By Vernon G. Vernier, M.D., a.k.a. Also I have corresponded with 115 readers about medical matters on the trail. It is time to draw together the main points for trail success in several areas. Trail technique should begin with adequate physical training prior to starting the hike. Though frequently neglected, this preparation will prevent many difficulties.
Knees are a major concern.
Striding hard and fast downhill frequently causes bad knees. This common and sometimes serious problem can be prevented or reversed by going downhill slower, not overstriding or jumping, with shorter and smoother steps, using handholds on branches and a hiking stick or ski poles. Foot problems, including various pains and irritations about the foot, plantar fasciitis and Achilles tendonitis are very common and can be diagnosed and successfully treated. They can be prevented by wearing well-fitted boots of good quality, with cushioned inserts, padded socks and sock liners. Soaking feet or other inflamed areas in a cold stream helps reduce inflammation.