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Help - what about those "sausage fingers" I get on long walks? What causes the swelling?

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Can you give me some advice on heel pain, heel spurs, and plantar fasciitis?

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Can you give me some advice on on shin splints, knee injuries, and other leg problems?

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Help, I need some good neck stretches.

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Can you give me some advice on blisters, chafing and Body Glide?

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What do I do about sore hips?

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What's the scoop on electrolyte replacement?

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Can you give me advice on how to deal with chafing?

 
 

Q: Help - what about those "sausage fingers" I get on long walks? What causes the swelling?

http://walking.about.com/library/weekly/aa041998.htm

pat: Everyone will get swollen fingers on the walk.  Don't be alarmed.  It usually helped me to keep my arms moving and not just hanging at my side.  I also flexed my fingers and hands routinely and sometimes walked for a while with hands over my head.  I was worried at first that the swelling was a sign that I was risking a "lymphedema" problem.  This can be a problem if you have had lymph nodes removed as a result of breast cancer surgery.  However, I have not heard of anyone getting lymphedema from walking in the 3Day.  The swelling always went away after the walk.  Some people walk carrying a small stone in their fist and squeeze it periodically and they say that works too.

Q: Can you give me some advice on heel pain, heel spurs, and plantar fasciitis?

http://walking.about.com/cs/heelpain/

Q: Can you give me some advice on shin splints, knee injuries, and other leg problems?

http://walking.about.com/cs/medleg/

sherry: Anterior shin splints present themselves as throbbing pain on the front and outer side of the shinbones. 

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Those with high arches or whose feet supinate are more prone to them.

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Walking on hills

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Wearing shoes that are too wide or loose

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Having tight calf muscles.

Treatments include:

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Slow your pace

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Check shoes for extreme wear

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Strengthen muscles by standing or sitting with heel firmly on the ground and tapping the ball of your foot until the muscle gets fatigued.

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Stretch calf muscles by pointing your toe to the floor

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Ice the area  


Posterior Shin Splints present themselves as pain and a throbbing sensation on the inner shin and diffused pain up and down the inner part of the leg.

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Collapsed arches

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Pronation or flat arches

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Training on hard surfaces

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Over-training or too rapid increase in training  


Treatments include:
 

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Rest

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Apply ice and take anti-inflammatory medication

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Slow your training program

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Try a more supportive shoe

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Try over the counter arch supports or orthotics

jane: Shin splints, for those who haven't experienced them, is pain on the front of the leg stretching along the bone between your knee and your ankle.  It can take 2-3 days to subside and Advil helps.

Shin splints are generally the result of either overtraining and/or trying to go "too fast."  The too fast issue is easy to solve -- decide what YOUR pace is and don't try to keep up with others.  If you find a training partner that walks MUCH faster than you, you'll inevitably find yourself trying to speed up to match their gait and find yourself with shin splints.  That being said, training with a group that in general walks a little faster than you WILL help your pace over time, but don't try to do it in one walk.

Q: Help, I need some good neck stretches!

http://www.howtostretch.com/neck.htm

Q: Can you give me some advice on blisters, chafing and Body Glide?

http://walking.about.com/cs/blisterschafing/

Hiker, Heel Thyself (an article on www.backpacker.com)

sherry: The best advice I got regarding foot care came from a friend of mine who was a world class marathon runner.  She told me to go to the drug store and buy everything that had to do with foot care and just try it out over the months of training.  There is no universal answer to what will work for you, so you will need to experiment.  The box my shoes came in is now full of foot care products and at one time or another over the 8 months of training I used all of them.

If you have blisters where your toes rub together, try lamb’s wool (the foot care aisle at Longs) woven between your toes.

jane: Get Spenco Second Skin pads.  They can be bought at most drug stores and DEFINITELY at camping stores.  They are blue "jelly pads" that were developed for burn patients because they keep the hot spot or blister in motion MOIST but dry.  They act like a layer of skin and you just cover then with any tape to keep them in place (after peeling off the sheet on either side of them.  I keep small "single use" packets in my fanny pack and they come in bigger 3X5 sheets too. 

Most everyone, at about 10 miles, develops something to do with hot spots, blisters, or some other friction-caused malady.  Best advice: keep your feet as dry as possible and friction free.  How?  Wear double-ply socks--Wrights worked best for me--especially the heavier duty double-ply Wrights. Most good running stores carry them--I actually get mine through the RoadRunner catalogue--a bit cheaper, but I've also picked up a couple of extra pairs at Metrosport in Cupertino across from De Anza.  Ask at a running store near where you live--you'll come to have "many" pairs of these as your training progresses.  Be sure to try out whether you like/need the ones marked "Extra" as I do (thicker as well as two-ply) or whether the simple two-ply will get you through the distance.  Slight price difference

Also, to keep your feet dry (again, after alot of miles and/or on hotter days), try either vaseline (yes, ALL over your foot and between your toes) or cornstarch.

Then, put that covered foot in those two-ply socks and into a good fitting (1to 1 1/2 sizes larger than you generally wear as your feet get bigger) and lace them up LOOSELY, that is, so that you can squeeze a finger down between the tongue and your sock.  This prevents the dreaded "top of foot" problems many had last year.

bev: I was amazed how each of us had a different solution for our blisters.  Some people wrapped their feet in duct tape, some put Vaseline or Glide over their feet, I used mole skin and covered it with medical tape to make sure it stuck.  When your feet get moist the moleskin can fall off so the medical tape was extra protection.  I also loved changing my socks on the long walks and putting talc (or baking powder?) on my feet.

pat: If you feel a blister coming on during a walk pay attention and do something about it! It is not going to get "better" or "tougher "by ignoring it. I would use Vaseline on my feet and then Gold Band foot powder to start the day and sometimes do it again after 10-12 miles on a longer walk. Change your socks during a walk. Experiment with different brands/thickness/styles of socks. Sometimes the seam on the toe of your sock can rub and create a blister. You can try wearing your sock "inside-out," this sometimes helps. One of the best treatments for blisters or corns on or under the toes is to use part of a white foam cosmetic pad and adhere it using a strip of moleskin. All these can be found at Long's or any drug store. The foam pads cut easily to the shape you need and are very soft and "cushioned." I also like the second skin product but found that it was difficult to keep it secure on some areas of the foot. The blister care products in the foot care aisle at the drug store work for some situations too. I agree with Sherry... try them all over the course of your training and one or a combination of items will work best for you.

Q: What do I do about sore hips?

marcia: When I walked my hips would get very, very sore to the point where I didn't think I could walk much farther.  I learned two great stretches:

1)  Sit indian style while bending over as far as possible.  You will feel the stretch in the upper hip/lower butt.  Repeat the stretch by switch your legs.

2)  Grab a tree, lightpost, neighbor, etc.  Cross your right heel on your left knee and squat.  The further you stick your butt out, the more you will feel the stretch.

Avon recommends that you stretch 5 minutes every hour. I stretched my hips out at every possible moment to help.  I had no hip pain whatsoever during the walk.

bev: Somehow during training I managed to pull a groin muscle which was very painful.  I could barely lift my leg.  I started going to see a woman, Robin Novotny, who practices something call Myofascial Release.  Her phone number is 650-941-6922.  Myofascial Release works on the deep muscle tissue – much deeper than massage.  She was a godsend!

Q: What's the scoop on electrolyte replacement?

jane: Besides the great hydration, carbs and sugars for energy, stretching for staying limber, using the pit stops to eliminate all the toxins that are building up (shed from your muscles that are doing all this work), you need to pay attention to your electrolyte balance.  Basically, that's what Gatorade, Poweraid, etc. do for you--they have various minerals, etc. in them that help your body to stay balanced during "endurance" kinds of activities--not needed for your everyday stroll around town or even a sub-2 hour bike ride, run, or walk.

BUT, once you get up into the mileage we're doing, if you DON'T replenish them, some people get a number of negatives:  The headache and feeling of blah and disorientation, the overall fatigue that has nothing to do with your blisters, feet, and muscles--it's about your total system--brain chemistry, blood makeup, etc.  Heat, by the way, exacerbates this problem but it's not the heat, per se, that's the culprit.  It's your unique body system saying: I NEED SOMETHING ELSE TO GET BACK TO HOMEOSTASIS.

That being said, what have I experimented with, once I found this affected me after about 18 miles?  Tried the Gatorade, etc. and found, even though it HELPED, there was a "cliff" on the other side, that is, it helped during the walk but didn't help with the after.  So I took my sad story to a friend who helped me train for a marathon LOTS of years ago, and he suggested Ultima replenisher--basically, it's powder you add to your water bottle (convenient to carry in your fanny pack), but here's the catch:  IT DOESN'T HAVE SUGAR IN IT, like Gatorade, etc.  Hence, no "cliff", and it restores my electrolytes balance and keeps them there.  I drink it from about mile 10 on and RIGHT AFTER I FINISH.  It works!  Now the energy bars also have minerals, etc. in them, but electrolyte replenishers concentrate on THAT piece of the puzzle, vs. bars that are concentrating on the carbohydrate and energy portion of the puzzle.

I'm not pushing a brand, as we all know the training is supposed to serve as almost a "trial and error and correction" course in how each of our bodies will react.  So, my advice is, you'll need something besides the water for the longer mileage days--1 & 3.  They'll have Gatorade on the walk and this may work FOR YOU.  I carry my Ultima and use it because it works FOR ME.

lisa: I swear by Cytomax, for most of the reasons Jane has already mentioned. I buy it by the can at a local bicycle gear store, but you can also find it where they sell things to long distance runners and endurance athletes. I like the "cool citrus" but there are also fruit punch and orange flavored powders. You can buy small packets to carry with you, but I just buy the big cans, and keep a small plastic container of it in my fanny pack -- easily enough to get me through a 20 mile walk. 

[Guest Cheerio Vickie, in a message to the sf3day mailing list]: For those of you who don't really care for Gatorade I want to tell you about a new product I found. It's called Freestyle Thirst Quenching Sports Gum with Electrolytes and it taste pretty good. (I tried the Lemon Lime Cooler flavor). I found this product at K-Mart for less than a dollar for 12 pieces.

The package lists the following info regarding this product

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Electrolytes help keep your body in balance

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Carbohydrates help refuel your working muscles

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Mouth-Watering formula helps quench your thirst

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10 calories/serving

Q: Can you give me advice on how to deal with chafing?

jane: Chafing is usually produced from material (cotton or other) rubbing on skin. The treatments so far discussed here consist of putting a lubricant (body glide/vaseline) on the skin to ease the rubbing's effects and cut down on wear and tear/moisture that's produced from the resulting heat produced. But this requires frequent reapplication of the lubricant as it breaks down from dampness or material rubbing it off.  So! What's another alternative
since you've already got chaffing or spot(s) that tend to chafe? 

First, of course you have to heal the chafing you ALREADY  have.  Additional rubbing will just lead to infection so get it "well" first. Then......

Plan on wearing material that "rubs" on material, vs. your skin!  Meaning, if you have chafing on your legs (between your thighs) wear shorts that cover both thighs and provide protection from the chafing. Champion (available at Target, Sportsmart, etc.) makes a great over the thigh length in ALL sizes with cool max included.  If you get chafing from your shirt , make sure it has sleeves that allow your sleeved arm to rub against your clothed body.  If a tank top, make sure it's cool max as this cuts down on the moisture that helps produces chafing.  You may need body glide as well for where your arm swing contacts the underarm, which you'll need to keep applying with greater mileage and/or heat.  In fact, as has been mentioned, a lubricant under whatever area seems to chafe with cool max clothing or socks over is likely the way to go if you ALWAYS chafe in a certain spot.

AND, let's get this out of the way now (sorry guys!): Ladies, plan to train in and wear a sports bra for this event.  Even though you may be small breasted or swear by whatever you currently wear out in the world, the anti-chafing that a good, cool-max fabric affords you is worth the money and the laundering between walks (or having sufficient numbers to keep the rotation going).

And let's repeat--socks with cool max in them, and preferably "anti-blister" socks (those with two layers, either thick or thin variety) are worth the cost (usually about $5-7/pair).  Why?  They keep your feet dry(er) and allow the rubbing to occur between the two socks which are stitched together vs. between the sock and your foot.

guest cheerio lisa c:  I learned this from my brother-in-law, who is an MD and also a bicyclist. I guess bicyclists have frequent problems with rashes developing wherever sweat pools between fabric and skin on 6+ hour rides. Similar to diaper rash, I hear.

I've tried this combo cream after walks (though he advises using it before exercise plus after showering), and it really eases the pain of chafed spots and has helped bra-chafe welts subside much quicker. I even put it on a threatening blister site, after a  15-mile walk, and the "burn" feeling went away.

Buy:
1 tube of an anti-fungal (like an athlete's foot cream)
1 tube of a 1% hydrocortisone cream
1 tube of a zinc oxide (like Desitin from the "baby care" aisle)

Mix: Equal parts, and apply. I've pre-mixed some to carry with me, but Keith mixes it in his palm before applying it.

Note: This is somewhat sticky, so I think a powder (like Dr. Scholl's Original Foot Powder, which you can find in sample sizes) applied over the cream, before getting dressed,... helps a bit.

 

 

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last modified: November 20, 2003