Agony of De-Feet

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William D. Volk

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Jun 12, 2011, 3:38:52 PM6/12/11
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Yesterday I managed to make it to mile 95 of the Kitchen Creek 200km brevet:

http://ridewithgps.com/routes/64658

Didn't have an issue with the climbs etc.... but my feet were KILLING me. At the last checkpoint I decided that I just couldn't go on like that and with the delays to deal with this I didn't think I'd make it back in time. Balls of the feet area specifically.

Walking a bit would relieve some of the pain, but the extended climbing was just painful after 35 miles on ... Shimano MT52 shoes, SPD's. (I had this happen with Look pedals in the past as well).

I've read a lot of discussions and it looks like there are three solutions:

1. Buy expensive CF sole ultra-stiff MTB shows.

2. Use Spenco CF insoles.

3. Get a SPD 'Platform' Pedal.

Anyone who has has this problem care to chime it?

(Feet are still 'tingling' this morning).

William D. Volk


albert meerscheidt

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Jun 12, 2011, 3:48:07 PM6/12/11
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Things that helped before PBP 07 me include:
  • Custom foot beds
  • Shimano cycling sandals
  • Metatarsal pads
  • SPD platform petals
  • Sidi Dominator shoes with custom insoles from the orthopedist
  • Working on my pedal style, concentrating on lifting the pressure off my sole on the pedal upstroke
  • Taking my shoes off at controls, putting my feet in creeks, on bags of ice, etc.

  • Others I've talked to abandoned clipless pedals and went with the power grips
Albert



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Thanks,

Albert
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Kerin Huber

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Jun 12, 2011, 4:49:53 PM6/12/11
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I used to have bad foot pain on long rides.  I tried a lot of stuff, but what worked for me was:
1) buying shoes one size too large to accommodate the inevitable swelling that happens later in a ride, and using slightly thicker wool socks.
2) using the Specialized foot bed with the metatarsal bump.
Unfortunately, you will have to experiment with your own feet and your own solutions- and that can be an expensive process.  Good luck.
Kerin

On Sun, Jun 12, 2011 at 12:38 PM, William D. Volk <willia...@gmail.com> wrote:


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Bill Gobie

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Jun 12, 2011, 5:00:09 PM6/12/11
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Find a sports orthopedist who can diagnose your feet, and make some
custom footbeds not just for your cycling shoes but your regular
shoes, too. At this point, odds are all your footwear is contributing
to the problem.

When I was told to switch from Sidis to an even stiffer shoe, I
wondered why more of the same would help. So I tried a relatively soft
touring shoe combined with some big-platformed Crank Bros Mallet
pedals and my feet have been much better.

Be sure your shoes are wide enough for your feet. You may need a wider
size when riding because your feet swell.

If you go bare footed at home, especially on hard floors, get some
house slippers to wear.

Bill Gobie

Tom Parker

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Jun 12, 2011, 4:58:56 PM6/12/11
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I suffered with a similar problem all last year. In my case, it turned
out to be the shoes width, not the sole.

The shoe, a Shimano MT-something, fit but was a bit too tight.
Replacing the insoles with the thin yellow Superfeet model gave me a
little more room and solved the problem.

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Hank Greenblatt

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Jun 12, 2011, 9:10:03 PM6/12/11
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move your cleats back as far as they go on your shoe.

Hank Greenblatt

sekhem313

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Jun 12, 2011, 9:10:26 PM6/12/11
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-SPD - wide platform like ultegra- helped reduce hot foot
-if it's the ball of your foot, there's a good chance that your shoes are too tight (narrow)
-habitual 'mashing' of pedals also causes foot pain.  if you have access to a bike shop that will let you look at your pedaling kinetics on a computrainer you may find that you can improve your pedal stroke (by the way mashing means you're probably < 60% efficient in your power transfer)
-I found that the specialized metatarsal 'button' increased foot pain for long rides... their brainiac designers didn't considerr what happens to the foot when it gets squashed against a bump for 4 continuous days.  Bad.  very bad.
-my first attempts at rides- be they 200K, 600K 1200Ks were always the most painful (foot pain... butt pain...).  Subsequent rides less so.  I guess it's part of that 'saddle hardening' process.
-I spent the mondo bucks to get evaluations and custom orthotics made - feet got so numb/painful from the sundry abuse I couldn't feel my toes any more.  Found that the $$$ orthoti8cs didn't help or matter. 
 
After a lot of experimentation w/ differnt shoes and stuff i think working on my pedal stroke helped the feet the most (well.... that and avoiding frost bite :)

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Old5ten

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Jun 13, 2011, 5:23:12 AM6/13/11
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never had any specific foot problems, but certainly second the recommendation to move the cleats back. 

elmar

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WMdeR

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Jun 13, 2011, 1:36:02 PM6/13/11
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> (Feet are still 'tingling' this morning).
>

Dear William,

Don't ignore that foot pain! Others have and had long-term nerve
problems. The tingling a day later sure sounds like a nerve issue.

Others have covered my main suggestions, but I'd rank them:

1. Shoe fit--get shoes that are wide enough for your forefeet (this is
often wider than a typical cycling shoe, which don't seem made for
long-distance use). for example, I've got 11.5 D (45-46) width feet
in street shoes, and my cycling shoes are 12-12.5 (46.5) EE on the
right and EEE on the left. After much trial and error, I got a pair
of custom (D2) shoes made to fit me five years ago and have been much
more comfortable since. I found the Shimano shoe last to be too
narrow across the ball of my foot (along with Sidi, Lake, Diadora, and
one other Italian maker whose name escapes me). The old Carnac
Legends were okay, but required thick insoles to take up the extra
volume.

2. Pushing my cleats back to ~1.5-2cm behind the "neutral" over-the-
ball-of-the-foot position immediately resolved my achilles pain on
longer rides and substantially improved my foot comfort. I had to
drill and tap new holes to accommodate this position in my last set of
road shoes. It was worth it.

3. An orthotic with a small metatarsial bump and a sizeable varus
wedge, made as a part of (1) helped me out a lot.

4. I personally like large platform pedals and pretty stiff shoes
subject to (1), and use "road" pedal systems as a result. If the shoe
is stiff enough, then the size of the cleat doesn't matter, but many
riders do just fine on relatively flexible shoes.

Best Regards,

Will

William M. deRosset
Fort Collins, CO
RUSA 2401

Ken Shoemaker

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Jun 13, 2011, 2:19:59 PM6/13/11
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When this kind of thing happens to me, I just reach down and loosen the
straps on the shoes. Not to discount any of the solutions that others
have proposed (clearly, there can be lots of other, more significant
problems and everybody is different), this simple solution works for me
and it would be something to try if you encounter this issue far away
from any other solution.

Ken

bo...@iit.edu

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Jun 13, 2011, 9:48:42 PM6/13/11
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In addition to taking off my shoes at controls, I remove my socks as well. The elastic in some brands can constrict. A quick message, then put the socks and shoes on loosely.

Chip Bole

Sent from my BlackBerry device from Cincinnati Bell Wireless


From: albert meerscheidt <albert.me...@gmail.com>
Date: Sun, 12 Jun 2011 12:48:07 -0700
To: William D. Volk<willia...@gmail.com>
Cc: sdrando Rando<sdr...@googlegroups.com>; randon subscribers<ran...@googlegroups.com>
Subject: Re: [Randon] Agony of De-Feet

Rick Martyn

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Jun 13, 2011, 9:51:54 PM6/13/11
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Sidi used to make some extra wide shoes dubbed "Mega" that have worked great for me.
 
Rick M.

DrCodfish

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Jun 14, 2011, 12:17:52 PM6/14/11
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William said:

"Didn't have an issue with the climbs etc.... but my feet were KILLING
me."

As we see from this thread everyones approach (and results) differ.
Here is what worked for me:

I bought a very expensive pair of custom made shoes. After riding the
Goldrush in 05(?) I decided that unless I could solve the foot pain
problem, long brevets were probably not going to be a fixture in my
future. I had ridden the C-1200 a few weeks before so I went into the
God Rush with foot issues.

After much research, hand wringing etc, I finally settled on new
custom made shoes with custom orthotics. Probably the most expensive
option on the menu. As often happens I got these just a few days
before the VanIsle 1200 the following year. I was conflicted: Take
the new shoes or stick with the known? I took both, my old shoes as a
backup. I started the event with the new shoes and never looked
back. The difference was indescribable. I had a little tingling in my
little toes after 1200K with a little bit of climbing mixed in as
opposed to crippling pain along the route and then the front half of
my feet being numb for weeks after.

I wrote the maker to let them know of their success. Send them back
they said we can fix it so that little tingling goes away too. Again,
I was reluctant, there would be time in the turn around and what if
they messed up and it was worse? I sent tme back, they made a new
pair of orthotics (free) and sent them back. Foot issues have not
been a problem for me since.

I don't kow that custom shoes are necessary but I believe the custom
orthotic was what did it for me.

Luck to you.

Yr Pal Dr Codfish

Eric Keller

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Jun 14, 2011, 1:12:57 PM6/14/11
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On Sun, Jun 12, 2011 at 12:38 PM, William D. Volk
<willia...@gmail.com> wrote:
> Yesterday I managed to make it to mile 95 of the Kitchen Creek 200km brevet:
>
> http://ridewithgps.com/routes/64658
>
> Didn't have an issue with the climbs etc.... but my feet were KILLING me.  At the last checkpoint I decided that I just couldn't go on like that and with the delays to deal with this I didn't think I'd make it back in time.  Balls of the feet area specifically.
>
> Walking a bit would relieve some of the pain, but the extended climbing was just painful after 35 miles on

It's hard to really analyze someone else's foot pain. I have found
that the most excruciating pain usually comes from swelling feet in
shoes that are too small to handle the swelling. I also have made
myself suffer by wearing half shoe covers that are a little too tight.
That was a bittersweet realization after a rather unpleasant 400k of
riding. This will give you the dreaded hot foot. So will old shoes
with worn out soles. Walking or even just wiggling your toes will
help this, so it really sounds like that is what happened.

A lot of people have gone away from cycling shoes altogether. I'm too
emotionally invested in cycling shoes to do that, so I'm stuck trying
to make cycling shoes work for me. On a 200k late last year, I failed
to arrange my right sock properly and developed Morton's neuroma. My
podiatrist doesn't buy this story, but I'm sticking with it. It took
a few months of foot pain before I saw a podiatrist, which turns out
to be a bad idea because the body's compensation for this problem
makes it worse. He made me some orthotics, and on a recent 600k I
didn't have any foot pain. I didn't wear the left orthotic, and
didn't have the numbness in my arch that I have had in previous years.
My conclusion is that using lower gearing may have contributed
significantly to less foot pain. There is a nerve that passes on the
outside of the ankle that will cause arch pain and numbness if it is
constricted. So a tight heel box is a bad thing too.

The funny thing is, I have been riding the right shoe without the
orthotic or any insole, and I don't experience foot pain when I do
that. The conclusion that I have come to is that my right shoe is too
tight and the stock insole is worse than no insole at all.

Eric

Bruce...@gdc4s.com

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Jun 14, 2011, 2:18:59 PM6/14/11
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Using thicker socks has been my simple solution for pain from foot
pressure, but that's me. I generally use fleece-lined neoprene socks
year-round except for short, warm rides...although I suppose 2-3 pairs
of cycling socks would have the same effect.

Obviously, this only works well if there's enough room in your shoes for
them (and swollen feet late in a 1200).

- Bruce

DrCodfish

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Jun 14, 2011, 3:00:00 PM6/14/11
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What shoes?

Several have asked what shoes I bought (referenced above) to solve my
foot pain issues. I'll tell but worry that this may come as a glowing
endorsement, it is not. I did that on here a few years ago which lead
a rider to make this purchase for which he was vey dissappointed. All
that said, the shoes that I bought that really helped ME with MY
problem was D2.(Dee Squared).

I still use these shoes (exclusively) after I guess three subesquent
1200K's and all my other riding. They're looking their age but still
serve me well. Woulld tht all my high cost acquisitions lasted so
well.

Yr Pal Dr C

Darrell

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Jun 15, 2011, 2:08:37 PM6/15/11
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I've had really good success with the eFit insoles from eSoles
(www.esoles.com). While custom orthotics may be the best approach,
these are much more cost effective and have some customization
capabilities. I've previously tried wider shoes, loosening the
straps, etc. all to no avail. I tried the Specialized insoles which
were ineffective for me. The eFit insoles come with several different
arch supports and several different metatarsal bumps, so you can
experiment and find what works best for you. It is a very individual
thing.

Just my $0.02, your mileage may vary...

P.S. I bought mine from shoebuy.com and got a $20 off coupon for
being a new customer, or something along those lines.

William D. Volk

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Jun 15, 2011, 2:26:45 PM6/15/11
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Thanks. Looks promising.

I'm wearing "custom fitted" orthotics now (foot guy picked a size for my foot) and they feel weird. This could be a better approach.

William D. Volk
CCO, PlayScreen
Connect. Play. Win.
858-692-1124

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