Category: Health

  • Another year older

    My birthday was last Thursday. It was a great day, except for the part where I threw my back out. I was just finishing up a MTB ride, and was riding a familiar section of trail that I almost always pass through on the way home. It’s a slightly technical spot, with a steep descent, followed by a small creek crossing, followed by a brief rocky climb. I usually just power right through it. I’m not even sure what I did this time around, but I could tell right away that my back was unhappy about something. Five days later, it’s still not 100%. The joys of middle age.

    In my 20s and 30s, I wasn’t all that easy on my back, but managed to avoid major injuries. I wised up in my 40s, and have been pretty careful to avoid stressing it, but sometimes it just happens. This time around was unusual, because I wasn’t lifting anything. I started out by taking ibuprofen, but the past couple days, I’ve mainly been using Voltaren gel (recently made available OTC in the U.S.), which helps, albeit temporarily. Yoga helps as well, and yesterday, I tried an inversion table for the first time. The jury is still out, but stretching it that way did feel good. I think I have to ease into inversion a little bit more slowly, though, as I felt kind of dizzy and queasy for awhile afterward.

    The good news is, the back issue hasn’t kept me from running, road biking, climbing, or walking on my treadmill desk. I was a little apprehensive about climbing at first, but it actually seems to help. I stuck mainly to gently-overhanging terrain, which kind of naturally stretches the back out as you hang and reach for holds. To an extent, gentle movement in general seems to work better than sitting or lying down. I haven’t yet tried mountain biking, but I’ve got to think the injury was a freak occurrence, as I’ve biked through that particular section dozens of times without issue. I suspect I was seated when it happened, so I probably want to make sure I’m out of the saddle the next time, so that my back moves independently of the bike.

    Anyhow, I’m hoping that as long as I’m careful about my activities, this will resolve itself before too long. Keeping my fingers crossed.

  • Weak ankles.. or not

    I used to be convinced that I had “weak ankles”. It seemed like every time I went hiking, I would twist my left ankle, usually while hiking downhill. Sometimes, all it would take would be a bump on the sidewalk. It got to the point where I thought my left ankle might be made out of rubber. My right ankle, being my dominant side, didn’t seem quite as prone to rolling, but it wasn’t immune, either.

    In 2017, during a time when I was doing quite a bit of hiking, I developed a Morton’s neuroma on my right forefoot between the 3rd and 4th toes. I went through the usual bevy of podiatrists, cortisone shots, and orthotics (thankfully stopping short of surgery), before some internet research eventually led me to try minimalist footwear. Over the next year, I started wearing shoes with flexible soles, minimal cushioning, wide toe boxes, and no heel elevation. Now, I’m not going to lie and say that this was an easy change, but in the long term, it was a game-changer. The neuroma went away, my feet are stronger and healthier, my posture has improved, and I can stand for longer periods of time. But that wasn’t all: about a year later, I was hiking along one of my usual routes through Patapsco Valley State Park, when it occurred to me that I hadn’t twisted an ankle in a really long time. I thought about it some more, and couldn’t even remember the last time it had happened. It seemed that minimalist footwear had also cured my “weak ankles”.

    There’s a scientific explanation as to why this happened. Think about a simple lever. A lever has two parts: a beam, and a pivot point, or fulcrum. The longer the beam, the less force is required to apply torque to the fulcrum. If you think of your foot as a beam and your ankle as a fulcrum, it follows that the higher the ankle is elevated off the ground, the easier it is to torque or twist. Minimalist footwear eliminates heel elevation, so the ankle is closer to the ground, and more force is then needed to twist or sprain the ankle. Most conventional hiking boots have about an inch of heel elevation, and you wouldn’t think eliminating that would make a huge difference, but trust me — it does.

    So… if you think you have weak ankles, try minimalist footwear. You might be surprised.