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Transient Forefoot Compression Neuropathy With Elliptical Trainers

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Kevin Kirby, Feb 3, 2012.

  1. Members do not see these Ads. Sign Up.
    I have received permission from Precision Intricast, Inc., to release an early publication, on Podiatry Arena, of this most recent Precision Intricast Newsletter from February 2012. This newsletter will be eventually published in my fourth book of Precision Intricast Newsletters in early 2014.
  2. Attached is a copy of the article in pdf (Kirby KA: Transient forefoot compression neuropathy with elliptical trainers. Precision Intricast Newsletter, Precision Intricast, Inc., Payson, Arizona, February 2012).
  3. Admin2

    Admin2 Administrator Staff Member

  4. As an aside to this artice, I would like to mention that I use an elliptical trainer fairly regularly on the days that I don't run. I have experienced Transient Forefoot Compression Neuropathy myself when I first started using the elliptical trainer which manifested itself as a tingling sensation in the plantar forefoot and plantar digits for the last five minutes of my 30 minute workout which also persisted for about 10 minutes after I got off the machine. Simply adjusting the foot plates of the elliptical trainer to make the posterior aspect of the foot plates higher and the anterior aspect of the foot plates lower (i.e. more plantarflexed) and standing more upright, with less of a forward lean, totally took care of the tingling sensation. I can now use it for an hour straight without any symptoms.

    These are great machines for an old runners' legs and I find that elliptical trainers give me a good aerobic workout with less injury risk than running.

    Here is the one I purchased.

  5. musmed

    musmed Active Member

    Dear Kevin

    Is not what you are describing more akin to a neuropraxia than a neuropathy?
    Paul Conneely
  6. Thank you for sharing this Doctor Kirby - In addition to Podiatry I am involved in the fitness industry and have been approached about this many times. Thanks again. Dr Splichal
  7. Emily:

    Thanks for that. I enjoyed your youtube video on "how to walk in high heels". I suppose since we seem to have very little control over what women wear for fashion on their feet, we may as well try to teach them to walk properly while wearing these shoes. What do you think?
  8. That my exact thought process. High heels will always be a part of fashion and many women's lifestyle. We are better off educating them and prevention, foot recovery techniques and how to use exercise to maintain proper body alignment.

    Glad you enjoyed the YouTube video :)
  9. Emily:

    Please call me Kevin.

    Also, considering your fitness background, you may want to consider being a little more active in these discussions since from what I have read about you, you certainly have a unique approach to some of these shoe issues that we all face. I'm sure that others would also be interested in your opinion on some of these subjects.

    Happy St. Patrick's Day!
  10. NewsBot

    NewsBot The Admin that posts the news.

    Weight-bearing parameters in changing resistance and incline on an elliptical trainer: What are the clinical implications?
    Yonatan Kaplan, PT, MSc (Med), Meir Nyska, MD , Ezequiel Palmanovich, MD, Rebecca Shanker, BSc
  11. phil s

    phil s Active Member

    I recently assessed a referred patient who was a very active sportswoman/hiker/dog walker. She retained a very high arch profile when loaded and she could only assume her wakling boots and water sports footstraps were causing the problems. She would often wake up in the morning with dorsal numbness/ transient neuropathy on the left foot. The only positive diagnostic test I found was the bounding and then disappearance of the dorsalis Pedis artery (doppler) as the foot was dorsiflexed. I suggested footwear changes (deep with lace-ups), lacing adaptations also to sleep with her foot taped to reduced dorsiflexion and as yet she has not had a reoccurrence of the symptoms. I have found some papers on entrapments, but as yet been unable to locate the specific anatomy causing her symptoms.
  12. NewsBot

    NewsBot The Admin that posts the news.

    Isokinetic Cycling and Elliptical Stepping: A Kinematic and Muscle Activation Analysis
    Nur Azah Hamzaid, Richard M Smith, and Glen M Davis
    Clin Res Foot Ankle 1: 117 doi: 10.4172/2329-910X.1000117
  13. NewsBot

    NewsBot The Admin that posts the news.

    Clinical Implications of Changing Parameters on an Elliptical Trainer
    Yonatan Kaplan, Meir Nyska, Ezequiel Palmanovich, Rebecca Shanker
    Orthopaedic Journal of Sports Medicine June 2014 vol. 2 no. 6 2325967114535553
  14. NewsBot

    NewsBot The Admin that posts the news.

    Effects of Training with a Modified Elliptical Trainer on Lower Extremity Mechanics during Running
    Kathryn Harrison et al
    Presented at the ACSM Annual Meeting; Boston 2016
  15. adall

    adall Member

    An old thread I know, but has anyone come across this condition affecting the plantar heel? I have just seen a patient that reports a "pressure type pain" affecting the right plantar heel when using the elliptical trainer. Her pain resolves within 30 minutes of ceasing use of the elliptical trainer and this is the only time she reports these symptoms. She is very overweight and has OA affecting both knees and has used the elliptical trainer as a way of exercising pain free until 3 months ago. Would appreciate any opinions.

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