Nalcosamine BD 60 – Nutrition Care

I have been a big fan of high quality glucosamine sulphate products such as Doctors Selection Glucosamine Sulphate 1000 to trial in those people who experience joint pain associated with osteoarthritis, as glucosamine assists in the growth and maintenance of healthy joint cartilage.

Nalcosamine BD 60 by Nutrition Care takes this one step further, combining glucosamine sulphate with Cumerone which is an extract of curcumin. The two together provide analgesic properties, aiding in the growth and maintenance of healthy joint cartilage. According to the Therapeutics Goods Administration, Nalcosamine provides relief of muscle aches and pains, it may also reduce joint swelling and inflammation associated with arthritis.

Curcumin is an anti-oxidant and works to prevent inflammatory initiators from causing inflammation. Anti oxidants are important as they help reduce oxidative stress on the body and aid with recovery and regeneration.

So far, unfortunately there are no official studies on its effectiveness, but from my own clinical experience those patients taking it have reported great improvements.

Nalcomsamine does contain potassium so if you are on blood pressure medication or have kidney disease it is advisable to consult your physician first.

*I have no conflicts of interest or disclosures to make.

Running Shoes/Styles

March to November is peak running season in Melbourne with events such as Run For The Kids, the Mothers Day Classic, Run to the G, Melbourne Marathon and the City to Surf. The question I get asked a lot is, “which pair of running shoes should I get?”

There is such a variety of shoes and brands it is easy to see why people get confused. There are shoes for mild pronators, severe over pronators, supinators, there are track specific shoes, general runners, barefoot shoes and so on.

A recent article in the journal of Exercise and Sports Science Reviews, discussed the evolution of barefoot running from the days of the hunter gathers to our commercial society today. The interesting points to arise included:

  • Since running shoes were released 30 odd years ago, 30-70% of runners experience stress related injuries. This figure has not changed over the last 30 years regardless of the improvements in shoe technology.
  • Shoes with large cushioned heel pads reduce a runners ability to sense changes in the terrain under their feet, reducing the bodies ability to adapt to those changes. This reduces its shock absorbing potential.
  • Fore foot runners (the traditional barefoot style) run with less impact peaks, have faster, shorter strides than heel strikers. Fore foot running though, places large stress forces on the plantar fascia and Achilles.

In short stress related injuries in runners seem to have more to do with running form than running shoes. When the body can “feel” the terrain it is running on, the body is able to change the angles in the knees and ankles which help to absorb the impact shock, reducing impact stresses. It must also be stressed that having the musculoskeletal strength in the legs and feet is vitally important to facilitate this.

The underlying message from this article is: build the strength in your legs and feet, wear shoes that enable you to “feel” the terrain you are running on and focus on your form

With the Melbourne marathon not too far away, I thought it would make a great opportunity to discuss footwear. When covering distances as long as half and full marathon’s it is vitally important to have the right footwear to prevent over training and impact injuries such as “shin splints”, stress fractures, plantar fasciitis.

In a basic assessment of a foot, an individual will fit into one of four categories:
  • Neutral
  • Mild over pronator-mildly flat arch causing ankle/foot to roll in
  • Severe over pronator-no arch (flat feet) causing ankle/foot to roll in
  • Supinator-usually high arches, little to no roll in of foot/ankle (under pronation)

*majority of the population are neutral to mild over pronators

It is important to identify what category you fit into and then find a shoe that fits your foot type. Examples of different types of shoes to fit foot types include:
ASICS Kayano-Neutral to Mild over pronator shoe
ASICS Gel Evolution 6-Severe over pronator
ASICS GEL Nimbus 13-Supinator (high arches)
It is also important to remember even though a shoe might look new on the outside, on the inside the materials which provide stability, structure and shock absorption are only designed to last a certain number of kilometers. For example the Kayano is designed to last about 500-600 km before they need to be replaced. So bare in mind that while you are training for a distance event it might just happen to be that you clock up 600-700 km in training before your race. Therefore it is always advisable to buy two pairs of shoes and either swap every few days or have a training pair and a race pair. My personal preference as a race pair of shoes for those competing for fun or at an amateur level are the ASICS DS Trainer 16.