Thanks Dr. Jake-
Some answers to your questions- I don't have high BP, high Chol. or diabetes- no heart issues either. I am 35. 5'8 and overweight( I could stand to lose 20-30 lbs). I don't have swelling anywhere else-like my feet or anything- it's just my hands. I don't drink a lot of plain water during the week- mostly green tea, vitamin water and some diet coke. I do drink plain water during my workouts. I talked to one of the massage therapists after the 30K this week (showed her my hands) and she thought maybe my swelling could be from tights muscles in my arms and shoulders. I do have chronically tights muscles in my shoulders and neck with occasional arm pain from the tension. She suggested exercises to loosen the musles in my arms- while I am walking and possibly having some body work done for my shoulders and neck.
Would you agree that my tights muscles could be adding to my swollen hand problem?
QUOTE(Dr. Jake @ Aug 11 2009, 10:06 AM)

nikkijames,
A few questions would help to answer your problem. To you have any high blood-pressure, high cholesterol, diabetes, or history of heart issues? What is your height, weight, and age? How much water are you drinking during the day? Are you replacing your electrolytes? Are your feet swelling too?
Generally there is some expansion and overall swelling as the body heats up during exercise. Things expand when they heat up. Making sure that you are regulating your fluids and electrolyte balance while training, is helpful to control fluid movement in the body. Make sure you are not wearing restrictive clothing during your runs (your sports bra may be too tight). You wear larger shoes when running, why not a lager top? One of the best ways to increase blood flow into and more important out on the upper extremities is to stretch the pectorals minor muscles. This can be done by leaning through a door way with the elbows at shoulder height and the whole forearm contacting the door jam. Hold the stretch for 45 seconds and repeat 3-4 times a day. This will help to free up the axillary artery and vein from compression by the clavicle and\or the pec minor.
I will look for your response,
Dr Jake