Monday, February 22, 2016

Got Numb Feet? This May Be Why

Address common cyclist foot problems—from numbness to fungus—

before they wreck your ride

Giro road cycling shoes
f the general public. Also, the foot volume increases as we exercise—as the blood flow to the muscles increases. The foot will be bound relatively firmly inside the shoe for the duration of your ride so it’s a reasonably oppressive environment. You should also avoid using thick socks to keep the feet warm in the colder months: Layering thinner socks has a better insulating effect and will reduce the volume of the foot in the shoe.
There is a small group of cyclists where symptoms start to affect the foot outside of cycling and this represents a condition referred to as a neuroma. This is essentially a nerve fiber in the foot that has become inflamed and easily irritated. The main symptom: a pins-and-needles sensation in the foot that may affect some of the toes, and may progress into numbness. Treatment options include injections, anti-inflammatories, and footwear or orthotic inputs, and it’s essential to see a clinician with a special interest in foot problems. This person does not necessarily need to be a cyclist but he or she should have a working knowledge of cycling-related injuries.
Will posture affect how your feet feel?
Posture has a lot to do with foot pain. When you’re on the bike there is lot of stress around the low back and pelvis and a reasonable number of cyclists develop foot numbness that is referred from the back as the nerves are compressed at that level. These symptoms tend to respond to time out of the seat, which takes pressure off the back and pelvis. Generally these symptoms will resolve with the periods of time out of the saddle but there are occasions where they persist after the ride. If you have any consistent pain or numbness, then you should have a look at bike fit. A cycling fit specialist will look at your bike setup and also look at what positions you are capable of on the bike.
What can a cyclist do to minimize postural problems?
A bike fit is the obvious first approach, but you also need to consider your flexibility and strength (or lack thereof!) around your lower back. Gym or home-based strength programs can be key to comfort on the bike if performed on a relatively regular basis.
There are some excellent clinicians out there who are skilled in this area. This could be a physical therapist, chiropractor, osteopath, or coach and it’s key to do your homework and ensure that whoever you select has an active interest in cycling. Word-of-mouth recommendations tend to work the best, so speak with your cycling buddies. They may have experienced the same issues.
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What are some topical foot problems most common to cyclists?
Cyclists are at risk of soft tissue problems such as athlete’s foot, mainly due to the heat generated while the foot is in an enclosed shoe (and sometimes a shoe cover). This creates an environment for fungal spores to develop, particularly during multiday events. Riding in wet weather is another risk factor. To avoid this, always dry your shoes after a wet ride and bring more than one pair of socks on multi-day rides and races. And if you develop an infection, treat it early with an anti-fungal cream and continue to use it for seven days straight.
Got any tips for picking out new shoes?
To make sure you buy a shoe that fits, ask about different cleatsand pedals at your local bike shop, as they will have great knowledge of the interaction of the foot with the bike. Also, the issue of orthotics (insoles/arch supports) in cycling footwear is an emerging area. Although the mechanics of the foot while cycling do differ from land-based activity, the role of orthotics needs to be judged on a case-by-case basis depending on the problems that the cyclist is experiencing, rather than mass provision of insoles for cyclists just because they are available.
Since feet swell during exercise, does it make sense to try to get out for a ride right before you shoe shop?
In theory, yes, trying a cycling shoe on after some form of exercise would be an option. If the last of the shoe is too narrow and shallow, then simply going up a shoe size might be the answer.Shoes manufactured in Europe can often differ from shoesmanufactured in Asia so its worthwhile trying a range of sizes on before buying to see how each suits you.

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