related sites that will do all kinds of shoe reviews and they will give you some of those specific specs. When we worked at Two Rivers Treads, we would literally get a demo product and then we would cut the shoe right down the middle and we would measure the heel drop because a lot of those numbers weren't being published. We found some really interesting things. What the trend in the heel drop realm You know, 20 years ago, it was very, very common to see heel drops north of 10. You know, you'd be going, you know, 14, 17, 18 range in a lot of running shoes in particular. And over the past 20 years, particularly the past 10 years, that that average has gone down and down and down to where it's pretty normal to see a four to five millimeter drop from the heel to the front. That was not the case 20 years ago. So that has changed tremendously in the footwear industry. So around 10, excuse me, around a 10 millimeter heel drop. Next is a firm midfoot. So when we're looking at kind of the sole that it is relatively firm, you will typically see firmness in the midfoot and the forefoot is going to, excuse me. All right now, the forefoot is going to be a little more flexible. That allows for, you know, terminal stance, that we have a lot of extension, big toe extension is a big one, but that midfoot, a kind of firm, medium thickness is a good thing for older adults. In terms of the traction, a slip resistant sole that's multi-directional and tread. There's not a lot of evidence to support, you know, super thick, aggressive tread like you would see in something like a trail shoe. but some tread that is going to allow them that slip resistance in several directions, not just anterior to posterior. The next thing that you are going to want to look at is the beveled heel and then a rocker angle. All right. So this is really important for older adults that you typically want to see around a 10 degree beveled heel. So towards the back of the shoe, when we're going towards the very back of the heel, there's kind of that upward curvature. So it's not completely flat, but there's a little upward tilt around 10 degrees is really great. This allows or decreases the amount of them kind of catching their heel, especially during that swing phase. On the other side of the shoe, the front of the shoe, we have our rocker angle. You also hear this referred to as a toe spring. Now, not the fact that there is a spring in the toe or the front of the shoe, it just references that upward slope that you will see towards the front of the shoe. around a 10 to 15 degree rocker angle or toe spring is really good for older adults. The reason being is that when you're going into that terminal stance, you need a good bit of big toe extension, right? Some more ankle dorsiflexion as well. Usually you need about 45 to 65 degrees of big toe extension. And if you don't have that or it is painful, then having that upward slope basically gives you some artificial big toe extension. It can be really helpful with walking, but particular activities that require a lot of big toe extension, think going uphill, think lunging or getting to and from the ground, that rocker angle is priceless. And then last but certainly not least, we want an anatomically shaped toe box and this has changed dramatically over the past 20 years as well that we typically saw the shoe last kind of curve inwards and now you're starting to see that wider toe box to where the widest part of the shoe is almost towards the very end of the shoe or the front of the shoe. Now don't mistake a wide toe box to be a loose fitting shoe, because you will have a little bit of room to wiggle your toes in a properly fitted toe box. But if you have good fixation, particularly around the waist or the middle of the shoe, it is not a problem to have some wiggle room in the toe box. So we're talking length, but we're also talking width as well. so that is really important so when you look at all these characteristics hopefully you're starting to say oh my gosh that's a lot to think about this is why it is so so important for two things one to have a good relationship with A local, particularly running stores are usually the best around town. If you have an awesome local running shop to where you can send your folks, they have a solid fit system and they have some solid recommendations that can meet some of these characteristics. you're going to refer your folks and they're going to be in good hands, right? But it's also important to encourage folks to not just go to Amazon, to not just go and buy the shoe online, but you need to try this on. These characteristics, but then also that shoe feeling comfortable is very, very important. All right, so those are kind of the current recommendations. That is based on a systematic review that was released in 2019. I'll drop the citation for that in particularly the Instagram post. I'll do that there. 12:39 MINIMALIST SHOES: PROS & CONS All right, now let's shift gears a little bit and let's talk about the whole minimal shoe, barefoot shoe versus conventional shoe debate. Once again, I will say I was so dogmatic about this. I was the guy that ran half of a marathon without any shoes whatsoever. And the first half I wore Vivo barefoot because we were running on gravel, right? Like I was that guy. I drank the Kool-Aid hard, um, and then learn some valuable lessons along the way. And I've changed my stance a little bit. I'd say a lot actually on this, but let's talk about some of the pros and cons of particularly older adults wearing a barefoot style shoe. The first one is, there is evidence that a barefoot style shoe, when I say a barefoot style shoe, some of the key characteristics, typically it is a zero drop shoe. What I'm holding now is a Merrell Vapor Glove. I've bought three pairs a year of these things ever since they came out back in the day. I love these shoes. So it's typically a zero drop, a very flexible sole. So if you're not watching the video, I can roll it up like so. and it typically has a wide toe box. So the widest part of the shoe is going to be towards the front. That's kind of the typical characteristics of kind of a minimal barefoot style shoe. It also has a very low stack height in terms of how high it is off of the ground. So there are a couple studies, particularly with older adults, looking at how that's influenced some different parameters. And what they found is that when they wear a barefoot style shoe compared to a conventional style shoe, is that it does improve their postural sway. How does it do this, right? So think about the somatosensory input. You get a lot more input from that system whenever there's less stuff between your foot and the ground. You also have a lower center of mass, which can be very helpful for balance. And also, without that heel slope or heel drop, it doesn't shift your center of mass anteriorly. And so based on a couple studies, postural sway was improved significantly compared to conventional shoes when wearing those minimal shoes. So less sway, less postural deviation when folks were in static and dynamic situations. 15:07 CHANGES IN WALKING GAIT The next thing is that when folks put on that barefoot style shoe, they adapt their walking gait, running gait as well, right? Like we'll have the endurance crew talk about that all day, but I'm mainly talking about older adults in particular with walking. Their ambulation parameters will typically change. What we typically see is that we see a shortened stride length, we see an increased cadence with their walking, and the big one is that they have a decreased stance time. So they're moving their feet a little bit quicker and their stance time is a little bit shorter. Now, this is really important because let's think of if you have some type of external perturbation, you lose your balance. You try that ankle strategy, that hip strategy, it ain't working. You got to do that step strategy. When you're taking short strides, you have that increased cadence. When you have a relatively lower stance time, you are much more agile and adaptive to be able to take whatever stepping strategy you want to take. That is a big one, so that is a big reason why these barefoot style shoes can be helpful for older adults. What are the cons to wearing these with these individuals? One is that there's hardly any rocker angle. If you look at the video, there's a slight upslope for these shoes, but if you wear Xero shoes, Vivo barefoots, for example, you don't see any upslope or rocker angle towards the toe. and very little support in that area. And if you have limited big toe extension, if you don't have at least 45 degrees, for example, terminal stance of your gait is gonna be pretty tough, especially if you're symptomatic at in-range big toe extension. So these rocker angles can be helpful for individuals, especially if they're on uneven terrain, going uphill, limited big toe extension, they want that rocker angle. It's helpful for them, get them in one, all right? Though also the cons are the zero drop for many individuals, that life requires some ankle dorsiflexion to navigate the world, especially if you are going uphill, stairs as well. If you don't have hardly any ankle dorsiflexion, zero drop shoes are very difficult and what ends up happening is you end up shortening your stride even more. increasing your cadence even more, and ambulation can become less efficient. What that also does, especially when you're going uphill, if you're wearing a zero-drop shoe and you have limited ankle dorsiflexion, when you're going uphill, you max out your dorsiflexion, you don't have anywhere to go, so you start to see different deviations, and you also start to see a lot of pressure on the forefoot and the ball of the foot. If you have skin breakdown issues, neuropathy for example, this could have a whole host of complications. So there's some drawbacks to having a zero drop shoe for particular individuals and we need to be very aware of that. Now with all that being said, I, this is me, Dustin, anecdotally speaking, I am definitely for most individuals to be in some type of minimal barefoot style shoe. I think by and large, for many of the things that we do throughout our lives, it's a really good thing, but there's a lot of times where you want a solid shoe, right? You want some stuff between your foot and the ground. You want some help with that big toe extension. You want some help with that ankle dorsiflexion. So when I'm thinking about recommending barefoot style shoes to older adults, I'm thinking about three main things. And this is kind of a checklist that I want you to think about. 18:28 PROTECTIVE SENSATION One, and maybe the most important one, and this is probably one of the bigger mistakes that I've made in this realm, is that they need to have protective sensation. They need to have protective sensation. You need to get your monofilament out, your Seams 1C monofilament out. Check that protective sensation because if they do not have that, I highly recommend not recommending a barefoot style shoe because you will have lots of bumps, lots of bruises, stepping on gravel, you can create some trauma, if you will, and if they don't have that protective sensation, they may not be aware, and most individuals are not regularly checking the bottom of their foot to see if they're having any issues. I learned this one the hard way. I was treating someone that had type 2 diabetes and recommended, at the time, Altra, A-L-T-R-A, made a lot of barefoot style shoes, and I recommend the Altra Atom. You can look that up. It's one of my favorite shoes and basically gave this person a foot ulcer from some of the trauma that they received over several, several days. So learn from that mistake. Number two, you want at least 45 degrees of big toe extension. That's kind of the minimum for most individuals through ambulation, particularly through that terminal stance. So 45 degrees of big toe extension and also kind of symptom-free big toe extension. A lot of folks will have painful in-range big toe extension. So you need to be aware of that. If they don't have that, then you want a shoe that has some bit of a rocker angle. And I'm not saying you go to some like maximal style shoe, but even a relatively, I wouldn't call it nano, a minimal shoe, but the stack height isn't anything crazy. The heel drops three to four millimeters from the back to the front. And it has somewhat of a rocker angle. Something like that could be helpful for individuals and not putting too much between their foot and the ground. And then last but not least, their ankle dorsiflexion. At least 10 degrees of ankle dorsiflexion. That's kind of the minimum that we're looking through throughout gait. They need more than that when they're navigating uphill, when they're trying to do squatting, for example. But that's kind of the minimum. And I'd be very clear of when they want to wear these. When they're doing activities that don't require a lot of dorsiflexion or big toe extension, rock those barefoot shoes. But if you know you're going to be getting to and from the ground a bunch, if you're going to be guarding and kneeling, if you're going to be doing a bunch of squatting and lunging, then you probably want a solid heel drop. You probably want a nice rocker angle to support some of those deficits. So, I know that's a lot. I'm going to drop all these studies that I'm referencing in the comments of the Instagram post, but I think we need to be clear that we have evidence-based recommendations for older adults. I went through them at the beginning of this. I would say they're rather somewhat outdated, especially as the evidence is starting to evolve of looking at some of these different styles of shoes. But we're starting to see some early evidence supporting a minimal or barefoot style shoe in older adults. But we can't just do a blanket recommendation. Everybody gets Vivo barefoot. Everybody gets Xero shoes. That's not the case. We need to have that checklist, protective sensation, 45 degrees of big toe extension, 10 degrees of ankle dorsiflexion, and you're probably going to put someone in a good position. All right. Thank y'all. Y'all have a lovely Wednesday. I'll talk to you soon. 21:41 OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

Thanks to LMNT for sponsoring this video! Head to http://DrinkLMNT.com/FLO to get your free sample pack with any purchase.   Dr. Mark Cucuzzella has a marathon PB of 2 hours 24 minutes and ran Boston 30 times. He is a doctor, an author and professor of family medicine at West Virginia School of Medicine. He is also a Lieutenant Colonel in the Airforce Reserves, designing programs to reduce running injuries in military personnel.   Watch the full YouTube interview at https://youtu.be/C8rxNRDPMCI CHAPTERS: 03:23 the roots and growth of low heart rate training 12:41 learning from the best 15:11 starting out with low heart rate training and troubleshooting 20:21 balancing high and low intensity workouts 23:54 lactate shuttle, earning the right to do interval training 32:14 lactate testing 35:16 continuous glucose and heat rate monitoring 39:55 important blood work for athletes 53:49 medical concerns before training 56:42 running form, recreational and elite 1:03:22 running relaxed, race mantra, coping with discomfort 1:05:34 blue zones, Harvard longitudinal study of ageing 1:10:03 more about Dr. Mark 1:12:59 closing thoughts   Subscribe and hit the bell to see new videos: https://bit.ly/Flo-YT   ABOUT DR MARK CUCUZZELLA: Dr. Mark Cucuzzella has ran the Boston Marathon 25 times and has a Personal Best of 2:24 in the marathon. For 30 years he has run a sub 3-hour marathon. He is a doctor, author of the book Run For Your Life and professor of family medicine at West Virginia School of Medicine. Dr. Mark is also a Lieutenant Colonel in the Airforce Reserves, designing programs to reduce running injuries in military personnel. He own the Nation's first natural footwear store Two Rivers Treads and organizes running events to promote a healthier lifestyle.     LINKS AND TOOLS MENTIONED: Lydiard Foundation - https://www.lydiardfoundation.org/ Dr. Stephen Seiler TED Talk - https://youtu.be/MALsI0mJ09I The Borg scale - https://bit.ly/3HVlRF7 Polar OH1 heart rate monitor - https://amzn.to/3js4Vg3 Harvard longitudinal study of ageing - http://bit.ly/3jqglB1 Dr Mark Cucuzzella's running store - www.tworiverstreads.com Nutrisense: https://bit.ly/3Xebylh Continuous Glucose Monitor (CGM) - https://bit.ly/3Xebylh If you'd like to try NutriSense, the code FLO25 will give you $25 off the first month. LMNT electrolytes, free sample pack with any purchase: http://DrinkLMNT.com/FLO Affiliate Disclosure: I may earn commissions if you purchase items via my affiliate links. "As an affiliate I earn from qualifying purchases.” Affiliate links do not increase cost to you. Also, you do not need to use these links. You can also search for these same items in Amazon or on any search engine/shopping site of your choice and buy/research them that way.   PODCASTS MENTIONED: Dr Mark Cucuzzella, Round 1, Extramilest Show #18 - https://youtu.be/wCbr-dkUi7Q Dr Phil Maffetone, Extramilest Show #3 - https://youtu.be/_TPrenWWK9U Dr Phil Maffetone, Extramilest Show #8 - https://youtu.be/PWQOdquPTQ8 Dr Phil Maffetone, Extramilest Show #39 - https://youtu.be/DyE2J5pcWcA Mark Allen, Extramilest Show 5 - https://youtu.be/YlBUJTIggyA Dr Stephen Seiler on Extramilest Show #50: https://youtu.be/dxODgYXOO7w Kipchoge's Advice to Race Faster, For Non-Elites: https://youtu.be/7E6TNeoOC3Y Kilian Jornet on Extramilest Show #51: https://youtu.be/OJZO-t6O5Bk Kilian Jornet on Extramilest Show #52: https://youtu.be/OJZO-t6O5Bk Endure IQ Dr Dan Plews - http://bit.ly/3RxGgTD   FIND DR. MARK CUCUZZELLA HERE: Book: www.runforyourlifebook.com Personal site: www.drmarksdesk.com Education Site: www.naturalrunningcenter.com Store: www.tworiverstreads.com Event Series www.freedomsrun.org   YOU CAN FIND ME, FLORIS GIERMAN HERE: Personal Best Program: https://www.pbprogram.com/ YouTube: https://bit.ly/Flo-YT Podcast: https://extramilest.com/podcast/ Strava: https://www.strava.com/athletes/1329785 Instagram: https://www.instagram.com/florisgierman Website: https://extramilest.com Website: https://pathprojects.com    ABOUT THE EXTRAMILEST SHOW: A podcast and YouTube channel where host Floris Gierman interviews world class athletes, coaches and health experts on the topic of how to become a stronger, healthier and happier athlete. More info about our running coaching program can be found at https://www.pbprogram.com. Subscribe and hit the bell to see new videos: https://bit.ly/Flo-YT   Thanks to LMNT for sponsoring this video! Head to http://DrinkLMNT.com/FLO to get your free sample pack with any purchase. What was your favorite lesson, quote or takeaway from this episode?

Check out our new Patreon page! Get access to the Boundless Body Radio Premium Podcast, with a new episode added every other week! Other perks include early releases of our episodes, extended video content, and group and one on one coaching!Dr. Mark Cucuzella is a returning guest on our show! Be sure to check out his first appearances on Boundless Body Radio on episode 25, all about low-carb diets and endurance sport, and episode 40, all about foot health! Dr. Cucuzella is a family medicine doctor working in West Virginia. He discovered the low-carb diet in 2012, and has been using it successfully in his practice since. He has been a national level master's runner, having competed for over 35 years with more than one hundred marathon and ultra-marathon finishes. As a Lt. Col. in the US Air Force, he writes the USAF Efficient Running Program, designed to promote healthier and better running. He is also the author of the book Run for Your Life: How to Run, Walk, and Move Without Pain or Injury and Achieve a Sense of Well-Being and Joy, which he wrote in 2018. He owns the running store Two Rivers Treads, our favorite place to order our minimalist shoes! Two Rivers Treads has all the tools to keep your feet happy and healthy so you can perform the activity that you love with joy, spring, and efficiency.Find Dr. Cucuzzella at-https://www.drmarksdesk.com/Two Rivers Treads WE HAVE A PROMO CODE FOR YOU!! Use TRTBB10 to save 10% on some amazing shoes and some great customer service!!!runforyourlifebook.comWatch Dr. Cucuzzella's talk at Keto Salt Lake 2022!Special love to- Former guest Dr. Irene Davis!Find Boundless Body at-myboundlessbody.comBook a session with us here! 

Mark wears many hats. Including: Air Force Reserve lieutenant colonel, family medicine, professor at the West Virginia University School of Medicine and conducts Healthy Running Medical Education courses. Mark has been a runner for over four decades and owns the first minimalist running and walking store, Two Rivers Treads. He is the author of, "Run for Your Life." HPO Sponsor Discounts, Promos, & Links: zachbitter.com/hposponsors  LMNT: drinkLMNT.com/HPO InsideTracker: insidetracker.com promo code: HPOPRO25 Support HPO: patreon.com/HPOpodcast or zachbitter.com/hpo Zach's Training Plans: zachbitter.com/training-plans Zach: zachbitter.com IG: @zachbitter Tw: @zbitter FB: @zach.bitter Strava: Zach Bitter Mark: drmarksdesk.com IG: @markcucuzzella  Two Rivers Treads Page: www.tworiverstreads.com

Have you ever woken up and groaned as you fought with yourself to get out the door to run? You are not alone. That is in our biology. We evolved to want to conserve energy. The idea of exercising is only something that we've been doing relatively recently. Dr. Daniel Lieberman's new book, Exercised: Why Something We Never Evolved to Do Is Healthy and Rewarding is a great read. Evolutionary biologist, Dr. Daniel Lieberman joins us to discuss what this means for us as passionate runners. Dr. Lieberman wrote the 2004 article, Born to Run: Here is the video Dr. Mark Cucuzzella mentioned. Please check out Dr. Mark's running store, Two Rivers Treads and his podcast.

We had such a fun chat with Dr. Mark Cucuzzella! Dr. Cucuzella is a family medicine doctor working in West Virginia. He discovered the low-carb diet in 2012, and has been using it successfully in his practice since. His amazing and free PDF program teaches people how to successfully execute the ketogenic diet on any budget. He has also used the diet to help himself and others in applying the diet to endurance sports! Dr. Cucuzzella has run over 100 (wow!) marathons and ultra-marathons in his career, including this 100 mile race earlier this year! As a Lt. Col. in the US Air Force, he writes the USAF Efficient Running Program. He is also the author of the book "Run For Your Life", which he wrote in 2018. He owns the running store Two Rivers Treads, which focuses on minimalist shoes. We could go on and on. He was an amazing guest, we are so grateful for all the work he does and shares freely, and we had a blast!Find Dr. Mark Cucuzzella at-https://runforyourlifebook.com/https://www.drmarksdesk.com/Special love to-Jennifer Isenhart and her fantastic movie Fat FictionGeneration UCANVivobarefootWhat If It's All Been a Big Fat Lie? 2002 New York Times Article by Gary Taubes

Sarah Hodder and Katie Thompson are no strangers to the podcast but are well-known in the local running community through their involvement at Two Rivers Treads and Freedoms Run events. Sarah and Katie took advantage of the quiet race schedule in 2020 to push their limits and attempt fastest known time records in the Four-State Challenge and a 100+ section of Shenandoah National Park. In this episode, we hear about their high, lows, and favorite memories from their adventures. We also learn what keeps them from the urge to sit on a rock and cry...

Chris Looney stopped by Two Rivers Treads to share stories of his adventures thru-hiking and running on the Appalachian Trail, and how creativity has enabled him to find adventures this year even when races are cancelled. From running a marathon in his backyard (literally!) to creating his own 100mi trail run, this quieter time has created space to try something new.

We first met Dr. Cucuzzella eight years ago at the University of Virginia Running in Medicine Conference, where he shared his tips for injury free running. Since then, we’ve shared his drills and tips with hundreds of runners. In addition to discussing training tips and philosophies for injury-free running —Dr. Mark is a 29-time sub 3:00 marathoner—Dr. Mark shares his nutrition and fueling philosophies, which will be surprising to many listeners. In addition to his high-level training and practicing medicine, Dr. Mark owns a minimalist shoe running store, Two Rivers Treads, coaches youth XC camps, and is the race director for the Freedoms Run Marathon and Half in Harpers Ferry, West Virginia. To learn more about Dr. Mark, including his latest book, Run for Your Life, check out www.drmarksdesk.com --- Send in a voice message: https://anchor.fm/runfartherandfaster/message

Mark and Sarah are back to talk through how COVID-19 has affected Two Rivers Treads and race schedules. Mark also debunks some myths about how COVID-19 spreads, specifically for running groups, and give some tips on how to boost your immune system. The show wraps up with listener questions about the right pace for a new runner and how long it takes to build a marathon base.

In our first call in show, Dr. Mark Cucuzzella fields calls from Nation Listeners from around the world.  We field questions regarding Risks of fasted runs Rehab from meniscus injuries Training for a marathon vs. a mountain ultra Best treadmills for running indoors How to avoid injury and run pain free Please consider supporting Dr. Cucuzzella's running store, Two Rivers Treads or call them for expert advice. 304-885-8843 Visit the Natural Running Center

Today is not one of my normal rant days. We get to talk to an old friend of mine, Dr. Mark Cucuzzella. Mark practices Family Medicine in West Virginia. He is a Professor at West Virginia University School of Medicine and conducts Continuing Medical Education courses on health, fitness, and running through HealthFitU and developed the US Air Force Efficient Running Program. Mark has run competitively for almost four decades and owns the minimalist running and walking shoe store, Two Rivers Treads. He has also been named a Distinguished Mountaineer by the Governor of West Virginia, a Blue Ridge Outdoors Pioneer, Air Force Athlete of the Year, Colorado Academy of Family Physicians' Teacher of the Year, is inducted into the Marine Corps Marathon Hall of Fame (2018), and has received the President's Award from the American Academy of Podiatric Sports Medicine. He lives in Shepherdstown, West Virginia, with his wife and two children. His book “Run For Your Life” summarizes the science and the soul of running, nutrition, and physical activity to help you maintain a vigorous life. Visit Mark's site at www.DrMarksdesk.com. If you have any questions or if you want to suggest anything for the show, just send an email to move@jointhemovementmovement.com. And of course, as I love to say, if you want to be part of the tribe, please subscribe. And as always, live life, feet first.

"If you finish a training run and you don’t feel you can do it again, you are probably running too fast" - Dr. Mark Cucuzzella   Today’s episode of the Extramilest show is a big one. Dr Mark Cucuzzella is one of the most productive, yet busiest guys I know with an impressive and diverse background:  He has been a competitive runner for 30 years with a personal best in the marathon of 2:24. At his current age of 52 he has completing over 80 marathons and ultras, and he continues to compete as a National level Masters runner. He ran Boston Marathon 25 times, the last 18 years straight. For 30 years in a row he ran a Sub 3 hour marathon. For 22 years he raced under 2:35 and achieved this time in 4 decades.  He is a doctor and a professor of Family Medicine at West Virginia University School of Medicine. He is also a Lieutenant Colonel in the Air Force Reserves, designing programs to reduce running injuries in military personnel. Besides that he owns a minimalist footwear store, Two Rivers Treads in West Virginia.  He is also a race director of the event series Freedom’s Run He wrote the incredible book Run For Your Life On top of that, he is the Executive director of the Natural Running Center He teaches clinics with Dr. Phil Maffetone and others. And the list goes on.  His work has been features in media outlets such as New York Times, NPR, Outside Magazine, Runners World and many other medical and media outlets.    In this episode we take a deep dive into: Low HR training using the MAF 180 formula running injury prevention running form footwear stretching and much more I am giving away a copy of Dr Mark’s book Run for Your Life. To enter, I would love to hear from you in the comments on YouTube: what was your favorite quote or takeaway from this episode?    Enjoy my conversation with Dr. Mark Cucuzzella!   LINKS  Dr. Mark Cucuzzella website & facebook Dr Mark's Desk  Run for Your Life Book Two Rivers Treads  Mark Allen Extramilest Podcast Mark Allen’s story about the 1989 Kona Ironman victory over Dave Scott Video - Mark Allen’s Ironman win on Dave Scott’s best day, shaving 18 minutes off Ironman video Insert "Barefoot science" Correct Toes if you have a bend big toe Videos from Run for Your Life Book Merrell Vapor Glove Newbalance Minimus, trail original Bill Bowerman - co-founder of Nike Vans Shoes Nike Cortez  Marine Corps Marathon Boston Marathon Chicago Marathon Air Force Marathon - Mark winning video Elliot Kipchoge  Article "Americans spend drastically more time sitting down than they did last decade"   SHOW NOTES Dr. Mark Cucuzzella’s running background [3:40] Mark’s ran his first half marathon as a kid at a time of 1 hours 25 minutes [5:45] Mark experienced many running injuries early [7:30] Mark’s first marathon at the Marine Corps marathon in 2 hours 34 minutes that felt pretty easy [10:25] How Mark blew up big time at his first Boston Marathon with a DNF [11:00] His advice to runners wanting to run the Boston Marathon fast [12:35] His experience as a runner being part of the Air Force [13:20] His goal to make the olympic trials, running a 2:24 at the Chicago marathon [14:00] Plantar fascia, fused joints, big toe bent, etc. [14:20] His doctor recommended Mark not to run anymore[14:50] How an article by Mark Allen about the Maffetone Method chanced Dr. Mark’s life [15:13] Mark’s first experience with MAF training using the 180 formula [16:50] How he progressed from a 11 minute mile at HR 150 to a 6 min mile at 150 in just 4 months [18:05] His first marathon experience after he discovered MAF training, running a marathon in 2:28 that felt very easy [19:15] 6 Time Ironman World Champion Mark Allen’s experience with low heart rate training [21:20] Common injuries that Dr. Mark injuries that he sees [23:20] Mark’s advice about footwear [24:10] How modern footwear developed that caused many injuries because of narrow toe boxes, elevated heels and cushioning [25:50] Importance of moving throughout the day [27:32] Running injuries with a weakened fascia [28:30] Tools to correct your feet, “Correct Toes” and Barefoot Science insole” [29:30] Figure out where your weakness is and correct this [32:20]  Mark’s 30 year consistent sub 3 hour marathon finishes [35:10] The book Run for Your Life will make you a stronger and healthier athlete [36:00] Importance of improving your foot spring strength [36:48] Sprinting to open up your strides and dynamic stretching [39:40] How they analyze running spring deficiencies in the Air Force [40:50] Common mistakes with running form and how to fix this [42:05] True Form running machine [43:10] Mark’s thoughts on running cadence and what works best for different runners [46:20] How to go about transitioning into a more minimal shoe [47:50] The shoes that Mark’s kids wear [51:20] Mobility and stability, Mark’s thoughts on stretching [54:50]  Mark’s foam rolling routine in the morning [56:00] Run for Your Life book and Two Rivers Threads running store [57:20] Closing thoughts for athletes looking to become stronger, healthier and happier [58:30]   You can find me, Floris Gierman here: Strava YouTube Weekly newsletter with Running Tips and Racing Strategies Podcast Instagram Facebook (Private Group) Facebook (Personal) Twitter  

In this week’s My Sugar Free Journey Podcast, we are talking to Dr Mark Cucuzzella Remember that you can follow us on iTunes and I would really appreciate a review there on iTunes.  Thanks!   Podcast Shownotes You can find more from Dr Mark Cucuzzella on his website here. You can check out his minimalist shoe store at Two Rivers Treads here or follow them on Twitter here. Does L-Arginine Supplementation Lower Blood Pressure? 3/20 Weightloss Wednesday: Cut the Cheese This Week in Low Carb News – Taubes and Guyenet on Rogan https://www.youtube.com/watch?v=k0ICgqQLIk4 Visit Our Sponsors Order a ButcherBox and get $10 off Your Order and FREE Bacon! Try out Pantry Perks here! Join the 28 Day Ketogenic training and meal plan room here! Be sure to use this affiliate link before you shop at Amazon.  It doesn’t cost you anything and helps out the work we are doing here.  You can also buy your Pure Vitamin Club vitamins by clicking here.  Thanks! :meal: :meal2:

Welcome to the Human Performance Outliers Podcast with hosts Dr. Shawn Baker and Zach Bitter. For this episode, we welcome Dr. Mark Cucuzzella onto the show. Mark is an Air Force Reserve lieutenant colonel, practices family medicine in Ranson and Martinsburg, West Virginia. He is a professor at the West Virginia University School of Medicine and conducts Healthy Running Medical Education courses. He has run competitively for almost four decades, with more than one hundred marathon and ultramarathon finishes, and he continues to compete as a national-level masters runner with an active streak of thirty straight years under a three-hour marathon. Cucuzzella owns the first minimalist running and walking store, Two Rivers Treads, in his hometown of Shepherdstown, West Virginia. He is the author of, "Run for Your Life." Thank you Fat Snax: https://fatsnax.com/hpo, for sponsoring the show. You can receive a discount when following the above link. @eatfatsnax Instagram handles: @shawnbaker1967, @zachbitter, @markcucuzzella Twitter handles: @SBakerMD, @zbitter Facebook handles: Shawn Baker, @zach.bitter, Website URLs: zachbitter.com , shawn-baker.com, and drmarksdesk.com If you would like to set up a consult call with either Zach or Shawn, you can schedule with Zach at calendly.com/zbittercoaching and with Shawn at shawn-baker.com/consultation/. If you would like to contact the show, please send your emails to hpopodcast@gmail.com     Articles and Sites Mark Mentioned: Eat Lancet blog: http://naturalrunningcenter.com/2019/01/27/eatlancet/ My survey study of 1500 on LC diets: https://insulinresistance.org/index.php/jir/article/view/30 Minnesota Starvation study....what happens when you eat 1500 cals for 24 wks: http://www.epi.umn.edu/cvdepi/video/the-minnesota-semistarvation-experiment Lipid patterns on LC diets (two attached papers): https://bmjopensem.bmj.com/content/4/1/e000429 and https://www.ncbi.nlm.nih.gov/pubmed/30544168 LC diets and effect on CAC: https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/lowcarbohydrate-diets-and-prevalence-incidence-and-progression-of-coronary-artery-calcium-in-the-multiethnic-study-of-atherosclerosis-mesa/70E006AD304D0EA065A0509B1EA5BFAF My butter burning story: http://naturalrunningcenter.com/2017/03/07/burn-fat-health-performance-better-butter-burner/ Resource page from Run For Your Life book website w lots of stuff on running and nutrition: http://runforyourlifebook.com/resources/ Tendinopathy as metabolic disease Maffulli: https://www.researchgate.net/publication/291518067_Hormones_and_tendinopathies_The_current_evidence Sugar free hospital Salon article: https://www.salon.com/2018/06/03/get-sugary-drinks-out-of-hospitals/ MAF site: https://philmaffetone.com/taking-steps-for-future-health/ Two Rivers Treads Page: www.tworiverstreads.com

Dr. Mark Cucuzzella, MD is a family medicine physician and Air Force Reserve Lieutenant Colonel, as well as a Professor at West Virginia University School of Medicine. Mark has been a competitive runner for almost four decades, with more than one hundred marathon and ultramarathon finishes, and he continues to compete as a national-level masters runner. Mark also owns the first minimalist running and walking shoe store, Two Rivers Treads. In this podcast Dr. Tommy Wood, MD talks with Mark about his new book Run For Your Life, which outlines the science and the soul of running and nutrition for maintaining a vigorous life. They discuss the aspects of physiology that suggest humans evolved to run, and the features of modern living that can result in foot pain and arthritis. Mark shares his best training tips for both new and experienced runners, as well as resources for healing painful foot conditions. Here’s the outline of this interview with Mark Cucuzzella: [00:00:23] Book: Run for Your Life: How to Run, Walk, and Move Without Pain or Injury and Achieve a Sense of Well-Being and Joy, by Dr. Mark Cucuzzella. [00:01:54] Books: Fat Chance and The Fat Chance Cookbook, by Dr. Robert Lustig. [00:02:07] Gary Taubes. [00:04:33] The process of writing a book. [00:05:44] Co-writer Broughton Coburn. [00:07:18] Collaboration between Tommy and Mark on low-carb paper: Cucuzzella, Mark T., et al. "A low-carbohydrate survey: Evidence for sustainable metabolic syndrome reversal." Journal of Insulin Resistance 2.1 (2017): 1-25. [00:08:09] Running. [00:08:39] Book: Born to Run by Christopher McDougall. [00:08:42] Features of human physiology and skeleton that support bipedal running; Study: Bramble, Dennis M., and Daniel E. Lieberman. "Endurance running and the evolution of Homo." Nature 432.7015 (2004): 345. [00:09:31] Book: Story of the Human Body, by Dan Lieberman. [00:11:20] Zones of training. [00:12:10] Minimal shoes. [00:15:12] The road to health for people with obesity and type 2 diabetes. [00:15:34] Stephen Phinney, MD, PhD and Jeff Volek, PhD, RD. [00:16:41] Slow jogging; Dr. Hiroaki Tanaka. Videos: 1, 2, and how to slow jog, with Dr. Tanaka. [00:18:46] The facia and how it relates to running. [00:20:37] Lawrence van Lingen. [00:20:53] Book: Anatomy Trains, by Thomas Myers. [00:21:23] Book: Functional Atlas of the Human Fascial System, by Carla Stecco, MD. [00:22:17] Videos: Gil Hedley: Fascia and stretching: The Fuzz Speech and Strolling Under the Skin. [00:23:50] Foam rolling. [00:25:04] The gastrocsoleus complex. [00:28:23] Plantar fasciitis; Mark’s ebook. [00:29:47] Hallux valgus (bunion). [00:31:06] Relieving foot pain: Correct Toes. [00:32:59] Insole: Barefoot Science. [00:33:47] Knee osteoarthritis and pain. [00:34:28] Dr. Casey Kerrigan; Jay Dicharry. [00:36:11] Modern-day influences on osteoarthritis; Study: Berenbaum, Francis, et al. "Modern-day environmental factors in the pathogenesis of osteoarthritis." Nature Reviews Rheumatology(2018): 1. [00:37:17] Dick Beardsley, Roger Robinson. [00:39:35] Meb Keflezighi. [00:41:14] Cardiovascular benefits vs complications of training. [00:42:44] Podcast: How to Reconcile Performance with Longevity. [00:44:22] Bernard Lagat. [00:44:56] Eliud Kipchoge. [00:48:48] Runforyourlifebook.com and www.DrMarksdesk.com. [00:50:58] PAH Winter Retreat in Scottsdale, AZ.

Dr. Mark Cucuzzella rejoins The Nation for the twentieth time to take a second look at his new book, "Run For Your Life: How to Run, Walk, and Move Without Pain or Injury and Achieve a Sense of Well-Being and Joy". Get the book at Two Rivers Treads for free if you buy $130 in running gear Dr. Mark's First Podcast back in 2012, "Run Faster & Farther with Less Effort" Here is the link to Dr. Mark's experience in the centrifuge. Make sure you watch his 8:25 Video that show the principles of natural running. Be sure to spend some time learning at The Natural Running Center web site. Visit Two Rivers Treads running store either in person or call them and ask them some questions!

Dr. Mark Cucuzzella rejoins The Nation to talk about his new book, "Run For Your Life: How to Run, Walk, and Move Without Pain or Injury and Achieve a Sense of Well-Being and Joy". Get the book at Two Rivers Treads for free if you buy $130 in running gear Here is the link to Dr. Mark's experience in the centrifuge. Make sure you watch his 8:25 Video that show the principles of natural running. Be sure to spend some time learning at The Natural Running Center web site. Visit Two Rivers Treads running store either in person or call them and ask them some questions!

If you don't know Dr. Mark Cucuzzella, you're missing out. He’s a professor at West Virginia University School of Medicine and a Lieutenant Colonel in the US Air Force Reservists. He designed the US Air Force Efficient Running Project and has presented running workshops on over 50 military bases. Mark has been a national-level Masters runner, completed more than 100 marathon and ultra-marathon races, and is a two time winner of the Air Force Marathon. His PR? A staggering 2:24. He's also strongly involved in the local West Virginia running community: race director of Freedom’s Run race series owner of Two Rivers Treads in his hometown of Shepherdstown Mark's new book, Run for Your Life: How to Run, Walk, and Move Without Pain or Injury and Achieve a Sense of Well-Being and Joy is all of his expertise and experience distilled into one manual for preventing injury. He's also on the Strength Running Podcast to discuss these topics in more detail. We're focusing on three main areas of prevention: Running form: cues, mistakes, and big picture principles Barefoot running: how to get started and avoid injuries Lifestyle: what factors predispose you to getting hurt?

Dr Mark Cucuzzella, MD, is Professor of medicine at West Virginia University medical school, Fellow of the American Academy of Family Physicians (AAFP), family physician for over 20 years, Lt Col in the US Air Force Reserves, and an avid runner and running coach. In this episode, Dr Tommy Wood, MD, PhD and Dr Cucuzzella discuss optimal nutrition, running efficiency, fat-adaptation, atrial fibrillation and more. Sign up for our Highlights email and every week we’ll send you a short (but sweet) email containing the following: One piece of simple, actionable advice to improve your health and performance, including the reference(s) to back it up. One item we read or saw in the health and fitness world recently that we would like to give a different perspective on, and why. One awesome thing that we think you’ll enjoy! Here’s the outline of this interview with Dr Mark Cucuzzella, MD: [00:00:19] Eat berries! And sign up for our Highlights email series. [00:02:39] Robb Wolf Paleo Solution Episode 329 – Dr. Mark Cucuzzella – A Doctor’s Perspective On Treating Diabetes. [00:03:38] West Virginia University school of medicine. [00:04:30] Food insecurity. [00:05:11] In the Shopping Cart of a Food Stamp Household: Lots of Soda. [00:06:25] Training people to run and be resilient to injury. [00:08:10] Efficient Running online course. [00:11:16] Fit to Win clinic at the Pentagon. [00:13:03] "Born insulin resistant"– [00:14:30] Weight Watchers 94% failure rate. [00:15:31] $60B weight loss industry. [00:16:20] Real Meal Revolution. [00:18:22] Giving HOPE! [00:19:27] Virta Health. [00:19:42] Diabetes Prevention Program (DPP). [00:21:20] Phinney, Volek & Hallberg. [00:21:39] Sarah Hallberg video: Reversing Type 2 diabetes starts with ignoring the guidelines. [00:22:36] Burn Fat for Health and Performance: Becoming A “Better Butter Burner” (Mark’s VO2 Max results). [00:23:53] Early running days [00:24:25] Injuries [00:25:44] “Most of what we learned in medical school for chronic conditions is wrong”–Dr Mark Cucuzzella. [00:25:55] Get Fast by Going Slow–Mark Allen article I couldn’t find online, see MAF Methodology instead. [00:27:13] Brooks Running. [00:29:54] What if It's All Been a Big Fat Lie? By Gary Taubes. [00:30:53] Book: Good Calories, Bad Calories: Fats, Carbs, and the Controversial Science of Diet and Health by Gary Taubes. [00:31:16] Fasting blood glucose 120 mg/dL. [00:33:12] Art DeVany. See his recent IHMC lecture. [00:35:49] Book: The Sports Gene: Inside the Science of Extraordinary Athletic Performance by David Epstein [00:37:01] Kettlebells and Plyometrics. [00:39:23] Atrial fibrillation. [00:40:17] CAC score; see The Widowmaker movie. [00:41:39] Professor Daniel E. Lieberman. [00:42:02] Hs-CRP. [00:42:09] NMR LipoProfile®. [00:43:59] Book: Nutrition and Physical Degeneration by Weston A. Price. [00:44:45] Hydren, Jay R., and Bruce S. Cohen. "Current scientific evidence for a polarized cardiovascular endurance training model." The Journal of Strength & Conditioning Research 29.12 (2015): 3523-3530. [00:46:02] Horses versus mules. [00:46:58] Stephen Seiler, PhD. [00:48:16] The basics are the same for everyone. [00:48:31] Sleep and sunlight. [00:49:29] 1.2 - 1.9 g per minute fat oxidation. [00:50:57] Sami Inkinen. [00:51:48] Burn Fat for Health and Performance: Becoming A “Better Butter Burner” [00:55:00] Faster recovery. [00:56:34] Rowing. [00:58:52] The MedCHEFS program at WVU Eastern Division; Professor Robert Lustig, MD. [01:00:18] Try This conference, West Virginia. [01:00:56] Scientific Report of the 2015 Dietary Guidelines Advisory Committee. [01:01:20] Nutrition Coalition. [01:02:12] Two Rivers Treads minimalist shoe store. [01:03:51] Natural Running Center blog. [01:04:05] Freedom’s Run.

This is a protected ! Click here to get this - and over 300 additional hidden episodes, .pdf's, videos - for just $9.99/year inside the . Here is the extremely entertaining bio from , Dr. Mark Cucuzzella (written by ) "In the beginning there was darkness, and runners seemed lost, confused, chronically injured, always experimenting with “bigger is better” footwear as a potential remedy. Then a new “less is more” approach emerged, a radical way of thinking led by a handful of scientists, athletes, coaches, and charismatic best-selling author. They looked backward to the past for inspiration. Soon, a healer and educator came forth. Collectively, they would become the shepherds to a flock of broken-down, often-sidelined runners accustomed to wearing conventional running shoes. As it were, this health-conscious individual lived in Shepherdstown, West Virginia, the oldest town in the state and just up the road (and river) from Harpers Ferry. His name is Dr. Mark Cucuzzella, a family physician and an elite runner, who, in his early 40s, can still reel off sub 2:40s at the Boston Marathon. Mark had a singular vision regarding the need to spread the gospel of natural and minimalist running to the masses. In early summer 2010, he opened the first minimalist running store in the nation. He called it Two Rivers Treads because culturally and historically vibrant Shepherdstown is located near the confluence of the Potomac and Shenandoah rivers. Mark and his tiny store became a fixture in the natural running community. Coaches, athletes, trainers, physical therapists, bloggers, and runners from near and far became connected to one another through Two Rivers Treads..." As a professor of family medicine at West Virginia University, Lt Col in the US Air Force Reserves, and Chief Medical Consultant for the Air Force Marathon, Dr. Mark describes popular run training, eating and recovery methods as "mind-draining dogma and reckless bias", and is trying to spark a new “re-evolution” in running. During our discussion, you'll discover: -The #1 blood marker to track if you want to make sure you're not one of those "healthy on the outside, dying on the inside" exercise enthusiast... -How to effectively transition from built-up footwear to a minimalist running shoe approach... -The most cutting-edge technology that currently exists to analyze your symmetries and gait patterns during and after running... -Why Dr. Mark finishes every workout with what he calls an "alactic sprint"... -Why you must earn the right to do intervals and sprints... -Dr. Mark's personal method of tapering for a marathon, and why one of the top weapons in his running arsenal is a hot tub... -Why Mark doesn't use Pose method, Chi method, or other popular running methods... -And much more! Resources from this episode: - - - - Do you have questions, comments or feedback about Dr. Mark's barefoot, minimalist running approach? Your own thoughts to add? Pipe in at  and one of us will reply.