[pct-l] tendonitis (was Getting Back on Trail,

Thu Jun 3 18:05:58 CDT 2010

Thank you for that brief info on inflamation.  I suspect I lost proper  
range of motion (eg dorsiflexion of the foot) due in part to a  
combination of my gait and continually taking NSAIDs for months.

Bigfoot

On Jun 3, 2010, at 3:37 PM, Yoshihiro Murakami  
<completewalker at gmail.com> wrote:

> Brief answer is simple.
>
> According to the medical dictionary, inflammation is defined as a
> protective tissue response to injury or destruction of tissues, which
> serves to destroy, dilute, or wall off both the injurious agent and
> the injured tissues. So the inflammation is a normal response of the
> body, it  rises in the temperature of the injured parts, and
> facilitate the biochemical reactions. As a result, it facilitates the
> recovery of injury. But, extreme inflammation is harmful, because it
> destroy the normal tissues. So, we need icing. When the degree of
> inflammation became tolerance range, we should keep warm the injured
> parts to facilitate the recovery. I don't know the long term effect of
> suppressing inflammation. but I think the long term use of medical
> substance will prevent  the recovery process.
>
> Detailed answer is difficult. It is for medical specialist.
>
>
>
>
>
>
>> PS - one area I stilll want to understand more is how the body reacts
>> and adapts to stress, especially the role of inflamation.  I hiked  
>> the
>> whole AT thanks to ibuprofen, and I'm still using it intermittently  
>> on
>> the PCT when I get close to injury, but I don't really understand the
>> long term impact of supressing inflammtion with NSAIDs.
>>
>> On Jun 2, 2010, at 11:18 PM, kylie skidmore <kyliepete at gmail.com>  
>> wrote:
>>
>>> thanks dan & tom - this is very helpful. where did you get your info
>>> on gait and stride length - did you just figure it out or did
>>> someone recommend changes?
>>>
>>> On 3 June 2010 06:11, Tom Holz <tom.holz at gmail.com> wrote:
>>> Ive been loosly following this discussion from the trail, but wanted
>>> to add that my hike this year was entirely made possible by changing
>>> my old hiking gait (heel strike, wide stride, shin splints, foot  
>>> pain)
>>> to a short relaxed "barefoot" type stride.  I now believe gait and
>>> form are as or more important that packweight, shoes, or insoles in
>>> reducing hiking injuries
>>>
>>>  From Agua Dulce,
>>> Bigfoot
>>>
>>> On Jun 2, 2010, at 7:31 AM, Dan Ransom <danransom at gmail.com> wrote:
>>>
>>>> I'm happy to explain my situation...  Though there will probably be
>>>> people who offer differing opinions.  For a week or more I was
>>> calling
>>>> this "shin splints" for lack of a better understanding.  It is not
>>>> traditional shin splints, however.  It is (was?) severe tendonitis
>>> in
>>>> the muscle that lifts your toes off the ground, 2 inches above the
>>>> ankle, right on the outside of the shin bone.
>>>>
>>>> My problem was probably three-fold.
>>>>
>>>> 1 - I have poor walking form.  I take very long heel-strike strides
>>>> and walk relatively fast.   The heel strike motion, instead of a
>>> more
>>>> neutral strike, forces the foot to flex with every step, and  
>>>> muscles
>>>> get strained.  In my shorter walks the last week, I've spent
>>>> considerable time relearning a shorter stride with less impact.  So
>>>> far pain free.
>>>>
>>>> 2- Footwear was not supportive enough, no torsional rigidity.  The
>>>> rolling motion induced by sidehilling on snow probably contributed
>>> to
>>>> the muscle fatigue.  These have been changed from new balance trail
>>>> runners to Salomon XT wings.  Arch support has also been  
>>>> recommended
>>>> to me, as well as different lacing patterns that allow the foot to
>>>> swell and expand within the shoe.
>>>>
>>>> 3 - The snow on Fuller Ridge I believe caused lots of little
>>>> micro-slips, and again, I wasn't deliberate enough with foot
>>>> placement.  Just figured I'd walk through it.  Walk through it I
>>> did,
>>>> but when I got to I-10, it felt like I shot my right leg at point
>>>> blank with a shotgun, and it was pretty obvious there was
>>> significant
>>>> damage.
>>>>
>>>> Pack weight certainly can compound any of the issues here, and at
>>> the
>>>> time I was carrying about 13 pounds base, plus 14-ish pounds in  
>>>> food
>>>> and water.  Not a really heavy load, but for my return I will be
>>>> coming back lighter, ridding myself of some of the 3 pound camera
>>> kit
>>>> I was carrying.
>>>>
>>>> I've never had an injury in this location before, and I've done a
>>> fair
>>>> share of backpacking previous.  But never such big days so
>>>> consistently.  I suppose the lesson for me is to go slow, take it
>>>> easy, and listen to your body, and focus on walking stress
>>> free...  I
>>>> was too confident I could walk through it, and it blew up.
>>> Hopefully
>>>> a very humbling 3 weeks, a ton of ice massage and a course of
>>>> cortisone will resolve the issue for me.
>>>>
>>>> Thanks to some help from this list, I think I'll be back out this
>>>> weekend...
>>>>
>>>> - Dan
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>
>
>
> -- 
> Sincerely
> --------------- --------------------------------------
> Hiro    ( Yoshihiro Murakami )
> HP:http://psycho01.edu.u-toyama.ac.jp
> http://picasaweb.google.co.jp/CompleteWalker/
> Backpacking for 30 years in Japan
> 2009 JMT, the first America.
> ------------------------------------------------------