walking

Why is it not a routine practice for podiatrists to observe their plantar fasciitis patients’ stance and gait? Let’s consider how a broader approach that considers the way people stand and walk could improve treatment outcomes for plantar fasciitis patients—and also help prevent recurrences.

Before I settle in to recount my back pain story, let me fetch my Gokhale Pain-Free™Chair. This is the chair I now use for all my writing, and that’s important, as I am an author of mystery short stories, and spend many hours composing at my desk. Pain-free, I’m now glad to say.

Yesterday was midwinter day in the northern hemisphere. For many of us, this time of year means colder, shorter days, and a time when outdoor activities and social get-togethers can be more limited. Get out walking One thing we can do whatever the season is to get out on foot. Walking, done well, can significantly boost our circulation, burn calories, keep us warm, and assist our digestion—especially useful after rich and large festive meals! A good walk will also fill our lungs with fresh air and can boost our immune system to fight off winter bugs. Such exercise, especially in nature, is known to lift our mood. We can enjoy the company of friends and family—or go solo for some peace and introspection, as fits. All these potential benefits and more are summed up in the Latin phrase, Solvitur Ambulando, which translates as “walking solves everything.”¹

Welcome to the second blog post in our series on running. This series is designed to be useful to beginners and would-be beginners, as well as seasoned runners and everyone in between. If you missed Part 1, you can catch up here.  Reactivate your feet When it comes to advice about running, the feet often get overlooked as the subject immediately turns to shoes. While shoes are an important subject (spoiler alert! Part 3 is about shoes), I prefer to start with that miracle of bioengineering that actually does the work—your feet. Our feet become very passive from walking on flat, featureless surfaces rather than natural, more undulating terrain. They are also constrained, misshapen and deconditioned by less-than-ideal footwear, which, sadly, includes many running shoes on the market.

When it comes to foot position, feet parallel is often regarded as the ideal in our present-day culture. Standing with the feet apart, pointing straight ahead, is also seen as the starting point of a normal and healthy gait. Walking then proceeds along two parallel lines, like being on railway tracks.  From a Gokhale Method® perspective, a healthy baseline position for the feet is angled outward 5–15°, or “externally rotated.” Why is there such divergence of opinion—and angle?  Most people learn and then teach feet straight ahead Feet straight ahead is the model learned and perpetuated by most professionals who are trained in anatomy, whether they are fitness coaches, yoga teachers, Pilates instructors, physical therapists, podiatrists, family physicians, or surgeons. Training regimens, gait analysis, shoe design, and equipment such as elliptical trainers and step machines are also based on this belief. 

We assume in our culture that aging will necessarily be accompanied by a loss of height, increasingly stooped posture, loss of muscle strength, and a precarious inability to balance. But is this really the inevitable trajectory? Here we look at why this occurs and focus on how a healthy gait can help us maintain good balance throughout life, including into old age.

Walking sticks and poles help prevent falls but are poor compensation for loss 
of natural stability and balance from the feet and buttocks. Unsplash

Falls can have fatal consequences for the elderly, potentially resulting in broken bones and a cascade of problems that can ensue from hospitalization, injury, surgery, and immobility.

Who knew that learning to walk well could change the course of one’s life — even in one’s 60s? I was inspired to teach the Gokhale Method after experiencing welcome relief from chronic hip pain by learning how to glidewalk. My hip had bothered me since a miles-long walk in my late 20s though it wasn’t severe until later on. While in my early 30s, I had experienced back spasms requiring bed rest, with spasms and back pain for at least 6 weeks. Fast forward to the day I picked up that fateful Gokhale Method flyer in my mom’s doctor’s office, when I was in my 60s. I guessed that Esther’s book would educate me as well as the folks I worked with, but I had no idea that the Gokhale Method would change my life.

Exercise is wonderful not only for keeping us strong and healthy, but also for relieving stress and anxiety. Now that gyms are shut down again here in California, home exercise is even more important than ever before. In today’s installment, we’ll focus on an exercise I’ve devised over the years designed to isolate and strengthen the oft-overlooked gluteus medius. This muscle is almost always underdeveloped in people who’ve been raised in industrialized cultures. But it is an important player in gait, running, and athletics. It also helps with balance and fall-prevention as we move through the world, no matter our age. And it’s “behind” all the peachy, perky behinds out there in the world!

Everyone in this 1957 photograph reflects effortless elegance and poise. Their shoulders rest toward the back of their torsos, and their necks and backs are elongated. My mom and dad are on the left. Despite recent complaints of leg and knee pain at night, my mom resisted Gokhale Method instruction. At 95 years old, she said she was too old to change. However, I could see that certain activities increased her pain. In the end, she consented to instruction — and subsequently reported diminished leg pain and increased stability in walking.

 

Mother and son in a tribal Orissan village demonstrating excellent walking form. Notice that their heels remain on the floor well into their stride.

Do you have tight psoas muscles? Do you suspect the cause is too much time spent sitting in your daily life? There’s a complementary activity that helps counterbalance the time we spend sitting: walking — or, more specifically, glidewalking. Glidewalking helps balance our sitting in numerous ways — walking is dynamic versus sitting which is static. Yang balances Yin, viewed in the framework of traditional Chinese medicine. One underappreciated way in which walking can balance sitting pertains to the psoas muscle.

The psoas muscle originates on