Run Tampa in The Human Race documentary
Roar Through Ybor Photos
Iron Girl Photos
RUNNING WALKING RACING TALKING
When Your Heel Pain Isn't Plantar Fasciitis
Issue 3 May/June 2018
Humana Iron Girl
by Brian Fullem, DPM
Iron Girl Photos 4
When Your Heel Pain Isn't Plantar Fasciitis 8
Roar Through Ybor Photos 14
Girls on the Run 16
Clearwater Bridge Run 21
Goody Goody Sunday Runs 22
The Human Race Documentary 26
Lake Rogers Park Run 30
Wednesday Night Harbour Island Loop Run 34
Run Tampa Race Calendar 36
Group Run Information 41
Run Tampa Around Florida and Around the World 42
Advertising Information: Promotional packages are available. Please visit the website or email email@example.com
copyright 20018 Debbie Voiles All rights reserved.No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the publisher
Special thanks to Jensen Eddins for being our photographer at Iron Girl.
Humana Iron Girl
Liz Vassey, executive producer, with the Run Tampa 'over 60' ladies featured in The Human Race, a documentary about runners over 50.
- by Brian Fullem, DPM
In 2001, Weldon Johnson, elite runner and co-founder of the popular running website LetsRun.com, had a huge career breakthrough, finishing fourth at the US championships in the 10,000 meters and running 28:10 for the distance. That autumn, however, he developed heel pain and was treated by several physicians and therapists with no success.
I met Weldon at a track meet in Boston, and he explained that his symptoms didn’t include more pain with his first steps in the morning and was localized to the inside of his heel. The presentation was more similar to medial calcaneal neuritis, an inflammation of the nerve. The nerve location is close to the same spot as plantar fasciosis but doesn’t respond well to rest or the usual treatments that help fasciosis improve.
One treatment that can be very effective for this injury is a local injection. I typically use 1 cc of Marcaine (a long- acting local anesthetic), 4 mg of Dexamethasone Phosphate (a soluble corticosteroid), and 3 mg of Celestone (an insoluble corticosteroid, which is longer acting than a soluble steroid). I injected Weldon’s medial calcaneal nerve area and he improved significantly. Several weeks later a second injection in the same spot resolved all his pain there permanently, and in 2003 Weldon improved his 10K PR to 28:06 while finishing fourth in the national championships and beating four-time US Olympian Abdi Abdriraham, among others.
The medial calcaneal nerve is a branch of the lateral planter nerve as it enters the foot. It will cause heel pain that mimics plantar fasciitis in some ways but it often times will not feel better taped, and the pain does not subside after the initial discomfort and isn’t necessarily worse with first steps. Rest, ice, and keeping pressure off the area should all be parts of the treatment plan. Sometimes a firm or hard orthotic device can exacerbate the symptoms, so an insert is not always the best option for this injury.
Plantar Fascia Rupture
In 1983, I was running a 2-mile race on Bucknell’s indoor track. The good: I ran 8:59, my first time under 9:00. The bad: I tore my plantar fascia coming off the last turn. I was treated initially by an orthopedist, was told it was plantar fasciitis, and given an injection; I was provided with no other advice. I later saw a podiatrist, who added rigid custom orthotic devices (which may not have been the best choice for my high-arched foot type) and stretching to the treatment as well as a second cortisone injection. The podiatrist also failed to recognize it was a tear, as, in retrospect, I felt a pop in my foot and after finishing the race my foot became more and more painful until I had difficulty standing on it the next day.
Ruptures of the plantar fascia aren’t always abrupt or complete, but if the pain is farther away from the heel and there’s accompanying bruising or swelling, then a rupture may have occurred. I advise my patients that, as reported in an article I co-authored in the American Journal of Sports Medicine in 2004, this injury can take an average of nine weeks before you can return to activity. Often after a tear of the fascia is healed, the patient will no longer experience plantar fasciitis. The final treatment for plantar fasciitis sometimes involves surgery to release the fascia, so a patient who sustains a plantar fascia tear has essentially performed their own surgery.
Treatment of a tear initially involves immobilization in a walking boot for one to three weeks. If there’s pain when walking in the boot, then crutches or a knee walker should be used until you can walk pain-free in the boot. Physical therapy can be initiated with a focus on eliminating the rest of the pain, improving flexibility and strengthening the foot and leg. Taping or an arch support can also be used to allow the tissue to heal better. MRI and diagnostic ultrasound are two great modalities to help make an accurate diagnosis. Below is an MRI of an athlete with a partial tear of the fascia.
Tarsal Tunnel Syndrome
The tarsal tunnel is analogous to the carpal tunnel in the wrist. This area is located behind and around the medial malleolus, which is the inside ankle bone that is the end of the tibia bone. Pain will sometimes mimic plantar fasciosis or medial calcaneal neuritis, because the nerve sends signals to the same area where plantar fasciitis causes pain, but is much more resistant to treatment, and finding the cause can prove difficult.
Tarsal tunnel syndrome (TTS) is an entrapment of the posterior tibial nerve, which runs behind the medial malleolus along with the tendons and blood vessels into the bottom of the foot. The covering of this tunnel is the Flexor retinaculum, which is a ligament that’s also attached to the plantar fascia. Tension on the plantar fascia can lead to more stress in this area.
There are three tendons entering the foot after starting as muscles in the leg: the posterior tibial tendon, the Flexor hallucis longus tendon, and the Flexor digitorum longus tendon. Each tendon is separated by ligamentous structures known as the septa. The septa create channels to allow the structures in the leg to transition into the foot. The septa also form the walls of the tarsal tunnel, with the three tendons forming the floor of the tunnel.
There are several reasons for TTS, including the existence of a so tissue mass such as a ganglion; inflammation or tendinosis causing thickening or swelling; and a varicosity of the vein that takes up too much space in the area, leading to irritation of the nerve. The biomechanics of the foot can also predispose one to this injury. The fascia covering the abductor hallucis muscle belly can also lead to nerve compression if the muscle becomes hypertrophied.
In addition to heel pain, TTS can cause radiating pain similar to an electric-shock-type feeling that can shoot down the bottom of the foot into the toes. ere may also be areas of numbness in the heel or arch related to the nerve not functioning properly. If the nerve has been compressed for a long period of time, then sensory loss and weakness of the muscles in the feet may result in atrophy and the formation of hammertoes.
If you have a history of back pain, this should also be investigated as a possible cause. Spinal nerve roots L4, L5, S1, and S2 form the sciatic nerve and supply most of the innervation to the foot and leg.
It’s imperative to rule out radiculopathy—pain in the foot or leg that originates in the back at the area where the nerves leave the back— as the cause, especially if surgery is being considered.
One test for TTS is to tap on the inside of the ankle over the tarsal tunnel area. If this elicits tingling down into the foot or heel, this is known as a positive Tinnel’s sign and indicates a possible diagnosis of TTS. An MRI should be performed to rule out any so tissue masses or other possible causes.
Nerve conduction velocity (NCV) is a test that a neurologist can perform. An NCV test involves placing needles into the foot and leg to measure the speed of the nerve a er it’s stimulated. A comparison is then made between the a ected and una ected limb, and if there is a difference of greater than 50 percent, that can help make the diagnosis. It should be noted that the NCV test is dependent on the expertise of the examiner, and false negative findings are not uncommon.
A local nerve block can be performed with some corti- costeroid added to help make a diagnosis. If there’s complete pain relief a er an injection containing local anesthetic, then that can help to narrow the diagnosis, pointing towards TTS as being the cause. Other conservative treatments include custom orthotic devices and physical therapy.
In cases resistant to conservative therapy, surgery can be considered. In the simplest cases, this involves cutting all the ligaments and fascia covering the posterior tibial nerve. e success rate varies with reports in the medical literature, but a range of 75 percent to 91 percent is reported in the most recent studies on the topic. Surgery is typically more successful in eliminating symptoms if the cause is a so tissue mass or other space-occupying lesion.
There are other possible causes of heel pain including bone spurs in the back of the heel and stress fractures, which will be covered in more detail in the next issue.
When Your Heel Pain
Isn't Plantar Fasciitis
Dr Brian Fullem practices in Clearwater at Elite Sports Podiatry. He can be reached at DoctorFullem@gmail.com and his website is www.EliteSportsPodiatry.com.
Dr. Fullem ran 8:50 for 2 miles while at Bucknell University. He coaches the distance runners in track and cross country at Dunedin High School.
Roar Through Ybor
Loren Reed snagged first in her age group and fourth female, overall. Congrats, Lauren.
Run Tampa runs the Clearwater bridges every first Saturday unless we have a race that day.
We leave from Coachman Park. Plenty of free parking. 7 a.m.
Clearwater Bridge Run
She survived this year's Boston Marathon monsoon.
Goody Goody Sunday Run
Run Tampa runs the Bayshore every Sunday. Then we celebrate the run by refueling at Goody Goody.
Meet at the fountain at Hyde Park
Village at 7 a.m. Plenty of free parking.
Click here to view the trailer.
Watch for news about
The Human Race documentary
about runners over 50.
It'll be out this summer and it features members of Run Tampa.
Click above to see the inspiring trailer.
Have you ever thought that at some point you'll be too old to keep running? Do you think some people are just too old to start?
Well, Liz Vassey was wondering just that a few years back. An actor, (CSI, All My Children and many other roles) and runner, like many of us, she couldn't imagine a life without running; so, she decided to do a bit of research.
She discovered was she'd never have to stop. That's about the time we met. Liz grew up in Tampa, and our interest in this topic brought us together.
The first time we talked, we discovered we shared more than a passion for running, but also a passion for getting the word out that age should never be a limitation. That's when we decided to make a documentary about runners over 50.
I was coach/consultant and a producer on the project, and my other responsibility was to deliver several 60+ runners. Liz found plenty of 50+ runners near home in the Los Angeles area, but older runners were a bit harder to find. Not for me, though.
In December and again in January, Liz came to Tampa to film my girls. Then, in April, she returned for Iron Girl, and running icon, Kathrine Switzer came for the event as well.
We were thrilled when Kathrine agreed to be a part of the film. In November, Liz went to New York to film her running the New York City Marathon at age 70.
The hero of many female runners, Kathrine is most known for being the first woman to officially run the Boston Marathon. You may recall seeing the iconic photo of the race director attempting to tackle her during the race.
Since Humana is the title sponsor of Iron Girl and since Kathrine works with Humana, she was able to join us to both promote the film and act as master of ceremonies for the race.
We kicked off the weekend with a dinner Friday before the race, at The Columbia Sand Key. Run Tampa member, 80 yr old Velma Radloff even came down from Atlanta.
If you don't know Kathrine Switzer, she is the woman who first, officially entered and finished the Boston Marathon. You may remember seeing this iconic photo of the race director tackling her, during the race, in 1957, when he realized there was a woman in his race. Kathrine's boyfriend, a football player, body blocked the race director, and Kathrine went on to finish, cementing her name in running history, but that was just the start of what turned out to be a long career of leading the revolution for women in sports.
Most people 40 and under might find this hard to believe, but when I grew up, girls only had the option of three sports: swimming and tennis. That was befire Title 9. Back when Kathrine ran that first Boston Marathon, it was commonly thought, at least by men, that a woman's place was in front of a stove and that it might not even be healthy for women to run long distances. We were too delicate, they thought.
Kathrine's book Marathon Woman, chronicles the revolution that ended where we are today, with more women entering races than men. She was instrumental iin getting a women's marathon in the Olympics and much more.
That was the first revolution. As we chatted when she was here, she commented that this is the new revolution, the revolution to change opinions about older people running.
It was thought way back then, that women couldn't safely run. Today, many believe that older people shouldn't run. We're proof that that is not true.
Last November, in fact, Kathrine became the first woman in history to run two marathons 50 years apart.
I'll be posting photos of the premiere in Los Angeles and of course, I hope everyone will plan to be on hand for the local showing. That will likely be in July.
The Human Race Documentary
Lake Rogers Park Run
Thursdays at 8:30 a.m.
(changing to 8 a.m. when school is out)
Expertise in Treating Sports Injuries
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Dr. Brian Fullem
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2nd in her age group and a PR taboot. Congratulations, Montana!
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Check details below. Occasionally we don’t have a run due to a race or Saturday locations may need to be switched for one month.
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Check details below. Sometimes we don’t have a run due to the club participating in a race.
Meet at the fountain in Hyde Park Village courtyard, then run the spectacular Bayshore, before regrouping for breakfast at Goody Goody Burgers, a block away. Free parking. Click here for map. Water drop at 2-miles. Maps here. Click here to read a detailed description.
Group Run Details
May 19, Saturday, Run for All Children, St. Pete **CLUB RACE**
May 20, Sunday, 7 am, Goody Goody Bayshore Run; meet in courtyard at Hyde Park Village
May 23, Wednesday, 7 pm, Hyde Park Village Harbour Island Loop Run; meet in courtyard
May 24, Thursday, 8:30 am, Lake Rogers Park Trail Run; meet in parking lot
May 26, Saturday, 7 am, Trout Creek Park; meet in main lot; off road/on road options
May 27, Sunday, 7 am, Goody Goody Bayshore Run; meet in courtyard at Hyde Park Village
May 30, Wednesday, 7 pm, Hyde Park Village Harbour Island Loop Run; meet in courtyard
May 31, Thursday, 8:30 am, Lake Rogers Park Trail Run; meet in parking lot
June 2, Saturday, 7 am, Clearwater Bridge Run; meet in parking lot at Coachman Park
June 3, Sunday, 7 am, Goody Goody Bayshore Run; meet in courtyard at Hyde Park Village
June 6, Wednesday, 7 pm, Hyde Park Village Harbour Island Loop Run; meet in courtyard
June 7, Thursday, 8 am, Lake Rogers Park Trail Run; meet in parking lot (new earlier time)
June 9, Saturday, 7 am, Upper Tampa Bay Trail, meet in lot behind Citrus Park Cyclery
June 10, Sunday, 7 am, Goody Goody Bayshore Run; meet in courtyard at Hyde Park Village
June 14, Wednesday, 7 pm, Hyde Park Village Harbour Island Loop Run; meet in courtyard at
June 15, Thursday, 8 am, Lake Rogers Park Trail Run; meet in parking lot
June 17, Saturday, 7 am, Safety Harbor; meet in lot behind Starbucks on Main
June 18, Sunday, 7 am, Goody Goody Bayshore Run; meet in courtyard at Hyde Park Village
June 20, Wednesday, 7 pm, Hyde Park Village Harbour Island Loop Run; meet in courtyard
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earning that first
place in her age
group at Roar
Susan Allen at the
Never Quit 5k
Run Tampa Group Runs
Girls on the Run News
Members representing all over Florida!
TIA Runway 5k
Loren Reed and Troy Salisbury at the Let's Beat Ovarian Cancer 5k. Congrats to Lauren for placing 2nd overall!
Elisa's Spring Fling 5k
from Executive director Laura Moore
Run Tampa at
Moon River Run
Run Tampa members representing
around the country and
around the world.
Chris Glanzer running along the boardwalk at Rockaway Beach, NYC.
Moon Frijouf at the Fast and Furriest 5k.
Titan Trot 5k
Lauren Reed's haul from the PARR for the Course 5k. Congratulations!
Amanda Stevens representing at Red Rock Canyon, Nevada..
Congratulations to Alexis Ungerer for 1st place in her age group at the Hunger Run 5K.
Jelena Milic, representing
at the Banjaluka Half in
Bosnia and snagging a shiny
new PR. Congrats, Jelena!
Dave Webber representing in Qatar.
"One day your life will flash
before your eyes; make
sure it is worth watching."
- Gerard Way
at the Pittsburgh Half.
Please share this magazine and
always tag Run Tampa!
Deb Voiles with Kally Williams and
Sandy Graham at Withlacoochee
Moon River Race.
Susan Allen with her
age group award in
Stephen Gilman snagged 3rd in his age group at River n' Rapids. Congrats!
and Gayle Lauer at the
Starkey Ranch race in
New Port Richey.