Focus on Feet

The survey conducted by GRD Bio Tech, Inc., indicated that chiropractors have a high degree of awareness of the connection between the pedal function, specifically hyperpronation and posture. The survey identified an interest in finding methods to better support posture and more effectively help their patients who suffer from the effects of hyperpronation.

In the field of soft tissue therapy, Dr. Janet Travell made the connection between feet and posture years ago when she determined and published in her Trigger Point Manual3 that Morton’s Foot Structure needed to be addressed. Dr. Travell labeled poor posture a major perpetuating factor for myofascial pain, and she confirmed that Morton’s Foot Structure contributes significantly to a collapsed posture. When Dr. Travell learned of Dr. Rothbart’s work in 1995, she immediately recognized that Dr. Rothbart had discovered the “Third Dimension” of Morton’s Foot Structure. Not only is the first metatarsal short, but it is elevated and rotated (Rothbart’s Foot Structure).

Because hyperpronation originates with a structural problem (retention in talar torsion) that impacts a majority of your patients, paying close attention to foot mechanics and foot structure is a key to overall success in treating musculoskeletal problems regardless of medical specialty.

Improving foot and gait function becomes a fundamental building block in treating the patient. If the foundation is not corrected, other treatment will only yield temporary symptom relief.

Consider something as serious as arthroscopic meniscus surgery. This procedure which requires anesthesia and an operating room with special equipment does nothing to remedy the cause of the problem. Fractured parts of the meniscus and debris are removed, but as soon as the patient starts walking again, the injury process continues because the torsional forces in the knee that caused the damage still remain.

Adjusting the SI joint may only provide temporary relief until the foot foundation is addressed.

Releasing a trigger point without correcting the foot foundation and posture may only provide temporary relief.

If you are concerned with musculoskeletal performance and chronic pain, you must concern yourself with posture, and posture will lead you to your patients’ feet.

The central issue is hyperpronation.

 

3 Myofascial Pain and Dysfunction: The Trigger Point Manual. Janet G. Travell, MD and David G. Simons, MD.

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The Foot Connection

The foot connection is to posture.

Just as the foundation under your home has a major impact on its look, function and durability, so is the case with your body. The foot foundation affects posture which in turn controls how the force of gravity impacts the body. Any imbalance in posture causes musculoskeletal tension and imbalance.

 

 

 

A sagging foundation under your house is not always noticed immediately. The beams and plywood in the structure maintain the shape of the house. But in time, the force of gravity and the lack of foundation support will cause the beams and structures to start sagging, and ultimately give in. A failing human foundation leads to poor posture and the effect is often not detected until it has become a painful chronic health problem.

 

 

 

 

The majority of doctors and therapists treating chronic pain rate good posture important to musculoskeletal health and well being.

 

 

 

 

 

 

 

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Neutral Posture

Every joint in the body has a neutral position. Neutral position is defined as joint congruity. The joint spaces are even and symmetrical. The muscles around a joint in neutral position are neither contracted nor lengthened. The muscles are at their neutral physiological resting lengths where they can generate optimum power and speed.

The human skeletal system was created so that if:

  1. The heel is straight
  1. There is no pathology forcing a postural shift
  1. Neutral posture occurs naturally.

The distinctive features of Neutral Posture are:

This posture is innately more aesthetic and youthful in appearance, and it serves to preserve joints, ligaments, muscular strength and endurance.

The ideal efficient posture is maintained with only minimal muscular effort and is the result of sound skeletal structure, soft tissue integrity and neurological control. Optimal balance of the spine’s normal physiological curves contributes to healthy posture.1

1 Kim Christensen, DC, DACRB, CCSP. Postural Stability: Its Role in Chiropractic Care.

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Emphasis on Posture

In the chiropractic literature and in a recent survey by GRD Bio Tech, Inc., posture is rated a very important factor contributing to overall well being. The following reasons were most frequently sited:

  • Natural self-healing improves
  • Adjustments are more effective
  • The body remains better aligned
  • The body adapts better to care

A number of published articles refer to the importance of the feet in supporting a stable pelvis and a stable body.

Dr. William Austin summarizes his article titled Orthotic Therapy: The Postural Imperative as follows:

“The integrity of the body’s pedal foundation has a direct impact on total musculoskeletal health. The closed kinetic relationship between the feet and the upper body structures can affect the effectiveness and longevity of chiropractic care and correction.

Flexible orthotic support normalizes foot structure and motion to provide a more stable base for the musculoskeletal complex. Even though the feet may not hurt, symptoms referred elsewhere in the body manifest as chronic pain or lack of performance in chiropractic adjustments.

Clinical studies and field research verify the value of orthotics in relieving pain and improving structural integrity. Flexible orthotics control pedal motion without restricting function and creating compensatory hyper mobility in other structures.”

In the survey, poor posture was most frequently blamed on 2:

1. Lack of exercise

2. Weak muscles

3. Obesity

4. Lack of body awareness

5. Excessive pronation of the feet

Historically, with the exception of high heels, footwear has rarely been linked to musculoskeletal problems. The foot connection clarifies and emphasizes this link.

 

2 In order of influence on poor posture on which more than 50% of survey respondents agreed. GRD Survey.

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Focus on Feet

The survey conducted by GRD Bio Tech, Inc., indicated that chiropractors have a high degree of awareness of the connection between the pedal function, specifically hyperpronation and posture. The survey identified an interest in finding methods to better support posture and more effectively help their patients who suffer from the effects of hyperpronation.

In the field of soft tissue therapy, Dr. Janet Travell made the connection between feet and posture years ago when she determined and published in her Trigger Point Manual3 that Morton’s Foot Structure needed to be addressed. Dr. Travell labeled poor posture a major perpetuating factor for myofascial pain, and she confirmed that Morton’s Foot Structure contributes significantly to a collapsed posture. When Dr. Travell learned of Dr. Rothbart’s work in 1995, she immediately recognized that Dr. Rothbart had discovered the “Third Dimension” of Morton’s Foot Structure. Not only is the first metatarsal short, but it is elevated and rotated (Rothbart’s Foot Structure).

Because hyperpronation originates with a structural problem (retention in talar torsion) that impacts a majority of your patients, paying close attention to foot mechanics and foot structure is a key to overall success in treating musculoskeletal problems regardless of medical specialty.

Improving foot and gait function becomes a fundamental building block in treating the patient. If the foundation is not corrected, other treatment will only yield temporary symptom relief.

Consider something as serious as arthroscopic meniscus surgery. This procedure which requires anesthesia and an operating room with special equipment does nothing to remedy the cause of the problem. Fractured parts of the meniscus and debris are removed, but as soon as the patient starts walking again, the injury process continues because the torsional forces in the knee that caused the damage still remain.

Adjusting the SI joint may only provide temporary relief until the foot foundation is addressed.

Releasing a trigger point without correcting the foot foundation and posture may only provide temporary relief.

If you are concerned with musculoskeletal performance and chronic pain, you must concern yourself with posture, and posture will lead you to your patients’ feet.

The central issue is hyperpronation.

 

3 Myofascial Pain and Dysfunction: The Trigger Point Manual. Janet G. Travell, MD and David G. Simons, MD.

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