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Hello everybody and welcome to 
the Doctors of Running podcast 

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where we, a group of doctors of 
physical therapy, discussed the 

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art and science of running and 
the stuff that we put on our 

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feet. 
The presenting partner for this 

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podcast is Rabbit. 
We have been huge fans of Rabbit

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running apparel and this month 
is the time to probably look at 

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stocking up on some of our 
favorite stuff. 

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If I think my first ever foray 
in using Rabbit was with their 

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easy collection. 
And I remember getting my first 

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easy long sleeve. 
It's not the one that I'm 

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wearing right now, but it was 
like a teal one. 

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I was like, I don't think I've 
felt something this soft before.

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So they've got a lot of great 
lines in their easy collection, 

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just a soft, pretty, I would 
call it a verse little type line

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where it's you can use it 
casually. 

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You could also use it for some 
running stuff too, But it can 

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kind of go from loungey all the 
way up to some running. 

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Maybe not the best for like your
hardest workouts, but it'll span

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the gamut there. 
They've got Tees, long sleeves, 

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quarter zips, sweatshirts, you 
know, joggers, all that kind of 

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stuff. 
And if you're wanting what it 

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would you say tanks? 
Oh yeah, the tank. 

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I wear that tank at Disney. 
Easy undies too. 

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Oh, that'd be probably 
comfortable. 

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Pretty dope. 
But if you wanted to check it 

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out, you can go to 
runningra-bbit.com. 

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You can use the code DORJANDOR 
Jan 10 for 10% off your order 

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during the month of January. 
It's a one time code and it can 

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get you 10% off any order. 
And hopefully every single month

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we're going to have a new code 
for you so that if you've used 

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your January 1, you can re up 
and use a new one in February. 

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But the one for January is 
DORJAN 10, all capitalizations. 

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But let's start talking about 
what we are testing right now. 

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Andrea, David, what have you 
been running in? 

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What sort of things are piquing 
your interest? 

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We just released the review for 
the Saucony Endorphin Azura this

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week. 
David and I reviewed it and he 

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and I actually had quite 
conflicting opinions of the 

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shoe, which is, I mean, we don't
always agree on shoes, but we 

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were kind of diametrically 
opposed, which I feel like we 

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need like a face off episode 
like Matt and I often do. 

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But I just found it really firm.
And I found the forefoot to be 

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way too aggressive with the toe 
spring in the rocker. 

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So, well, I think it'll work for
a lot of people. 

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It didn't work for me just 
because the forefoot is so stiff

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and rockered. 
How about you, David? 

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What did you think of it? 
Yeah, did you run in the 

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Endorphin Elite 1? 
Yes. 

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What did you think of that? 
I liked it. 

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The sizing wasn't perfect, like 
I kind of felt like I was. 

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I should have been like a nine 
and three quarters. 

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They sent me a 10. 
But I liked I like the geometry.

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Obviously that foam is a lot 
softer, but I was way more 

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comfortable running in that shoe
than these are. 

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Yeah, that's so interesting, 
yeah, because to me they feel 

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pretty similar from a plat. 
I mean, they're built on the 

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same platform, right? 
But it's just different foams 

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and. 
Stuff. 

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Oh yeah. 
Yeah, I felt like the experience

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was still reminiscent of the 
Endorphin Elite 1, so. 

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That's so interesting. 
I read you when you wrote that 

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in the review, I was like, well,
I can see the the geometry of 

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the she was the same, but 
running in it, I never would 

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have thought, oh, this is like a
endorphin elite one to me. 

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Yeah. 
Not quite as like fast right, 

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but like like a trained up 
version of it. 

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But yeah, so I don't have the 
Azura with me right now, but 

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working on finishing my miles. 
They should be done tomorrow. 

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So by the time this airs, 
hopefully this written reviews 

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out. 
But the Nike structure plus been

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liking it. 
Actually my first run I was not 

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sure about it. 
It almost felt too stable for 

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me. 
Let me pull my thumb holes. 

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Also on the easy quarter zips. 
They're great. 

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It must be trying to show shoes 
so. 

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Is it cold in paradise, David? 
It's like low 40s. 

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Is that cold? 
I don't know. 

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Yeah. 
Are you? 

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OK. 
Are you doing OK? 

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Oh, no, man, it's it's cold for 
me, but I don't, I don't know. 

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I I feel like when I was living 
in the Bay Area, if it was the 

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same temperature too. 
I don't know if it's a fog or 

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like how it's, but it felt cold 
to me. 

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I felt validated actually when 
the a couple years ago when the 

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believe in the run team came out
for that running warehouse event

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that we did and they were all 
very cold and I was like, oh, 

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thank you. 
OK, cool. 

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So they're from, but these from.
Baltimore. 

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Yeah, it is. 
They're from Baltimore. 

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Baltimore is like hot in this I 
don't like Baltimore is like 

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Mid-Atlantic. 
Does it get cold there? 

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Not really. 
No, not really. 

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What is cold? 
It probably gets into the like 

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the 30s regularly at night but 
they don't get as much snow as 

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like New England or which. 
Shows you how much I know. 

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Yeah. 
About the East Coast, yeah. 

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To be fair to you, not that 
anybody cares about this, when I

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went to school out in Delaware, 
I thought for sure that I was 

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moving to Boston area and it's 
like over six hours away. 

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I was like, oh, I had no idea 
this is where I was moving. 

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So I'm with you, David. 
Yeah, definitely not super well 

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attuned to the East Coast. 
Hopefully that will change in 

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time. 
We'll see. 

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Anyways, Nike Structure Plus, I 
didn't get to run in the base 

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model of the structure, but this
very much seems like the 

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Structure Plus, if that makes 
sense. 

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Like because from what I saw, 
like they had the side walls in 

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the other one, but these ones 
are pretty aggressive and 

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they're really tall on the 
medial side there you can see on

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the medial arch and your foot 
probably rests right about 

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there. 
So it they're pretty high up and

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they kind of cradle the foot 
both medially and laterally. 

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And the white part of the foam 
that you're seeing here is React

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X with the black part being Zoom
X. 

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So it's a dual density midsole, 
no plate that I know of, but 

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it's kind of a relatively stiff 
rocker geometry, but it's like 

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it's pretty stable through that 
heel midfield, almost to the 

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point where it's almost too 
much. 

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But actually it started breaking
in a little bit more And my 

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second run, I actually liked it 
a lot. 

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So we'll see. 
I have like another run before I

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finish my miles on this, but 
it's growing on me. 

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I wasn't sure about it at first.
I think it just kind of came 

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out-of-the-box relatively stiff 
everywhere. 

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And now that it's kind of 
starting to break in a little 

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bit, it's actually feeling 
better. 

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Great standing and walking shoe.
My first day I wore it in the 

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clinic just to try and break it 
in a little bit. 

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I, I, I try to do that with all 
of my shoes and it was a 

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phenomenal standing and walking 
shoe. 

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I was very happy with it from 
that standpoint. 

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Then the other one. 
What's up? 

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To say the shaping in the heel 
bevel makes it look more like a 

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standing walking shoe than it 
does look like a running shoe 

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just from the profile. 
I haven't tested that one. 

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Yeah, the bevel in the heel too 
is kind of on the sharper side, 

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like it doesn't go very far 
forward. 

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It's just kind of like the 
little lip right there. 

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I feel like that probably could 
be edged out a little bit better

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to make it smoother for running.
I think it could get a little 

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bit of a bump sensation. 
And I definitely my first run, 

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it felt a little sloppy through 
the midfoot, like where I was 

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kind of like slapping it and at 
the same time my foot couldn't 

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go anywhere like which is the 
point of the shoe, you know, But

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as far as keeping it stable, but
it just kind of felt like a 

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block. 
But then as I started breaking 

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it in it actually, it actually 
is starting to feel pretty nice.

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So we'll see. 
Thankfully it was a short break 

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in period. 
It wasn't like I had to do 20 

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plus miles before starting to 
feel it break in. 

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It was only a few miles. 
So the other shoe, we'll see if 

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I finish miles on this or not. 
I did have some Achilles 

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irritation just from rubbing, 
but that's the sockoning door 

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from Pro 5. 
I actually do like the shoe. 

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The platform itself feels nice 
and it's decently responsive. 

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It's not as fast as a lot of the
other super shoes out there, but

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I don't think they necessarily 
are intending it to be. 

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They are labeling it as it's 
like quote UN quote workhorse, 

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like super shoe workhorse. 
And there's like so much rubber 

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on this thing too. 
Like you can tell that they're 

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kind of making this like a super
shoe that's kind of a trainer 

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too, right? 
Where it's like a little less 

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aggressive in some ways. 
I know Klein disagrees with that

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heavily and he thinks it's very 
aggressive. 

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But but for me, I actually found
the geometry to work pretty well

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at almost all paces. 
I mean, I was able to get down 

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to four 3440 mile pace just fine
in these and I'm never, I'm not 

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racing at that pace anymore. 
So that's well past race pace 

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for me. 
And then I was able to settle in

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at slower tempo paces too. 
The only thing for me is just 

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the heel here. 
Like I'm trying to figure out 

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what it is because it might just
be how tall it is on the 

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backside or it's just the 
shaping of the way the heel cup 

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goes on the counter on the back.
It just kind of like just rubs. 

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And it's not even at like the 
distal Achilles. 

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It's a little bit more proximal.
It's like mid tendon for me. 

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So it's like more if we're 
looking for the viewers here and

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for the listeners. 
If I'm pointing at the very 

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bottom of the heel counter here,
if I go up about halfway up, 

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pretty much right where these 
yellow lines meet, it's right in

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there. 
You know, it's not where my heel

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sits. 
It's actually higher up. 

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So something's rubbing. 
And one theory that I had maybe,

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and I should probably just RIP 
this thing out and see, but they

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have the sizing tab right there 
and that thing has so much 

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friction to it. 
Like if I put my finger in 

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there, I can't like move it. 
So I don't know if that's 

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creating a hotspot or if it's 
just literally the backside of 

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the the heel counter here. 
So I got to figure that out. 

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So maybe after we're done 
recording, I'll just RIP this 

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thing out and then see for the 
next run. 

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But yeah, otherwise I like it. 
You know, I, I want to like it. 

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It's one of those things where I
like the geometry and the 

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platform and I I kind of like 
the idea of having a durable as 

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heck super shoe, you know, for a
lot of people. 

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But if the upper can't get that 
heel to work for me, I'm just 

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not going to be able to run in 
it. 

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I didn't have any issues 
elsewhere. 

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It actually felt OK elsewhere. 
But yeah, so that's Endorphin 

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Pro 5. 
Yeah, interesting. 

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David, can you hold up the back 
of the shoe again? 

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Yeah, so those watching on 
YouTube, you can see that there 

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are like 3 dots over the center 
of the calcaneus and then 

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there's a seam and instead of 
the seam pointing straight up, 

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it's angled in a little bit. 
My pair does that too and it's 

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actually more pronounced on one 
of my shoes than the other. 

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I've run one mile in these 
because that's all I could run 

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and I just had this very 
pronounced sensation of the shoe

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tilting me inward. 
Like the whole shoe is built on 

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a valgus wedge where the shoe is
basically angled that way 

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towards the inside of the foot. 
So I was talking to someone at 

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Saukney about this, and they 
said that perhaps the upper was 

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not attached correctly to the 
sole. 

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So they are sending me a new 
pair. 

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But David's shoe looks pretty 
much the same as mine. 

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And I know Matt said he felt a 
similar kind of sensation. 

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So I'm wondering if it's not 
that I have a defective upper, 

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it's just how the shoe kind of 
feels. 

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Yeah. 
And I also, in that one mile I 

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ran, could feel some rubbing on 
my medial Achilles too. 

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For me it felt more like this 
part of the collar. 

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That's even higher up, but it's 
a high collar. 

223
00:11:49,120 --> 00:11:54,240
Yeah, but because it felt like 
my foot sitting angled inward in

224
00:11:54,240 --> 00:11:57,640
the shoe, it makes sense that it
would be like this part that's 

225
00:11:57,640 --> 00:12:02,360
rubbing, and especially because 
the heel is angled that way, 

226
00:12:02,760 --> 00:12:05,040
like if you look at the top 
here. 

227
00:12:05,400 --> 00:12:10,920
So I'm hopefully I'll get my new
pair soon so I can get more than

228
00:12:10,920 --> 00:12:12,880
a mile on it. 
But yeah, I've been having 

229
00:12:12,880 --> 00:12:15,080
issues. 
I did have major issues in it 

230
00:12:15,080 --> 00:12:18,160
too. 
Yeah, it's funny because like 

231
00:12:18,160 --> 00:12:21,520
for me, I didn't get the medial 
wedge sensation that you 

232
00:12:21,520 --> 00:12:25,360
describe or that kind of like 
medial like deviation. 

233
00:12:26,000 --> 00:12:29,240
I actually think when I look at 
this closer, I don't know, I 

234
00:12:29,240 --> 00:12:34,120
think the upper is actually on 
my pair, it seems like it's 

235
00:12:34,120 --> 00:12:36,320
central. 
I think it's just the little tab

236
00:12:36,320 --> 00:12:40,360
right here isn't lined up like 
the little overlay, but the 

237
00:12:40,360 --> 00:12:44,400
actual inside of it is is not 
biased, at least from what I 

238
00:12:44,400 --> 00:12:45,680
can. 
Tell well, if you look at that 

239
00:12:45,680 --> 00:12:50,560
seam at the very top and look at
its orientation to like the the 

240
00:12:50,560 --> 00:12:53,440
sole of the shoe, it is 
definitely angled medially, 

241
00:12:53,720 --> 00:12:57,400
yeah. 
Yeah, going to come in that way 

242
00:12:57,760 --> 00:12:59,280
with this being on the inside 
there. 

243
00:13:00,240 --> 00:13:01,960
Yeah. 
Yeah. 

244
00:13:02,480 --> 00:13:03,280
So I don't know. 
Yeah. 

245
00:13:03,320 --> 00:13:06,440
So hopefully it's not a massive 
swing and miss for them because 

246
00:13:06,480 --> 00:13:11,600
conceptually I actually I feel 
like it almost did really well. 

247
00:13:11,600 --> 00:13:13,880
Yeah. 
And it is a, it's a good price 

248
00:13:13,880 --> 00:13:17,960
point too, right, Isn't it? 
It's like 2. 25 I think makes it

249
00:13:18,080 --> 00:13:21,280
pretty much the least expensive 
super shoe out there. 

250
00:13:21,280 --> 00:13:22,800
Oh. 
Wait, no, I think it was 240 I 

251
00:13:22,800 --> 00:13:28,560
think when Klein lifted up. 
Let me see Endorphin Pro 524240 

252
00:13:28,720 --> 00:13:31,760
before I go misleading people. 
And yeah, it's still, I mean, 

253
00:13:31,760 --> 00:13:34,440
especially if you can get like 
300 miles out of the thing, 

254
00:13:34,440 --> 00:13:35,360
like. 
You need. 

255
00:13:35,360 --> 00:13:38,360
Trainer mileage out of it. 
You know the traction with this 

256
00:13:38,360 --> 00:13:41,200
additional out solar rubber, 
that'll be huge too. 

257
00:13:43,360 --> 00:13:45,960
I've got one more pair that it 
is in for testing. 

258
00:13:45,960 --> 00:13:48,160
It's not a running shoe, but 
it's a casual shoe. 

259
00:13:48,920 --> 00:13:51,680
Cane sent me their winter shoe, 
the revive. 

260
00:13:52,120 --> 00:13:56,720
Oh wow, This shoe is awesome. 
Like I I love the regular canes 

261
00:13:56,720 --> 00:14:01,040
just for like wearing to the gym
or you know, in the yard, but 

262
00:14:01,040 --> 00:14:03,440
it's definitely not a winter 
shoe, of course, because it's 

263
00:14:03,440 --> 00:14:07,160
full of holes. 
So this has like a full cuff. 

264
00:14:07,640 --> 00:14:11,280
The whole upper is waterproof. 
It's got some little lugs on the

265
00:14:11,280 --> 00:14:13,480
bottom. 
So these have been great. 

266
00:14:13,480 --> 00:14:14,960
We've had a terrible winter 
here. 

267
00:14:15,000 --> 00:14:18,840
So like walking through slush in
in parking lots or even just 

268
00:14:18,840 --> 00:14:20,920
walking peanut outside. 
These have been awesome. 

269
00:14:21,320 --> 00:14:23,920
So I'll get a little thing 
written up on these soon. 

270
00:14:24,480 --> 00:14:28,360
I found out that Kane, their 
headquarters are here in 

271
00:14:28,360 --> 00:14:32,080
Connecticut where my PT office 
is, so that's even cooler. 

272
00:14:33,360 --> 00:14:36,160
Yeah, that is cool. 
That's really cool. 

273
00:14:36,160 --> 00:14:39,560
I when I so I've like the 
regular Kane shoes too, and I 

274
00:14:39,560 --> 00:14:42,040
got a lot of Flack from some 
other people in the team. 

275
00:14:42,040 --> 00:14:44,080
I don't remember you coming to 
back me up and saying that you 

276
00:14:44,080 --> 00:14:45,680
like them. 
Well, that's because I was 

277
00:14:45,880 --> 00:14:49,040
wearing around the house 
barefoot and that was not 

278
00:14:49,040 --> 00:14:51,800
comfortable for me. 
They're only comfortable if I 

279
00:14:51,800 --> 00:14:53,320
wear them with socks. 
Yeah, socks. 

280
00:14:54,360 --> 00:14:58,160
I don't think mine fit me well. 
I. 

281
00:14:58,160 --> 00:15:00,400
Think my heel was just sliding 
around everywhere and I just 

282
00:15:00,400 --> 00:15:01,640
couldn't quite get them. 
Down. 

283
00:15:01,640 --> 00:15:05,080
Their Rep told me that a lot of 
people have to size down. 

284
00:15:05,120 --> 00:15:07,560
I sized up and they fit really 
comfortably. 

285
00:15:07,640 --> 00:15:10,640
But you know, my sizing is kind 
of weird, but maybe you just 

286
00:15:10,640 --> 00:15:12,880
needed to go a size down. 
Go. 

287
00:15:12,880 --> 00:15:16,960
Down a size, yeah. 
Yeah, great. 

288
00:15:17,160 --> 00:15:18,600
Anything else for in for 
testing? 

289
00:15:19,240 --> 00:15:22,160
Is the Reebok treadmill shoe 
under embargo? 

290
00:15:23,320 --> 00:15:27,480
I have that, I won't show it. 
Don't show it. 

291
00:15:27,520 --> 00:15:35,160
Yeah, great. 
Well, as always, the in for 

292
00:15:35,160 --> 00:15:38,440
testing segment is fueled by 
scratch labs. 

293
00:15:38,440 --> 00:15:40,680
If you're wanting to check out 
any of their hydration or 

294
00:15:40,680 --> 00:15:43,120
nutrition products, you can go 
to scratchla-bs.com. 

295
00:15:43,240 --> 00:15:46,280
Use the code Doctors of running 
for 20% off your first order. 

296
00:15:46,920 --> 00:15:50,600
But today we get to do what we 
always love to do, which is dive

297
00:15:50,600 --> 00:15:53,360
into the mailbag. 
We have a lot of great questions

298
00:15:53,360 --> 00:15:56,320
from you all as listeners. 
As always, if you're wanting to 

299
00:15:56,320 --> 00:15:59,960
submit a question that you want 
considered for a future episode,

300
00:16:00,120 --> 00:16:03,960
you can e-mail us at 
doctorsofrunning@gmail.com and 

301
00:16:03,960 --> 00:16:06,080
it might get added to one of 
these episodes that we can 

302
00:16:06,080 --> 00:16:08,760
discuss it. 
There's always detailed 

303
00:16:08,760 --> 00:16:12,000
information that people are 
willing for us to share here 

304
00:16:12,000 --> 00:16:15,160
about medical history, but we're
never giving medical advice. 

305
00:16:15,160 --> 00:16:19,280
We're always just trying to 
provide conversation, education 

306
00:16:19,280 --> 00:16:23,400
about these topics that are tied
to these personalized questions.

307
00:16:23,400 --> 00:16:25,800
But none of this is specific 
medical advice. 

308
00:16:26,440 --> 00:16:28,880
Let's dive into the mailbag. 
This first First topic comes 

309
00:16:28,880 --> 00:16:30,960
from Jay Hughes. 
And they say this. 

310
00:16:31,240 --> 00:16:34,560
I'm 56 years old and this might 
be my first year of consistent 

311
00:16:34,560 --> 00:16:37,720
running every week of this year 
without an injury interruption. 

312
00:16:37,960 --> 00:16:42,160
Congrats, that's a big deal. 
Historically, they've had issues

313
00:16:42,160 --> 00:16:45,040
with some Achilles ankle, other 
planter fascia ailment that has 

314
00:16:45,040 --> 00:16:47,720
slowed them down and they have 
lots of different reasons why 

315
00:16:47,720 --> 00:16:49,480
they think that they found 
success this year. 

316
00:16:49,800 --> 00:16:53,200
Right now they are training in 
the Saucony Ride 18, Saucony 

317
00:16:53,200 --> 00:16:56,480
Triumph 22, and intervals and 
thresholds in the Saucony 

318
00:16:56,480 --> 00:16:59,800
Endorphin Speed 4, although 
they're using the Ride Eighteens

319
00:16:59,800 --> 00:17:03,200
for that as well. 
For their walking in the gym, 

320
00:17:03,200 --> 00:17:07,160
they use Ultra Escalante 4. 
Ultra Lone Peak Zero drop feels 

321
00:17:07,160 --> 00:17:10,400
right for walking in the gym and
having some drop feels right for

322
00:17:10,400 --> 00:17:12,359
running. 
Then they say this. 

323
00:17:13,480 --> 00:17:16,160
I've had doctors perform Mris 
and clinical assessments of my 

324
00:17:16,160 --> 00:17:19,560
feet and they found degenerative
joint disease or cystic changes 

325
00:17:19,560 --> 00:17:23,240
which is known as arthritis in 
my first metatarsals on both 

326
00:17:23,240 --> 00:17:26,800
feet and have been told that I 
have a hypermobile first ray. 

327
00:17:27,280 --> 00:17:31,240
I'm trying to delay the process 
of pain related to this as I 

328
00:17:31,240 --> 00:17:34,720
keep running into quote old age 
and my related questions are 

329
00:17:34,720 --> 00:17:36,760
about footwear. 
Should I replace any of the 

330
00:17:36,760 --> 00:17:39,240
shoes with my current rotation 
with something else? 

331
00:17:39,680 --> 00:17:42,240
They're starting to feel small, 
small flare ups at different 

332
00:17:42,240 --> 00:17:46,800
points in the day in that first 
metatarsal and they're trying to

333
00:17:46,800 --> 00:17:49,400
figure out which shoes would be 
the most appropriate if they 

334
00:17:49,400 --> 00:17:51,080
should switch some out. 
And then they start asking these

335
00:17:51,080 --> 00:17:54,080
questions about characteristics 
is firmer, better, is more 

336
00:17:54,080 --> 00:17:56,280
flexible, better, all of these 
types of questions. 

337
00:17:56,480 --> 00:18:01,200
But I'll save the specific 
questions maybe for later when 

338
00:18:01,200 --> 00:18:06,320
you hear this kind of scenario, 
somebody who has identified 

339
00:18:06,320 --> 00:18:09,400
degenerative changes within the 
joint and hypermobile first Ray 

340
00:18:09,400 --> 00:18:13,400
first, can you, Andrea, maybe 
can you tell people what those 

341
00:18:13,400 --> 00:18:15,040
things mean on a practical 
level? 

342
00:18:15,040 --> 00:18:17,160
Sure. 
So first of all, degenerative 

343
00:18:17,160 --> 00:18:21,320
changes on MRI or X-ray or CT 
scan are normal. 

344
00:18:21,320 --> 00:18:25,480
Especially as we get older. 
We tell our clients and patients

345
00:18:25,480 --> 00:18:28,160
all the time, like if you 
grabbed 100 people off the 

346
00:18:28,160 --> 00:18:31,880
street or out of the hallway at 
the mall and took an X-ray of 

347
00:18:31,880 --> 00:18:34,960
their back, you would find 
degenerative changes in a lot of

348
00:18:34,960 --> 00:18:38,000
those people, and most of those 
people would have no pain. 

349
00:18:38,280 --> 00:18:41,760
So just because imaging shows 
that you have degenerative 

350
00:18:41,760 --> 00:18:44,920
changes doesn't mean that 
anything is necessarily wrong 

351
00:18:44,920 --> 00:18:47,920
with you. 
And if you have pain somewhere, 

352
00:18:48,320 --> 00:18:51,640
just finding degenerative 
changes on imaging doesn't mean 

353
00:18:51,640 --> 00:18:54,000
that those changes are what's 
causing your pain. 

354
00:18:54,600 --> 00:18:57,400
So I think it's important to 
start out with that first. 

355
00:18:57,640 --> 00:19:01,480
This person's 56, so, you know, 
not 20. 

356
00:19:01,720 --> 00:19:06,320
So it wouldn't be unexpected to 
find mild degenerative changes 

357
00:19:06,320 --> 00:19:11,120
in his feet or elsewhere that 
may or may not be causing pain. 

358
00:19:11,120 --> 00:19:14,880
Now, he does say that he does 
have some pain in his first 

359
00:19:14,880 --> 00:19:19,840
metatarsal region. 
So could his pain be coming from

360
00:19:20,000 --> 00:19:23,080
the degenerative changes? 
Sure, but they might not be. 

361
00:19:23,080 --> 00:19:27,440
And of course, as PTS, we would 
want to do a full assessment not

362
00:19:27,440 --> 00:19:30,440
only of his feet, but his 
ankles, his knees, his hips, his

363
00:19:30,440 --> 00:19:33,320
back. 
Look at mobility, strength, 

364
00:19:33,720 --> 00:19:36,360
nerve mobility. 
There are so many factors that 

365
00:19:36,360 --> 00:19:40,000
can go into why somebody might 
have pain in a certain part of 

366
00:19:40,000 --> 00:19:42,240
their body. 
Just because you've found 

367
00:19:42,240 --> 00:19:46,120
arthritis in a place that you 
have pain doesn't mean that that

368
00:19:46,120 --> 00:19:50,320
is the cause of your pain. 
That being said, however, out of

369
00:19:50,320 --> 00:19:54,600
this whole list of shoes that 
this person is wearing, for 

370
00:19:54,600 --> 00:19:59,240
somebody with degenerative 
changes in their first MTP and a

371
00:19:59,240 --> 00:20:02,480
hypermobile first ray, which 
basically means they have too 

372
00:20:02,480 --> 00:20:07,400
much movement in that joint. 
Now you don't off, you would 

373
00:20:07,400 --> 00:20:10,800
expect the opposite actually in 
somebody who has degenerative 

374
00:20:10,800 --> 00:20:15,200
changes, you might expect hypo 
mobility or less mobility. 

375
00:20:15,560 --> 00:20:18,480
But in some people who have 
degenerative changes, you can 

376
00:20:18,600 --> 00:20:21,960
also have hypermobility for 
different reasons. 

377
00:20:21,960 --> 00:20:26,480
Maybe that person has a 
ligamentous injury that is 

378
00:20:26,560 --> 00:20:28,600
allowing hypermobility. 
But again. 

379
00:20:29,080 --> 00:20:31,160
There's so much we would like to
know but don't know. 

380
00:20:31,680 --> 00:20:36,920
But either way I would say the 
Escalante four and the Lone Peak

381
00:20:36,920 --> 00:20:40,280
are probably not the best 
choices for walking in the gym 

382
00:20:40,280 --> 00:20:44,680
because there is zero drop and 
quite flexible in the forefoot. 

383
00:20:45,120 --> 00:20:48,800
So if I were going to recommend 
like 1 shoe change for this 

384
00:20:48,800 --> 00:20:53,320
person, I would say switch to 
something that has a slightly 

385
00:20:53,320 --> 00:20:56,280
higher drop and a stiffer 
forefoot. 

386
00:20:56,680 --> 00:20:59,680
And if this person wants to 
stick with with something in the

387
00:20:59,680 --> 00:21:03,560
lower drop range, that could be 
one of my personal favorite 

388
00:21:03,560 --> 00:21:07,200
shoes, the Topo Fly Light 6, 
which is a 3mm drop. 

389
00:21:07,200 --> 00:21:08,360
It's going to say the. 
Same thing. 

390
00:21:08,360 --> 00:21:10,520
Well it does have like some toe 
spring. 

391
00:21:10,520 --> 00:21:13,320
It doesn't have significant 
enough toe spring that I think 

392
00:21:13,320 --> 00:21:18,400
it would cause this person 
issues the phantom 4 Topo 

393
00:21:18,400 --> 00:21:21,200
Phantom 4 might also be a good 
option. 

394
00:21:21,520 --> 00:21:26,000
That is a 5mm drop shoe if I 
remember correctly. 

395
00:21:26,640 --> 00:21:32,560
But the Ride 18, the Triumph 22,
the endorphin speed for all of 

396
00:21:32,560 --> 00:21:36,520
those have relatively stiffer 4 
feet. 

397
00:21:37,560 --> 00:21:42,240
I would say the Ride 18 probably
is the most flexible of the 

398
00:21:42,240 --> 00:21:47,160
three, but certainly not very 
flexible out of any of them. 

399
00:21:47,480 --> 00:21:51,680
And it's been a while since I've
run in my ride, so if you guys 

400
00:21:51,800 --> 00:21:54,320
want to jump in and say that I'm
wrong that's just fine. 

401
00:21:54,720 --> 00:21:59,040
But my main recommendation is 
get rid of the zero drop 

402
00:21:59,040 --> 00:22:01,960
flexible 4 foot shoes. 
Yeah, No, I think it's good. 

403
00:22:01,960 --> 00:22:04,760
I you brought up pretty much 
everything I would have said and

404
00:22:04,760 --> 00:22:08,840
probably said it better, but one
of the things that I look at as 

405
00:22:08,840 --> 00:22:12,320
well is you don't really want to
put any excessive hyperextension

406
00:22:12,320 --> 00:22:15,360
on it either. 
So like relatively stiff 4 foot 

407
00:22:15,360 --> 00:22:19,360
platform that has a rounding to 
it without excessive toe spring.

408
00:22:19,920 --> 00:22:23,160
And there's other things out 
there too, like I pulled like 

409
00:22:23,760 --> 00:22:27,240
the hookah Clifton 12 actually 
isn't an awful option for that 

410
00:22:27,240 --> 00:22:29,160
either. 
Like you just kind of have a 

411
00:22:29,160 --> 00:22:31,840
little bit of a toe spring, but 
it's still a four foot rocker 

412
00:22:32,120 --> 00:22:34,240
the way the platform works and 
it's decently stiff. 

413
00:22:35,000 --> 00:22:38,560
And then the ASICS Kiano is also
pretty similar to that as well. 

414
00:22:38,600 --> 00:22:43,240
So rocker platform without an 
excessive toe spring and yeah, 

415
00:22:43,240 --> 00:22:47,200
stiff platform obviously those 
are a little bit higher up and 

416
00:22:47,200 --> 00:22:50,840
even higher drop ratios. 
The Cliftons now at 8 and the 

417
00:22:50,840 --> 00:22:55,600
Clifton or the Clifton is at 8 
and I don't what is the Kiono at

418
00:22:55,600 --> 00:22:58,280
now. 
Is it 10? 

419
00:22:59,120 --> 00:23:03,000
It's. 
Pretty high yeah, but for basic 

420
00:23:03,000 --> 00:23:06,560
walking around probably not for 
gym, but it could be worth 

421
00:23:06,560 --> 00:23:09,240
looking into too. 
The other thing I would 

422
00:23:09,240 --> 00:23:12,480
recommend for this person 
because he says he's starting to

423
00:23:12,480 --> 00:23:15,480
feel small flare ups at 
different points in the day. 

424
00:23:15,880 --> 00:23:18,800
His pain might not have anything
to do with his running. 

425
00:23:19,160 --> 00:23:20,760
We don't know what he does for 
work. 

426
00:23:20,920 --> 00:23:23,080
See on his feet all day in dress
shoes. 

427
00:23:25,640 --> 00:23:29,000
It's so common for runners to 
blame pain that they have on 

428
00:23:29,000 --> 00:23:32,480
running, and often that is the 
case, but it's not always the 

429
00:23:32,480 --> 00:23:34,920
case. 
So you might consider everything

430
00:23:34,920 --> 00:23:39,200
else you're doing in your day 
and your footwear choices to see

431
00:23:39,200 --> 00:23:42,640
if there's anything non running 
related that is contributing to 

432
00:23:42,640 --> 00:23:45,960
your issue, I think. 
That's great, and I think you'll

433
00:23:45,960 --> 00:23:50,120
have hit on all of the 
characteristics of footwear that

434
00:23:50,240 --> 00:23:52,840
would be important to look for. 
I think something that I 

435
00:23:52,840 --> 00:23:56,960
appreciate appreciated about how
he wrote his thoughts down is 

436
00:23:56,960 --> 00:24:02,440
that he didn't see the findings 
on imaging as a death sentence 

437
00:24:02,440 --> 00:24:05,320
to his running, which just feeds
into what you were saying to 

438
00:24:05,320 --> 00:24:08,480
Andrea at the beginning about 
what we know about correlates 

439
00:24:08,480 --> 00:24:14,120
between imaging findings and 
symptomatology or the normalcy 

440
00:24:14,120 --> 00:24:16,680
or how common it is to find them
in a pain free individuals. 

441
00:24:16,680 --> 00:24:21,080
So I kind of, I, I didn't see a 
lot of red alert in this 

442
00:24:21,080 --> 00:24:22,680
question. 
I think that's a wise way to 

443
00:24:22,680 --> 00:24:24,840
approach that. 
So if you're someone who has had

444
00:24:24,840 --> 00:24:27,800
imaging done that's found some 
sort of degenerative changes, 

445
00:24:28,240 --> 00:24:31,640
filter it in a way of like, OK, 
that is something that exists in

446
00:24:31,640 --> 00:24:33,040
me. 
It doesn't mean that I'm 

447
00:24:33,040 --> 00:24:35,320
necessarily not able to run 
anymore. 

448
00:24:35,320 --> 00:24:38,720
And in fact, he's had his 
healthiest weight year ever, it 

449
00:24:38,720 --> 00:24:41,800
sounds like this year. 
So there's just a lot of hope 

450
00:24:41,800 --> 00:24:43,800
when it comes to finding out how
to move well. 

451
00:24:43,800 --> 00:24:46,520
And it seems like that's the 
solutions that this person is 

452
00:24:46,520 --> 00:24:48,480
looking for is like, I know this
exists. 

453
00:24:48,480 --> 00:24:51,640
What can I do to maximize my 
ability to put the right amount 

454
00:24:51,640 --> 00:24:53,760
of stress through the area and 
keep doing what I want to do? 

455
00:24:53,760 --> 00:24:58,160
So kudos to to them for that 
mindset towards what they're 

456
00:24:58,160 --> 00:25:01,440
walking through. 
Let's move to our next question.

457
00:25:01,440 --> 00:25:03,920
This is from Gaurav and they're 
saying this. 

458
00:25:03,920 --> 00:25:06,840
I'm a big fan of your blog and 
have been following guides on 

459
00:25:06,840 --> 00:25:09,400
stable shoes as well as the 
crossover of stable neutral 

460
00:25:09,400 --> 00:25:11,040
shoes. 
Is there an over pronator? 

461
00:25:11,040 --> 00:25:15,120
And have been looking forever 
for a good Rd. slash light trail

462
00:25:15,120 --> 00:25:19,360
shoe that can be used in muddy, 
wet weather in the London, UK. 

463
00:25:19,560 --> 00:25:22,000
They've done a few park runs and
they're guaranteed to have 

464
00:25:22,000 --> 00:25:25,680
nothing but running through at 
least 500 meters of water, 

465
00:25:25,680 --> 00:25:28,880
puddles a few inches deep and 
traditional running shoes like 

466
00:25:29,080 --> 00:25:33,440
his Oka Rahi, Hoka Arahi, 
Saucony guide, etcetera are like

467
00:25:33,440 --> 00:25:35,760
magnets to water. 
Looking for something else that 

468
00:25:35,760 --> 00:25:38,360
can get going but have been 
cused with. 

469
00:25:38,720 --> 00:25:43,000
Confused with what that could be
to find a great shoe to run 

470
00:25:43,000 --> 00:25:46,480
through the winter without 
having constantly wet feet and 

471
00:25:46,600 --> 00:25:48,160
trying to figure out how to keep
things dry. 

472
00:25:48,160 --> 00:25:50,760
So any suggestions here would be
appreciated. 

473
00:25:51,240 --> 00:25:54,520
I've been looking into the Berks
of General and GTX as an option,

474
00:25:54,520 --> 00:25:56,920
but really open to any 
suggestions. 

475
00:25:56,920 --> 00:26:01,720
So if I were to shorten this 
question it would be trail shoes

476
00:26:01,840 --> 00:26:05,640
or like light trail or Rd. shoes
that have some sort of structure

477
00:26:05,640 --> 00:26:08,840
to them that aren't water 
magnets or could keep feet dry. 

478
00:26:10,280 --> 00:26:12,760
Yeah, I've, I've got one, 
Especially if you're doing park 

479
00:26:12,760 --> 00:26:17,000
runs and you're trying to race 
the Solomon Aeroblaze 3. 

480
00:26:17,000 --> 00:26:20,760
Now it's a little bit of a 
Marinero platform, but hear me 

481
00:26:20,760 --> 00:26:23,080
out. 
The hero plays three Gravel does

482
00:26:23,080 --> 00:26:26,440
have a Gore Tex version and the 
gravel version thickens that 

483
00:26:26,440 --> 00:26:29,840
sold quite a bit to where it's 
not this like unstable midfoot 

484
00:26:29,840 --> 00:26:32,040
that you have in the road 
version. 

485
00:26:32,880 --> 00:26:35,720
I haven't run in the Gore Tex 
version, but I imagine it's 

486
00:26:35,720 --> 00:26:37,760
fine. 
That's probably what you're 

487
00:26:37,760 --> 00:26:40,600
going to be looking for any kind
of GTX to keep your if if the 

488
00:26:40,600 --> 00:26:42,760
priority is to keep your foot 
dry, find something that's 

489
00:26:42,760 --> 00:26:45,320
waterproof. 
So and you know you're going to 

490
00:26:45,320 --> 00:26:49,880
be running through some sloppy 
conditions, but that's the first

491
00:26:49,880 --> 00:26:53,800
one that comes to mind. 
If they don't mind, like if 

492
00:26:53,800 --> 00:26:57,000
they're already running in the 
Iraqi, like there is a Clifton 

493
00:26:57,000 --> 00:27:01,400
GTX that exists as well. 
I just don't know like if 

494
00:27:01,400 --> 00:27:04,520
they're running in the Iraqi 
during these park runs and it's 

495
00:27:04,520 --> 00:27:07,360
fine except their feet are wet. 
Like if that's the situation, 

496
00:27:07,360 --> 00:27:11,840
then the Clifton GTX might be 
fine, but I don't know like if 

497
00:27:11,840 --> 00:27:15,600
they need additional like they 
want something that can claw the

498
00:27:15,600 --> 00:27:17,760
ground really well. 
Because if that's the case, you 

499
00:27:17,760 --> 00:27:22,360
also have like the Peregrine 
from Saucony or any kind of 

500
00:27:22,360 --> 00:27:25,520
nimble trail shoe out there. 
For the most part, they all all 

501
00:27:25,520 --> 00:27:27,800
have versions that should be 
suitable. 

502
00:27:29,520 --> 00:27:32,560
So I'm sad because, well, I 
actually, I was going to say the

503
00:27:32,560 --> 00:27:36,080
exact same Solomon shoe as you. 
I had that same recommendation. 

504
00:27:36,080 --> 00:27:38,280
Yeah. 
The the thing I was sad about is

505
00:27:38,280 --> 00:27:42,160
that the run shield from Saucony
like hasn't been a thing because

506
00:27:42,160 --> 00:27:46,040
I the the speed three run shield
was like one of my favorite 

507
00:27:46,040 --> 00:27:48,920
shoes in the winter because it 
was a little bit more stable 

508
00:27:48,920 --> 00:27:51,840
neutral, because the three had 
that wider plate and it was a 

509
00:27:51,840 --> 00:27:56,240
little bit wider platform and 
that upper was waterproof ish. 

510
00:27:56,400 --> 00:27:59,400
But it didn't like I I sometimes
don't like running in gore 

511
00:27:59,560 --> 00:28:01,440
because it's heavy and it's 
warmer too. 

512
00:28:01,520 --> 00:28:05,120
I perceive it as heavy and warm.
Yeah, and I just like I love the

513
00:28:05,120 --> 00:28:06,760
run shield and they just haven't
been updating it. 

514
00:28:06,760 --> 00:28:10,680
So that's that's my bummer one. 
The other consideration, and I 

515
00:28:10,680 --> 00:28:13,560
don't have a specific shoe yet, 
but I have an upper style and 

516
00:28:13,560 --> 00:28:16,320
type that I actually like for 
some wet stuff even more than 

517
00:28:16,320 --> 00:28:19,000
gore Tex. 
So I think of shoes that have 

518
00:28:19,000 --> 00:28:24,160
more of that synthetic mesh 
upper like the Rebel VV 5, which

519
00:28:24,160 --> 00:28:26,760
would not be stable enough for 
this situation. 

520
00:28:26,920 --> 00:28:31,080
But like that sort of upper is 
what I think is really nice or 

521
00:28:31,080 --> 00:28:35,560
even like the Mega blast from 
ASICS where there is not a lot 

522
00:28:35,560 --> 00:28:38,920
of material that holds water. 
I think that those, in my 

523
00:28:38,920 --> 00:28:43,480
opinion, Wick water away as long
as you wear very thin socks just

524
00:28:43,480 --> 00:28:47,200
as well as you know, something 
that is not just as well in a 

525
00:28:47,200 --> 00:28:50,000
very different way, but for me 
just as effectively as something

526
00:28:50,000 --> 00:28:52,360
that's gore tech. 
So I haven't nailed down the 

527
00:28:52,360 --> 00:28:56,800
exact shoe but an upper like 
that that is not very absorbent 

528
00:28:57,120 --> 00:28:59,760
but is put on a more stable 
platform. 

529
00:28:59,760 --> 00:29:02,560
So if y'all if that sparked 
anything for you, you can jump 

530
00:29:02,560 --> 00:29:03,960
in with. 
It yeah, I was going to say that

531
00:29:03,960 --> 00:29:07,800
too, Nathan, like for for 
racing, he doesn't necessarily 

532
00:29:07,800 --> 00:29:10,520
need a Gore Tex shoe. 
He just needs something that 

533
00:29:10,520 --> 00:29:13,480
sheds water. 
Well, like for me, the Vaporfly 

534
00:29:13,480 --> 00:29:17,520
3 is the hands down the best at 
that because it's got a very 

535
00:29:17,520 --> 00:29:20,000
open mesh design. 
Obviously that wouldn't be 

536
00:29:20,000 --> 00:29:23,920
stable enough for him, but so I 
would recommend for your racing 

537
00:29:23,920 --> 00:29:25,720
shoe just find something that's 
mesh. 

538
00:29:25,720 --> 00:29:29,440
So it's just going to get the 
water out, you're not running 

539
00:29:29,440 --> 00:29:32,280
that long in it. 
And then for your training shoe,

540
00:29:32,280 --> 00:29:36,040
find something that's Gore Tex 
Run Shield would have been my 

541
00:29:36,040 --> 00:29:40,120
number one recommendation too. 
It's such a bummer Saucony isn't

542
00:29:40,120 --> 00:29:42,080
doing their shoes in that 
lately. 

543
00:29:43,320 --> 00:29:49,120
But yeah, I can't think of any 
specific Gore Tex models of like

544
00:29:49,120 --> 00:29:52,080
stable, neutral or mild 
stability shoes out there. 

545
00:29:52,080 --> 00:29:56,160
I think that the Solomon 
Aeroblaze Gravel is probably one

546
00:29:56,160 --> 00:30:01,280
of the best options. 
The other shoe that is, I would 

547
00:30:01,280 --> 00:30:05,160
say stable neutral adjacent, but
it's more stable neutral because

548
00:30:05,160 --> 00:30:08,920
of how stiff the upper is, is 
the Gore Tex version of the 

549
00:30:09,360 --> 00:30:11,480
Saucony Triumph 22. 
So I don't know if they've 

550
00:30:11,480 --> 00:30:14,560
updated that with the 23 of the 
with the newer ones, but I ran 

551
00:30:14,560 --> 00:30:19,320
in the 22 Gore Tex and and that 
was a nice trainer, wider 

552
00:30:19,320 --> 00:30:24,680
platform and it felt stiffer 
than the like typical road one, 

553
00:30:24,680 --> 00:30:26,080
right? 
I felt like that one was a bit 

554
00:30:26,080 --> 00:30:27,600
softer. 
So that could be another one. 

555
00:30:27,680 --> 00:30:30,560
Check out as well any others for
this question I think. 

556
00:30:32,880 --> 00:30:36,160
We're good. 
OK, well here we go to our next 

557
00:30:36,160 --> 00:30:38,160
one. 
This is from BC and he writes 

558
00:30:38,160 --> 00:30:41,160
this. 
I've recently read Matt's 2021 

559
00:30:41,160 --> 00:30:44,920
Toe Spring article in Runner's 
World, wondering if spring is 

560
00:30:45,200 --> 00:30:48,720
causing an old injury to flare 
up. 24 months ago I developed a 

561
00:30:48,720 --> 00:30:52,480
planner plate tear at the base 
of the second metatarsal after 

562
00:30:52,480 --> 00:30:55,400
860 miles in Ultra Lone Peaks 
and Torrents. 

563
00:30:55,720 --> 00:30:59,040
After four months off, it healed
and I ran about 490 miles 

564
00:30:59,040 --> 00:31:01,680
without issue. 
Exclusively in the Paradigm 

565
00:31:01,720 --> 00:31:04,560
Sevens. 
Recently begun running in new 

566
00:31:04,560 --> 00:31:07,120
shoes. 
The new shoes below and I'm 

567
00:31:07,120 --> 00:31:09,400
feeling sensitivity in the old 
injury area. 

568
00:31:09,400 --> 00:31:12,480
Could toe spring be? 
Could toe spring lead to 

569
00:31:12,480 --> 00:31:14,680
hyperflexion? 
Or I would say hyperextension is

570
00:31:14,680 --> 00:31:17,040
probably what they meant and be 
the culprit. 

571
00:31:17,440 --> 00:31:21,520
These are the shoes they have 10
miles in the Adidas Evo SL5, 

572
00:31:21,520 --> 00:31:25,760
miles in the Do Balance SC Elite
V-57, miles in the Ultra 

573
00:31:25,760 --> 00:31:30,480
Experience Flow 2, and it says 0
miles in the Puma DV8 Nitro 2, 

574
00:31:30,480 --> 00:31:34,440
but I'm assuming 10 or some 
other volume in that shoe. 

575
00:31:35,040 --> 00:31:37,000
If you think toe spring is 
aggravating the injury, what 

576
00:31:37,000 --> 00:31:39,560
should I look for in a shoe to 
minimize the risk? 

577
00:31:39,560 --> 00:31:42,000
So David, do you want to talk a 
little bit of what about a 

578
00:31:42,000 --> 00:31:45,960
planner plate tear is just that 
everyone's on the same page 

579
00:31:45,960 --> 00:31:49,960
there first and then we can go 
into the specific shoes and 

580
00:31:50,040 --> 00:31:53,320
recommendations. 
Yeah, it's essentially on the 

581
00:31:53,680 --> 00:31:56,760
underside of your foot, you have
some thick connective tissue 

582
00:31:56,760 --> 00:32:00,000
that kind of helps hold the the 
passive structure of your foot. 

583
00:32:00,240 --> 00:32:03,360
And the plants are plate 
basically. 

584
00:32:03,600 --> 00:32:06,120
When you look at the plantar 
fascia and how it blends in with

585
00:32:06,120 --> 00:32:07,840
the front side of your foot, 
like you have a couple of 

586
00:32:07,840 --> 00:32:11,960
different attachment points and 
you can get little splits in 

587
00:32:11,960 --> 00:32:15,280
them sometimes depending on 
where you are and where the 

588
00:32:15,680 --> 00:32:18,920
dorsiflexion point is or like 
where it has the most tension on

589
00:32:18,920 --> 00:32:20,160
it. 
So I'm using my fingers to try 

590
00:32:20,160 --> 00:32:22,400
and show that. 
So when you say in the 

591
00:32:22,400 --> 00:32:26,640
hyperflexion, we're assuming 
hyperdorsiflexion or extension 

592
00:32:27,200 --> 00:32:30,480
going up on the toes. 
But when you get up on your toes

593
00:32:31,000 --> 00:32:34,440
and you get extension through 
the foot, that can put a pretty 

594
00:32:34,440 --> 00:32:37,000
large amount of passive tension 
on these structures. 

595
00:32:37,320 --> 00:32:40,840
That is by design so that we 
have a rigid lever to push off 

596
00:32:40,840 --> 00:32:43,360
of. 
But sometimes you can develop 

597
00:32:43,360 --> 00:32:45,680
tears and it doesn't feel very 
good. 

598
00:32:46,720 --> 00:32:49,320
Everyone that I know that has 
had one doesn't love them. 

599
00:32:50,680 --> 00:32:55,040
I had one and it and it all. 
Mine does flare up from time to 

600
00:32:55,040 --> 00:32:57,360
time. 
I had a grade 2 tear of my first

601
00:32:58,720 --> 00:33:02,640
on the planter side of my first 
metatarsal and I think the big 

602
00:33:02,640 --> 00:33:04,560
thing about this is like what 
puts stress on it? 

603
00:33:04,560 --> 00:33:08,200
So if you extend your toe up 
into the air, that's going to 

604
00:33:08,200 --> 00:33:11,000
stretch the planter plate. 
That can happen from like a 

605
00:33:11,000 --> 00:33:14,240
flexible 4 foot or you get 
repetitive extension as you get 

606
00:33:14,240 --> 00:33:17,080
into toe off phase. 
You also can get stretch on it 

607
00:33:17,080 --> 00:33:19,520
if you are consistently resting 
in that position. 

608
00:33:19,520 --> 00:33:21,880
That's what toe spring would do.
It holds your toes in a little 

609
00:33:21,880 --> 00:33:25,200
bit of extension and then 
sometimes with shoes, if you're 

610
00:33:25,200 --> 00:33:30,120
held an extension and the foam 
is very soft, you're the kind of

611
00:33:30,120 --> 00:33:32,600
the ball of your foot can sink 
into that foam. 

612
00:33:32,960 --> 00:33:36,200
And because it's already held 
into extension, that sink into 

613
00:33:36,200 --> 00:33:40,360
the foam, even if the platform 
isn't flexible, that sinking can

614
00:33:40,360 --> 00:33:42,880
lead to some extension through 
the big toe as well. 

615
00:33:43,120 --> 00:33:45,960
So that's yeah. 
Thanks David for that overview 

616
00:33:45,960 --> 00:33:48,840
of kind of what that injury is. 
Do y'all have thoughts here? 

617
00:33:48,840 --> 00:33:53,440
If again, there's a million 
things that lead to to 

618
00:33:53,480 --> 00:33:56,360
aggravation of pain, we don't 
even know if this is actually 

619
00:33:56,360 --> 00:33:59,640
what is being re aggravated, but
they're saying it kind of feels 

620
00:33:59,640 --> 00:34:01,360
like it they. 
Didn't say anything, do you? 

621
00:34:01,360 --> 00:34:04,200
Feel like there could be a? 
Oh, they didn't say any like 

622
00:34:04,200 --> 00:34:07,480
mileage or anything, right? 
Like leading up to this injury. 

623
00:34:08,199 --> 00:34:12,280
No, like we don't know training 
specifics at all, just just that

624
00:34:12,280 --> 00:34:16,760
they've gone about 860 mile or 
490 miles since the injury 

625
00:34:17,360 --> 00:34:19,840
running in the Paradigm Sevens, 
and then they noticed, they 

626
00:34:19,840 --> 00:34:22,400
changed shoes and now they're 
starting to have some discomfort

627
00:34:22,400 --> 00:34:26,440
again. 
And then there was the SC Elite 

628
00:34:27,199 --> 00:34:30,560
SL Addi 0SL. 
What was the other one? 

629
00:34:31,719 --> 00:34:37,600
The experience Flow 2 and then 
the DV8 Nitro 2. 

630
00:34:39,639 --> 00:34:41,280
Now, three of those have plates,
right? 

631
00:34:42,560 --> 00:34:46,320
The SL has one, correct? 
Like a skinny one, no. 

632
00:34:47,400 --> 00:34:52,320
Evo SL does not OK, SC Elite 
does and the deviate deviate 

633
00:34:52,320 --> 00:34:55,639
Nitro yeah. 
Does and the SL has a fair 

634
00:34:55,639 --> 00:34:58,720
amount of toe spring. 
The SC Elite has a really late 

635
00:34:58,920 --> 00:35:02,760
toe spring. 
The Flow has toe spring. 

636
00:35:02,760 --> 00:35:06,920
The Deviate Nitro too. 
Gosh, yeah, kind of. 

637
00:35:06,920 --> 00:35:08,040
I need to pull it off. 
Yeah, I haven't. 

638
00:35:08,480 --> 00:35:14,600
Ran in the two, yeah. 
Guess the answer is maybe, but 

639
00:35:14,600 --> 00:35:16,040
it's hard. 
You know, there's so many 

640
00:35:16,040 --> 00:35:20,800
factors that can go into pain 
and injury and without knowing 

641
00:35:20,800 --> 00:35:25,360
any change in volume or 
intensity or training or sleep 

642
00:35:25,360 --> 00:35:29,160
or any of the other factors that
could contribute to pain, I 

643
00:35:29,160 --> 00:35:32,080
think I'd start there first. 
Unless there's a certain shoe 

644
00:35:32,080 --> 00:35:35,680
that you have a very triggering 
event that like every time I 

645
00:35:35,680 --> 00:35:38,640
wear this shoe, it feels awful. 
Do not wear that shoe. 

646
00:35:39,520 --> 00:35:42,720
Like especially if you have the 
history of the plant, you're 

647
00:35:42,720 --> 00:35:44,800
going to know right? 
Like if something is just not 

648
00:35:44,800 --> 00:35:48,040
lining up with it and it's just 
painful every time you put that 

649
00:35:48,040 --> 00:35:51,760
thing on, do not put it on. 
Although, but I think, oh, 

650
00:35:51,760 --> 00:35:54,600
sorry, just getting down to the 
bottom at the root of it I think

651
00:35:54,600 --> 00:35:58,760
is probably step #1 because it 
may or may not be the planter to

652
00:35:58,760 --> 00:36:02,040
begin with. 
So yeah. 

653
00:36:02,040 --> 00:36:06,200
So I would note a couple things.
Before previously he was only 

654
00:36:06,200 --> 00:36:10,760
running in ultras and now he's 
running in an ultra. 

655
00:36:10,760 --> 00:36:15,920
That's a four mil drop. 
The SC Elite is 6 or 8, I think 

656
00:36:15,920 --> 00:36:20,760
it's 8 and the Evo SL is 
probably 8 and the DV8 Nitro 2 

657
00:36:20,760 --> 00:36:24,560
is probably 10. 
And being running in shoes with 

658
00:36:24,560 --> 00:36:28,240
a higher drop does put more 
pressure on your MTPS and thus 

659
00:36:28,240 --> 00:36:30,880
the plantar plates. 
So there's one big change that 

660
00:36:30,880 --> 00:36:34,800
he has made two again. 
He's gone from three zero drop 

661
00:36:34,800 --> 00:36:41,440
shoes that have zero toe 
spraying to 4 shoes with drop of

662
00:36:41,600 --> 00:36:44,400
1's 4mm but most of them are 8 
to 10. 

663
00:36:44,400 --> 00:36:47,680
SCO 8 is 8, yeah. 
Just looked it up so and. 

664
00:36:47,960 --> 00:36:52,080
The SL is 6 1/2. 
So he's changed a he's running 

665
00:36:52,080 --> 00:36:56,400
in significantly different shoes
than he previously was. 

666
00:36:56,880 --> 00:37:00,720
So my recommendation, it would 
be interesting to know why he 

667
00:37:00,720 --> 00:37:04,560
was only running in the Paradigm
Sevens and then why he decided 

668
00:37:04,560 --> 00:37:07,800
to make this big switch to all 
of these other shoes. 

669
00:37:08,400 --> 00:37:12,760
But just in general, we do know 
that toe spring is not great for

670
00:37:12,760 --> 00:37:14,560
people with planar plate 
injuries. 

671
00:37:14,880 --> 00:37:19,040
So I would not particularly 
recommend that he run in any of 

672
00:37:19,040 --> 00:37:23,480
the shoes that he's listed. 
So if for some reason he's 

673
00:37:23,480 --> 00:37:26,800
looking to get out of the zero 
drop realm for whatever reason, 

674
00:37:26,800 --> 00:37:30,280
because of course a zero drop 
shoe with a flexible 4 foot like

675
00:37:30,280 --> 00:37:36,000
the Paradigm, the Torrents are, 
you know, moderately firm. 

676
00:37:36,040 --> 00:37:39,280
The Lone Peaks I'm assuming are 
pretty firm since they're 

677
00:37:39,280 --> 00:37:41,160
they're pretty firm. 
Yeah, they're flexible. 

678
00:37:41,400 --> 00:37:43,880
Though, OK, yeah, they're 
flexible, so maybe. 

679
00:37:44,240 --> 00:37:46,920
They're very firm. 
Perhaps if for some reason the 

680
00:37:46,920 --> 00:37:50,760
goal is just not to be running 
in zero drop shoes anymore, he 

681
00:37:50,760 --> 00:37:54,720
needs to find a something in the
middle between these ultras he's

682
00:37:54,720 --> 00:37:57,400
been running in and the four 
shoes that he's listed. 

683
00:37:57,800 --> 00:38:03,040
So something in like the four to
6mm drop range, no toe spraying,

684
00:38:03,480 --> 00:38:06,640
a moderate 4 foot rocker because
that will be helpful for 

685
00:38:06,640 --> 00:38:11,080
offloading his MTPS without 
positioning them in extension. 

686
00:38:12,120 --> 00:38:17,520
So shoes like that might be, 
let's see, the Saucony Canvera 

687
00:38:17,520 --> 00:38:19,480
might be a good choice. 
Canvara. 

688
00:38:21,920 --> 00:38:24,720
Malayle Canvera. 
I. 

689
00:38:24,960 --> 00:38:27,520
That was a pre air comment by 
the way. 

690
00:38:27,520 --> 00:38:29,920
I just I just pulled that in 
here. 

691
00:38:29,920 --> 00:38:31,800
I had no business doing that. 
I'm sorry. 

692
00:38:33,600 --> 00:38:39,040
Continue. 
What other shoes fall into that 

693
00:38:39,040 --> 00:38:42,840
category? 
So the shoe that was, it's not 

694
00:38:42,840 --> 00:38:45,080
exact, it's pretty close to what
you're saying, but probably a 

695
00:38:45,080 --> 00:38:47,400
little bit more foam than what 
you're thinking of. 

696
00:38:47,680 --> 00:38:51,440
The shoe that came into my mind 
was the Atmos 2 from Topo. 

697
00:38:51,800 --> 00:38:54,720
I think from a toe spring 
standpoint, it's relatively 

698
00:38:54,760 --> 00:38:56,320
flat. 
Actually, once you're on the 

699
00:38:56,320 --> 00:39:00,680
platform, it does have a little 
bit of a rocker, but it's not 

700
00:39:00,680 --> 00:39:04,120
super soft foam, but it doesn't,
it doesn't have that major 

701
00:39:04,120 --> 00:39:06,840
flexibility either. 
So I think a shoe like this 

702
00:39:06,840 --> 00:39:13,040
could be an option, and even I 
think it's the via. 

703
00:39:14,440 --> 00:39:17,440
Ultra forward via. 
Ultra as well, so that's another

704
00:39:17,720 --> 00:39:22,640
four mil drop from them, but it 
has a little bit more foam, not 

705
00:39:22,640 --> 00:39:25,320
much toe spring. 
I think that that could be 

706
00:39:25,320 --> 00:39:30,440
another one to consider as well.
But again, I I'm with you that 

707
00:39:30,440 --> 00:39:32,640
you probably don't want 
something that's going to hold 

708
00:39:32,640 --> 00:39:35,920
you an extension or allow you to
just repetitively go into it. 

709
00:39:36,840 --> 00:39:39,360
Those ones might be options to 
try. 

710
00:39:40,600 --> 00:39:42,760
Yeah. 
So basically more information is

711
00:39:42,760 --> 00:39:45,760
needed about why he switched 
from the Paradigms. 

712
00:39:46,240 --> 00:39:49,960
But two, if for some reason he 
doesn't want to just keep 

713
00:39:49,960 --> 00:39:53,680
running in the Paradigms, then 
find something that does not 

714
00:39:53,680 --> 00:39:57,280
have toe spraying and is in that
like 4 to 6mm drop range. 

715
00:40:01,520 --> 00:40:04,240
David, anything you want to add?
No, I think that was good. 

716
00:40:06,760 --> 00:40:09,000
Well, now we have a question 
from David Different. 

717
00:40:09,000 --> 00:40:09,920
David. 
David. 

718
00:40:09,920 --> 00:40:12,680
Asked. 
Question about about Brannick 

719
00:40:12,880 --> 00:40:16,120
devices and it says just had a 
quick question about shoe sizing

720
00:40:16,120 --> 00:40:20,920
and Brannick size in the video 
quote how should running shoes 

721
00:40:20,920 --> 00:40:23,040
fit Matt? 
I love how we get to talk about 

722
00:40:23,040 --> 00:40:25,880
something that Matt videoed 
without Matt here. 

723
00:40:25,920 --> 00:40:28,320
It's pretty exciting. 
In the video How should running 

724
00:40:28,320 --> 00:40:32,480
shoes fit by Matt, he Matt 
briefly talks about the Branic 

725
00:40:32,480 --> 00:40:34,960
device for sizing and says that 
he's a size 10. 

726
00:40:35,120 --> 00:40:37,840
I know most articles, even those
found on the Doctors of running 

727
00:40:37,840 --> 00:40:40,400
website mentioned that it's 
recommended to go up a half size

728
00:40:40,400 --> 00:40:43,440
over your Branic measurement. 
Matt describes himself as a size

729
00:40:43,440 --> 00:40:45,640
10 runner in shoe review. 
So I'm just wondering if he 

730
00:40:45,640 --> 00:40:48,320
wears the same size in his 
running shoes as his Branic 

731
00:40:48,320 --> 00:40:50,840
size. 
If so, I'm curious if any other 

732
00:40:50,840 --> 00:40:54,240
members of the Docks of running 
team that would be us follow the

733
00:40:54,280 --> 00:40:57,680
common advice to size up or if 
they wear running shoes in their

734
00:40:57,680 --> 00:41:01,640
branic sizes. 
So does somebody want to explain

735
00:41:01,640 --> 00:41:05,200
what one of the what this branic
size is like what's the device 

736
00:41:05,200 --> 00:41:06,840
and then go into answering this 
question? 

737
00:41:07,200 --> 00:41:10,640
Matt would absolutely be the 
perfect person to just lay the 

738
00:41:10,640 --> 00:41:12,680
whole thing. 
Yeah. 

739
00:41:13,920 --> 00:41:16,560
Here I can explain it. 
The Branic device basically 

740
00:41:16,560 --> 00:41:18,520
measures the length and width of
your foot. 

741
00:41:18,840 --> 00:41:22,000
So it's just a, it's the metal 
thing that you see in running 

742
00:41:22,000 --> 00:41:26,560
shoe stores that ideally you 
will be standing when your foot 

743
00:41:26,560 --> 00:41:30,280
is measured and they measure the
length, they measure the width, 

744
00:41:30,280 --> 00:41:33,440
and then there's a conversion to
what size you are. 

745
00:41:33,920 --> 00:41:37,080
So we were talking about this 
before recording. 

746
00:41:37,200 --> 00:41:40,920
I don't know what my branic size
is and neither does Nathan. 

747
00:41:40,920 --> 00:41:44,440
So David can answer this 
question since he does. 

748
00:41:45,520 --> 00:41:47,680
Oh man, I don't want to throw 
anybody under the bus. 

749
00:41:49,560 --> 00:41:55,040
I I had one measured at size 8 
men Men's 8I run a 9 1/2. 

750
00:41:59,120 --> 00:42:02,160
What I will say most of the time
you can get a pretty good 

751
00:42:02,160 --> 00:42:05,040
guesstimate of your shoe size 
using that and you go from 

752
00:42:05,040 --> 00:42:06,480
there. 
And then you find something that

753
00:42:06,480 --> 00:42:09,120
fits your foot well and gives 
you adequate space without 

754
00:42:09,120 --> 00:42:11,480
feeling too roomy. 
But you also don't want to brush

755
00:42:11,480 --> 00:42:14,440
it right up against your toe. 
I like it as a starting point if

756
00:42:14,440 --> 00:42:19,520
you have no idea where your size
is like, but I wouldn't take it 

757
00:42:19,520 --> 00:42:22,600
like point to point like as a 
hard rule right where it's like 

758
00:42:23,000 --> 00:42:27,160
this thing says I'm size 9, I am
therefore size 9 or the general 

759
00:42:27,160 --> 00:42:29,680
rule is to go half size up. 
So this is I'm size 9, so 

760
00:42:29,680 --> 00:42:32,480
therefore I'm size 9 1/2. 
I wouldn't do that, especially 

761
00:42:32,480 --> 00:42:34,960
'cause there's so much 
variability within companies. 

762
00:42:35,680 --> 00:42:37,480
Yes, that's it, right? 
There, like I mean, we've seen 

763
00:42:37,480 --> 00:42:40,200
it with Andrea on, on our own 
team where she has different 

764
00:42:40,200 --> 00:42:42,560
sizes depending on the company. 
Or like with Mizuno, you've had 

765
00:42:42,560 --> 00:42:45,400
to size up a half size. 
I know pretty frequently where 

766
00:42:45,400 --> 00:42:48,960
other companies you don't have 
to and the fit can be perfectly 

767
00:42:48,960 --> 00:42:52,840
dialed. 
So I, I there's enough 

768
00:42:52,840 --> 00:42:55,960
discrepancy within the footwear 
worlds from a sizing standpoint,

769
00:42:55,960 --> 00:42:57,840
I wouldn't use it as a hard and 
fast rule. 

770
00:42:58,040 --> 00:43:01,080
With that said, it can be a. 
It can be a general guideline if

771
00:43:01,080 --> 00:43:03,520
you don't know where your sizing
is to start. 

772
00:43:04,400 --> 00:43:09,600
I don't know how on earth I got 
a size 8 on that, but that is 

773
00:43:09,600 --> 00:43:14,760
for another time. 
What I was good, I was just 

774
00:43:14,760 --> 00:43:17,720
going to reiterate what David 
said about the variability and 

775
00:43:17,720 --> 00:43:20,880
lack of standardization of 
sizing between companies. 

776
00:43:21,320 --> 00:43:24,440
A9 means whatever it means to 
the company. 

777
00:43:24,440 --> 00:43:27,880
They may operate on slightly 
similar lasts that they build 

778
00:43:27,880 --> 00:43:31,240
the shoe around, but they're 
they're sizing differences and 

779
00:43:31,240 --> 00:43:34,440
all of this is not is not going 
to be the same from one company 

780
00:43:34,440 --> 00:43:37,080
to another. 
So using a standardized Branic 

781
00:43:37,080 --> 00:43:39,680
device to tell you what size you
are in every single shoe 

782
00:43:39,680 --> 00:43:41,160
probably just won't line up for 
you. 

783
00:43:41,160 --> 00:43:43,560
And that could have been the 
case for for Matt where it said 

784
00:43:43,560 --> 00:43:47,760
he was a 10, but maybe he was on
the smaller like side of that 10

785
00:43:47,760 --> 00:43:50,280
and then the ten fits him for 
most footwear. 

786
00:43:50,600 --> 00:43:54,000
He's also talked, you know, 
recently about how some shoes 

787
00:43:54,000 --> 00:43:57,280
feel better in a 10 1/2 now, but
he it's not like his Branic size

788
00:43:57,280 --> 00:44:02,000
has changed really. 
So I think that using the Branic

789
00:44:02,120 --> 00:44:06,520
is a, like you said, David, 
maybe a starting point, probably

790
00:44:06,520 --> 00:44:08,560
not necessary. 
If you can go to a running shoe 

791
00:44:08,560 --> 00:44:12,000
store, you can take some of the 
principles that Matt talks about

792
00:44:12,000 --> 00:44:15,640
in his How should running shoes 
fit video and think about feel 

793
00:44:15,640 --> 00:44:20,160
and comfort and making sure that
you have space after your big 

794
00:44:20,240 --> 00:44:22,360
like your longest toe. 
It should not be brushing up 

795
00:44:22,360 --> 00:44:23,880
against the edge. 
You should have a little bit of 

796
00:44:23,880 --> 00:44:26,280
space there. 
You shouldn't feel constriction 

797
00:44:26,280 --> 00:44:29,560
from the sides of your, you 
know, around the forefoot or the

798
00:44:29,560 --> 00:44:31,040
midfoot. 
It should have that little bit 

799
00:44:31,040 --> 00:44:34,080
of space for you. 
Those are the probably better 

800
00:44:34,080 --> 00:44:37,480
indications of the right size 
for you than metal branic 

801
00:44:37,480 --> 00:44:39,520
device. 
I don't know if anyone disagrees

802
00:44:39,520 --> 00:44:40,200
with that. 
No. 

803
00:44:40,440 --> 00:44:44,320
Well put. 
Cool. 

804
00:44:44,840 --> 00:44:46,640
We ready for the next question. 
Let's do it. 

805
00:44:48,120 --> 00:44:51,200
Right, Stanley asked this. 
I really appreciate the content 

806
00:44:51,200 --> 00:44:53,360
and info you share, it's been 
super helpful. 

807
00:44:53,360 --> 00:44:56,680
I saw your e-mail and was 
curious if I could ask a quick 

808
00:44:56,680 --> 00:44:59,680
shoe question. 
Looking for a non plated do it 

809
00:44:59,680 --> 00:45:03,920
all Rd. slash track shoe for 
easy runs, tempo intervals, and 

810
00:45:03,920 --> 00:45:07,640
occasionally longer efforts. 
Something similar in context to 

811
00:45:07,640 --> 00:45:13,320
use, like the ASICS Mega Blast, 
Super Blast 2 or Adidas Evo SLI 

812
00:45:13,320 --> 00:45:18,600
Run mostly Rd. track land around
the midfoot and I have slightly 

813
00:45:18,600 --> 00:45:21,040
flat feet with mild 
overpronation, so I tend to do 

814
00:45:21,040 --> 00:45:23,960
better in shoes that aren't too 
narrow in the forefoot and have 

815
00:45:23,960 --> 00:45:29,160
a reasonably stable platform. 
What recommendations do we have?

816
00:45:30,080 --> 00:45:33,600
The Saucony endorphin Azura. 
I knew you were going to say it.

817
00:45:35,120 --> 00:45:39,800
Except this is a mid foot 
striker so they might dislike it

818
00:45:39,800 --> 00:45:44,120
as much as I do. 
I was thinking Andrea this is 

819
00:45:44,120 --> 00:45:47,280
like but the flat, the flat foot
like pronator side. 

820
00:45:48,160 --> 00:45:50,280
I I feel like the fly light 
would would work for. 

821
00:45:50,280 --> 00:45:53,880
That I think so, yeah. 
Or the Hyperion 2. 

822
00:45:54,160 --> 00:45:57,000
There are still some left or 
the. 

823
00:45:57,640 --> 00:46:01,360
Yeah, not the Hyperion, not. 
The Hyperion 3, but there's also

824
00:46:01,360 --> 00:46:04,440
Hyperion 2 GTS. 
They didn't make it in the 

825
00:46:04,440 --> 00:46:08,240
three, but depending just how 
much guidance this person needs,

826
00:46:08,240 --> 00:46:15,320
maybe the GTS version version. 
I wouldn't really recommend that

827
00:46:15,320 --> 00:46:18,280
you've OSL for the track. 
I think it's too unstable for 

828
00:46:18,280 --> 00:46:22,280
that, yeah. 
I will say though. 

829
00:46:22,280 --> 00:46:24,120
I don't want to work cyclone for
this person. 

830
00:46:24,840 --> 00:46:30,800
Cyclones, if they like a 
flexible sole like up front, 

831
00:46:30,800 --> 00:46:32,840
it's it's just very neutral. 
It's like a flat. 

832
00:46:32,880 --> 00:46:34,960
Almost. 
Is like kind of how I see it. 

833
00:46:34,960 --> 00:46:37,000
It's very flexible, technically 
a training shoe. 

834
00:46:37,120 --> 00:46:42,560
Yeah, it's like a slightly 
beefed up flat P Jacks Mitzel, 

835
00:46:42,560 --> 00:46:44,360
which is nice. 
It's it's a really nice shoe. 

836
00:46:44,360 --> 00:46:48,000
It's just, yeah, obviously, I 
mean, I loved both the last 

837
00:46:48,000 --> 00:46:50,520
versions, so. 
The arch support is noticeable 

838
00:46:50,520 --> 00:46:55,680
in the Cyclone two and three, 
more so than the Fly light, so 

839
00:46:55,680 --> 00:46:58,280
if they were going to go with 
one topo shoe I'd probably say 

840
00:46:58,280 --> 00:47:03,880
the Fly light 6. 
Yeah, for what it's worth too, I

841
00:47:03,880 --> 00:47:06,400
know Andrea and I have our 
differences as far as the Azura 

842
00:47:06,400 --> 00:47:11,680
goes, but both Klein and I feel 
that it is a a stable, 

843
00:47:12,120 --> 00:47:15,280
lightweight responsive shoe that
you can take for pretty much 

844
00:47:15,280 --> 00:47:16,640
anything. 
We do agree on that. 

845
00:47:18,640 --> 00:47:23,040
It's it's plenty responsive and 
yeah, it's it's it's solid. 

846
00:47:23,320 --> 00:47:24,840
It's a do it all shoe. 
It's non plated. 

847
00:47:24,880 --> 00:47:27,200
It kind of feels like it is 
though, even though it's not, 

848
00:47:27,440 --> 00:47:29,040
it's a pretty stiff sole up 
front. 

849
00:47:29,680 --> 00:47:33,120
So if you are sensitive to 
stiffer platforms with or 

850
00:47:33,120 --> 00:47:36,160
without a plate, maybe not that 
one, but like there is no plate.

851
00:47:36,160 --> 00:47:42,120
So it does check that. 
Any other thoughts? 

852
00:47:42,840 --> 00:47:44,440
There just aren't a lot of 
shoes. 

853
00:47:44,480 --> 00:47:47,520
Like I mean we've talked so much
about how there isn't like a do 

854
00:47:47,520 --> 00:47:50,200
it all like performance trainer 
that has a little bit of 

855
00:47:50,200 --> 00:47:53,960
stability. 
So there just aren't that many 

856
00:47:53,960 --> 00:47:58,440
options anymore. 
Until now with. 

857
00:48:06,760 --> 00:48:09,920
I could see, I could see because
the cut out is lateral on the 

858
00:48:09,920 --> 00:48:10,680
azura. 
So I. 

859
00:48:10,720 --> 00:48:12,880
Honestly don't even notice. 
It I don't notice it either. 

860
00:48:13,960 --> 00:48:17,440
Yeah, it it doesn't and it's 
like a so marginal like yeah, I 

861
00:48:17,440 --> 00:48:20,080
I think it's more aesthetic than
it is functional. 

862
00:48:21,560 --> 00:48:25,000
I think for so great just the 
reason why I would not recommend

863
00:48:25,000 --> 00:48:27,360
the Azura for this person as a 
mid foot striker. 

864
00:48:28,120 --> 00:48:32,520
The four foot rocker starts so 
early and the toe spring is so 

865
00:48:32,520 --> 00:48:36,320
severe that if you land on your 
midfoot, you are basically 

866
00:48:36,320 --> 00:48:40,520
landing on the rocker. 
So there's no time to progress 

867
00:48:40,520 --> 00:48:43,640
through mid stands. 
You're just immediately pushed 

868
00:48:43,640 --> 00:48:47,400
into push off, which is not a 
very stable or comfortable way 

869
00:48:47,400 --> 00:48:51,800
to run at any pace. 
Like I can feel it running easy,

870
00:48:51,800 --> 00:48:54,680
I can feel it running faster. 
It just felt like I was falling 

871
00:48:54,680 --> 00:48:56,520
off the front of the shoe the 
second I landed. 

872
00:48:56,600 --> 00:49:00,960
So of course if if you land 
further back, your experience of

873
00:49:00,960 --> 00:49:03,800
both the midsole and the 
geometry is going to be totally 

874
00:49:03,800 --> 00:49:07,200
different. 
But basically the Azura feels 

875
00:49:07,200 --> 00:49:10,840
like running on a rocker to me. 
Yeah. 

876
00:49:11,800 --> 00:49:14,560
Yeah, that's fair. 
Great. 

877
00:49:15,400 --> 00:49:16,600
Let's move to this next 
question. 

878
00:49:16,600 --> 00:49:20,800
This next question is from Ray 
and Ray asks if you have any 

879
00:49:20,800 --> 00:49:23,760
suggestions for severs disease 
in an 11 year old. 

880
00:49:23,760 --> 00:49:26,400
He does soccer year round and 
just started cross country this 

881
00:49:26,400 --> 00:49:28,520
year. 
He has been using zero and 

882
00:49:28,560 --> 00:49:30,520
ultra. 
Just to give a little 

883
00:49:30,520 --> 00:49:35,080
background, I'll give a slight 
overview of severs disease. 

884
00:49:35,440 --> 00:49:40,120
Severs disease is kind of a 
it's, it happens in younger 

885
00:49:40,120 --> 00:49:43,360
individuals as the skeleton is 
not quite mature yet. 

886
00:49:43,600 --> 00:49:47,000
Certain tendons can pull on 
regions of the body and then 

887
00:49:47,000 --> 00:49:50,320
kind of pull the bone like the 
growth plate and kind of pull 

888
00:49:50,320 --> 00:49:52,520
the bone and the growth plate 
apart a little bit. 

889
00:49:52,800 --> 00:49:54,320
And so that can happen at the 
knee. 

890
00:49:54,320 --> 00:49:56,640
That's called Osgoode 
Slaughter's disease, Seaver's 

891
00:49:56,640 --> 00:50:03,160
disease can happen down at the 
Achilles, down by the calcaneus.

892
00:50:03,440 --> 00:50:06,560
And so that's like pulling the 
heel bone a little bit away from

893
00:50:06,560 --> 00:50:08,560
where the Achilles inserts into 
the heel. 

894
00:50:09,160 --> 00:50:11,840
And that that's kind of what it 
is. 

895
00:50:11,840 --> 00:50:15,800
And so it's kind of this pull 
from the Achilles on the bone 

896
00:50:15,800 --> 00:50:19,520
creating a separation of that 
growth plate, usually pretty 

897
00:50:19,520 --> 00:50:22,000
painful, usually self resolving 
over time. 

898
00:50:22,240 --> 00:50:26,040
And just it's one of those like 
I had Oscar slaughters as a kid 

899
00:50:26,440 --> 00:50:29,800
and it was one of those you just
got to figure out how you manage

900
00:50:29,800 --> 00:50:33,400
it until you tell your till you 
keep growing and then it heals 

901
00:50:33,400 --> 00:50:36,240
up and then you're going to go. 
And I had to do some different 

902
00:50:36,240 --> 00:50:38,840
bracing for my knees and stuff 
like that just to manage 

903
00:50:38,840 --> 00:50:42,120
symptoms. 
Do y'all have thoughts regarding

904
00:50:42,920 --> 00:50:46,680
footwear for this person? 
So first, yes, severs severs 

905
00:50:46,680 --> 00:50:49,480
disease is self limiting, but 
it's self limiting when the 

906
00:50:49,480 --> 00:50:53,360
growth plate closes, which is 
like mid to late teenage years 

907
00:50:53,360 --> 00:50:57,040
for boys. 
So I would highly recommend that

908
00:50:57,040 --> 00:51:00,560
this child go to physical 
therapy because while physical 

909
00:51:00,560 --> 00:51:04,920
therapy cannot change the actual
problem, it can address all of 

910
00:51:04,920 --> 00:51:09,360
the other potential contributing
factors to increase tension on 

911
00:51:09,360 --> 00:51:12,840
the heel bone and the Achilles. 
So addressing any flexibility, 

912
00:51:12,920 --> 00:51:15,840
stability issues, strength 
issues, you know, just like what

913
00:51:15,840 --> 00:51:19,480
we were talking about earlier, 
the heel does not exist in 

914
00:51:19,480 --> 00:51:21,400
isolation from the rest of the 
body. 

915
00:51:21,760 --> 00:51:25,200
So go to therapy so that any 
issues can be addressed. 

916
00:51:25,480 --> 00:51:28,280
It'll make your son a better 
athlete even if he didn't have 

917
00:51:28,280 --> 00:51:31,720
sebrous disease. 
But as far as what to do 

918
00:51:31,720 --> 00:51:35,720
footwear wise, Zero and Ultra 
are probably the worst shoes he 

919
00:51:35,720 --> 00:51:40,160
could be wearing because they 
are 0 drop and of course Zeros 

920
00:51:40,160 --> 00:51:43,640
are very low stack height, very 
flexible. 

921
00:51:43,960 --> 00:51:48,520
So puts the maximum amount of 
stress and work on the Achilles.

922
00:51:48,840 --> 00:51:54,640
So transitioning to a shoe that 
has a moderate amount of drop, a

923
00:51:54,640 --> 00:51:58,080
four foot rocker to unload the 
calf a little bit. 

924
00:51:59,400 --> 00:52:02,600
The other thing that really 
stands out here is this child is

925
00:52:02,600 --> 00:52:05,920
playing soccer year round in 
addition to starting cross 

926
00:52:05,920 --> 00:52:09,880
country. 
I am fully aware of the 

927
00:52:09,880 --> 00:52:16,160
realities of children's sports, 
but it is not recommended that 

928
00:52:16,640 --> 00:52:20,880
kids play one that kids 
specialize in a sport year round

929
00:52:20,880 --> 00:52:25,240
at age 11. 
So certainly, I'm assuming that 

930
00:52:25,280 --> 00:52:29,120
this child's heel pain is so bad
that it is limiting his ability 

931
00:52:29,120 --> 00:52:32,480
to play soccer, but it might 
just lead this parent to 

932
00:52:32,480 --> 00:52:36,400
consider whether or not year 
round soccer plus cross country 

933
00:52:36,400 --> 00:52:39,000
is a good idea for his child's 
overall health. 

934
00:52:39,560 --> 00:52:43,680
And because, of course, I'm not 
their physical therapist nor 

935
00:52:43,680 --> 00:52:46,520
their doctor, I can't really 
make a specific recommendation. 

936
00:52:46,520 --> 00:52:50,320
But I would highly recommend 
talking with both an orthopedist

937
00:52:50,440 --> 00:52:54,040
who specializes in Pediatrics 
and a physical therapist to 

938
00:52:54,040 --> 00:52:58,520
really come up with a good plan 
about what the appropriate level

939
00:52:58,520 --> 00:53:01,880
of sports participation is for 
this child as they're dealing 

940
00:53:01,880 --> 00:53:05,640
with severe's disease. 
Do you have anything to add, 

941
00:53:05,640 --> 00:53:07,680
David? 
I agree. 

942
00:53:08,880 --> 00:53:13,160
No, I actually think you said it
all very, very well. 

943
00:53:15,040 --> 00:53:17,400
There's always the chance that 
like it could just simply be 

944
00:53:17,400 --> 00:53:19,960
like an overuse injury and they 
have secrets, right? 

945
00:53:19,960 --> 00:53:23,960
Like, so it's one of those 
things where, yeah, at managing 

946
00:53:23,960 --> 00:53:26,120
the amount of activity that 
you're doing and finding that 

947
00:53:26,120 --> 00:53:27,920
sweet spot of what you're able 
to do. 

948
00:53:28,320 --> 00:53:30,840
And I don't believe that like, 
oh, you can't do sports because 

949
00:53:30,840 --> 00:53:33,520
you have this. 
It's just managing the amount of

950
00:53:33,520 --> 00:53:35,720
load that keeps things from 
getting aggravated. 

951
00:53:35,720 --> 00:53:38,200
And I agree completely with 
going to physical therapy and 

952
00:53:38,200 --> 00:53:41,160
working on some of the 
impairments that may be present,

953
00:53:41,400 --> 00:53:43,800
especially flexibility. 
When you're growing at those 

954
00:53:43,800 --> 00:53:47,640
ages, those bones grow quick and
a lot of times the connective 

955
00:53:47,640 --> 00:53:48,960
tissue doesn't grow at the same 
rate. 

956
00:53:48,960 --> 00:53:50,760
So you kind of get this like a 
little bow string effect 

957
00:53:50,760 --> 00:53:52,880
sometimes on those posterior 
structures. 

958
00:53:54,480 --> 00:53:57,480
So that that can tug on it, that
can irritate it. 

959
00:53:57,480 --> 00:54:01,240
And yeah, that that can just be 
the nature of things sometimes. 

960
00:54:01,240 --> 00:54:05,920
But no, I think give it time. 
Go into it, address the things 

961
00:54:05,920 --> 00:54:08,440
you can address, and then should
come out OK. 

962
00:54:08,440 --> 00:54:10,400
Right. 
That's yeah, I think the key 

963
00:54:10,400 --> 00:54:12,920
message is it is a self limiting
problem. 

964
00:54:13,000 --> 00:54:16,760
It it's not going to last 
forever, but in the meantime use

965
00:54:16,760 --> 00:54:19,240
it to address all of the things 
that you can address. 

966
00:54:20,160 --> 00:54:23,400
All right. 
Should we move on to the next 

967
00:54:23,400 --> 00:54:25,840
question? 
Yeah. 

968
00:54:25,840 --> 00:54:28,640
I think we got one more question
that we're going to hit today 

969
00:54:29,000 --> 00:54:33,840
and this is from Matt and Matt 
asks this. 

970
00:54:34,480 --> 00:54:37,240
I'm wondering what shoes you'd 
recommend for trying to continue

971
00:54:37,240 --> 00:54:39,200
training while dealing with a 
neuroma. 

972
00:54:39,400 --> 00:54:42,760
I'm preparing for Boston and 
just want a second opinion on 

973
00:54:42,760 --> 00:54:44,840
shoes. 
I'm a little concerned about 

974
00:54:44,840 --> 00:54:47,080
running hard downhill with the 
neuroma. 

975
00:54:47,280 --> 00:54:49,920
I did manage to train for a 
complete Chicago Marathon this 

976
00:54:49,920 --> 00:54:53,320
fall using a customer. 
I think it's supposed to be 

977
00:54:53,320 --> 00:54:56,600
custom, but custom orthotic, 
wider shoes and a lot of 

978
00:54:56,600 --> 00:54:59,560
shockwave therapy. 
The Neuroma has calmed a bit, 

979
00:54:59,760 --> 00:55:01,840
but I feel like it might flare 
up again in when I get back up 

980
00:55:01,840 --> 00:55:05,000
to full mileage. 
During my Boston build I used a 

981
00:55:05,000 --> 00:55:07,920
custom orthotic which were 
fitted for Topo Atmos. 

982
00:55:08,200 --> 00:55:12,560
I also rotated in the Topo 
Spectre 2 for threshold work. 

983
00:55:12,920 --> 00:55:16,240
I did long runs and raced in the
New Balance SC Elite V4 because 

984
00:55:16,240 --> 00:55:18,720
of the wide platform inability 
to fit the orthotic. 

985
00:55:19,040 --> 00:55:23,160
The race shoe was not bouncy or 
as helpful as some of the other 

986
00:55:23,400 --> 00:55:26,280
others for my running. 
For running my goal marathon 

987
00:55:26,280 --> 00:55:28,840
pace. 
Some of the older craft shoes 

988
00:55:28,840 --> 00:55:31,040
have been wide enough for a toe 
box for me. 

989
00:55:31,040 --> 00:55:32,840
Dang, I forgot all about the 
craft shoes. 

990
00:55:34,080 --> 00:55:36,520
Those are fun. 
Newer craft shoes have narrowed 

991
00:55:36,520 --> 00:55:38,680
up. 
I have a narrow foot so topo has

992
00:55:38,680 --> 00:55:41,440
been a good option. 
Is there anything else that I'm 

993
00:55:41,440 --> 00:55:42,960
missing? 
Just wanting to make sure that 

994
00:55:42,960 --> 00:55:45,800
they are considering all the 
options when training with this 

995
00:55:45,840 --> 00:55:48,520
aroma. 
So the first thing I would say 

996
00:55:48,520 --> 00:55:52,040
is I don't know if this person 
still needs to use their 

997
00:55:52,040 --> 00:55:55,000
orthotic, but I'm assuming that 
one of the features of the 

998
00:55:55,000 --> 00:55:59,560
orthotic was a metatarsal pad 
and then a cut out for that ray 

999
00:55:59,600 --> 00:56:03,440
or that toe and the metatarsal 
associated with that toe where 

1000
00:56:03,440 --> 00:56:06,920
the neuroma is. 
So a lot of people can't fit an 

1001
00:56:06,920 --> 00:56:11,240
orthotic into a racing shoe. 
So I've known a number of people

1002
00:56:11,240 --> 00:56:14,720
who just take an adhesive 
metatarsal pad and stick it 

1003
00:56:14,720 --> 00:56:19,600
directly to the sock liner, 
whether the sock liner is 

1004
00:56:19,600 --> 00:56:21,600
removable or not in a racing 
shoe. 

1005
00:56:22,040 --> 00:56:25,680
And that is often enough to 
cushion that neuroma area 

1006
00:56:25,680 --> 00:56:29,080
without the need to actually put
your full orthotic in there. 

1007
00:56:29,480 --> 00:56:31,240
So that might be something to 
try. 

1008
00:56:32,800 --> 00:56:36,680
Beyond that, yes, a stiffer 4 
foot is better for neuromas. 

1009
00:56:37,560 --> 00:56:41,960
You would want to look for a 
four foot rocker where the apex 

1010
00:56:41,960 --> 00:56:45,040
doesn't really line up right 
where the neuroma is because you

1011
00:56:45,040 --> 00:56:49,200
wouldn't want to put excess 
pressure on it from the 

1012
00:56:49,200 --> 00:56:52,880
curvature of the forefoot. 
And that would probably just 

1013
00:56:52,880 --> 00:56:56,960
come down to you actually trying
on a number of shoes because 

1014
00:56:56,960 --> 00:57:00,240
there's no way to like look at a
shoe online and nowhere like 

1015
00:57:00,240 --> 00:57:01,920
your Neuroma is going to line up
in there. 

1016
00:57:04,120 --> 00:57:08,240
I could see the SC Elite being a
great shoe for that because it 

1017
00:57:08,240 --> 00:57:11,840
has a pretty tame rocker. 
But yes, also the foam isn't 

1018
00:57:11,840 --> 00:57:13,840
super bouncy. 
Same thing with the with the 

1019
00:57:13,840 --> 00:57:17,000
version 5. 
Let's see, he has an. 

1020
00:57:17,600 --> 00:57:22,080
He says he has a narrow foot but
topo has been a good option so 

1021
00:57:22,080 --> 00:57:24,560
I'm not sure what to make of 
that. 

1022
00:57:25,480 --> 00:57:28,160
Might just be the heel and mid. 
Foot since they have a little. 

1023
00:57:28,160 --> 00:57:31,120
Bit more of a slim fitting, you 
know, rear foot and mid foot, 

1024
00:57:31,120 --> 00:57:33,800
but then a wider toe box to have
a little bit of space up front. 

1025
00:57:34,160 --> 00:57:38,920
That's how I interpreted that. 
So, you know, all of the on 

1026
00:57:40,560 --> 00:57:45,320
racing shoes have a not a super 
wide toe box, but a wide enough 

1027
00:57:45,320 --> 00:57:47,440
toe box where I don't complain 
about them. 

1028
00:57:47,440 --> 00:57:53,320
So either the cloud boom E3 or 
the cloud boom strike both. 

1029
00:57:53,440 --> 00:57:57,280
And the strike actually has like
kind of a glorified homeless net

1030
00:57:57,280 --> 00:58:02,040
pad in Yeah, it's like a the 
sock liner is super thick in the

1031
00:58:02,040 --> 00:58:03,760
forefoot. 
That's actually where a lot of 

1032
00:58:03,760 --> 00:58:05,600
the foam responsiveness comes 
from. 

1033
00:58:05,600 --> 00:58:08,920
I didn't even think about that 
shoe, but that that could that 

1034
00:58:08,920 --> 00:58:13,920
could be an option for sure. 
Other well, I think why don't 

1035
00:58:13,920 --> 00:58:15,640
I'm sure you have some ideas, 
Steven. 

1036
00:58:17,400 --> 00:58:21,440
Well, now I actually like the 
classroom strike example. 

1037
00:58:21,440 --> 00:58:24,520
I think I'd like all other 
examples went to the wayside. 

1038
00:58:24,920 --> 00:58:27,400
I was like, that actually sounds
quite nice for that. 

1039
00:58:28,320 --> 00:58:31,240
But I think you hit like right 
on the head like as far as like 

1040
00:58:31,240 --> 00:58:33,880
getting a pad of some kind for 
that's the first thing I think 

1041
00:58:33,880 --> 00:58:35,080
of. 
I mean, when you're looking at 

1042
00:58:35,080 --> 00:58:37,120
an aromas, it's like a 
thickening of that nerve on the 

1043
00:58:37,120 --> 00:58:40,360
underside and like nerves just 
really want space. 

1044
00:58:40,360 --> 00:58:42,640
So you want something that has a
wide toe box and they want 

1045
00:58:42,640 --> 00:58:45,920
ability to move relatively 
freely. 

1046
00:58:45,920 --> 00:58:48,920
So it's just making sure that 
you don't have something that 

1047
00:58:48,920 --> 00:58:51,040
lines up with the apex on it 
where you're just jamming it. 

1048
00:58:51,040 --> 00:58:53,040
Kind of the same thing we were 
talking about with the planter 

1049
00:58:53,040 --> 00:58:56,080
plate stuff earlier too, where 
it's like you don't want to put 

1050
00:58:56,080 --> 00:58:57,920
yourself in a position where 
you're just irritating it 

1051
00:58:57,920 --> 00:59:00,960
constantly. 
But if you can find an apex that

1052
00:59:01,160 --> 00:59:03,800
doesn't line up directly with 
it, you're not going to be 

1053
00:59:03,800 --> 00:59:07,800
pivoting on it quite as hard. 
And then you can put the mat pad

1054
00:59:07,800 --> 00:59:09,280
in there. 
And that should help with 

1055
00:59:09,280 --> 00:59:11,240
decreasing some of the pressure 
there as well. 

1056
00:59:13,520 --> 00:59:16,320
Yeah, it's a tough one, like 
trying to think of like racing 

1057
00:59:16,320 --> 00:59:21,920
shoes that have, you know, wider
toe boxes that can accommodate 

1058
00:59:21,920 --> 00:59:25,120
that and have a little bit more 
of a narrow like heel and 

1059
00:59:25,120 --> 00:59:27,280
midfoot on does that really 
well. 

1060
00:59:28,960 --> 00:59:30,520
A friend of mine. 
Craft actually does. 

1061
00:59:30,560 --> 00:59:35,040
Yeah, friend of mine who has 
this issue, she has run many 

1062
00:59:35,040 --> 00:59:39,600
marathons with her little 
metatarsal pad and Vaporfly 2, 

1063
00:59:40,080 --> 00:59:43,040
Vaporfly 3. 
So I mean both of those do have 

1064
00:59:43,040 --> 00:59:46,120
a wider toe box. 
Those both of those shoes have 

1065
00:59:46,120 --> 00:59:49,320
never bothered. 4 is a little 
tighter though. 4 is tighter, 

1066
00:59:49,360 --> 00:59:53,520
yeah, yeah. 
Yeah, 3 was very open. 

1067
00:59:53,520 --> 00:59:55,440
They're like almost polar 
opposites in a way. 

1068
00:59:55,520 --> 00:59:58,160
Like you could feel like a see a
very clear change in their 

1069
00:59:58,160 --> 01:00:03,280
lineage from 3 to 4. 
But Alphafly might not be the 

1070
01:00:03,280 --> 01:00:04,680
worst. 
That one's a little bit wider 

1071
01:00:04,680 --> 01:00:09,880
and volumous. 
Yeah, I'd almost have to think 

1072
01:00:09,880 --> 01:00:11,600
on that a little bit. 
More I wouldn't. 

1073
01:00:12,280 --> 01:00:15,760
Every Adidas racing shoe has a 
pretty severe toe spring, so I 

1074
01:00:15,760 --> 01:00:18,760
wouldn't think that would be a 
good option. 

1075
01:00:21,400 --> 01:00:25,880
New Balance we talked about. 
ASIC I wouldn't do the endorphin

1076
01:00:25,880 --> 01:00:27,160
elite. 
Yep. 

1077
01:00:27,160 --> 01:00:28,960
Too tight. 
Yeah, too tight. 

1078
01:00:29,160 --> 01:00:33,200
Too tight. 
Yeah, so probably. 

1079
01:00:33,200 --> 01:00:36,120
The platform. 
Strike is probably this person's

1080
01:00:36,120 --> 01:00:38,080
best choice. 
Yeah, it is good. 

1081
01:00:38,960 --> 01:00:40,960
Yeah, once you said that, I was 
like, forget all the. 

1082
01:00:41,000 --> 01:00:42,200
Others. 
That's what my mind said too. 

1083
01:00:46,480 --> 01:00:49,000
Well, everyone, thank you for 
joining us for this mailbag 

1084
01:00:49,000 --> 01:00:50,680
episode. 
Andrea and David, thanks for 

1085
01:00:50,680 --> 01:00:52,920
sharing your wisdom. 
This was a lot of fun. 

1086
01:00:52,960 --> 01:00:55,720
But thank you all for joining 
us, putting up with the fact 

1087
01:00:55,720 --> 01:00:59,360
that we are just a group of PTS 
doing our jobs, loving our 

1088
01:00:59,360 --> 01:01:02,120
lives, and then we get to do 
this with you all as well. 

1089
01:01:02,120 --> 01:01:04,080
So thank you for joining us, and
we'll talk to you next time.

