Filed under: blister care, Foot Care, Foot Care Products, Health, Sports
Maceration is not limited to runners, adventure racers, and hikers. The other day Deb shared a link on an online forum, which featured some awful looking feet. Actually, truth be told, she called them “fun feet photos.”
I’ve seen feet like these many times over, at many races. Most recently, last October, most of the runners in the Jungle Marathon Amazon had feet like these.
You can read my post about the Amazon race here.
In the link shared by Deb, there are 14 photos of cyclist’s feet – featuring the bottoms of their feet, along with their face. The images were taken immediately after the race ended. The Norwegian photographer Espen Rasmussen says in the piece, “You start in Trondheim in the north, then you go up the mountains and you meet snow, rain, heavy wind, and then you finish in Oslo in the south.” He’s talking about the bicycle race in Norway, which is 336 miles long.
Rasmussen wanted to capture the pain and the hardness these people went through.
As you look at each of the 14 pairs of feet, you’ll see maceration is the common thread. Maybe one or two pair has blisters – but these are simply feet that have been wet for hours and hours, encased in wet socks and shoes.
I have captured two of the images on this page and hope you will check out the full story in the link below. It is worth looking at these images and realizing that the same thing can happen to you. You’ll also see the faces behind the feet. It’s a great visual story.
So the question is what could have been done to prevent or minimize the effects of the moisture. For this type of event, it’s hard to say how often the riders stopped, how often they changed their shoes and socks, or what they might have done to their feet. Unlike runners, who know their feet take a beating, cyclists may not realize the outcome of moisture on their feet and therefore may not take proper precautions.
In the past months, I have reviewed several products that could have helped, and in a week or so will review another new product. Here are the two links to the blog posts:
For a longer informative piece on maceration, check out my blog post in June 2011 called Maceration.
CNN World writer Kyle Almond wrote the story. To read the full story and photos click on this link, Extreme Races, These Feet Don’t Lie.
I also plan to write a blog post about many of these lubricants and how to chose the ones right for your feet. I’d look for that in late March.
Filed under: blister care, Foot Care, Foot Care Products, Footwear, Footwear Products
Occasionally I see runner’s shoes that have wear holes in the material in the heel counter. This picture from Dan shows his shoes with holes to the outside of center on both heels. I emailed the following suggestion.
I’d try an ENGO Back of Heel Patch. They are made to shape to the curve of the back of the heel counter. Put them in when the shoe is dry. Rub them a bit in a curving motion to help them form to the shape of the shoe. Then peel off the paper backing and apply from the center outwards to the sides. Rub well so they adhere to the shoe’s material. You could also try the large ovals if the hole is small. The blue ENGO patches are very slick and can take a lot of wear. Once the blue wears down to expose white, replace the patch. Sometimes the holes are on the sides of the heel.
Last summer at Western States, I had a runner whose shoe was rubbing her heel raw. You can see from the image that she has a prominent heel bump. This, of course, contributed to her problem. This is the kind of problem one needs to plan for before it becomes a major issue – especially at the event the magnitude of Western States.
We decided to cut a notch out of the outside of her shoe’s heel. This allowed the back of the shoe to spread apart for her large heel bump. Then I applied an ENGO Back of the Heel Patch to the inside of the shoe’s heel counter. This provided some protection to her heel bump.
The large ENGO ovals can also be used when there is a small area to be covered.
I have been a fan of ENGO Blister Prevention Patches since I first discovered them years ago. The ovals are perfect for the common areas at the side of the heel where blisters form at the junction of insole and heel counter. The large rectangles are great to put on insoles underneath the ball of the foot, another common problem area.
Check out the ENGO website for more information. ENGO products are available through Zombierunner. If you are in Australia or New Zealand, ENGO products are available through Rebecca Rushton’s Blister Prevention website.
Disclosure: Tamarack Habilitation Technologies supplies me with ENGO Patches as I need them for races.
Filed under: blister care, Foot Care, Foot Care Products, Health, Sports
Foot Kinetics recently introduced several new products designed to reduce blister formation. Carl and Rick, founders of Foot Kinetics, developed HikeGoo, RunGoo, WalkGoo, and SilkStep foot creams for preventing blisters and providing moisturization. The products help avoid foot problems by forming a friction-free layer between the skin and sock. This protective layer reduces rubbing and friction, working on a variety of foot problems including blisters, callus formation, soft tissue bruising, and sore feet. Each formulation is different and contains a balance of hard wax, lanolin, and natural vegetable waxes to moisturize and protect feet from abrasion and foot fatigue.
The protective foot creams are formulated for specific activities and footwear. The relative percentage of hard versus soft waxes in each product’s formulation enables it to perform optimally for that activity. The more hard wax in the formulation, the longer the product stays on the skin’s surface and the slower it absorbs. HikeGoo has the hardest wax and will last in the harsh environment of a boot on an all-day climb. RunGoo has the hard wax persistence of HikeGoo but also some added soft wax moisturization. The higher percentage of soft waxes in the foot cream, the greater the absorption and dry skin moisturization. SilkStep has the softest waxes and is optimized for moisturization.
Rather than repelling moisture or attempting to block sweat, the unique formulations actually absorb sweat and moisture to become even more effective in reducing friction between the skin and sock. This is why Foot Kinetics say they are highly effective in both dry and wet conditions to protect feet from blisters, callus formation, and skin damage.
Why it works
According to the folks at Foot Kinetics,“Our barrier creams stick around much longer than any other blister prevention or anti-chafe product on the market. They contain a high percentage of specialty hard waxes that are blended into the emulsion and make it persistent…. make it stick around all day to provide a protective layer that reduces rubbing, friction, calluses and blisters. Most other anti-chafe and blister prevention products are dimethicone-based. They are OK for thighs and chest but are too thin to stand up in the harsh environment of a shoe and you can’t apply enough to last all day.” Click on the image above for a larger view.
Foot Kinetics put a high concentration of hard wax in the HikeGoo, RunGoo, and WalkGoo emulsions and then figured out how to adjust the ‘rheology’ (deformation and flow) of the product so that it can flow out of a tube. They point out no one else has been able to do this.
They point out the other key to the success of their Goo products is their ability to last over an entire day because of the balance of lanolin alcohol in the emulsion. The balance allows it to absorb water or excess sweat and makes the emulsion ‘slipperier’. Moisture, usually present between the skin and sock, contributes to blister formation, and the lanolin alcohol balance make the skin slipperier to help keep blisters from forming.
RunGoo Protective Foot Cream prevents blisters by providing a friction barrier between the skin and sock. RunGoo contains lanolin and a balance of both soft and hard waxes to create a foot care cream that protects feet from skin damage. It is effective in eliminating blisters and calluses in traditional, barefoot style running shoes, and hiking boots. RunGoo is available in 5.5 and 3-ounce tubes.
HikeGoo Protective Foot Cream is very similar to RunGoo and provides a friction barrier between the skin and sock that protects feet from blisters, nerve abrasion and foot fatigue all day. High melting point waxes slow its skin absorption to create a protective layer that stays on the skin’s surface and is highly effective in helping prevent blisters. HikeGoo absorbs completely by days end and socks easily wash clean. HikeGoo is available in 5.5 and 3-ounce tubes.
WalkGoo Protective Foot Cream is a thinner compound and is good for feet because it protects and moisturizes during sport walks or while on the job. WalkGoo’s friction-free formulation reduces rubbing by including Jojoba, Mimosa, and Sunflower waxes which stay on the skins surface longer to help prevent blisters, calluses and nerve abrasion while softening and smoothing cracked heels and rejuvenating dry feet. A single application lasts all day and absorbs cleanly. WalkGoo is available in 8 and 3-ounce tubes.
SilkStep Protective Foot Cream has the highest percentage of Jojoba, Mimosa and Sunflower waxes of all their protective foot creams. It absorbs slowly providing a protective layer on the skin.
You can find all their products at the Foot Kinetics website.
The Goo products all have the same basic compound, but the amount of hard and soft waxes as well as hydration varies in each formula. Some are thicker than others and will stay on the foot for longer periods of time.
The Foot Kinetics Goo products are advertised as lasting, “…for the entire race, workout, run or game.” You need to determine if that works for your event. There’s a big difference between a 12-mile hike, a marathon, a 100-mile run and a 24-hour run. Try the Goo to see how it holds up on your skin during your events, reapplying it if necessary. If using it in events with sand and grit, cleaning the foot and then reapplication will probably be necessary.
Applying the Goo
To apply, with one or both hands, squeeze the tube firmly to get the cream started out the hole. You may have to squeeze hard, especially if in cold weather. After this initial squeeze the cream will come out more easily. Continue squeezing the tube while rubbing the applicator over your foot taking care to thickly cover problem areas such as heels, bunions, toes and the soles of your feet. Don’t worry if the coverage is uneven or lumpy. This is normal. Starting at your toes with your sock mostly inside-out, roll or pull your sock on and up over your heel. Don’t drag your sock on as this could wipe away some cream leaving exposed areas. If you are going to be engaged in your activity for a long time (i.e. hours), a thicker layer provides optimum protection.
Foot Kinetics protective foot creams are to be used only on closed healthy skin and not open wounds.
The Foot Kinetics website has a testimonials page describing how athletes have used the their products.
I used HikeGoo on several occasions. The compound is thick. Getting the initial squeeze out of the tube is challenging, as they describe. The design of the applicator gives you a generous amount of the Goo to spread on your feet. That’s how the Goo is meant to be used. If you are used to rubbing a small smear of BodyGlide or other lubricant on your skin, You’ll have to get used to the Goo. The hard waxes keep it thick and that’s how you should use it. Many lubricants go on and you have a hard time knowing they are there. When applied properly, you’ll feel the Goo, and know it’s working.
The Goo reminds me of Desitin Ointment – the stuff used on baby bottoms. The consistency in thickness is almost the same. It’s white so you see exactly where you have applied it and how much is on your skin. I like that aspect of the Goo.
I also like the two sizes of tubes; making it easy to carry a small tube in a pack, while keeping the larger tube in your foot care kit.
There’s always room on the shelves for more lubricants. This is one you’ll want to try. When I try products, I often use one on one foot and another (or nothing) on the other foot. I feel that gives me the best opportunity to fairly test the products. I’ve done that with shoes and socks too.
Give RunGoo or HikeGoo a test. See how the formula works for you. Use your regular lubricant on one foot and the Goo on the other. Then do a long run or hike, and see which your feet like the best. They can be ordered from the Foot Kinetics website and from Amazon.
Disclosure: I was supplied several samples of the Goo products to test. RunGoo, HikeGoo, WalkGoo and SilkStep are trademarked names of Foot Kinetics.
Filed under: blister care, Books, Foot Care, Foot Care Products, Footwear, Footwear Products, Health, Sports
I love reading the unsolicited email and testimonials from athletes who have discovered Fixing Your Feet. They help motivate me to keep going. Here are two. The first is a simple sentence. The second is a personal story I received last week. Thanks everyone who has passed along their story.
I’m pretty sure Fixing Your Feet has saved most of us at one point. ~ an email from Deb Bosilevac.
Then Billy Pearce (husband, father of 3 boys, nurse and ultrarunner) shared his story:
My many years of ultrarunning with a three shoe size difference in feet caused by a traumatic injury as a child has always been a challenge with shoes and blisters. So I choose ultrarunning as my passion! I have had two DNF’s in the Australian classic Coast to Kosci 240km beach to Australia’s highest peak. So this year my attempt to get a finish was one of real attention to where things had gone wrong before.
This year I had my podiatrist and friend on my crew, (Brad White, from Footcare Woden, Canberra ACT Australia). I attend his clinic monthly as routine and we have planned all year for this race. Brad is also a gifted runner.
Best footcare ever. In over 42 hours 26 minutes of running I needed two stops to attend to feet – totaling less than 15 minutes for both stops! I gave him a copy of Fixing Your Feet and I think we have created a new passion for him.
I found your work after a 48 hour race when my feet become so bad I was reduced to painful shuffle for last 24 hours then weeks of healing. I am now able to race 24 hours on a track without a scratch and as we say, “If you do not have a plan for your feet, you do not have a race plan.” Thanks heaps for the help and advice you give so freely.
Do you have the 5th edition of Fixing Your Feet? Last summer while working on feet at the Michigan Bluff aid station of Western States, a runner’s crew member came up to ask me if I’d sign his copy of Fixing Your Feet. While I signed it, I told him he had a very outdated book the 2nd edition! Every edition has gotten better and larger with a lot of new and updated information. Maybe I am biased, but the 5th edition is the best ever.
If you have older editions, you owe it to yourself to invest in the 5th edition. You can purchase it through my website, Zombierunner, and most online bookstores. At Amazon, it’s available in either print or Kindle formats.
Filed under: blister care, Foot Care, Foot Care Products, Footwear, Footwear Products, Sports, toenails
Several months ago I had the good fortune to work on the medical team at the Jungle Marathon Amazon. My specific role was foot care of the 78 runners and to work with the others on the medical team to teach them good foot care techniques. I learned some things that I am calling, Your Event Homework…” By that I mean, your homework is to consider these five things that, if you learn them, can help you be more successful in the event.
Over seven days, I got to know most of the runners. The race offered a one-day, four-day, or seven-day event, and runners were required to carry all their gear and food in a backpack. Hammocks were mandatory and everyone had to carry a mandatory kit of emergency supplies. Because of all the gear and food, some runners limited their medical supplies to the most basic (read: as small as possible). Others had large plastic bins or bags of their mandatory gear. Most had planned well.
As runners came through the pre-race check-in to have the mandatory gear inspected, I talked to a lot of them about their shoes, socks, and – their feet. While doing this, I applied ENGO Blister Prevention Patches into many shoes. While I had a good supply of the patches, this would be the only time to get them into runner’s shoes. Once the race started, their shoes would be wet and the patches would not stick. I noticed that there was a good mix of shoes even though the runners were from around the world.
Then the race started.
Three miles into the race, there was a stream crossing. After that, their feet were almost always wet or full of sand or grit. Here are the five main things I saw.
- At the end of day one, one runner asked for help with his insoles. The sand and grit had worn holes in both heels. I could tell, however, that they were well worn even before he started. We dried out the insoles and I cut away any rough edges. Fortunately, the sun had dried the insoles enough to apply ENGO patches over the holes.
- Some runners had chosen shoes that were minimalist in design, and some did not hold up well in the rough trails in the jungle, where rocks, roots, and plants tore at the shoes’ uppers. Two runners’ shoes were shredded at their sides. The handiwork of one of the runners saved the shoes as he sewed the uppers back together with dental floss.
- Several runners had made bad choices in socks. All cotton socks have no place in any athletic event, much less anything over a 5km race. One runner in particular had low-rise cotton socks suitable for walking in the park, but not a seven-day race in the jungle. Another runner had only two pairs of socks, and the first pair had holes in both heels at the end of the first day.
- Some runners experienced problems with toenails that affected their race. Long nails, untrimmed nails, and nails with rough edges cause problems, which can lead to toe blisters, and black toenails.
- While some of the runners managed their feet by themselves, many came to the medical team day after day. While we were there to help, time and supplies were limited – especially time. Runners that can patch their own feet are ahead of the game. Some had the right supplies, while many others with small mandatory gear kits, did not have the necessary equipment. The medical team worked hard to patch feet as we could. Whenever we could, we made sure the runners saw what we were doing so they learned how to do it themselves. By the end of the race, I saw more that a few runners that were working on their feet and helping others.
Lessons to Learn:
- Make sure your insoles are in good shape. Many runners fail to remove their insoles and inspect they – to see if they need replacing. Most standard insoles are flimsy and should be replaced after several hundred miles. For a $25-$30 investment of new insoles, you’ll gain support and comfort. Investing in a marathon, ultramarathon, multi-day race, can be costly. Yes, there’s the money side, but there’s also the gear required, time spent in training, and travel. This is not the time to skimp on footwear. Chose good, high-quality shoes – preferably a design you have worn before and know works on your feet. And whatever you do, don’t wear old shoes that have seen better days.
- Invest in good, high-quality socks – new socks – not some dug out of your socks drawer that are threadbare. Find the right socks for your feet. Try Injinji socks if you have toe blister problems. Try a thin liner with a bit heavier outer sock. Try several types of socks to find the right amount of cushion and support.
- Learn how to care for your toenails. That means how to trim them and file them smooth so they don’t catch on socks or hit on the top or front of the shoe’s toe box.
- Runners can help themselves by learning how to manage their feet and treat any blisters that might develop. While some events have medical personnel and staff experienced in foot care, many don’t. Or they don’t have the best choices in supplies. Better to be prepared and know what your feet need – and how to manage your own feet. Then if there are people providing foot care, you can use them, and tell them if you need or want certain things done.
In the same way you train for an event, and invest in clothes and packs, and food, you must invest in your feet.
Filed under: blister care, Foot Care, Foot Care Products, Health, Sports, Travel
Several months ago I received an offer to test several products made by Sportique Brands. It took only a little investigation to learn that Sportique is a high-quality company that carries a wide array of athletic and multisport endurance products made from botanicals and all natural ingredients. Their tag line is “Body Care for Active Bodies.”
Over a few months I used the Hard Day’s Night Foot Cream, the Century Riding Cream, the Foot Gel, and the Foot Spray. I like that these products contain no petroleum or harsh chemicals. As I have used the products and researched their complete product line as well as the ingredients and commitment to all natural product, I have the highest regard for Sportique. Their products are all vegetarian and most are vegan.
Sportique’s product line covers foot care, skin care, joint and muscle care, lip care, active care, massage, and shaving and personal care.
It’s important to understand that the substances we put on our skin is absorbed into our system. While using products with less than stellar ingredients once or twice a month may seem innocent, athletes who use them on a consistent basis, or do ultra or multi-day events should be concerned. Ingredients like petrochemicals, sulfate based detergents, and even petroleums disrupt the oils your skin needs. Toxins are absorbed into the liver and can affect our metabolism. In fact, whatever you put on your skin hits your liver in about four hours.
As I set out to write this review of Sportique products, the list kept growing. As an added benefit, the combination of botanicals and oils make these products smell good too! You can click on each product name to go directly to the product page, or click here to see all product and kits on one page.
Hard Day’s Night Foot Cream – A formulation of botanical and oils that smoothes roughness and calluses. Also works to deodorize and revitalize your feet. Comes in a 6 oz. tube. The cream worked great on the rough skin and calluses on my heels. I used the cream after showering and after using a callus file. Over a period of a month, I noticed a definite reduction in the callus and smoother skin. The thing to remember on callus for most athletes; it’s a continuing job to control the rough skin.
Foot Gel – A cooling gel to apply to tired feet. Its botanical ingredients are antimicrobial, antifungal, and it limits the development of perspiration. Comes in a 6 oz. tube. Just like the Foot Spray, it leaves the skin feeling refreshed.
Foot Spray – A refreshing and cooling foot spray to eliminate odor and absorb moisture. It also has antimicrobial, antifungal botanical ingredients. Comes in a 4 oz. container. The spray really does have a refreshing feeling. It felt good on my toes and bottoms of my feet.
Century Riding Cream – A collection of botanical ingredients to help repair skin after chafing and damage from friction. Contains important plant based occlusive silicones for a long-lasting friction free barrier. Also includes antifungal, antimicrobial, and skin conditioning botanicals. This cream can be used on all friction points with all running, riding, kayak, scuba, surf gear, and to prevent chafing and blisters. Available in 3.5 and 6 oz. tubes. It can be used on toes, feet, seat, armpits, chest, and groin, under sports bras – anywhere you chafe. I tried this on my feet and in my bike shorts and was impressed. I can see this being my lube of choice.
I have several more products on my list to try. They include:
Elements Cream – This is a cream to use for protection from wet, cold, heat and dry weather. The combination of botanicals and oils works to keep four face and exposed skin from chapping and chafing. Elements Cream is infused with a substance, which prevents seaweed from freezing in the ocean – it has been tested to -40 degrees! It was used in November by the winner of the Antarctic Iceman Marathon who beat his competition by some five hours. It prevents windburn and chapping for runners, cyclists, skiers – anyone out in the Elements.Available in a 6 0z. tube. The recommended use is to apply a light layer of cream and then after a few moments, apply a second slightly heavier layer.
Get Going Cream and the Warming Up Cream for pre-and post-race muscle treatment – both work to loosen up, expand capillaries, bring blood to muscle to avoid injury and improve comfort in the cold. Your skin’s sensitivity level will dictate your results of each.
Joint & Muscle Gel – For relief of achy and stiff muscles; helping strained joints and improves flexibility. It’s ingredients work to maximize relaxation, reduce muscle tightening, and calms nerves. Packaged in a 6 oz. tube.
Foot Powder with Lavender – A deodorizing and antifungal powder combined with lavender. Its botanical ingredients help absorbs perspiration, control inflammation, and keep skin cool and dry. Comes in a 3.4 oz. shaker.
I’d suggest putting your choice of Sportique products into smaller container as necessary to carry them in a pack or to carry in your cycling jersey. Many outdoor stores and drug stores offer smaller containers that could hold enough for a day’s event or a multi-day event in a lighter weight package.
For my October trip to the Amazon, Kathleen, the CEO at Sportique Brands suggested, “… for an alternative to DEET in the Amazon use our Foot Spray and/or Deodorant to repel leeches if you are doing any hiking in the jungle. The leeches have a unique way of ending up in your socks and can be a nuisance. Each morning spray your legs before putting your socks on and you should be good to go. I did some extensive trekking in India, Nepal and Tibet in the 80’s during monsoon season. Leeches are the thing to watch for in a wet jungle setting. DEET is usually the recommendation but it is tough on your body…we offer chemical free alternatives.”
Customer reviews are a good indicator of what people think about products. Sportique has a page dedicated to customer reviews. Look them over and you’ll see positive reviews from happy customers.
Sportique products are free of petroleum, animal byproducts, synthetic colors & preservatives, petrochemicals like PEGs, polyethylene and polypropylene glycol, parabens, carbomers, diethanolamine (DEA), and synthetic fragrances – and none of the ingredients and final products are tested on animals. Their products are all vegetarian and most are vegan.
Save 10% on Your Order
My readers can get 10% off your total order when you use the coupon code “FixingYourFeet’” at checkout. Put the code in the box just before hitting the orange check out button. Sportique can ship anywhere in the U.S., Canada, Asia, Europe, Australia, and South America. On international orders the buyer will be charged duties and taxes in the sales checkout process. Sales to Brazil and Columbia are discouraged because products often disappear before getting to the buyer. Sales cannot be made to Africa.
Sportique Brands is the exclusive wholesale distributor of Sportique products in the Unites States and sells through their website retail outlet to those not within reach of a store selling Sportique Brand products.
Disclaimer: I was provided products to test and have no financial involvement in Sportique.
Filed under: blister care, Foot Care, Foot Care Products, Sports
Last month I provided foot care at the Jungle Marathon Amazon. In preparation for the trip, I searched for new tapes. One of my searches turned up Theratape.com, a web-based store that specializes in kinesiology tapes and supplies. The website is a wealth of information on kinesiology tapes and kinesiology in general.
I emailed the owner, and received answers to all my questions regarding different brands of kinesiology tape. They carry many to choose from: Kinesio Tape, Nasara, PerformTex, RockTape, SpiderTech, and StrengthTape. Another brand is KT Tape. That’s seven brands to choose from.
Because I was going to the Amazon, where I knew feet would be wet, tape adherence was a major factor. The Theratape staff told me that the two best adhering tapes for wet condition were RockTape H20 and StrengthTape.
Three weeks before the Amazon, I tried a roll of each tape. On one foot I used a strip of StrengthTape, and another of Kinesio Tex Tape (my old standard). On the other foot I used a strip of RockTape H20 and another of LevoTape (a brand from the U.K.). I had one strip on the mid-foot, side-to-side, and another strip on the forefoot behind the toes. I did not use Compound Tincture of Benzoin as a tape adherent. The LevoTape came off on day four and the Kinesio Tex on day five. Finally on day six I removed the Rocktape H20 and the StrengthTape. Of the final two, the StrengthTape still had some stickiness left. It became my first choice of the kinesiology tapes. I promptly ordered one of the bulk rolls. Service from Theratape.com was great.
Here is the StrengthTape description from the theratape website: StrengthTape by LifeStrength begins with all the features of a high quality kinesiology tape, but is then “supercharged” with the addition of advanced ionic technology. Seven different minerals and gemstones are crushed into microscopic particles and infused into the tape. The natural properties of these substances create a negatively charged material that emits anions or negative ions. When applied to the skin, these negatively charged particles are readily absorbed into the body, enhancing the pain relieving and healing properties of the tape. Its 10% greater elasticity provides additional support for injuries and snap-back for performance enhancement. The proprietary AllSport extra-strong adhesive provides superior sticking power in all conditions, including water when properly applied, most applications will provide pain relief, comfort and support for 3-7 days. Uncut rolls are16’ in length and two inches in width, while each 16′ pre-cut roll contains twenty 10″ strips.
For those familiar with RockTape, I did try the RockTape H20. On the website, RockTape H2O is described as, the ultimate kinesiology tape for water sports. With an adhesive twice as strong as regular RockTape, H2O has undergone rigorous testing in the wild waters of the Pacific. H2O is a great tape for swimmers, triathletes, and other water sports participants. RockTape H20′s other features include a tighter weave and greater elasticity than other kinesiology tapes. It stays on longer and provides enhanced support, even under the toughest conditions.
In the Amazon, I used Leukotape, RockTape H20, StrengthTape, and Hypafix for between the toes. To start with, I used the StrengthTape and Rocktape equally, sometimes both on one runner. I wanted the feedback.
We had the advantage of applying the tapes in the late afternoon and evening, which allows the tape’s adhesive time to bond with the skin. After applying the tape a short 20-30 second rub was done to warm the adhesive and activate the adhesive.
Several things are important when using kinesiology tapes. Lay the tape on the skin and if you have to stretch the tape around a heel or toe, only apply a slight stretch. The more stretch you apply, the more likely the tape is to come loose, especially in wet conditions. Secondly, whenever possible, apply the tape the night before it is needed. At Badwater we try and tape the night before the race to give it good bonding time. At a minimum, try to apply it an hour before activity for the tape to set.
StrengthTape was the winner. Several days in to the Jungle Marathon, runners were asking for the “blue” tape (my blue StrengthTape). On some runners, the tape did not hold – but in fact no tape held up well when the runners walked around on the sand and dirt in bare feet or skimpy homemade flip-flops. The combination of the wet conditions when they finished the day’s stage followed by dirt and sand constantly worked away at the edges of the tape. That’s why we re-taped most afternoons and evenings.
We taped a lot of toes with StrengthTape, as you can see from these pictures. The runners would come into camp after finishing their stage and tell me how the tape had held up – or not. Sometimes the sand was simply too abrasive and it rubbed against the tape, working it’s way under the edges. I’d apply a light strip of Benzoin along the edge of the tape and the skin to help the edges hold better. This helped a lot.
In wet conditions, the race medical team from past years found that Injinji socks were better than other socks for blister control. Many runners wore Injinji socks. For these runners, the little toe socks of the Injinji’s was perfect to help hold the StrengthTape in place. One runner completed the race in Vibram FiveFinger Lontras, which also help hold the tape in place. To read my blog post about the survey and what worked, click on the link: A Survey About Feet From The 2012 Amazon Jungle Marathon.
In my tests, I found the RockTape H20 had good adherence, but frayed around the edges. Applying a strip of Benzoin on the edge of the tape and skin can help control the fraying.
I will be using StrengthTape at the races where I provide foot care. My stash of other brands of kinesiology tapes will be used as I learn about using the tape for its intended purpose of kinesiology.
If you are interested in ordering StrengthTape or RockTape H20, I recommend checking Theratape.com. They have generously offered a 15% discount on anyone’s first order of StrengthTape or RockTape – just use the code “fixyourfeet” in the discount code box on the order page. The discount code is good for any of the two tapes, tape size and quantity. The tapes come in a variety of colors. I welcome your feedback when you use the tape.
Disclaimer: Kinesiology is the study of human movement. The benefits of kinesiology tape include relief of pain and swelling, relaxation of overused or tight muscles, activation of weak or poorly-toned muscles, and enhancement of athletic performance. Made from cotton with a hypoallergenic acrylic adhesive, kinesiology tape is designed to be worn for 3-5 days, providing therapeutic benefits 24/7, the entire time it is worn. I apply kinesiology tape to feet because of its ability to stretch and shape to the curves of the foot, in addition to its smooth surface, adhesive, breathability and lack of leaving tape residue on the skin. If you watch the Olympics, you have probably seen kinesiology tape on athletes’ shoulders, arms and legs, and more.
Filed under: blister care, Foot Care, Foot Care Products, Footcare, Footwear, Footwear Products
Vicky Kypta is the Medical Team Manager for the Jungle Marathon, which starts October 6 in the Amazon in Brazil. Last year she did an informal survey of the participants and the results are interesting. The race lasts seven days and goes through the jungle on pre-existing paths, trails, and tracks with natural obstacles to pass including streams and shallow rivers. This leads to feet that are constantly wet.
This is the race that I will be at in a few days.
Vicky shared the results of the questionnaire and commented it was quite interesting, although the sample group was quite small. There were about 30 participants.
Here are some of the findings:
- 77% of the respondents wore Injinji socks
- 100% of those NOT wearing Injinji sock got blisters
- 46% of those wearing Injinji sock got blisters: out of those 50% were on the balls of the foot and 50% were on the toes. Those who had blisters on their toes all wore shoes in their normal size.
Out of those with no blisters:
- 100% wore Injinji socks
- 100% wore shoes one size larger
- 75% applied some form of anti-friction compound to their feet; i.e. Body Glide, 2nd Skin or Zinc Oxide cream
- 75% pre-taped problem areas or hotspots
I find this interesting and wonder what we will find with the 78 participants next week. The Jungle Marathons are well run and the staff tells runners to train with wet feet. They have found this results in less foot problems.
The results are striking in several areas (remember this is a seven day stage race):
- All the runners who did not get blisters wore Injinji socks and shoes a full size larger than their normal shoes
- All the runners who did not wear Injinji socks got blisters
- Runners wearing their normal size shoes all got toe blisters
- The majority of blisters were on the forefoot and toes
Over the past 17 years, I have worked a lot of ultramarathons and multi-day stage races. I can honestly say that overall, feet have improved. More runners are prepared and know how to manage their feet.
When I return, I will share what we found at this year’s Amazon Jungle Marathon.
Filed under: blister care, Foot Care, Foot Care Products, Footwear, Sports
In my last post, I talked about four ways to reduce shear and the likelihood of blisters. To recap, they were fit, cushioning, moisture management, and socks. Today’s post will cover a fifth way by using ENGO Blister Prevention Patches.
Tamarack Habilitation Technologies is well known for providing healthcare professionals and clients with innovative, value-added orthotic-prosthetic componentry and materials. Their ShearBan product is similar to the ENGO Blister Prevention Patches reviewed in this article. ShearBan is used in the orthopaedic and prosthetic industry on prostheses at amputation stump sites to reduce the incidence of skin breakdown.
Introduced in 2004, ENGO Blister Prevention Patches have radically redefined the way hot spots, blisters and calluses are treated. As a preventative measure, ENGO patches provide peace-of-mind that blisters won’t become a painful, debilitating problem. If a blister has already formed, applying patches to footwear, corresponding to the blistered area eliminates painful irritation and further skin damage, allowing continued activity. Friction forces are reduced by more than 50% when you apply an ENGO Patch to your footwear.
The patches are made from an ultra-thin Polytetrafluoroethylene (PTFE) film and are 0.015 inches total thickness – a very slippery surface. They are very durable, lasting four to six weeks in most applications. The aggressively sticky patch peels away from the backing and is applied to dry shoes or boots. The PTFE ENGO Patch reduces the ‘stickiness’ between the shoe and sock so they can glide over one another. The foot, inside the sock, glides over the patch shear distortion and friction are reduced, and blisters can be averted, in spite of pressure.
Avid runners, hikers and sports players rely on their feet to reach performance goals; from day hikes to ultra marathons. But quality footwear and socks alone don’t eliminate the skin trauma your feet can experience from repetitive rubbing — building friction forces to levels that cause hot spots, blisters and calluses. While I use these patches in runners’ footwear at races, they can also be used in ordinary every day shoes to reduce calluses.
Similar to Tamarack’s ShearBan material, ENGO patches are applied directly to footwear and equipment, not to the skin. Outcomes of this unique application include ease of use, long-lasting and guaranteed friction relief.
ENGO Patches are made in several sizes and types:
- A large oval – 2 ¾ x 1 ¾
- A small oval – 2 x 1 ½
- A rectangle – 3 ¾ x 2 ¾
- Back of the heel patch – 3 ¾ x 1 ¾
- A cushion heel wrap – 3 ¾ x 1 ½
When I work a race I always have a bag with different sizes of ENGO patches. I have applied the ovals and rectangles and the back of the heel patches. The patches are applied to the shoes and insoles – not to your skin. This means wherever you are going to apply a patch has to be dry. My advice is to apply patches before your race when your shoes are dry. I have used them inside the shoes in the sides, in the heels, and on the insoles.
Typical problem areas in footwear are under the heel and forefoot, and at the side of the heel. An oval patch can be applied to overlap the side of the heel counter and the insole as seen is the photo. I often use a rectangle or large oval under the ball of the foot or an oval under the heel – applied directly to the insole. The patches are useful over stitching or seams in footwear that are rubbing the wearer. If necessary, a patch can be cut to shape for where it will be applied.
The patches will reduce shear and friction; provide relief from hot spot and blister pain, and can be used in any type of insole or orthotic and footwear, from sandals to running shoes, and any type of hiking or ski boot.
I like ENGO patches because they work. The patch is thin and does not alter the fit of the shoe. When properly applied to dry footwear, they stick.
Rebecca Rushton, a podiatrist in Australia, strongly recommends ENGO Patches. She discovered the patches after getting blisters herself and now represents ENGO in Australia. She has written several free reports on blister prevention available on her website, Blister Prevention.
If you are unclear about shear and blister formation, here’s a link to my article An Introduction to Shear and Blister Formation.
The Technical Stuff
JM Carlson, in a 2009 report wrote, “The measurement of friction is the ‘coefficient of friction’. The coefficient of friction (COF) is a number that represents this slipperiness or stickiness between two surfaces and is generally below 1.0. Within the shoe, the COF between the foot, socks and insole can range from 0.5 – 0.9. In contrast the COF between a sock and a polished floor is around 0.2.” Tests have shown PTFE patches to reduce the coefficient of friction (COF) in the shoe by up to 80%. The COF is in approximately 0.16, which is significantly lower than all other in-shoe materials. Importantly, the low COF is maintained even in most and wet conditions inside the shoe.
Check out GoEngo.com for more information about ENGO Blister Prevention Patches. They also offer a money-back guarantee.
Disclaimers: I support ENGO Patches and am supplied with whatever I need for the events I work. I am an affiliate of Zombierunner and make a bit of any sale made through the link above.
Filed under: blister care, Foot Care, Foot Care Products, Footcare
Over my years of taping feet, I have seen techniques improve to where pre-taping is more helpful then ever before.
Often times, in the middle of a race, one cannot take the time necessary to do a high-quality tape job. Things may be rushed. The runner may be in a huge hurry to make a cut-off. The feet and skin may be wet. Conditions may be less than ideal – lightening, set-up, workable access/angle to the feet, supplies, etc.
However, before a race, a hike, or run, there is more time to do a high quality pre-tape job. It’s also the time to practice your skills and learn how to do a really good tape job. The first photo here shows a pretty poor tape job on toes. In this photo, the tape will probably peel off from sock changes and general wear. If any one of the pieces comes off, the now untapped toe will be subject to the roughness of the tape on the neighboring toe. It looks like Leukotape, which sticks well, but does not conform to the curves of toes and other places on the foot. It is possible to do a great tape job on toes with Leukotape – but it take time and practice. I must admit I like Leukotape for certain conditions and tape jobs.
A good, high-quality pre-tape job should hold up well, for several days if necessary, and cared for. In this next photo, you can see the right foot of Bogie Dumitrescu after finishing a solo, self-supported crossing of Death Valley followed by up and down to Mt Whitney. You can see how the tape has held for 157 miles in the extremes of Death Valley. It’s hot on the valley floor, but there are two long uphill’s climbs followed by long downhill’s over two passes. An 11-mile trail hike follows that up to and another 11 back down Whitney. The tape job held for 157 miles! In fact it looks perfect.
The tape is Kenesio-Tex on the heels, balls of the feet and big toes. Hypafix tape is used in a figure eight cut to anchor the tape at the forward edge of the ball of the foot, between the toes, and anchored again on top of the foot. This prevents the forward edge of the tape from rolling.
The next photo shows Bogie’s two feet after the tape was removed. No blisters. One of the reasons the tape held is that Bogie managed his feet well. He kept them as dry as possible. This is important in Death Valley where often Badwater runners get their feet wet when they are sprayed or doused with water in an effort to cool them.
Bogie was fortunate to have his feet taped by Denise Jones, the Badwater Blister Queen. Denise is a master at taping feet and does a precision tape job. This is not a 30-minute tape job. It takes as long as it takes to do it right. Denise and I tape almost identically. If we apply a piece of tape and it looks or feels wrong, we remove it and retape. Our aim is to get the runners on the course and able to finish with good feet.
The point of this blog post is to show a good tape job that can hold up over multiple days. The final photo shows Danny Westergaard’s feet that Denise taped for Badwater three weeks ago. Danny’s feet are taped perfectly. You can see the small strip of Hypafix that Denise wrapped around Danny’s big toes to further secure the tape edges.
I commend Bogie and Danny for their runs. Bogie completed his solo self-supported Badwater crossing the week before the official Badwater ultramarathon. Danny completed his 7th Badwater, went to the summit of Whitney and then reversed direction and went back to the start for his 7th Badwater Double.
And I commend Denise Jones for her care of runner’s feet. She’s a class act. Thanks Denise.
Kinesio, Leukotape and Hypafix tapes, as well as Compound Tincture of Benzoin and other foot care supplies are available at Zombierunner.com.
Disclosure: When you purchase through this link, I make an affiliate small amount of each sale.