Skip to content

How Much To Pay For Running Shoes?

If you are truly trying to do the best by your feet, surely you would choose the best shoes when you are pounding the ground, or the court, or the treadmill. Wouldn’t you?

But what is ‘the best’?

And then, how much does it cost?

Well most of the opinion suggests you want a shoe that supports, and is specifically fitted for, your foot.

I believed this, until I read the books by Pete Egoscue which explained it quite simply.

If a shoe that supports your foot does its job then it replaces support that your muscles are meant to be providing.

Sure it may be more comfortable at the start, but in the long run it allows your own foot support to wilt away, leaving you MORE prone to problems than when you began.

Pete’s recommendation: wear at little shoe as possible, and get your foot aligned properly from head to toe. (For the first steps on how to do this see “Where is Your Pain?” at Pete’s website www.Egoscue.com or order his book Pain-Free.)

But that’s all nice theory.

Where is the research proof?

Well with all the money spent on shoes by consumers, health experts and shoe manufacturers, there should be a few good studies to turn to, right?

Sorry. Wrong.

In their recently published study in the British Journal of Sports Medicine, “Is your prescription of distance running shoes evidence-based?” Dr Chris Richards, and his 2 co-authors reported that…

“Since the 1980s, distance running shoes with thick, heavily cushioned heels and features to control how much the heel rolls in, have been consistently recommended to runners who want to avoid injury,” Dr Richards said.

“We did not identify a single study that has attempted to measure the effect of this shoe type on either injury rates or performance.”

In fact Dr Richards is being kind in his paper. This is objective science after all.

The media loved this story.

“Sports shoes a sham: research”

“Running down myths on jogging shoes”

“Don’t do it: pricey running shoes not worth it, study finds”

But on a blog of his called “Barefoot versus the shoe” Dr Richards is more frank when he went directly to shoe companies to ask them for the evidence. His subsequent post is titled, “Is there a running shoe mafia?”

I have been busily contacting all the major shoe companies asking them to direct me to the evidence that their distance running shoes either prevent injuries or improve performance.

The most entertaining responses so far have been from Mizuno and Puma who both claimed that whether or not their running shoes prevent injuries or improve performance was a trade secret.

Refusing to tell consumers whether or not your product works is certainly a unique marketing ploy!

Unfortunately I would have to say hiding information it is NOT a unique marketing ploy.

I would say it is an extremely consistent and pervasive marketing ploy thoughout all health products and services in particular.

The end results of Dr Richard’s enquiries?

Number of major running shoe manufacturers contacted= 18
Number who have responded= 11
Number who have provided evidence that their running shoes decrease injury rates= 0
(Number of legal threats= 0)

Here is how Dr Richard sums up the published research on the lack of any studies on the health impacts of running shoes.

He says there are only two possible conclusions…

…1) the studies have not been done or 2) their results have been suppressed because they show that modern running shoes are either of no benefit or are in fact harmful. Only the shoe manufacturers know which of these is true.

We can only hope that an entire generation of runners have not been the unwitting victims of unethical corporate behaviour.

We have consistently seen how large corporations behave when their profits are threatened by the truth. Big Tobacco, the pharmaceutical industry and asbestos manufacturers come to mind as poignant examples.

Will the multinationals who perpetuate and feed on the myth of the modern running shoe be next?

Couldn’t have put it better myself.

My self help suggestion is to walk in bare feet as often as you can, and buy shoes that you are prepared to throw away when they start to get old. Continuing to use a worn shoe simply aggravates any misalignments you already have.

Or, if you want something more sophisticated check out this post here. Just the pictures of feet that have never had shoes on are amazing.

-Dr Martin Russell

If you're new here, you may want to subscribe to my RSS feed. Thanks for visiting!

Phentermine For Weight Loss - My Story

As I was cleaning out some of my old medical files I came across a couple of letters from 1998 about the weight loss drug phentermine.

Back in 1998 I was reading the material of a medical organisation called MaLAM, which monitors and lobbies pharmaceutical companies on their advertising.

Always a fascinating read, but this time they had sent a letter to 3M Pharmaceuticals with questions about their Duromine brand of phentermine.

Phentermine has been around as a weight loss medication since the 1959, and is only recommended for short-term use eg 3 months at most.

The first question was the kicker…

“1. Does 3M have any evidence that the short-term of [sic] Duromine leads to long-term reduction in weight, total morbidity and total mortality?”

ie does Duromine work?

And 3M’s reply…

“…there is no evidence in the medical literature or from 3M studies suggesting that long term reduction in weight, total morbidity and total mortality can be expected from the use of short term adjunctive appetite suppression with phentermine.”

Hmm.

So did 3M just say phentermine is useless?

That’s how I read it.

This letter was the moment I stopped using the currently available medications for weight loss.

That left me with only lifestyle options to offer my patients and I’ve written before about my issues with exercise and dieting.

But today in 2009 maybe something has changed for phentermine in the past 10 years.

Nup.

Wikipedia still says, “Since the drug was approved in 1959 there have been almost no clinical studies performed. The most recent study was in 1990…” ie well before this 1998 letter.

Sad. Really sad.

Go read my Amazon review if you want an alternative.

-Dr Martin Russell

Legal Self Help

I like my self help advice along the lines of the KISS principle - Keep It Short & Sweet.

Here is some legal self help advice that is about as KISS as it can get.

If you are ever questioned by police or authorized officials then this may save your bacon.

I know these videos are for US audiences who have the Fifth Amendment (the US Constitutional right to silence) and the Miranda Warning (letting you know that if you DO say something it can be used against you.)

But if you any in a country where someone reads you your rights, then I think that this is must-have legal self help  advice.

Here are two experts giving you the details behind this KISS approach to legal matters…


Don’t Talk to Cops, Part 1 - The Lawyer


Don’t Talk to Cops, Part 2 - The Policeman

Thanks to Gary North for identifying this for me.

-Dr Martin Russell

Serious Illness And Trauma - Support For The Carers

In my original 7 years of training to be a medical doctor there were gaps.

Some of those gaps I have filled. I spent time with Aboriginal people in rural Australia. I assessed elderly and frail people for admission to Aged Care facilities (aka Nursing Homes.) I also spent time working in a hospital Palliative Care unit caring mostly for people dying of cancer, but also Multiple Sclerosis and other illnesses. Then I took up as a family doctor which covers all areas of medicine, including visiting patients (aka people) in their own homes. Ooh wow.

In all this I still never got the sense of what it was actually like to be a relative, friend or carer of someone who is seriously ill or hospitalized.

Medicine never taught me this.

I still don’t have much experience in this area. (Un?)fortunately most of those around me have remained healthy and well.

This is a gap in the training of most doctors and nurses.

This is one area where the medical system isn’t going to help you very much.

It’s hard to help yourself when there are very few people to turn to for expertise.

However I saw a story on TV about a guy who does know a bit more about this, Dale Elliott (www.DaleElliott.com), who is now a sit-down/stand-up comedian, professional speaker, and the first paraplegic skydiver in Australasia.

Dale’s story is that at age 26 he broke his spine and lost the use of his legs coming off a motorbike. But it was only after his short 2-month stay in hospital that he discovered how many issues there had been for his colleagues, friends, and family while he was concentrating on getting well.

He took this experience and turned it into a self help tool for carers of people with serious illnesses and trauma.

It is called ‘I’m Thinking Of You’.

Since its launch in 2007 the site has attracted TV attention as well as private and corporate recognition. It has cost over $300,000 to setup, and over a thousand “Care Zones” have been created. Much more is to come.

If you know a carer who supporting someone ill in hospital or rehabilitation then have them check out this site to support them and take a big hassle off their already full plate…

www.ImThinkingOfYou.com.au (don’t worry about the .au - this site is used worldwide - 30% from the US alone.)

-Dr Martin Russell

The Top 5 New Year Real-Solutions For 2009

From my own experience in counselling people over the years I would suggest that New Year’s Resolutions don’t work.

How about some Real-Solutions instead.

Here are the top 5 goals you might have (or you should have) as resolutions, and although you could see me in person instead here are the cheap, often no cost, steps to turn airy-fairy resolutions into New Year Real-Solutions.

Resolution 1 - Lose Weight

This old chestnut has to be the top of the Resolution list, but are you planning to just repeat the same old mistakes you made before?

Real-Solution 1 - Behave Thin

Stop with the dieting. Diets and diet mentality is a weight cause, not a cure. Make eating changes you can live with for the rest of your life. You too can eat and be like a naturally thin person.

Action Steps…

  1. There are about half-a-dozen reasonable books / courses on these natural eating approaches. The most effective I handout / sell in my own practice is this one I recommend has finally come out in the US on Amazon here.
  2. For longer term support access the online McKenna website here
  3. FREE version - Join my blog list at the top of the page, or if you are in my home town of Adelaide the local list here, and you will get a 30 minute mp3 of all the steps you need.

Resolution 2 - Improve Musculoskeletal Health

Most people would have this on their list, except that most people have given up. Often people want to improve their fitness for example, but they are scared of injuring themselves or making their current aches and pains worse.

Headaches, back pain, hip pains, arthritis, neck pain, etc etc etc. Enough is enough. Stop taking short term measures, or forking out for never-ending sessions of chiropractors, doctors, physios and all those other health professionals.

Real-Solution 2 - Self-Improve Postural Alignment

Treat the cause, which is almost always a postural problem caused by our all-too-convenient, ergonomically-designed, splinted, orthoticed, hunched-over lives.

Sure physios and chiropractors can put you back in alignment, but they won’t keep you there. You need the flexibility and muscle strength to do it for yourself at home, and you want it in days and weeks, not months or years.

Action Steps

  1. Visit one of Pete Egoscue’s clinics all around the US, or pay for online treatment at www.Egoscue.com
  2. Buy one of Pete’s books. I’d suggest ‘Pain-Free’ is the best place for most people to start. The copy I had autographed by Pete is the book I would take with me on a desert island (it’s a fun read as well as being in depth and practical.) ‘Pain-Free’ is the book I have sold / handed out over and over to patients and throughout my family. Order ‘Pain Free’ at Amazon here.
  3. For free: Go to www.Egoscue.com and click on Where is the pain to get a pair of exercises specifically for whatever body part ails you. Get functional fast.

Resolution 3 - Manifest Greater Success

In such turbulent times of financial crisis and worry, this might be higher on people’s list than usual.

Finally much of the hype has died down on the Law of Attraction. Thank goodness. Add in Giver’s Gain, attitude of gratitude, positive energy, Pay-It-Forward, karma, The Secret, or any of 100 other variations but the idea is that what you send out comes back to you 10 fold.

This is one of those self-help ideas that it is worth acting upon.

Real-Solution 3 - Manifest By Taking An Action

I was reminded of this when one of my former patients came to me after he was diagnosed with a severe and medically fatal form of cancer. He went off to a course with a guy I suggested interstate and came back and said something very strange to me. He said, “I don’t know how to say thank you to people. I need to learn to do this.”

Action Steps - all these are free

  1. Get your problems in perspective. If you’ve been caught up in a psychiatric diagnosis (aka label), then take this antidote test that measures your strengths, instead of your weaknesses. Details are here.
  2. Improve your happiness simply by writing down, once a week, 5 things you are grateful for. Check out the research evidence here.
  3. Recognize, appreciate and acknowledge others. Think of someone right this minute, and turn that thought into something that you and they will remember for a lifetime. Take action on your inner promptings with my compliments here.

Resolution 4 - Make A Change In Yourself

From stopping smoking and cutting back on alcohol, to sorting out how to get “unstuck” in your life, to learning a new skill there’s something in here for every one.

Real-Solution 4 - Don’t Kid Yourself About Changing

If you’ve failed before, get help. If you have a motivation problem check the fundamentals first. Maybe you’re better off not having that as a goal at all. Think about it.

Action Steps:

  1. if you are really stuck, two help-all products are the CD Your Instant Life Revolution and my own online “Self Help Meeting”
  2. For free: Habit Change 101 from the top internet self-help guru is right here.
  3. For free: Want to learn a new skill? This will multiply the chance you’ll succeed.

Resolution 5 - Help Out The Planet

Oh boy should this be on people’s New Year’s Resolutions. Think bigger than yourself. Unfortunately it rarely gets a mention.

Real-Solution 5 - Help Yourself (By Helping Out The Planet)

Call me a cynic, but I don’t think changes will work unless they are already in your self-interest.

Turning off the tap as you brush your teeth is fine, but I really think water just needs to be lots more expensive in the first place so people have their own incentive to think twice. Give people the consequences and habits change so much more easily.

Action Steps - these are free (or better)

  1. Find food that tastes good beyond the first chew. The most environmentally damaging food (eg those that required lots of transporting from far away, those that are out of season in your area, those that are mass produced for their pristine appearance alone, those that have lots of processing and packaging) often just don’t taste as good. It doesn’t have to be organic. It can be home grown.
  2. Spend less. One of the best things about this financial meltdown is that it will get people to spend less and spending less on fuel, new gadgets, electricity, food, clothes, etc etc is almost always an environmentally good thing.
  3. Try out Freecycle.org My wife has been using it for the past 3 months or so and has only one suggestion - get in quick on the good stuff because it can go VERY fast.

Well there you go.

I’ve left off financial goals such as getting out of debt, making more money, and finding better investments than the stockmarket because I don’t usually cover these in my counselling practice. You can email me if you want my suggestions on those.

But I hope this has included something you had on your Resolution list, and given you a way to make it really happen before next New Year.

-Dr Martin Russell

The LAP-BAND Solution

No, this is not my line.

The LAP-BAND Solution: A Partnership in Weight Loss” is the title of a book by Australian surgeon Dr Paul O’Brien which I read with interest when one of my patients found it in a library and showed it to me.

Since the start of 2007 I have been doing public talks on the myths and facts about weight loss.

The key question I ask people at those talks is this…

What would you advise someone who wanted to lose a SIGNIFICANT amount of weight LONG-TERM?

By which I mean, what actually works to lose >10% of bodyweight for >5 years.

People will come back with all sorts of answers.

I’d love to be able to say it was some sort of psychological intervention, but I can’t (more on this later.)

The fact is that the only research-PROVEN answer is an operation.

There are a few types of stomach operations for weight loss, also known as bariatric surgery, but to my mind they fall into two camps; ones that irreversibly rearrange the gut in some way, and ones that leave your insides intact and put in some sort of stomach banding instead.

The commonest operation of the first type is called gastric bypass surgery, and it is popular in the US.

The most well-known of the gastric banding type is LAP-BANDing (TM), and it is the most popular in Australia.

In “The LAP-BAND SolutionDr Paul O’Brien is described as one of the originators of this device, and has extensive experience in academic, research, and professional areas of obesity and bariatric surgery.

The book therefore promised to be an authoratitive text, and also very pro-LAP BAND(TM). It was both of these.

It is also fairly readable which is a nice bonus too.

The best bit about finding people who have one solution to a problem, is to listen to what they say about other suggested solutions. They will tend to be scathing.

Here’s what Paul O’Brien says about drugs…

The long-term efficacy is poor and the long-term safety is unknown … the average weight loss after 1 year of orilistat [Xenical] is about 7 lb (3 kg) and for sibutramine [Meridia or Reductil] is 10 lb (4.5 kg) … these results are just not good enough.

Here’s what he has to say about weight loss by dieting and lifestyle modification…

The commercial weight-loss centers have made fortunes by promising excellent weight loss through various twists on the “lifestyle” methods, and their constant advertisements always show the classic “before and after” pictures. Invariably, the “äfter” picture is only a few months after. They do not show the “after” pictures at 5 years.

A recent comprehensive review of all the high-quality scientific studies of the options for weight control has found that there is no evidence of a durable effect from any current lifestyle intervention methods for obesity.

The only problem with this statement is that the review he refers to is in fact from 1997. Not exactly ‘recent’ in my opinion.

Still, the last 11 years haven’t proven any better studies that I am aware of either.

[The approach I recommend has not been proven in the research, and since there is no pill or expensive program, ie no money in it, I very much doubt the required multi-year studies will ever be done.]

However, my patient was already losing weight without surgery.

She gave the book to me for an entirely different reason.

She pointed out that the book talks about patients with a LAP-BAND(TM) learning to eat in an entirely different way - a way that mimics many (but not all) of the things I recommend in my non-surgical, non-dieting approach.

This is really interesting.

What if surgery is merely an extreme way to change someone’s eating behaviors?

I don’t think that is all of the effect, but I certainly think it is some of it, and maybe all of the long-term lasting results.

Why would I say this?

Because I have worked with people who lost weight with surgery, but then gained much of it back again. Their results didn’t last, and I then teach them the additional changes.

Every method of weight loss reports some successes.

Some of people even keep the weight off long-term.

A few become celebrities (eg Biggest Loser winners) and their new life then depends upon keeping the weight off. That might help as motivation.

But I think there are another group of people who discover a few other tips and habits that give them the success they need - effortlessly.

I think they discover, albeit accidentally, the non-dieting method that naturally thin people live unconsciously and automatically.

If you are over-weight enough to qualify for surgery, then it certainly is worth pursuing. In the US you might need to push to get access to LAP-BAND(TM) because apparently insurance companies are still trying to avoid paying for this, but I agree with Dr O’Brien that it is a better option than gastric surgery, if for no other reason than it is entirely reversible.

But also know that you can make many of the same changes without surgery, and all for free!

Here’s how.

Enter your name and email address for the blog notification list at the top of the page here, and you will be sent a complete audio of all the steps I suggest.

[If you are in my home town of Adelaide, then you can get the Adelaidean-only emails with the same audio here instead.]

-Dr Martin Russell

Human Limitations

Human beings are remarkably limited creatures.

We can only handle a small range of physical enviroments. We die if we are too hot, cold, get too little oxygen or too much carbon monoxide. We can’t see X-rays or radio waves or even infrared or ultraviolet. We can’t hear dog whistles or most geological rumbles.

Heck we can’t even detect magnetic energy.

We can’t fly like a bird. We can’t run as fast as most cats or dogs. We can’t go underwater very far at all.

But for almost all of these physical limitations we have found a way around them with our ingenuity and creativity.

More interesting are the psychological limitations.

There are many such limitations we have, but a Dr Albert Bartlett claims there is one that stands out…

“The greatest shortcoming of the human race is our inability to understand the exponential function.”

I would expand this to include other areas of non-linear thinking such as the reality-shattering 80/20 rule.

But rather than get bogged down in jargon, let’s simplify it.

Removing limitations is fun.

Let Dr Bartlett take you on a whirlwind tour of undoing one particular human limitation…

http://video.google.com/videoplay?docid=-5051121482067161853

[This video is in fact the first half and the other half seems to be lost to the world. However there is a complete transcript you can find here.]

-Dr Martin Russell

Self Help… Thinking Bigger

Self help can often seem very individual and isolated.

However when I say ’self help’ it includes the idea that no man/woman is an island.

If you are reading this then chances are you are in a very priviledged position compared to most of the 6+ billion humans on this planet.

There is an entire world around us and lots of other people in that world too.

As individuals our fates are often tied to the people, culture, financial system, politics etc etc around us.

However if you don’t take these bigger factors into account, your own individual efforts can end up swamped by the tide of history.

One of these factors is this…

I do not believe that the next 20 years will be ANYTHING like the last 20 years.

What works today, will often NOT work tomorrow, because the future will not just be a straight line continuation of the past.

Helping yourself will show others that it is possible.

Helping yourself will also put you in a position to help people who haven’t planned for an altered future.

Like they say on airplanes safety instructions, “Please make sure you have your own oxygen mask on before assisting others.”

I encourage you in these turbulent times to view these videos here as a starter…
http://www.chrismartenson.com/crash-course

Take these bit by bit. Each one is a treasure of bigger thinking, and it is the best presented version I know of how thinking bigger can really be self help.

Oh, and just for the record, I only go along with with 95% of everything he says. I’ll let you judge what the 5% is.

-Dr Martin Russell

Exercise And Weight Loss… The Final Nail?

The problem with studying exercise for weight loss is that you can’t really disguise the exercise.

If exercise came in a pill you could do it.

You could get a big group of people and randomly give half the pill with exercise in it, and the other half a dummy, sugar pill that looks, smells, tastes etc just the same (aka a ‘placebo’.)

This is the scientific way to test whether pills works for weight loss.

But what about exercise?

It’s a bit hard to have a ‘dummy, sugar pill’ for physical activity. The sweating and heart-pumping bit sort of gives it away.

What this means is that for exercise for weight loss there is no way to do the gold-standard of a “double-blind, placebo-controlled” study.

Is this a problem?

Oh my wordy, YES!

Time after time it has been shown that the psychological power of medicines is a huge part of their overall effectiveness.

But is this specifically a problem for exercise and weight loss?

Well I only know of one good study that covers that question.

The researchers didn’t invent a dummy, sugar pill, but they did the next best thing as Ben Goldacre at Bad Science reports

Alia Crum and Ellen Langer from Harvard psychology department took 84 female hotel attendants in 7 hotels. They were cleaning an average of 15 rooms a day, each requiring half an hour of walking, bending, pushing, lifting, and carrying.

These women were clearly getting a lot of good exercise, but they didn’t believe it: 66.6% of them reported not exercising regularly, and 36.8% said they didn’t get any exercise at all.

The study abstract reports that one group of the hotel attendants was…

…told that the work they do (cleaning hotel rooms) is good exercise and satisfies the Surgeon General’s recommendations for an active lifestyle. Examples of how their work was exercise were provided.

Subjects in the control group were not given this information.

Although actual behavior did not change, 4 weeks after the intervention, the informed group perceived themselves to be getting significantly more exercise than before.

As a result, compared with the control group, they [the hotel attendants who were told that their cleaning job was in fact 'exercise'] showed a decrease in weight, blood pressure, body fat, waist-to-hip ratio, and body mass index.

These results support the hypothesis that exercise affects health in part or in whole via the placebo effect.

Now here is the really interesting bit.

HOW MUCH weight did people lose in 4 weeks merely by being thinking they were exercising?

These details are from PsyBlog

The average weight of those in the intervention group reduced from 145.5 lbs to 143.72 lbs. Over the same period the control group showed no significant change. For those of you working metric-style that’s 66.14 kg down to 65.33 kg.

That’s weight loss of almost 2 pounds, just under 1 kilogram, in just 4 weeks.

Not bad huh, for doing nothing extra?

So here’s the kicker.

Doesn’t that sound scarily similar to the 1 kilogram or 2.5 pounds in 12+ weeks that is the ENTIRE benefit of exercise anyway?!!!

[If you didn't know this was all exercise does, see my previous post with the scientific evidence.]

Exercise, if done for weight loss alone, has suddenly become not just a minor factor, but instead an utter waste of time!

Could this really be the final nail in the exercise / weight loss coffin?

Massive industries of gyms, fitness equipment manufacturers, personal trainers etc etc hope it’s not true.

But what is there left that could resurrect exercise as a real weight loss tool?

If any one knows, I’m all ears.

-Dr Martin Russell

Close
E-mail It