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Sunsplashh
I have been getting a red rash on the tops of my feet after my long walks. The first time I got it was after Helvetia. Yesterday, after the 15.5 miles, I got it again and I still have it this evening. It is on the top of my feet right above my arches. At first I thought it was a heat rash, but it hasn't gone away. It is not bumpy, and at first did not itch. Now it itches a little bit. It is not because of the socks or shoes because I have worn different socks and different shoes and I have still gotten it. Any ideas?

Thanks!
Dr.Greg
Hi Sunsplash,
Are your toes, particularly between them, involved as well? Are there focal spots of irritation? Do the areas feel raised? Have you had this issue before?
How old are your shoes?

I look forward to your responses.

Dr. Greg


Su
QUOTE(Sunsplashh @ Jul 11 2010, 10:33 PM) *
I have been getting a red rash on the tops of my feet after my long walks. The first time I got it was after Helvetia. Yesterday, after the 15.5 miles, I got it again and I still have it this evening. It is on the top of my feet right above my arches. At first I thought it was a heat rash, but it hasn't gone away. It is not bumpy, and at first did not itch. Now it itches a little bit. It is not because of the socks or shoes because I have worn different socks and different shoes and I have still gotten it. Any ideas?

Thanks!

Sunsplashh
QUOTE(Dr.Greg @ Jul 12 2010, 02:05 PM) *
Hi Sunsplash,
Are your toes, particularly between them, involved as well? Are there focal spots of irritation? Do the areas feel raised? Have you had this issue before?
How old are your shoes?

I look forward to your responses.

Dr. Greg
Su



Dr. Greg,

The rash is only on the top of my feet above my arches. The areas do not feel raised, but are slightly tender. The first time I got this was after the Helvetia Half Marathon. I don't get it during the week on my shorter walks, but I do get it on the weekend when the mileage picks up. It doesn't really itch either. I also wonder if it has anything to do with the fact that on my longer walks, towards the end my arches start to ache a little bit (like the last three miles of our 25k). That's just me guessing though.
Dr.Greg
HI Sunsplash,
I'm thinking during the longer events, your lower extremities fatigue to the point your arches collapse. The musculatures slowly become less capable of their job....so your arches drop, causing them to ache as well as friction rub your feet against your shoes, causing a "reddening". Don't freak out....this essentially happens to most of us at some point of an endurance event. I would focus on the development of of the arch muscles, plus consider newer shoes...they will offer more support. Do you wear orthotics? If you do, or don't, I think a conditioning plan for your arches is in order.
In the meantime, Stretch, Stretch, and Stretch your entire body, lower extremities and calfs.

Keep me in the loop and let me know how things go.

Dr. Greg


QUOTE(Sunsplashh @ Jul 12 2010, 05:58 PM) *
Dr. Greg,

The rash is only on the top of my feet above my arches. The areas do not feel raised, but are slightly tender. The first time I got this was after the Helvetia Half Marathon. I don't get it during the week on my shorter walks, but I do get it on the weekend when the mileage picks up. It doesn't really itch either. I also wonder if it has anything to do with the fact that on my longer walks, towards the end my arches start to ache a little bit (like the last three miles of our 25k). That's just me guessing though.
Sunsplashh
QUOTE(Dr.Greg @ Jul 13 2010, 09:30 AM) *
HI Sunsplash,
I'm thinking during the longer events, your lower extremities fatigue to the point your arches collapse. The musculatures slowly become less capable of their job....so your arches drop, causing them to ache as well as friction rub your feet against your shoes, causing a "reddening". Don't freak out....this essentially happens to most of us at some point of an endurance event. I would focus on the development of of the arch muscles, plus consider newer shoes...they will offer more support. Do you wear orthotics? If you do, or don't, I think a conditioning plan for your arches is in order.
In the meantime, Stretch, Stretch, and Stretch your entire body, lower extremities and calfs.

Keep me in the loop and let me know how things go.

Dr. Greg



Hi Dr. Greg,

what you are saying makes a lot of sense. By the time I am done with my long walks my arches and ankles are sore. In fact, the area between my ankle and arch is sore to the touch when I am done with long walks. My shoes have been the bain of my existence. I have been through about six pairs of shoes trying to find the right one. I have had stability shoes that wound up being too stable and causes me to roll outward, neutral shoes that have caused major arch pain because I was still rolling inward, other shoes that just caused blisters, and now I am in another stabilizing shoe. These did not cause blisters, so I was getting excited that I had finally found the right pair.

How can I strengthen my arches so that this decreases over time? Yes, I am also really stretching. I have been working with my PT for my knee so she has been a big help.

Thank you!
Dr.Greg
Sunsplash,
Ahh yes....shoes. Well the saying "It takes 4 marathons to learn how to run 1" takes into account the issue of finding "the right pair" Don't get discouraged!!

Glad to hear you are working with a PT. He/She should be more that capable of offering anterior, lateral, and posterior compartment strengthening and patterning exercises. It will be much easier for you to be shown, than me writing a small thesis on the discussion page smile.gif

If you need further assistance with it, please don't hesitate to contact us.

Dr. Greg


QUOTE(Sunsplashh @ Jul 13 2010, 02:19 PM) *
Hi Dr. Greg,

what you are saying makes a lot of sense. By the time I am done with my long walks my arches and ankles are sore. In fact, the area between my ankle and arch is sore to the touch when I am done with long walks. My shoes have been the bain of my existence. I have been through about six pairs of shoes trying to find the right one. I have had stability shoes that wound up being too stable and causes me to roll outward, neutral shoes that have caused major arch pain because I was still rolling inward, other shoes that just caused blisters, and now I am in another stabilizing shoe. These did not cause blisters, so I was getting excited that I had finally found the right pair.

How can I strengthen my arches so that this decreases over time? Yes, I am also really stretching. I have been working with my PT for my knee so she has been a big help.

Thank you!

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