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Peter Attia: Foot Health Podcast

Posted on 4/1/24 at 4:58 pm
Posted by Aubie Spr96
lolwut?
Member since Dec 2009
41087 posts
Posted on 4/1/24 at 4:58 pm
Spotify Link


It's long, but a lot of excellent information here. Bottom line: modern footwear is detrimental to your fitness, most people are neglecting their feet, and that falls in the elderly can be directly correlated to toe strength.

Posted by NewOrleansBlend
Member since Mar 2008
1007 posts
Posted on 4/1/24 at 5:36 pm to
Correlated, not caused. Probably also correlated to relative strength almost anywhere else in the body, reaction time, mental acuity, amount of time spent on your feet and a thousand other things.

I like Attia but that is weak evidence
Posted by bigbuckdj
Member since Sep 2011
1830 posts
Posted on 4/1/24 at 6:02 pm to
I understand the point and I like him a lot. But you can’t go get in 10,000 steps in barefoot shoes on concrete when you’re a 300 pound dude with plantar fascia problems.

When people won’t exercise because of foot pain, you can sometimes convince them to go get fitted it some nice hoka type max cushion shoes and go for a walk to meet some daily step goal. If the modern shoe helps people get off the couch, I’m about it. Being massively overweight is bad for the feet too.
This post was edited on 4/1/24 at 7:56 pm
Posted by Tasseo
Member since Feb 2024
496 posts
Posted on 4/1/24 at 6:21 pm to
quote:

Bottom line: modern footwear is detrimental to your fitness, most people are neglecting their feet, and that falls in the elderly can be directly correlated to toe strength.

So what's the solution to perfect footwear health?
Posted by DrDenim
By the airport
Member since Sep 2022
441 posts
Posted on 4/1/24 at 7:31 pm to
Probably by wearing something from the "minimalist" footwear brand most heavily represented in Dr. Attia's investment portfolio.

None of these dickbags suggest anything based purely off their "science", Huberman, Attia, Rogan, Ferriss, etc, they're all shills
Posted by Hulkklogan
Baton Rouge, LA
Member since Oct 2010
43296 posts
Posted on 4/1/24 at 8:06 pm to
I have really wide feet and shoes generally never have fit well, even the widest Brooks. So, my whole life my feet have been cramped and I started noticing at 33 my toes were scrunched together, and what looked like the beginnings of a bunions forming, and id get toe pain when walking or stamding for a long time. I'd heard of minimalist shoes but had never tried them. I tried Xero shoes after seeing an ad, specifically the Prio, and never looked back. Couple of years later and there's a noticeable difference in my feet and the spacing of my toes. No more foot pain. They fit like a glove, so light I forget I'm wearing shoes sometimes.

100% 10/10 recommend.
This post was edited on 4/1/24 at 8:21 pm
Posted by Aubie Spr96
lolwut?
Member since Dec 2009
41087 posts
Posted on 4/1/24 at 9:39 pm to
quote:

Probably by wearing something from the "minimalist" footwear brand most heavily represented in Dr. Attia's investment portfolio.


It’s funny you say this.


The interviewee is a minimalist footware advocate. Attia specifically says that he loves his Go Ruck shoes with an 8mm drop. The lady politely shits all over his shoes.

This post was edited on 4/1/24 at 9:40 pm
Posted by DrDenim
By the airport
Member since Sep 2022
441 posts
Posted on 4/1/24 at 10:29 pm to
My feet are like big flat bottomed meat hammers. I can't believe I once "ran" a marathon with these feet. These feet are monsters. I didn't really run it, but I did jog the frick out of it. 6 hours, 57 minutes. I was flyin!

Ol duder lost a few toenails after that one.

It sounds like Hulklogan and I have similar feet....anyways.... sometime around 2006 I found these things called sanuks. I lived in Hermosa Beach, CA at the time and these grungy surfer dudes were driving their van around town and selling these things outta their van. I couldn't believe it. It was a revelation! These sanuks were just flip flop bottoms that were stitched to a cloth upper, just like a slipper. I still ran in my Brooks and wore older beat up running shoes to work(hospital nursing), but as far as daily wearing footwear for everything else, I have worn these sanuks ever since. Love 'em. They're flip flops without having that dumb strap wedged in between your big toe and the second toe, thus segregating your toes like some kinda monster. Plus..."Thongs" as we called them when I was young, are just g-strings for you feet, and that's trashy.

Over time, these humble sanuks that were sold out of a van became very popular and then the evil Skechers corporation in neighboring Manhattan Beach, CA began to create their knockoff version of sanuks and the Skecher version took off big time. That kind of pissed me off, but by that point Sanuk had raised their damn prices too high and Skechers was selling theirs for half as much so frick it, I guess Sanuk kinda asked for it. Still, the Skechers version was butt ugly and I'll never wear Skechers because 'skecker' means imbecile in Icelandic.

To me, these are minimalist footwear, it's really just a piece of foam to prevent sharp shite from going through the sole of your foot and all the "cushioning" and whatnot is provided by you, with your muscles....like Jeesus intended(Jesus was a sandal wearer too).

Peter Attia and all of the other Fancy Schmancy Pod-Doctors are just casually and consistently working on their promotional commitments under the guise of "Longevity Horse-shite & bullshite" and "Life Optimization Hoo-smackety". It doesn't mean they don't deal in actual science, but the science has to fit the marketing agenda, not the other way around.....and bottom line, the bottom line is the bottom line, and that's the bottom line, cuz Stone Cold said so!
Posted by DrDenim
By the airport
Member since Sep 2022
441 posts
Posted on 4/1/24 at 11:00 pm to
I'm bored.

and in a bad mood.

But she's not wrong, I've not worn the goruck shoes, I have a pair of their 8" boots that I wear when I walk because I walk on mostly gravel or just grass/dirt/rocks, definitely "boot terrain", but GORUCK doesn't make any "minimalist" gear at all in my opinion, not shoes, not nothing. That's why you buy their shite, it's overbuilt so severely it makes Rogue stuff look like it was made by Champion. Those shoes are like a lot of other crosstrainer style shoes, they're more minimalist than a standard tennis or running shoe, but they're still very much shoes, the gorucks are just more "gorucky". I think you have to be a Navy SEAL to understand the difference. I was only a Webelo in Cub Scouts so I don't get it either.

But the real reason he just had to mention his goruck ballistic trainers is because those shoes are now the "Official Footwear of Crossfit and the Crossfit Games".....so eat shite Reebok, Dr. Peter has to sell some shoes. I'm never gonna be sorry about pointing out how aggressively sneakily these pod doctors push the shite they are paid to push. They fricking lie through their goddamn teeth and lean on their audience with their "I'm a fricking doctor, trust me" horse-shite. You're selling fricking shoes jackass, or cold plunge tubs, or what the frick ever. You don't fool me.
Posted by Big Scrub TX
Member since Dec 2013
33397 posts
Posted on 4/2/24 at 11:39 am to
I still wear some really old Brooks with almost zero drop and for working out some Inov8 "barefoot" gym shoes (also zero drop - recommended by someone on this board).

My question is: why have the zero drops mostly gone away? When I see Brooks now, they have the same stupid ultra-cushion/clunky non-minimalist design. What gives?
Posted by Aubie Spr96
lolwut?
Member since Dec 2009
41087 posts
Posted on 4/2/24 at 11:51 am to
quote:

My question is: why have the zero drops mostly gone away?


It was a trend with the Born to Run book, then it kind of faded away, but has slowly started making a comeback. I used to be the only idiot out running in my Xeros. Now I see a couple of people with them, even more in Altras.

Every shoe I wear from hiking, style, to my water shoes are zero drop, minimal cushioning. It's an adjustment for sure, but hopefully it pays off down the road.
Posted by Big Scrub TX
Member since Dec 2013
33397 posts
Posted on 4/2/24 at 11:58 am to
quote:


It was a trend with the Born to Run book, then it kind of faded away, but has slowly started making a comeback. I used to be the only idiot out running in my Xeros. Now I see a couple of people with them, even more in Altras.

Every shoe I wear from hiking, style, to my water shoes are zero drop, minimal cushioning. It's an adjustment for sure, but hopefully it pays off down the road.
It's so weird. Having those big clunky heels that force you to slam them to the ground first just seems obviously bad to me.
Posted by jordan21210
Member since Apr 2009
13382 posts
Posted on 4/2/24 at 2:55 pm to
quote:

why have the zero drops mostly gone away? When I see Brooks now, they have the same stupid ultra-cushion/clunky non-minimalist design. What gives?

Drop =/= Cushion

There are 0 drop shoes with >30mm stack, there are 0 drop shoes with < 5mm stack.

Drop is also dynamic. Depending on the runner, an 8mm drop shoe can run like a 0mm drop shoe.

There is no definitive rule as to what is better regarding drop and stack. Best thing anyone can do is find what you’re able to run in with no pain/injury. If you can rotate between all the different types, then that’s good too.
Posted by Big Scrub TX
Member since Dec 2013
33397 posts
Posted on 4/2/24 at 4:46 pm to
quote:

Drop =/= Cushion

There are 0 drop shoes with >30mm stack, there are 0 drop shoes with < 5mm stack.

Drop is also dynamic. Depending on the runner, an 8mm drop shoe can run like a 0mm drop shoe.

There is no definitive rule as to what is better regarding drop and stack. Best thing anyone can do is find what you’re able to run in with no pain/injury. If you can rotate between all the different types, then that’s good too.
I'm not only talking about running. But when I see those Hoka shoes, it just looks like it can't possibly be good for your health.
Posted by metallica81788
NO
Member since Sep 2008
8402 posts
Posted on 4/3/24 at 8:55 am to
This was very interesting and informative.

For almost a year I've been on the zero drop/barefoot shoe train and it has helped my foot pain a ton. was walking 3-4 hours a day and backing off helped a lot also. Probably need to look into strengthening exercises.

At least there are plenty of options now, although not the most fashion forward. I need to trade out my narrow toe box dress shoes for some Carets.

I'm generally always okay with my little kids being barefoot and now am thinking about going barefoot shoes for them too. Problem is damn school uniform requirements and less options for kids. Also they're expensive.
Posted by Grifola
Member since Aug 2017
138 posts
Posted on 4/3/24 at 9:18 am to
quote:

I understand the point and I like him a lot. But you can’t go get in 10,000 steps in barefoot shoes on concrete when you’re a 300 pound dude with plantar fascia problems.

When people won’t exercise because of foot pain, you can sometimes convince them to go get fitted it some nice hoka type max cushion shoes and go for a walk to meet some daily step goal. If the modern shoe helps people get off the couch, I’m about it. Being massively overweight is bad for the feet too.


The guest on the podcast agrees with this. Her take was to use the cushioned/support shoes as a tool when needed, but also use a minimalist shoe in a controlled manner to develop strength and flexility over time. Go rucking in your hokas (when necessary), use your xeros around the house. Her one non-negotiable was to always use a wide toe box.
Posted by bigbuckdj
Member since Sep 2011
1830 posts
Posted on 4/3/24 at 9:39 am to
quote:

The guest on the podcast agrees with this. Her take was to use the cushioned/support shoes as a tool when needed, but also use a minimalist shoe in a controlled manner to develop strength and flexility over time. Go rucking in your hokas (when necessary), use your xeros around the house. Her one non-negotiable was to always use a wide toe box.


That’s good to know. I don’t have any hokas but I generally run in some pretty cushioned shoes like those. I lift and walk in one of a couple different pairs of altras, I really like their toe box but the durability sucks and the cushion isn’t there for me to run in them a bunch.
Posted by rebelrouser
Columbia, SC
Member since Feb 2013
10586 posts
Posted on 4/3/24 at 9:53 am to
quote:

Probably by wearing something from the "minimalist" footwear brand most heavily represented in Dr. Attia's investment portfolio.

None of these dickbags suggest anything based purely off their "science", Huberman, Attia, Rogan, Ferriss, etc, they're all shills


This issue sounds intriguing, but I can't find any advocates that are not hawking a product like you said. It's a fad that I wanted to believe in.
Posted by metallica81788
NO
Member since Sep 2008
8402 posts
Posted on 4/3/24 at 10:22 am to
It seems Attia started with a good, idealistic plan for longevity medicine and now has devolved into product and personal marketing as he's become more popular. He also has become even more dogmatic about more questionable things since then.

I really enjoyed his book and have made many lifestyle changes based off its content, however I don't really listen to his podcast unless it's a topic I feel is relevant to me.
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