Altra Escalante Review

altra escalante review

I got a long-overdue new pair of running shoes last week and put them to work immediately. The Altra Escalante is one of Altra’s newer designs, and it’s definitely a winner. I look forward to a future version with slight tweaks that will hopefully make a great shoe even better.

Running Performance

Stellar, except for the sizing (see below). I could’ve easily gone several more miles in these awesome shoes if they hadn’t felt too big. The more I ran, the bigger they felt—probably because my feet drifted laterally a bit, which reduced the functional length of my feet within the shoe. Other than that, I loved running in the Escalante. They stayed soft and cushy without being marshmallowy, and the knit upper had just enough support without being structured. I had to retie the laces a few times for optimum fit, which is pretty common for me when I run in brand-new shoes, but once I got settled on the right lacing, I was good to go. I ran with the Escalante on asphalt, concrete, and damp, grassy trails without traction issues, although it’s definitely not a trail shoe (and doesn’t claim to be).

Breathability

I didn’t find the Escalante any better or worse than most running shoes in terms of breathability. I live in Florida and frequently run in jungle-like humidity and extreme heat. There’s no shoe in the world that can keep feet cool and dry in those conditions, and the Escalante is no exception. Sweaty feet are just a fact of life for runners in the deep south.

Midsole

The white foam looked a bit thin when I took the shoes out of the box, but when I put them on, they were extremely soft and cushioned. The bounciness took a few minutes of adjustment since I’m used to firmer shoes, but once I started running, I was hooked. The Escalante is the most comfortably cushioned shoe I’ve ever worn. It feels a little too soft while walking, but it feels like heaven while running. I have sensitive feet that get angry easily, and I have zero complaints about the underfoot feel of the Escalante.

Outsole

The outsole reminds me of an old tennis shoe traction pattern. The rubber is pretty smooth but has deep grooves. It’s highly segmented and leaves a lot of the midsole foam exposed, which helps reduce weight. I’ll update about durability in a month or two.

Appearance

altra escalante review
I really like the way the Escalantes look and feel.

I’m a fan of Altra from way back when they issued their first Intuition that looked somewhat like a medical shoe with moon boot styling. I’ve often felt that I compromised aesthetics for comfort and function. Some of the major brands that’ve been around a lot longer make really good-looking shoes that always tempt me, but Altra consistently wins in the comfort and function categories. “Embrace the space,” as they say. Each time their designs have progressed, I’ve gotten happier and happier with the appearance of their shoes. The Escalante is the nicest looking Altra I’ve owned yet, except for maybe the bright red pair of Superiors that I own and love. I got the gray colorway in the Escalante, and it’s quite subdued without being too dark. 

Sizing

altra escalante sizing
Surprisingly, there’s way too much room in the front and front/side in my usual size, so I’ll need to go a half size down. This photo was taken after my feet were swollen from running, and the shoes are still too big.

I’m a 9 or 9.5 in every shoe I’ve bought for at least a decade. In Altra, I wear 9 in the Intuition (version 3.5) and 9.5 in the Superior (version 2.0). I bought a 9 in the Escalante and was worried it might be too small based on other reviews of sizing. However, it’s the opposite of what I thought. Immediately after I put them on, there was too much space in the front and side-front of the shoe. I moved my foot around a bit and changed socks, but there still seemed to be too much space. I don’t like tight shoes, so I decided to lace them up and walk around a bit. They seemed good after all, so I wore them for a 5-miler. Unfortunately, by mile 2, it was glaringly obvious that they were too big. I almost tripped a few times because of the excess length. I can’t believe it, but I think I’m going to have to exchange them for an 8.5. My feet always tend to shift laterally in shoes, especially when I run, and that lateral shift made the 9s feel even longer. Really unexpected to need a smaller size, but I have to go with what fits best, regardless of number.

Final Verdict

hurting like hell, living with gusto
Proof that I’ve been an Altra fan for years— check out the Intuition 1.5 on my book cover!

I LOVE the Escalante. It’s my new favorite shoe, except for the sizing. It’s an unstructured, perfectly cushioned, lightweight option for multiple paces and surfaces. I really, really hope the 8.5 fits perfectly so I can run a ton of miles in them. I’ll alternate the Escalante with my old pair of Intuitions (until I get new ones!), and still plan to use the Superior for trail running and the Lone Peak for hiking. Click here to buy the Escalante. 

Book Award

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It’s an honor to win a FAPA award, and I’m humbled and grateful.

I got word this morning that my book won a Florida Authors and Publishers President’s Book Award! There are so many letdowns, rejections, and silences in the publishing industry, and getting a little validation is a really nice feeling. I appreciate everyone’s support along the way.

I had a rough few days and haven’t slept much, so some good news was extra appreciated this morning. Something’s been going on with my low back, and the radiculopathy got way out of control a few nights ago. I’m not sure what’s angered my back this time, but something definitely got it fired up.

The pain and tingling in my legs got so bad that I couldn’t get comfortable in any position. Eventually, out of middle-of-the-night desperation, I took a chance and rotated my torso until I felt and heard a tremendous pop in the upper lumbar area. Even though it was a little scary to twist and crack my spine, the relief was almost instant. I’m still not where I was a week ago, but I was able to run 4 miles this morning and even put in some decent pace on the final mile. I’m sure the morning news that my book is an award-winner helped me speed up a bit on that last mile. Good news helps everything.

I’ll miss the book awards banquet because I’ll be in the northeast for other book-related events. It still seems pretty surreal that I won. Click here if you want to learn more about my book.

Summer Running

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A good trail run is one of my favorite things in the world.

It’s been hot as hell in my part of the world this summer, but I’ve been able to gradually increase my running mileage despite the heat. My longest run this year is 8 miles, which makes me pretty happy considering I wasn’t able to start running again until March of this year after nearly a year off after a disastrous April of last year. I came home from a two weeks of travel and my legs were much tighter than usual and my back was stiff (although it’s always stiff, so that wasn’t new). I thought a run would help loosen me up, but it didn’t at all, and then an awkward bend to pick up my little beagle sent me into severe spasms. Fast forward to now, and with major core and posture work, medical marijuana (a whole other story that I need to write about), and personalized supplements, and 8 miles seems pretty awesome.

My speed isn’t where I want it to be, but I’m trying to stay calm and steady and trust that progress will happen. I’ve already sped up quite a bit in the last month, but I’m also being mindful to avoid common overuse injuries, like stress fractures, so I’m not letting myself do quite as much as I’d like to. I went from running 11-minutes-plus per mile upon my return a few months ago to running sub-10 this month. Both of those are very slow compared to my former self, but I’m still happy with the progress. I’ve done some very short stints in the 7-minutes-per-mile range, which felt great and a little scary. I’m always mindful of my back, which probably makes me tense up, so I’m trying to work on staying calm while speeding up my leg turnover.

trail running
The pitcher plants were in full bloom during my run.

My favorite run of 2018 so far was an 8-miler through the state forest. It was extremely hot and I went through all my water on my FuelBelt by the 2/3 mark, but the peace and scenery were totally worth it. Afterwards, I swam in a cold, clear lake while tiny fish bumped into my legs and I took in the enormity of what my body had accomplished. It was a great day, and I’m so glad to be able to run again.

Breaking Food Rules

I had a really bad day that mostly sucked because something I’d felt a lot of hope about turned out to be nothing. I’m always cautious with my hope, especially about things that seems like long shots anyway, but I guess I was more hopeful than I thought this time, and the letdown was shockingly crushing. It’s just a work thing, not life or death, but sometimes wanting something really bad and working hard for it and then not getting it is devastating. My rational mind says it’s part of a learning process, but that’s easier to say than it is to feel when the letdown is fresh and the pain is raw.

I’m usually not one to eat my feelings, but last night, after a healthy dinner at the local co-op, I eyed a big bag of ranch-flavored tortilla chips. In mild defense of my transgression, the chips were organic (LOL, I know, still fried junk). I decided that if I took a long walk and still wanted them, I’d allow myself to stray from my normally strict diet and indulge a little. The walk didn’t help lift my sadness, and I walked back to the co-op with fifteen minutes to spare before closing and plunked down $2 for the bag of chips. Then, of course, I ate them all. Every single one of them, even though the serving size was for a family.

It was a rare slip for me, and I felt the familiar guilt of eating crap while dealing with chronic health problems, but damn, those chips were good. I tried pouring some in a bowl and eating just that amount, but it wasn’t long before I dumped the whole bag out and feasted. The free-for-all didn’t make the disappointment of the day go away, but I truly enjoyed eating some junk for a change, and that brief feeling of pleasure was a nice distraction.

I worried that I wouldn’t sleep much and would get achy from the processed food, but I ended up sleeping longer (and uninterrupted!) than I have in months. I didn’t even wake up to pee in the middle of the night, which was probably due to the massive salt load I put in my body with my chow fest. And when I woke up this morning, I felt better and less achy than usual.

I’m not advocating a junk food diet, but I think there’s a lesson here for me, and that is to relax and enjoy a treat every now and then. That’s something that can be hard for someone who feels guilt over poor dietary choices, but maybe my thinking should shift to allow more occasional treats. When I woke up this morning, I felt great, ran 4 miles in a thunderstorm, and am way less stiff and sore than usual. Cheers to chips, at least every once in a while.

Inspirational Podcast

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Not only does the team at Restoration Row produce a podcast, but they also create art. This is the illustration they did for my story!

I recently had the honor of being interviewed for Kaigo Health’s new podcast, Restoration Row. Their CEO, Uzochukwu Chima, and I talked awhile, and then an actress named Megan Dunlop performed a reading from my book. How cool! The book journey has been quite a ride so far.

Restoration Row has some really interesting and inspiring stories, and I highly recommend checking it out on iTunes or Stitcher. Click here for my episode, but definitely check out all the others while you’re there. The talented production crew will upload a new episode often, so check back soon for more.

Book Sale!

hurting like hell, living with gusto
The book is a spinoff of the Fibromyalgia Athlete blog and tells some backstory and a lot more details of my journey with chronic pain.

I got word from my publisher that the Kindle version of my book will be temporarily discounted. Now’s your chance to snag the e-book for less than the price of artisanal coffee! Click here to check it out.

My book, Hurting Like Hell, Living with Gusto: My Battle with Chronic Pain, is helping me spread the word about those of us living with less-than-ideal health. I have no idea where the journey will end, but I’m happy with all the chances I’m getting to advocate for chronic pain patients.

As for my health, I’m having ups and downs as usual, but I keep seeking new information and trying new solutions. I met two awesome chiropractors while I was in metro Atlanta for book tour events, and they gave me invaluable feedback after taking specialized x-rays to analyze my posture. Since meeting with them, I’ve been able to return to running, albeit carefully and not easily. I work hard every day to correct my excessive lumbar lordosis along with the other postural misalignments they showed me on x-ray. Good health is definitely a work in progress, but the work pays off slowly and surely.

 

Hurting Like Hell, Living with Gusto: My Battle with Chronic Pain

hurting like hell, living with gusto
The book is a spinoff of the Fibromyalgia Athlete blog and tells some backstory and a lot more details of my journey with chronic pain.

At long last, my book is published! It’s been under contract for a little over a year and went to press a few weeks ago. Orders have started shipping from Amazon and Barnes & Noble, reviews are beginning to come in, and author events are lining up. Click here to check it out on Amazon.

This has been a whirlwind and still feels insanely surreal, although every time I do an event or hand-sell a book to a friend or stranger, reality seems a little closer. I’ve learned a lot of lessons every day of the journey, and continue to learn almost constantly. Here’s what one of the reviewers, Amos Lassen, wrote: “This is so much more than just a beautiful read. It is a memoir to be cherished and referred to when we are feeling down.”

I’m lucky and grateful, and I thank you very much for reading my book and sharing it with others who might be interested. Also, click here for my author website. Thanks, y’all!

A Few Updates

I’ve been very busy with the release of my book (yay!) plus continuing to work some healthcare shifts, and the best way to catch up here is a series of random updates. Here they are:

  1. The regenerative medicine doctor is awesome. After several comprehensive blood tests, he settled on a supplement regimen to help me restore some of my health. Based on the results of my blood work (and OMG it was a TON of blood work– never want to do that again), I’m taking more than a dozen supplements twice a day to address things like low testosterone, gut yeast, and inflammation. All of the supplements are purified and/or hypoallergenic. Some of the supplements I take are fish oil, magnesium, turmeric, DHEA, and an interesting little combo called “cognitive aminos.” I feel much better in general, have less anxiety, and have pretty much gotten used to swallowing a zillion capsules a day. All of this, of course, comes at a steep financial price and is NOT covered by my extremely expensive health insurance policy.
  2. I’m midway through Class IV laser treatments on my back. It, too is expensive and not covered by insurance, but it’s really helping. Almost all of the referred pain is gone from my butt, and there’s much less referred pain in my groin and abdomen. I’m still having a hell of a time when I lie down, and I’m losing my mind not being able to work out as much as I want, but the lack of butt pain is miraculous.
  3. Despite trying not to, I still have to take occasional prescription meds. Two nights ago, I took one muscle relaxer because it was 3 a.m. and I was in misery. I don’t even think it did anything clinically except knock me out, but it was nice to have lights out, if only for a few hours.
  4. I started the first round of paperwork to get medical marijuana for muscle spasms. It is an absolutely ridiculous process and it, too, will not be covered by insurance– assuming I’m approved, which is a big assumption. Soap box– I could go get a prescription for something a lot stronger, a lot more addictive, and a lot heavier on the side effects tomorrow and fill it the same day. There’s something very, very wrong with that.
  5. My book is finally out, and I’d really appreciate it if you’d take a look at it. Click here to see it on Amazon.

 

Sciatica Pain and Sleep Positions

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New bike!

I’m going through a weird stage with back pain. It’s not new, but it seems especially magnified in recent months. I’m stronger than I have been in a long time, despite being almost completely unable to run. But almost magically (and not in a good way!) when I lie down in bed, the pain starts with a vengeance. I don’t know exactly what’s happening, but even my usual trick of elevating my legs isn’t helping as much as it used to. Something is definitely shifting when I get in bed, and it’s happening no matter what mattress I try— new, old, foam, springs, etc.

I get sciatica-type symptoms that start with a burning/tingling pain in my right butt cheek and trace down my leg to the hamstring, lateral thigh, and sometimes all the way to the heel. Next comes intense pain in the right front hip, and once it starts, it’s very hard to stop it.

I got a new bike— a cruiser with a very stable seat to keep my SI joints from getting angry— and can ride it without aggravating my back, which is awesome. It’s easy on my neck, too, since I sit upright in the seat rather than leaning over to reach the handlebars. I walk 5 or more miles every day, lift light weights, do a core workout like it’s my religion, and row a mile on our awesome Concept2 machine. For these reasons, I’m pretty strong, although I really want to return to more freedom and running. The lack of comfortable sleep position is maddening, and the pain can be crazy-making. Sometimes I change positions for three hours before I can go to sleep, but other times I get lucky and only move around for about an hour before conking out. It’s very frustrating to go to bed exhausted but unable to sleep because of pain. Lately, I sometimes have no pain at all until I lie down, which is quite bizarre.

No matter how long this shit goes on with chronic pain, I’m never able to get to used to it. There’s still some huge part of me that thinks it’s temporary, or maybe fake, despite making some serious strides toward peace with reality. But when I watch soccer on TV, I still feel the field under my cleans, the ball against my feet, and the rush of adrenaline from scoring a goal. I’m not sure that longing to play sports, to compete, to be free, will ever go away.

Regenerative Medicine

I’m highly skeptical of our modern medical industry— not because of practitioners so much as insurance companies’ influence on patient care. I’ve heard of boutique medicine, which as I understand it is essentially cash-pay for individualized treatment outside the bounds of insurers, but I’d never had experience with that type of doctor. I already pay more than my mortgage every month for our health insurance, then still owe co-pays and deductibles if I actually use the insurance, so the idea of paying fully out of pocket isn’t appealing at all. But desperation breeds willingness to try new things, so I went to an open house for a regenerative medicine doctor who practices outside the confines of insurance interference.

The facility was nice and clean, but not overly ornate. It had less of a clinical feeling and more of a personal vibe, and the doctor and physician’s assistant were welcoming and engaging as they greeted visitors. Instead of a waiting room full of literature about prescription drugs, I saw holistic supplements and bone broth for sale. The doc and PA looked extremely fit and healthy, and while of course looks can be deceiving, as an athlete, I was impressed that they appeared to work hard for their physiques. Cautiously, I began to feel hopeful and wonder if I’d finally found some real medical help. I registered for my first appointment, then went home to fill out a dozen pages of online paperwork.

The questions asked by the clinic’s online health history program were shockingly personal, in a good way. Even for the gender identifier, their were options beyond just male/female. I’m not transgender, but if I were, there was a space to identify as myself. What a breath of fresh air! I listed the various diagnoses I’d received over the years (fibromyalgia, cervical dystonia, guttate psoriasis, etc.), but also answered questions about my diet, exercise, and sleep habits. The forms were more thorough and probing than anything I’d seen at an insurance-accepted place.

A few days later, I sat in my truck outside the office and tried to calm myself with a few deep breaths. I wasn’t nervous about what would happen at the appointment, but I was very nervous that even the cash-pay, uninhibited-by-insurance doctor couldn’t help me. I’d put so much hope in the hands of medical professionals in the past and usually been slapped with disappointment, so I’d mostly quit seeking medical interventions. But May was a really, really hard month for me, and I needed help ASAP.

My appointment was over an hour long— 60+ minutes with just the doctor and me! No interruptions, no hurried feelings, no bullshit. It was more like a conversation than a medical appointment, even though he examined my back and talked about symptoms and tests and nutrition. I pulled out my usual stack of photographic evidence— pictures of my ghost-white fingers (Raynaud’s), rash-covered torso, and a few other oldies-but-goodies. He listened, talked, and drew diagrams on a dry-erase board. Unlike every other doctor’s appointment I’ve ever been to, I never once felt like I was keeping him from something more important than our time together.

I left with orders for comprehensive blood work and a kit for finger-prick testing and urinalysis. The doctor would start investigating from the most basic upward, and would look at everything from my cholesterol levels to potential food sensitivities. Only one lab in town could perform the tests, which told me how out-of-the-ordinary this doctor’s protocols were compared to most MDs. The first test was SpectraCell’s CardioMetabolic Panel (plus a few other things, like hormone levels), and next week I’ll find out the name of the next test.

I also bought several supplements that he recommended, including a highly concentrated and purified version of fish oil capsules. His goal is to attack the systemic inflammation in my body, and while he looks for the cause through blood work, he wants to knock it down as much as possible in the meantime. And no NSAIDs! That was one of the most shocking things he said. I’ve been on and off (mostly on) the NSAID train for so many years, but he’s adamant that NSAIDs actually inhibit healing. I’m sure there are skeptics, but after years of NSAIDs and chronic pain, I’m very willing to try new theories.

I’ve had one blood draw already and will go for the next one next week. Once the results come back, maybe I’ll finally have a path to wellness. Of all the things I’ve tried over the years, this line of medical treatment seems to make the most sense, and for the first time in a long time, I’m hopeful again.