The Ten Best Running Shoes for Support: Alleviating Achilles Tendonitis and Plantar Fasciitis

Running is a fantastic way to stay fit and enjoy the great outdoors, but without the right shoes, it can lead to painful conditions such as Achilles tendonitis and plantar fasciitis. Choosing the right pair of running shoes can make all the difference in preventing and managing these conditions. Here are the ten best running shoes that provide excellent support, helping to keep you pain-free and on the move.

Running in Kamloops, BC

Kamloops, BC, offers a diverse range of running trails and scenic routes that cater to all levels of runners. From the challenging terrain of Kenna Cartwright Park to the serene riverside paths along the Thompson River, Kamloops's natural beauty makes it an ideal location for running enthusiasts. However, the varied terrain can also increase the risk of running-related injuries such as Achilles tendonitis and plantar fasciitis. This makes selecting the right running shoes even more crucial for maintaining a healthy and enjoyable running routine in this beautiful region.

Understanding Achilles Tendonitis

Achilles tendonitis is a common injury when the tendon connecting the calf muscles to the heel bone becomes inflamed. This condition often results from overuse, improper footwear, or a sudden increase in physical activity. Runners with Achilles tendonitis need shoes that offer good heel support and cushioning to reduce strain on the tendon.

Top 5 Running Shoes for Achilles Tendonitis

1. Asics Gel-Nimbus 25

   • Key Features: Excellent heel cushioning, gel technology, and a supportive midsole.

   • Why It’s Great: The Gel-Nimbus 25 provides superior shock absorption and stability, crucial for alleviating the strain on the Achilles tendon.

2. Brooks Ghost 15

   • Key Features: Soft cushioning, balanced support, and a comfortable fit.

   • Why It’s Great: The Ghost 15’s smooth ride and ample cushioning make it ideal for runners with Achilles tendonitis.

3. Saucony Triumph 20

   • Key Features: Plush cushioning, FORMFIT technology, and durable outsole.

   • Why It’s Great: The Triumph 20 offers a supportive yet cushioned ride, helping to reduce pressure on the Achilles tendon.

4. Hoka One One Bondi 8

   • Key Features: Maximum cushioning, meta-rocker technology, and broad base.

   • Why It’s Great: The Bondi 8’s thick cushioning and stable design help to absorb impact and reduce stress on the Achilles tendon.

5. New Balance 1080v12

   • Key Features: Fresh Foam cushioning, stretchy knit upper, and heel support.

   • Why It’s Great: The 1080v12 combines a soft, cushioned feel with excellent heel support, making it a top choice for those with Achilles tendonitis.

Understanding Plantar Fasciitis

Plantar fasciitis is a painful condition caused by inflammation of the plantar fascia, the thick band of tissue that runs along the bottom of the foot. It often results in sharp heel pain, especially during the first steps in the morning. Runners with plantar fasciitis need shoes with excellent arch support, cushioning, and a good fit to alleviate pressure on the plantar fascia.

Top 5 Running Shoes for Plantar Fasciitis

1. Brooks Adrenaline GTS 22

   • Key Features: GuideRails support system, cushioning, and stability.

   • Why It’s Great: The Adrenaline GTS 22 provides excellent arch support and stability, reducing strain on the plantar fascia.

2. Asics Gel-Kayano 29

   • Key Features: Dynamic DuoMax support, gel cushioning, and flexible upper.

   • Why It’s Great: The Gel-Kayano 29 offers a supportive and cushioned ride, ideal for managing plantar fasciitis.

3. New Balance 990v6

   • Key Features: ENCAP midsole, supportive design, and durable construction.

   • Why It’s Great: The 990v6 combines stability and cushioning, offering excellent support for plantar fasciitis sufferers.

4. Hoka One One Clifton 9

   • Key Features: Lightweight cushioning, meta-rocker technology, and supportive fit.

   • Why It’s Great: The Clifton 9 provides a cushioned and supportive ride, reducing the impact on the plantar fascia.

5. Saucony Guide 16

   • Key Features: PWRRUN cushioning, medial post support, and structured fit.

   • Why It’s Great: The Guide 16’s combination of cushioning and support helps to alleviate foot pain caused by plantar fasciitis.

Final Thoughts from Well+Able Integrated Health

Choosing the right running shoes is essential for preventing and managing conditions like Achilles tendonitis and plantar fasciitis. At Well+Able Integrated Health, we understand the importance of proper footwear in maintaining a healthy and active lifestyle. Our team of Registered Massage Therapists (RMTs) have a particular focus on treating sports injuries and helping individuals with chronic, complex, or ongoing pain complaints. Investing in shoes that offer the proper support, cushioning, and fit can significantly impact your running experience. Remember to replace your running shoes regularly, as worn-out shoes can contribute to injuries. Happy running in Kamloops!

What to expect with your first Massage Therapy visit

A short video by the RMTBC on what to expect from a Massage Therapy visit with an RMT

What to expect from your RMT during your Massage Therapy visit

Our Aging Population: Mobility, Wellness and Independence

What a Great Weekend!

We are always looking at increasing our skills and knowledge to better serve our patients. On May 5th, Marcy and Mike attended the sold-out RMTBC symposium: Our Aging Population: Mobility, Wellness and Independence. 

Registration at the beautiful Anvil Centre in New West

After a rousing First Nations welcome by Coastal Wolfpack, Isobel Mackenzie, B.C. Seniors Advocate started off the day with a fascinating, in depth look at the demographics and conditions of todays' seniors population. Her talk was a great start to the days theme that Massage Therapy can play a key role in keeping mobility and wellness in seniors thus helping you keep your independence as you age. 

The first keynote address was Dr. Lorimer Moseley, one of the most respected pain researchers in the study of pain. Dr. Moseley is a fantastic presenter. He has been a strong promoter in giving people with persistent pain more tools to manage their pain.  

 The second Keynote was with Dr. Karim Khan who is a MD at UBC as well as the editor of the British Journal of Sports Medicine. He gave a great talk on how diet and exercise is very strong medicine in preventing illness. The day ended with an esteemed panel of Andrew Nemeth, Yvonne Poulin and Dr. John Sloan who provided tremendous information on their work with seniors.

simple lifestyle modulators: diet, exercise, avoidance of smoking and excess alcohol, together with moderate physical activity reduce colorectal cancer by 50%

- Karim Kahn

From left: Gordon MacDonald, Peter Behr RMT, Yvonne Poulin RMT, Dr. John Sloan,
Andrew Nemeth RMT.

Mike catching up with colleagues

We had a fun and informative Saturday! Thanks to the RMTBC who always put on a world class symposium every year. Also, I would like to thank them for some of the photos and content of this post. 

Simple Changes Can Help Shoulder Pain

By Marcy Wright Reoch, BSc, RMT

Since the beginning of 2014, I have seen more shoulder-related patients than I can count. Some patients present with pain between their shoulder blades, and others with pain over the Deltoid muscle (the side or front aspect of the shoulder). Sometimes, the pain can travel down the arm. Whatever the aggravating case, the shoulder complex always seems to be in a compromised position.
The shoulder joint is made up of four joints that together are called the shoulder complex. These joints are the sternum (chest bone) and clavicle (collar bone), clavicle and scapula (shoulder blade), scapula on the ribs, and the humerus (upper arm) in the scapula.  Don’t get bogged down in the anatomy, and remember to try to keep your shoulder comfortable and open. Try keeping your chest open during everyday life, whether sitting at a desk, driving in your car, working out at the gym, or playing with your children. Think of what a confident person’s posture looks like. By practicing to open through our chest, we discourage the rounding through our shoulders and collapsing our chest. We are pulling our scapulae together and down our back by keeping our chest open. We are depressing our clavicles. Hence, they are horizontal when looking in the mirror instead of being diagonal, and we are positioning the head of the humerus (upper arm bone) in its neutral resting point in our armpit.
When we practice poor postural habits, the alignment of our shoulder girdle is inefficient and unsupported and allows risk for injury. Muscles might be working too hard, and pain, inflammation, weakness, headache, and other symptoms may arise. By practicing good postural habits through our shoulders, chest and upper back, we allow the soft tissue to rest comfortably when we are at rest. Then, when we choose to move, the musculature is in its most efficient, supported, and most vital position through the range of motion.
Standing up tall and engaging through your abdomen is a great way to set your shoulders into a good position. Now, squeeze the muscles between your scapula (shoulder blades), pulling your scapula closer together and then pulling them down your back. Once you have done this, acknowledge where your head is. Most people's heads will be too far forward and must be pulled back into proper alignment. So, think of a string pulling the top of your head upwards. This will elongate your neck and retract your chin from jutting forward.
It is important once you have an understanding of good shoulder positioning, to check in with yourself throughout the day. If you sit at a desk, you can put a red sticky dot on the monitor that will remind you to re-evaluate your posture every time you look at the dot. If you are driving in your car, place the seat upright. The biofeedback from the seat on your shoulder blades and the back of your head will help you recognize poor posture and allow you to correct it. When at the gym, it is important to always align your shoulders before entering a new set of your workout. This will help prevent injury by supporting the joint and allowing the muscles to work as efficiently in order to gain strength and endurance as quickly as possible.

Click here for : Body Awareness - Shoulder Positioning Video

Get a Grip on Osteoarthritis

By: Michael Reoch, RMT

The online medical dictionary defines Osteoarthritis (OA) or degenerative joint disease (DJD), as a progressive disorder of the joints caused by gradual loss of cartilage and resulting in the development of bony spurs and cysts at the margins of the joints. The name osteoarthritis comes from three Greek words meaning bone, joint, and inflammation(1)

The common perception is that OA is caused by wear and tear of the cartilage in the joint. Eventually this cartilage is worn down and we get a “bone on bone” situation that we are told is very painful (2). Now, there are new ideas emerging on what helps to cause OA and what its relationship is to painful experiences (3).
Instead of looking at OA as your cause of chronic pain, it may be that it is the chronic pain that comes first(4)(3). Lets say you get a RSI (repetitive strain injury) from doing a task without rest, such as using a mouse too often (5)(6). This injury will cause long-term inflammation chemicals such as a group called cytokines to hang out in the area where pain is felt. Over time these inflammation chemicals may cause the tissues in the area to degenerate or break down(7)(8). This is first felt as achiness accompanied with stiffness in movement, usually after waking up in the morning(2). Over time the OA has a central nervous system component(3). What that means is the brain and spinal chord play a major role in the pain you feel. There is an increase in cytokines in the spinal chord, which start to inhibit our natural pain dampening ability(7)(9). Also, some brain regions may have glitches in processing the signals between it and the painful joint(10). Studies show people with OA are more likely to feel pain with less provocation not just in the involved joint(s) but in areas away from the joint(s)(11)(3). There are also studies coming out that are showing that joint surgery for knee arthritis is no better than placebo surgery(12)!

The take-home message is that joint damage is a poor indicator of how much pain you actually feel.

If you feel pain in an area from doing repetitive tasks you should make an effort to permanently decrease that pain: Ask your RMT for help. If you already have bony changes from OA seeing a RMT should be part of your pain management program. This program should involve tweaks to make your activities easier, exercises and massage therapy, as well as any medications your doctor may prescribe. To better understand this new way of viewing OA, you can watch this video or this interesting one that uses mirrors and video tricks to decrease OA pain!

Bibliography:

1.             osteoarthritis - definition of osteoarthritis in the Medical dictionary - by the Free Online Medical Dictionary, Thesaurus and Encyclopedia. [Internet]. [cited 2014 Mar 4]. Available from: http://medical-dictionary.thefreedictionary.com/osteoarthritis

2.             Osteoarthritis Symptoms and Causes | Information about Osteoarthritis Diagnosis [Internet]. [cited 2014 Mar 4]. Available from: http://www.arthritis.com/osteoarthritis_symptoms

3.             Lee AS, Ellman MB, Yan D, Kroin JS, Cole BJ, van Wijnen AJ, et al. A current review of molecular mechanisms regarding osteoarthritis and pain. Gene [Internet]. 2013 Sep 25 [cited 2014 Jan 21];527(2):440–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23830938

4.             Brandt KD, Radin EL, Dieppe PA, van de Putte L. Yet more evidence that osteoarthritis is not a cartilage disease. Ann Rheum Dis [Internet]. 2006 Oct 1 [cited 2014 Jan 21];65(10):1261–4. Available from: http://ard.bmj.com/content/65/10/1261.full

5.             Van Tulder M, Malmivaara A, Koes B. Repetitive strain injury. Lancet [Internet]. 2007 May 26 [cited 2014 Mar 4];369(9575):1815–22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17531890

6.             Ratzlaff CR, Gillies JH, Koehoorn MW. Work-related repetitive strain injury and leisure-time physical activity. Arthritis Rheum [Internet]. 2007 Apr 15 [cited 2014 Feb 27];57(3):495–500. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17394178

7.             Fernandes JC, Martel-Pelletier J, Pelletier J-P. The role of cytokines in osteoarthritis pathophysiology. Biorheology [Internet]. 2002 Jan [cited 2014 Feb 22];39(1-2):237–46. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12082286

8.             Al-Shatti T, Barr AE, Safadi FF, Amin M, Barbe MF. Increase in inflammatory cytokines in median nerves in a rat model of repetitive motion injury. J Neuroimmunol [Internet]. 2005 Oct [cited 2014 Mar 4];167(1-2):13–22. Available from: http://www.sciencedirect.com/science/article/pii/S0165572805002365

9.             Elliott MB, Barr AE, Kietrys DM, Al-Shatti T, Amin M, Barbe MF. Peripheral neuritis and increased spinal cord neurochemicals are induced in a model of repetitive motion injury with low force and repetition exposure. Brain Res [Internet]. 2008;1218:103–13. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2553006&tool=pmcentrez&rendertype=abstract

10.             Nijs J, Van Houdenhove B. From acute musculoskeletal pain to chronic widespread pain and fibromyalgia: application of pain neurophysiology in manual therapy practice. Man Ther [Internet]. 2009 Feb [cited 2012 Aug 3];14(1):3–12. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18511329

11. <span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Full Text: Recent Approaches to Understanding Osteoarthritis Pain [Internet]. [cited 2014 Mar 4]. Available from: https://jrheum.com/subscribers/04/70/54.html

12.            Moseley JB, Wray NP, Kuykendall D, Willis K, Landon G. Arthroscopic Treatment of Osteoarthritis of the Knee: A Prospective, Randomized, Placebo-Controlled Trial: Results of a Pilot Study. Am J Sports Med [Internet]. 1996 Jan 1 [cited 2014 Mar 4];24(1):28–34. Available from: http://ajs.sagepub.com/content/24/1/28.short

What is DNM? By: Michael Reoch, RMT →

The term DNM Stands for Dermo (skin), Neuro (nervous system) Modulation (a change from one state to another). It is a method of manual therapy/massage therapy used to change the state of the nervous system from a painful, hyperactive state to a less painful and reactive one through the skin receptors. Diane Jacobs, a Canadian PT with 40 years of experience, developed DNM as a way to treat people with chronic and persistent pain better. I have had the pleasure of learning from and working directly with Diane over the last four years.
She explains the background of the method:

     

    The nervous system is comprised of 72 km of nerves and a brain 5 times bigger than it needs to be to run a critter our size. Even with all this length, even with the giant brain, it's tiny, only 2% of the whole body. Still, because it's busy 24/7, even when we're asleep, and because it runs all operations, it sucks up an amazing 20% (!) of all available oxygen and glucose all the time at speeds of about 270 miles per hour, so it's a big energy suck. You are part of it. It's not part of 'you' how we usually think of our body parts. You are part of it. 'You' are the human bit in there, but most of it we have in common with all the other critters out there that have vertebrate nervous systems. It runs 'you'. It looks after 'you'. It keeps 'you' alive. It puts 'you' to sleep at night so it can do other things, but it keeps your heart beating and your lungs working, right? It's your survival machine and your threat detector. It wakes 'you' up in the morning because it needs you to get it something to eat. It never shuts off! It's your operating system. It's an old, evolved thing, and some parts are really old while other parts are quite new, and they're all hooked together, and sometimes it can get itself into a glitch. Usually, that's all that's the matter. So, we do a systems check and help it fix itself. 
This unique nervous system goes all the way from the brain to the skin and back. There are Billions of sensors in our skin. On average sensors are one to two cells apart. These sensors tell our brain what is happening in the world around us, what is happening within us and what is happening to us. There are many different sensors and each have specific rolls. There are sensors for just heat others for just cold, there are sensors for just heavy pressure others for light pressure, ones for quick stretch others for slow stretch and so on...

DNM is a method of manual care that puts the patient and their needs first. Instead of operating a recipe treatment, the treatment is an interaction between the patient and the therapist. We work together to find the areas that need attention and remove the tenderness and pain felt in that area. The focus is on changing the signalling within the nervous system to decrease your pain. Pain does not happen in the muscles and other tissues but in the nervous system itself; therefore, whether or not the area of pain is damaged, we can reduce that pain with DNM.
 
The manual part of DNM involves changing the input signalling from some of these receptors to help the brain get a better picture of what is happening to/in the body. We want to show the Brain that the area where you feel pain is not under the threat that the brain perceives it to be in. 

Some effects of an effective DNM treatment:

You will get sleepy
You will have less swelling/inflammation after
You will feel warming, an ease of movement, and a softening of hardened muscles
Your pain relief will continue throughout the day of the treatment and will usually peak 72 hours after the treatment.

See it in action

How does stress make pain worse?

Do you ever have neck or back pain after a stressful day? Maybe a headache?
Why do you get tight muscles when something stresses you out?

Nerve receptors are involved in pain generation. Their job is to send a signal to the brain that they have been stimulated. The brain knows that a signal from these receptors in the body is usually a sign of danger and will usually then decide that the body is in pain, specifically in that area. In his talks, David Butler often mentions adrenaline-sensitive peripheral nerves and the amazing ion channel turnover. Specifically, this means that these nerve receptors can become extra sensitive to the chemical adrenaline, also called epinephrine. With this sensitivity, less stimulation is needed to send a danger signal to the brain. Think of a car alarm set to go off when someone breaks the window. When the alarm is hypersensitive, it may go off if a loud truck drives by. No damage happened to the car, but the alarm still went off. When we are stressed out, our bodies produce more adrenaline. This can be a good thing because it helps us to prepare for action. Unfortunately, if a nerve is damaged, stretched, or pressed on for too long, it will create "baskets" of adrenaline-sensitive fibres. As David says here:
"If a person has a highly adrenoreactive area of peripheral nerve and if they are in a state of persistent elevated stress then repeated firing into the CNS will occur. And if the person is stressed, central inhibitory controls will probably be lifted anyway, and a persistent neuropathic pain state may ensue."

What this means is that if someone has a nerve that is sensitive to adrenaline and is always stressed out, the danger signal to the brain will be almost constant. If that is the case, the Drug Cabinet in the brain will be lifted away, and persistent pain will likely develop. Not fun.

Fortunately, you have some control over this. The first line of defence is to reduce your stress level, thus reducing your adrenaline. Also, knowing that your pain is not from a damaged muscle but stress chemicals, your brain will be less likely to think of the signal as pain. Third, if you get out and move your body in a way that reduces any specific nerve perturbations you will have less chance of a future sensitivity. Most good Manual Therapists (RMT, Chiro, PT, etc) will know how to help you do this.

Most forms of massage therapy have good evidence behind their ability to reduce stress. Two of the modalities Michael implements, DNM and Simple Contact, work on a model that directly addresses pain and adrenal-sensitive nerves.
If you have any questions about this, feel free to contact us at well+able. We would love to help you out. It would also be beneficial to watch the previous stress video, the Drug Cabinet video, and the What is Pain video.

The drug cabinet in the brain. Is it worth the pain?

A quick video by David Butler from NOI talking about the amazing ability the brain has to reduce our pain experiences by releasing our own chemical pain killers.  

How does pain work?

Here is a great video by neurologist and pain researcher Lorimer Mosley. In the video he tries to answer the question: "why does it hurt".

Studies show that if you can better understand your pain you will have more control over it. Watching this video is a good start to understanding persistent pain

A short video on managing stress

Dr Mike Evens has set up a youtube channel with some great health tips. Here is his 11 minute video full of some fantastic ideas for managing stress