question from a 300 lb guy.

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Mar 27, 2006
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Guys im 6'3" -300lbs. My problem is if i wear any shoe with a hard bottom like a timberland work boot after 4 hours my feet and knees are pounding and throbing. at night at bed time my legs are totaly fatigued. My question is , is this caused by the weight of the boot, the hard sole , or by me being overweight. I wonder if a 150lb guy would feel just as fatigued? Has anyone else ever felt fatigue like this?
 
I am overweight with the same problem, walk on concrete 9 to 10 hours a day. The only shoe I can wear without hurting alot is Rockport work shoes. They are around $100. but last me about a year. the only work shoe I will ever buy now. Rubber traction soles and super arch support. try a pair---you will be hooked too.
 
It's not what you want to hear but this is caused by you being overweight it is said that every additional pound of weight on a person adds 7 pounds of stress to the knees . Your feet and ankles are not immune either. I had the same problem as you after loosing 60 pounds I felt great and had no more pain in my legs or feet.
Start to exercise and eat well and your quality of life will improve.
 
Hi BVT. I'm not as tall as you are but I'm about 250 and my feet and legs hurt at the end of my work day, also. I'm guessing that it's mostly a factor of bodyweight, for me and I wouldn't be a bit surprised if that's your problem, also. I lost about 50 pounds some years back and all the pain stopped for as long as I kept the weight off. Too bad I let it creep back up there again. It's a constant struggle, when there's so much good beer and food available. Let's see, do I want to be lighter or do I want this Molson and a cheeseburger? The Molson wins every time. Go figure.
 
My experience has been the same as Steven's. I'm about 5' 9" and recently lost a bunch of weight. Last year around this time I was right at 300 lbs, and now I am about 250 (still a fat bastard, but not as much...) and my back and knees feel soooo much better now. I work on concrete all day, and even with great boots, after 10 hours I would be nearly crippled, but now, it is just normal tiredness. It takes a massive effort to change your lifestyle, but the results are well worth it.

P.S. I am still exercising 5 nights a week and eating much less than I used to, trying to get down to my target weight.
 
This also applies to people who are fit and hike with a heavy pack.

When I was younger and super fit, I could physically walk with a 100 pound pack all day and not get tired. The problem was with my knees. That much weight on concrete sidewalks just killed my knees. For me, the key was 68% of fit body weight (no fat, all muscle) in my pack and my knees would give out and that worked out to be 96 pounds. At under 96 pounds in my pack, I could literally walk stairs all day.

From personal experience do two things - one helps in the near term, the other in long term.

1) Throw away whatever boot/shoe inserts you have and get some sorbathane inserts. Replace them every 3 months or so. This will lessen the impact as you step. Pay attention to your gait as well. The way your foot hits the ground and lessen or worsen the stress on your kness, ankles, and legs. The other thing to consider is something like the Red Wing boots with the cushioned heel. The goal is to soften the impact of each step.

2) Weight - it's your enemy when you are walking on harsh surfaces. Weight in fat, weight in your backpack, weight period. Get rid of as much as you can as fast as you can.

I know you have heard this a lot but, pay attention to your diet and excercise. If you will walk 9 miles a day with 55 pounds in a pack, you will drop a lot of weight. Secondly, pay attention to what you eat. It isn't just quantity it's what you eat. DO NOT EAT PREPARED MEALS (frozen dinners, diners, etc.). Make everything fresh. Yes it takes time but, it tastes and satisifies you so much better it will help cut the caloric load.
 
Guys im 6'3" -300lbs. My problem is if i wear any shoe with a hard bottom like a timberland work boot after 4 hours my feet and knees are pounding and throbing. at night at bed time my legs are totaly fatigued. My question is , is this caused by the weight of the boot, the hard sole , or by me being overweight. I wonder if a 150lb guy would feel just as fatigued? Has anyone else ever felt fatigue like this?

It's definitely because you're overweight, no question there. I'm your height and 350lbs. But, the shoe makes a difference too. When I wear my Nike hiking boots all day, the end of the day can feel like my feet are raw and bleeding. But, wearing Doc Martens oxfords all day, they feel fine. Doing the same activity etc.
 
Guys thanks so much for all the advice. Since new years im watching what i eat a little more. Its hard to lose weight being a cheeseburger junkie, but im trying. The comment about the doc martens is funny cause i thought the same thing. Doc are the only boot i can wear and not feel wiped out at the end of the day. Thanks again for all the help :D
 
I'm about the same size as you and my feet hurt sometimes too. I was taking drugs in the thiazolidinedione family for Type II diabetes and they were making my feet swell. Once I changed off that medication, much of the swelling and pain disappeared. I'm reasonably sure that what remains is due to being overweight and generally sedentary.
 
Nobody wants to hear this, but weight is a simple case of calories in vs. calories out. More calories in than calories spent = weight gain. It's that simple, and there's no magic formula for getting around it. Loosing weight or, better yet, getting in shape (they're not the same thing) is simply a matter of deciding you want to. It's like quitting smoking: You either want to or you do not. If you want to, you'll do what you have to do to get there.

In general terms...

Consult a doctor before beginning any new exercise or diet regimen. (I had a full physical, incl. heart stress test, before I started two years ago.)

Get in at 30-45 minutes brisk walking in every day. Doesn't have to be all in one go, but longer stretches of elevated heart rate and breathing are better for improving cardio-vascular health.

Weight train at least three times a week, with at least one day of rest between sessions. Increased muscle bulk will mean increased caloric consumption, even while you're sleeping.

You don't need a fad diet. Eat a balanced diet, just eat less of it. Avoid simple carbs (e.g.: sugar). Many smaller meals is better than fewer larger meals. (More frequent, smaller meals keeps your metabolism working harder). In going for weight loss, beware of reducing your caloric intake too far, and sending your body into "lean times are coming emergency fat storage" mode.

Stay well hydrated.

Aim for losing no more than 1/2 to 1 pound per week, depending on muscle gain. (Muscle weighs more than fat, per unit-volume.) It won't necessarily be 1/2 to 1 lb. every week. There'll be 0-loss weeks and 2-lb. weeks. But 1/2 to 1 lb. per week, on average, is a healthy, sustainable rate-of-loss. Any more than that is too big a risk for burn-out and health risks.

Don't let a temporary setback or temporarily falling off the wagon put you off your goals. Just get back on the horse and carry on.

Above all: Realize you're embarking on a lifestyle change. Whatever you do to get in shape is what you're going to have to do the rest of your life if you want to stay in shape. As any yo-yo dieter has found out (even if they haven't admitted it to themselves--which most don't): You can't go on a crash diet/exercise regimen, get (partially) to your goal, quit, and expect to not end up right back where you were before you started. In fact: Most yo-yo dieters actually gain more weight back than they lost, ending-up worse off than before they started.

Is the effort worth it? Well, I've met plenty of people who've expressed regret at being overweight or out-of-shape. Can't say as I've ever run across anybody who regretted being fit & healthy ;).

Disclaimer: Use at your own risk. I am not doctor, nurse, dietician, physical therapist, physical trainer, or health professional or expert of any kind. I'm just an ordinary guy relating what's worked for him and he's seen reported pretty consistently works for others. Buyer beware! Caveat emptor! This information is worth what you paid for it. No warranty, expressed or implied, as to its suitability or fitness for any particular purpose. Reader assumes all liability for any actions he or she may take as a result of the foregoing comments.
 
Your weight is putting tremendous strain on the ligaments that support the arch of your feet, flattening the arch and straining the ligaments. The flat, padded, inserts others have recommended won't help this problem. The best over-the-counter solution would be Spenco full length rigid orthotics, available at most foot product stores, medical supply stores, or, naturally, online. An example: www.footsmart.com/P-Spenco-Orthotic-Full-Arch-Supports-10403.aspx

As to your knees, no simple solution, unless you consider "lose weight" simple.
 
Lose weight is something I'm doing for my knees. My doc also prescribed Meloxicam, instead of 800mg strenght Motrin I was taking, for the pain.
 
also guys depending on your situation you could be experiencing R.P.P.S which stands for retro patella pain syndrome. alot of my guys in the army had this from running on concrete all the time. throw in excess weight and you have a disaster waiting to happen. what happens is that the lubricating "jelly" in your knees starts wearing thin this allows your bones to rub together causing pain stiffness and swelling. now i'm not a civilian doctor and cant give you medical advice but i prescribed my Joe's Glucosamean and chondroitin these are pills that you can buy over the counter with out a prescription. but you have to take them for extended periods of time to get any real effect. good luck guys.
peace
doc silas
 
Well to jump in after reading only the original post...

I'm 6' 3", fairly athletic (depending on the time of year and my most recent employment, anywhere from 200 to 230 lbs). I wore Timberland Pro 6" workboots for 2 years, and found them to produce the same problems you mention. Went to a pair of Cabela's work boots next and they were exponentially more comfortable. The design didn't last well du to switching near the toe, though. I'm not on my second set of cabelas boots (different model though) and they are just as comfy but I suspect these will last longer.
 
Well I am 6'6" 310 and my Md. Is not concerned about my weight, but that is me the only thing that I wear is Redwings. They are the nuts. Check them out.
 
THe most comfortable boots I have ever worn were some wolverines with duroshock soles, felt like sneakers, I could even run in them on concrete. I am 350 now 76 inches tall have been 420 and 330 in the past as wells a 225 and 250 in high school (when working out 5-7 days a week) I am losing weight again but think 250 is someplace I may never be again without being in olympic level traing. I have Timb. Pro serioes boots now (got them for 20 bucks at Gabe's) I still miss my wolverines.
 
I heard a comedian say that scientific tests have proven what causes weight gain.............

This hole (pointing to his mouth) is bigger than this hole (pointing to his ass).
 
Well, since Redwing brand is being mentioned a bit here, you may want to check out the selection on sale at www.heartlandamerica.com . I recently received their January paper catalog. But have no affliation with them.

N.
 
5"6", 175 pounds, work on concrete 9-10 hours per shift.

What really started the pain was my feet would swell. Switched to better shoes with thicker insoles. What type instep you have can realy determine the shoe - check with a good running shoes store about pronation, etc, and find out what type feet you have. Then match the necessary construction and the brand will fall into place.

My feet started swell as a symptom of Type II diabetes, which IMHO is caused by eating 150 + pounds of sugar annually, plus the huge carbs of the American diet. It's self inflicted. It kills.

Now I must lose weight to treat the insulin resistance and eat what I'm supposed to - which is not so bad. And my feet hurt a lot less these days.

Working a press brake, lifting 1000's of pounds a night, having a wedged disc and a titanium rod in my leg are part of it too. Just make new decisions before you are forced to by Mr. Death. He can be very persuasive.
 
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