plantar fasciitis

Give Your Walk the Green Light!

Give Your Walk the Green Light!

Esther Gokhale
Date

The best art often communicates on many levels. The Walking Men 99™ exhibit is a great example. It consisted of a frieze of pedestrian crossing icons, photographed and assembled from around the world. At human scale, they mingled with passersby on the sidewalk. 

Walking Men 99™ exhibition, Manhattan, NYC, 2010
Walking Men Worldwide™ is a series of public art installations by artist Maya Barkai, which was launched in Lower Manhattan in 2010-2013 (Walking Men 99™), and was followed by a series of installations around the globe. www.walking-men.com

From a posture perspective, signage featuring pedestrians offers us an overview of how modern urban people perceive, represent, and execute walking. Some lean back in line with the front leg, others lean forward in line with the back leg; some land with a bent front knee, others land with a straight knee; some have a straight back leg as the front leg lands, others do not. No other mammal on earth shows such variation in its locomotion!

Does variation in gait matter?

In traditional rural villages across Africa, India, and South America, when I study walking, I see a more uniform walking pattern. This holds true across different cultures, ages, and occupations. Intriguingly, this gait is also shared by our young children, and can be seen in antique photographs, paintings, and sculptures of our ancestors. It results in a uniquely smooth, elegant, powerful walk that is rare enough, it merits a special name, glidewalking

Four images of people of varying ages and cultures glidewalking.
Glidewalking describes the healthy and efficient human gait pattern shared across different generations and cultures.

Glidewalking is very different from the various stomps, shuffles, totters, bounces, and other strategies that people in modern urban societies bring to their walking. Any type of walk can get us from A to B, but anything short of what our bodies are designed for is likely to be inefficient and, over time, destructive. Twisting, swaying, slumping, or jerking the spine with every step causes compression, inflammation, damage, and degenerative processes. Suboptimal gait biomechanics are also largely responsible for our epidemic of knee, hip, and foot problems, which include cartilage wear and tear, joint arthritis, and plantar fasciitis.

Take a closer look at walking

In the Glidewalking chapter of my book, 8 Steps to a Pain-Free Back, I included a variety of pedestrian traffic signs to show how they can reflect and promote different gait patterns:

Detail of pedestrian crossing signs, Pg 170, 8 Steps to a Pain-Free Back, E. Gokhale
Taking a fresh look at pedestrian crossing signs—from a posture perspective. (Page 170, 8 Steps to a Pain-Free Back)

Most public signage reflects our confusion about walking. Signs often depict walking with either both legs bent, or both legs straight at the same time, or some other compromised configuration.

Three airport signs showing walking figure, weight aligned on the front leg.
These airport signs show weight aligned on the front leg and little effective propulsion from behind.

Straighten out your walking

A good first step (literally!) is to learn to straighten your back leg fully. This has numerous benefits: 

  • pushes the ground back strongly to propel you forward
  • encourages you to lean a little forward rather than backward 
  • encourages glute contraction 
  • encourages healthy pelvic anteversion
  • encourages your back heel to stay down and your foot to be active for longer
  • stretches your calves
  • is nature’s stretch for the psoas

We recommend you start practicing by walking uphill, or pushing a rolling chair or shopping cart, which makes all of the above benefits easier to find in your body. 

Stop sign showing walking figure, weight aligned with straight back leg.
This sign in the Philippines shows healthy walking form, with the torso angled slightly forward and the leg behind straight. Image from Bonifacio Global City

No entry sign showing walking figure, with both legs bent.
Unfortunately, this guy is not doing such a good job… Image from Angela Bayona(Toggear.com

Notice how these animated walking figures differ…but both have a straight back leg.

 

Take a step in the right direction 

Over the decades we have worked out how best to guide students through the process of improving their gait. Deeply ingrained poor walking habits can be replaced using tried and tested techniques in a step-by-step process.  This is covered in all of our beginning courses: our in-person Foundations course, one-day Pop-up course, and our online Elements course. 

Alumni can sign up here for our next Advanced Glidewalking Course, starting Monday, June 03, 12:00 p.m. PST and give your walk the green light!

Best next action steps 

If you would like to improve your walking, get started by booking a consultation, online or in person, with one of our teachers. 

You can sign up below to join any one of our upcoming FREE Online Workshops

Getter Taller as You Age!

Getter Taller as You Age!

Esther Gokhale
Date

It is not uncommon for students to show up at our courses aware they have lost several inches of height since their youth. In our culture it is a widely held expectation that you grow up, and then, at some point in later life, start getting shorter again. We all see friends, neighbors, or family members who are on the downward run of this trajectory, and it is virtually common lore that you will “shrink” or stoop in later years.

Cartoon showing growing up, from a baby to an elderly stooped man with a cane
Losing height in later life is characterized as inevitable in our society. Image from Freepik

Can I expect to lose height as I age?

It is true that trauma, malnutrition, or conditions such as degenerative disc disease or osteoporosis can lead to loss of height. But our experience of working with many thousands of people over the past three decades has shown that most height loss is due to poor posture.

Let’s consider the most common reasons that people lose height:

  • A tucked pelvis: The pelvis is actually in its tallest orientation when it is anteverted, which means slightly tipped forward, rather than the commonly advocated “neutral pelvis.” Pelvic anteversion is evident in our infants, our ancestors, and those living in traditional societies today, and is what we teach our students. 

Drawing of a tucked pelvis and an anteverted pelvis, with lumbar vertebrae
The tucked pelvis (a) is shorter and does not allow the spine to stack well on the sacrum and retain its height. More height is evident in the anteverted pelvis (b). 

  • Unhealthy spinal curves: 

Three drawings of sitting with different pelvic positions and spinal architecture
Sitting or standing with a tucked pelvis (a.), expect to see the spine adopt a compressive C-shape. This rounding of the back reduces overall height in sitting, standing, and walking. Trying to sit up or stand up straight with a tucked pelvis (b.) takes a lot of muscular tension to maintain and excessively loads the lumbar spinal joints and discs. And it also makes you shorter, not taller! A healthier arrangement (c.) allows the spine to stack in more of a J-shape, formed by a distinct L5-S1 angle, and then ascending with less curvature along the remainder of the spine. This taller spine provides space for the intervertebral joints, discs and nerves.

  • A weak inner corset: Weak inner corset muscles allow undue pressure and wear and tear on the tissues, discs, nerves, and bones of the spine. This is a major cause of and contributor to degenerative spinal conditions. All can result in a visible loss of height and thickening around the waist area.
  • Unhealthy bending: A lifetime of rounded bending overstretches the dorsal ligaments of the spine and produces excessive kyphosis, or rounding of the upper back—stooped posture.
  • Forward head posture: A tucked pelvis and/or rounded upper back projects the neck and head forward. This brings excessive muscle tension and compression in the neck and upper back as the muscles endeavor to hold the head upright. 
  • Collapsed foot arches: Loss of the natural arches displace the bones and weaken the tissues of the feet, causing localized problems such as plantar fasciitis, Morton’s Neuroma, and bunions. Height and healthy function can additionally be lost through internal rotation in the knees and hips. 

Photo of stooped elderly lady using her walker
Most people in our society can expect to live into advanced years—but often with considerable physical and mobility challenges. Retaining or regaining healthy posture is key to remaining free from such disability.

Most of us are taller than we think! 

It is neither inevitable nor natural to lose height as you get older. In fact, we have found that it is possible for most people, including those with degenerative conditions, to regain some height!

For a period in pre-COVID days we diligently measured the height of our students before and after they took their Gokhale Foundations Course. They averaged a height increase of two thirds of an inch (1.7 cm). 

Sometimes people discover that they have stooped for years: through doing desk work in poor furniture; bending poorly; as the result of a physical or mental health crisis; or perhaps since trying to hide growth spurts in adolescence. Many of our students have a sudden awakening to the fact that they are taller than they thought. They report feeling elegant, stronger, and healthier.

Photo of two elderly active men bending to mill grain in Portugal.
Moving like we are meant to, for example using a healthy hip-hinge like these two Portuguese workers, preserves height well into older age.

It always astonished me how students seemed more delighted to measure taller than to get out of pain! Reflecting on this, I think students have often been hopeful that their pain will resolve, but are actually surprised when they find they have recovered long-lost height. For both reasons, I share their joy!

What works to restore healthy height and posture.

Clearly, gaining height doesn't happen within a weekend course through any sort of magical “regrowth”! Nor do you get there by redoubling your efforts to “stand up straight.” But you can make transformational changes by addressing the way in which you align your feet, legs, pelvis, spine, and head. And while many of our students gain an inch or more over time, even a millimeter of regained height can be the change from impinged nerves to a pain-free existence.

Molly, a student who is nearing the end of her online Gokhale® Elements course, just wrote us:

I've been fortunate to have a very active lifestyle these 67 years. As I age, I see some effects of gravity and poor habitual posture showing up. A diagnosis of osteopenia and osteoporosis has me on alert. I was exposed to the Gokhale Method® years ago by a yoga teacher and read Esther's Book 8 Steps to a Pain-Free Back. Now, I see great results from having a one-on-one online Gokhale teacher providing additional tips, cues, and feedback. In my annual check-up last week, I had gained a half inch (1.3 cm) in height! This is great news for my spine! Thank you, Gokhale Method.

A Gokhale Method student is taller in her “In Progress” than her “Before” photos
Molly used to lock out her knees and sway her back in standing (left). She is making great progress (right) as she softens her knees, aligns and lengthens her spine with a more relaxed lower back and tall neck, and rolls her shoulders back home. 

My colleague Julie Johnson and I offered a special workshop called Women’s Empowerment Through Posture this week and were overwhelmed by the level of registrations and interest in this topic. Aging well without shrinking is one aspect of what we will be covering in our brand new group offering Women’s Empowerment Through Posture. Join us for six one-hour group sessions, in which we will work together to transform your posture to find a new level of confidence, relaxation, comfort, and self awareness—as well, of course, as helping with aches and pains. 

Best next action steps 

If you would like to know how to restore or make the most of your natural height, get started by booking a consultation, online, or in person with one of our teachers. 

You can sign up below to join any one of our upcoming FREE Online Workshops

“It Takes a Village” for Healthy Posture

“It Takes a Village” for Healthy Posture

Sachin Deshpande
Date

The phrase “it takes a village to raise a child” is thought to originate from an ancient African proverb. 

As I have grown into being a parent, uncle, and beyond, I have realized that this quote extends to any age. I have directly experienced this with my own posture journey—my own family “village” has helped me and others dear to me find a near pain-free life through the Gokhale Method®.

Annoying body pains were affecting my fun in life

In my late thirties, a stream of inflammatory pains permeated my body, including back pain, shoulder pain, knee pain, and—worst of all—plantar fasciitis in my foot. While these weren't absolutely crippling pains, they were painful enough to keep me from enjoying life as I gave up my favorite hobbies—tennis, golf, and playing the piano.

I visited numerous renowned doctors in California. They genuinely tried to help, but nothing resolved my pain. So I began searching for other solutions.

Finding Esther’s book, 8 Steps to a Pain-Free Back

In 2012 I bought Esther’s book, 8 Steps to a Pain-Free Back, as it was highly recommended on Amazon. 

 Front cover of 8 Steps to a Pain-Free Back by Esther Gokhale.
The book that helped me, 8 Steps to a Pain-Free Back.

In particular, what caught my attention was how traditional and tribal communities across the globe do not have the level of musculoskeletal pain that we are seeing in modern society. The book explained how their cultures have preserved our natural blueprint for healthy posture over the centuries, while industrialized societies have lost it. 

This made a lot of sense to me, because as an American with Indian heritage, I used to visit India a lot and noticed that many traditional communities there do not have body pains as modern cultures do. There were people in their sixties and seventies doing manual labor regularly without pain.   

Man in India headloading vegetation (upper body).
As an Indian-American, I visited India often as a child, so I could relate immediately to the images like this one in Esther’s book that showed people with traditional posture performing physically challenging tasks with relative ease.

I then took the Gokhale Method Foundations Course. It took me a couple of months to meaningfully understand the core concepts. And then I felt significant pain relief for the first time in a long time and knew I was onto something. I began playing sports and music again! I was so happy. 

“Before” and “After” sitting without a backrest photos of Sachin Deshpande.
The Gokhale Method Foundations Course helped me stand, walk, sleep, and sit comfortably. Before the course (left)) I would sit with my pelvis tucked, back rounded, shoulders forward, and my neck compressed at the back. During the course I began to change this, learning to antevert my pelvis and stack my spine.

Helping each other out posture-wise

I shared my Gokhale Method story pretty regularly with family and friends. My family—perhaps knowing that I am a rather talkative person—would give me the “ol’ eye roll” when I talked too much about Gokhale posture!

That said, many of my family members nevertheless found the Gokhale principles intriguing. For example, my wife spent much of her childhood in India—and also learned the Bharata Natyam Indian dancing which Esther draws from—all of which gave her good posture and a relatively pain-free life. Equally importantly, it gave her a keen eye for good and bad posture. So she was able to provide excellent feedback to me as I kept trying to improve my posture with the Gokhale Method principles I was learning.

However, my sister Annissa grew up in America, and began experiencing hip and other arm pains as an adult, which was hard for her as she is a keen athlete. She realized that her posture might be the root cause. She learned the Gokhale Method with Esther’s younger daughter, Monisha, and started feeling meaningful relief. She is now a regular participant in Online Alumni Classes, which help her to keep healthy posture on her radar and continue refining it.

Sachin Deshpande’s sister Annissa with her PostureTracker
My sister Annissa (shown here with her PostureTracker) likes to use her Alumni membership most days—it makes checking in on and refining healthy posture comparatively effortless—and fun!

The next-gen

Interestingly, as my daughter Saya became a teenager, my wife noticed that her posture began to deteriorate. We were concerned that our daughter’s posture would worsen further when she went to college, leading sooner or later to inevitable pain and discomfort. Trying to offer advice and corrections to our daughter just caused a lot of frustration for both of them. 

When our daughter turned 16, we suggested that she learn the Gokhale Method before going to college. For her it was perfect to take the online Elements course. The fact that it was 18 compact 13-minute Zoom sessions worked perfectly for her busy high school life. Her posture markedly improved with Gokhale Method Teacher Kathleen O’Donohue.

We were so encouraged that we also asked our 15 year old niece Riya to take the course. She did the Elements course as well, and her posture improved too! 

Bringing different generations together with the Gokhale PostureTracker

In the last year, my daughter, sister, and I were really intrigued by the PostureTracker™ wearable, which gives real-time feedback on your posture by displaying the feedback from two highly accurate sensors on an app. My daughter and I did the first online Alumni PostureTracker class during the summer before my daughter headed to college. 

Saya Deshpande is a young Gokhale Alumna, here wearing her PostureTracker. 
My daughter Saya is a young Gokhale Alumna, and has taken her PostureTracker with her to college. She has real-time feedback on her posture wherever she wants it.  

We then bought the PostureTracker (which comes with one-to-one tech assistance) for my sister Annissa’s birthday. She loves it and uses it most days, including in her Alumni Classes. When we all get together, we often have fun correcting each other’s posture and also talking about our PostureTracker experiences.

The village beyond my family

Beyond my family, my “village” extends to the Gokhale Alumni community too. I have truly enjoyed and benefited from the collective curiosity and wisdom of the 1-2-3 Move classes. The teaching and follow-up questions and answers have been so helpful and insightful. I will never forget Gokhale Alumna Mary Walsh’s saying, “Good things come to those who ‘bean-shape’ [their feet],” which really captivated me and continues to help me in my own posture journey.


Here we are on the 1-2-3 Move class sometime in the COVID winter of 2020–21. The online community we forged back then has continued to thrive and be a great resource for everyone on their healthy posture journey. There is a 7-day free trial open to the public. 

Best next action steps for newcomers

If you would like insight on your posture, consider scheduling an Initial Consultation, online, or in person.

You can sign up below to join one of our upcoming FREE Online Workshops. . .

Fixing Plantar Fasciitis

Fixing Plantar Fasciitis

Esther Gokhale
Date

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.

The main factors in foot health

In my experience, the top three influences on the health and performance of the human foot are the architecture and orientation of the foot and leg, the way a person stands, and the way a person walks. Of course, shoes also play a big role in foot health (you can read more about this here), but while truly healthy posture can do a lot to compensate for poor shoes (extreme styles excepted), the best of shoes cannot make up for poor posture, stance, and gait. 

Four African fishermen walking with healthy external rotation in their legs and feet.
These African fishermen all show healthy external rotation in their legs and feet. Pexels

Young woman standing with internally rotated legs and feet.
Internal leg rotation mechanically disadvantages our structure, and offers poor support to the feet and legs. Pexels

What gives rise to foot problems

We frequently work with people whose foot problems have been created or made worse by poor postural habits. While there can be a genetic predisposition to foot problems, frequently, what appears to be a genetic trait is actually the result of mimicking those closest to us—the person with bunions has replicated their parent’s poor posture or poor shoe choices which, in turn, caused their bunions. 

Let’s consider what can go wrong in the feet when standing. In a common modern stance where the hips are parked forward relative to the feet, the body’s weight lands excessively on the smaller, more delicate structures of the midfoot and forefoot. The ligaments that bind the bones in the feet together may no longer be able to do their job in preserving the shape and healthy function of the foot. 

Man standing swayed with weight on the front of his feet.  
How you stand affects your weight bearing and the forces going through your feet. This man has parked his pelvis forward, shifting his weight off his heels and onto the more delicate forefoot. Pexels

Plantar fasciitis

Plantar fasciitis is one common problem that results from faulty weight distribution overwhelming the foot ligaments. Other problems may include calcium deposits (bone spurs) at points of stress, nerve damage such as in Morton’s neuroma, inflammation such as in sesamoiditis, and stress fractures. 

Plantar fasciitis affects the strong, fibrous attachment that runs from your heel bone to the ball of your foot, supporting the medial and lateral arches. The ligament-like tissue becomes irritated and inflamed, making it painful to bear weight or use the foot, especially on initial standing. 

Drawing of a foot with inflamed plantar fascia.
Plantar fasciitis occurs when the connective tissue on the sole of the foot becomes inflamed. Pexels

Treatment of conditions such as plantar fasciitis is often limited to local solutions. A common treatment for plantar fasciitis is to stretch the plantar fascia with exercise, manual therapy or by wearing night splints. This has some protective merit as it reduces the degree of tearing that can occur under the body's weight. Another measure that can offer relief is foot rolling with iced water bottles. 

After observing the shape of the patient’s foot, a podiatrist might prescribe an orthotic. The most conservative treatment with orthotics simply reflects the shape of the foot and aims to prevent further deterioration of the foot’s structure. Somewhat more sophisticated orthotics are designed to exert corrective forces on the foot, such as lifting a sunken arch. 

A root-cause solution is to learn how to stand and walk well. Instead of band-aid stretching and orthotics to compensate for weak muscles and poor body mechanics, this approach will lead to a strengthening of the foot muscles, an overall shortening of the foot, and appropriate weight-bearing on the foot at all times. When students come to us with orthotics, we encourage them to think of the orthotic as a training device that reminds the foot to practice what it needs to do, as well as being a prop for as long as they need it to do some of the lifting for them. 


Drawing of a foot with a contoured orthotic for arch support.
Once the foot muscles have learned to grip around the contours of an arch support the foot can go beyond resting passively as shown here.

Learning to activate the feet is especially beneficial for anyone with “flat” feet. It’s also important for women during pregnancy, since both the additional weight of a baby and the hormone relaxin increase any tendency to ligament laxity. 

Key components of Gokhale Method® training in our in-person Foundations course, one-day Pop-up course, and our online Elements course will enable you to make profound and lasting changes for your feet. You can learn how to:

  • Place much of your body weight on your heels. These are large, dense bones with a cross-fiber construction that are well suited to load-bearing compared with the comparatively delicate forefoot with its longer, thinner bone structure.
  • Kidney-bean shape your foot, keeping its structural integrity. 
  • Use your foot muscles to interact with the ground, providing stability and propulsion. 
  • Coordinate your foot action with the external rotation of the leg and activation of the glutes.
  • Antevert your pelvis, stack your spine, and align your upper body as part of healthy standing and glidewalking.

Esther Gokhale adjusting a student’s foot
We pay a lot of attention to the feet in all our courses. Here I am showing a student how to kidney-bean shape their foot.

Is hi-tech the answer to foot problems?

Computer technology has enabled podiatrists to measure foot shape, weight bearing, and biomechanics with a precision that was previously unattainable. There have been exciting advances in clinical 3D scanning and modeling, and the use of sensors to measure real time movement and weight distribution. There is also an increased biomechanical understanding of how gait interacts with foot function. 

However, the medical model of foot and gait health continues to arrive at conclusions based on abstract reasoning instead of tried and true historical and anthropological evidence. It therefore continues to encourage modern distortions like a “straight” foot and “straight ahead” feet. We would love to see a shift in the medical perception of healthy feet and gait that weaves in ancestral wisdom. 

The Gokhale Method has developed two wearables that help refine students’ stance and gait. The five-sensor SpineTracker™ wearable is used by many of our teachers in a classroom setting to allow them and their students to monitor and track real-time changes in spinal shape during gait. The two-sensor PostureTracker™ is a consumer product that enables students to refine their stance and gait at home, work, or leisure. 

  Screenshots from the PostureTracker app showing straight and bent back leg while walking.
The PostureTracker setting Piston Walking can tell you if you are successfully straightening your back leg while walking (a) or not (b); this is relevant to the healthy function of your feet. 

Free Online Workshop: “Fix Your Feet”

On Wednesday, May 24, 1pm PT, we will be offering a Free Online Workshop, Fix Your Feet. If you would like to volunteer for a mini-consultation in this workshop, please email teamesther@gokhalemethod with a brief description of your foot condition. If you would like to support friends and family who suffer from foot problems, please feel free to email them.

Best next action steps for newcomers

If you would like insight on your foot issues and posture, consider scheduling an Initial Consultation, online, or in person.

You can sign up below to join one of our upcoming FREE Online Workshops. . .

How to choose running shoes. Running: Part 3

How to choose running shoes. Running: Part 3

Author: Michelle Ball, Gokhale Method teacher
Date

Welcome to the third blog post in our series on running. My name is Michelle Ball, and I am a Gokhale Method® teacher in Tasmania. I am a lifelong runner and am passionate about sharing my experience with beginners as well as seasoned runners and everyone in between. Even if you don’t run, but do wear shoes, this blog post is for you!

Active feet come first

When it comes to advice about running, our feet often get sidelined by the subject of shoes. If you missed Part 2, which is about how to build healthy, active feet, we recommend you catch up here

The job of a good running shoe—performance and protection

At the level of elite sport, running shoes are designed with increasingly sophisticated technologies to enhance performance. Time will tell what long-term effect these may have on athletes. From the Gokhale Method® point of view the primary purpose of all shoes is to protect our feet and our weight-bearing joints while still allowing us to move as Nature intended. 

Michelle Ball, Gokhale Method teacher, running, side-on.
A lightweight, barefoot-style shoe gives my feet sufficient protection and lets them be active on a soft, forgiving surface like this sandy coastal trail.

Cushioning the joints

Over the last 50 years, the increase in urban running on hard surfaces, combined with a reduction in healthy posture and biomechanics, has made for a perfect storm of running injuries. These include runner’s knee (patellofemoral syndrome), Achilles tendonitis, shin splints (stress involving microfractures of the tibia), and plantar fasciitis (inflammation of the bottom of the foot). The design of modern running shoes has seen many innovations, twists, and turns, but one clear trend has been to increase the amount of protective padding in the form of thicker, spongier soles, air bladders, and gel at chambers. Whilst some degree of cushioning for the joints is desirable when running on unnaturally hard surfaces, it is now thought that overly thick soles reduce proprioceptive sensitivity and actually encourage runners to hit the ground harder. 

Highly padded modern road running shoe, black, white sole.
This contemporary road running shoe is heavily padded. From the Gokhale Method perspective, such bulk interferes with our ability to feel the ground and make softer landings and can encourage ankle turnover. Run4it

Strong, responsive feet combined with the natural gait pattern that arises from healthy posture can enable you to land more softly and avoid injury. Building in extreme cushioning cannot compensate for excessive heel strike and its damaging impact on poorly aligned joints. 

Healthy alignment of the ankle

The first time I experienced a running injury was in my twenties. I had bought a new pair of shoes. The salesman measured me and recommended shoes that were designed to prevent overpronation (inward turn) of the foot. They felt good in the store, but after rolling my ankles more than once, I realized the shoes recommended were predisposing me to injury. I found out later that I tended to supinate my feet very slightly and not pronate them. Having shoes that were heavily padded on the inside edge to keep my foot from rolling in, increased the chance of my foot rolling out. The result for me was torn lateral ligaments and crutches on several occasions for six weeks at a time. Once I even had a hairline fracture on the ankle coming down off a boulder. I learned the hard way how important it is to have your ankles well aligned. After buying shoes for normal ankle alignment, I didn’t roll my ankles anymore.

Diagram of neutral, overpronated and supinated lower leg.

Your weight should align centrally and distribute evenly (left). In overpronation (center) weight bears down more on the inner foot and the ankle veers inward, and in supination (right) weight is carried on the outer foot as the ankle veers outward.

You can do a simple check on your ankle alignment using a mirror or have someone take a photograph. You want to be able to see your heel and ankle from behind.

Photos of neutral foot and overpronated foot with lines on Achilles tendon.
An overpronated foot may show distortion of the Achilles tendon (right). Wikimedia

Photo of overpronated right foot, from behind, Gokhale Method teacher M. Ball.
Poor ankle alignment may also show up as an ankle bone protruding markedly over the edge of the heel. Here my inner ankle bone shows I am overpronating my foot.

Photo of kidney-bean shaped foot, from behind, Gokhale Method teacher M. Ball.
Kidney-bean shaping my foot has now aligned my ankle well. The Achilles tendon is straight, and each ankle bone is better aligned on either side of the heel. 

You can also get useful information by examining the soles of your shoes, which may show more wear and tear along the inner (overpronation) or outer (supination) edge. Check several pairs to ensure that what you see is not peculiar to just one pair of shoes. Compare the left and right shoe.

Learning to correct flat feet

The postural techniques that we teach in our in-person Foundations Course, online Elements, and Pop-up courses, will often be sufficient to correct overpronation, or “flat feet” as it’s commonly known. Here you can learn the detail of, for example, kidney-bean shaping your feet and externally rotating your legs, with a teacher to guide you.

If, after putting some time and effort into solving the problem, it persists, we recommend that you get advice from a good running shop and use your Gokhale Method knowledge to help choose a shoe appropriate for you. They can advise you on which particular shoes can best support you while you continue to work on your posture, remodeling your feet, and realigning your ankles. As you can see in the diagram below, both these measures can support a healthier structure.


This diagram shows how overpronation of the foot can misalign the ankle, knee, hip and spinal joints further up the chain.

Insoles and orthotics as training devices

An insole can add the necessary padding and support to help you transition from a padded shoe to a thinner or barefoot style running shoe. It is important to make this transition alongside learning protective and strengthening posture and foot work. Take your time—start with occasional short training runs in your new shoes, build up the proportion of your running in them gradually, and be very attentive to your form. 

In the Gokhale Method, we teach students to use the contours of an insole as a training device, gripping it to actively strengthen the arches of the feet, rather than just to prop them up. If it is best for you to use a more padded shoe, perhaps because you run on hard surfaces and/or have some degree of joint degeneration, then it will likely have a molded footbed that you can use in this way. 

If you have prescription orthotic insoles to correct overpronation or supination, don’t stop using them abruptly. Try using them less often as your feet gain the strength to support themselves better.

Healthy shoes need to be foot-shaped!

One of the most common faults with modern shoes—including running shoes—is the shape of the toe area, or toe box. The toe box of most shoes is tapered to some degree, which distorts the natural kidney-bean foot shape that the Gokhale Method encourages. We are all familiar with the pointed toe in many women’s fashion shoes, men’s winklepickers, and even cowboy boots—yet it surprises me how this tapering persists in sports and activity footwear. Even some shoes marketed as “barefoot” or “natural” reflect the conventional wisdom of a straight foot, rather than a healthy bean-shaped one. 

           Photo of pair of trainers, from below.  Diagram of adult kidney-bean shaped feet, from below.
Most running shoes assume the feet to be straight and tapered at the toes (left). Nature’s blueprint for our feet maintains the external rotation and kidney-bean shape that we all have as infants (right). This is preserved throughout adulthood in traditional societies and explained in Esther Gokhale’s book, 8 Steps to a Pain-Free Back.


Note the bean-shaped contours and wide toes of this Indian woman’s feet. (Odisha, India, 2017) 
This strong, active foot would be constrained and deformed by a tapered running shoe.

Tipping forward/curve in modern shoes

Shoes with an upward toe curve have become increasingly popular. People like the feeling of forward momentum that they give, and they can encourage the glutes to work. Better to learn to use your glutes anyway, then this feature isn’t necessary, and you avoid the downside—the upward toe curve encourages your foot to peel off the ground passively, rather than grab and propel you forward. 

Photo of pink running shoe, from the side, showing upward curved toe box.
An upward toe curve depresses the transverse arch at the base of the toes. This concavity directs excessive weight through the ball of the foot and contributes to weaker plantar muscles and push-off. Run4it

I hope this blog post has helped you with your choice of running shoes. If you are in the market for a new pair, enjoy shopping with new confidence and purpose.

Running: Part 2: Meet Your Feet

Running: Part 2: Meet Your Feet

Michelle Ball, Gokhale Method Teacher
Date

Welcome to the second blog post in our series on running. My name is Michelle Ball, and I am a Gokhale Method™ teacher in Tasmania. I am a life-long runner, and am passionate about sharing my experience with 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.

Michelle Ball, Gokhale Method teacher, running on sandy beach, close-up
Running on sand trains my feet to grab the ground and push it behind me.

Learning to engage and strengthen my feet has been a game changer, enabling me to recover from old running injuries and enjoy running into my sixth decade. I would therefore like to share some well chosen exercises you can do in addition to training on the job. These will both strengthen your feet and train them in better patterns of muscle recruitment. Your feet will soon engage more actively than they are likely used to doing. 

Engraving of foot bones, side view, Henry Vandyke Carter
Some basic anatomical knowledge can help us get to know and appreciate our feet. This beautiful 1850s engraving (by Henry Vandyke Carter, Gray’s Anatomy) illustrates the primary arch that gives the foot its convexity. Wikimedia

Exercise 1: Inching your way to stronger feet

Inchworm is an excellent warm-up exercise, mobilizing the toe joints, mid foot, and heel bone, contracting and releasing the plantar muscles, and lifting the inner arches and also the transverse arch which spans the base of the toes. It mimics the grabbing action our feet naturally make when accustomed to walking on more varied surfaces.


This video shows how my plantar muscles contract and release to inch my foot forward. I alternately release my heel, and then my toes, from the ground.

Exercise 2: Kidney-bean shaping the feet.

One of my favorite Gokhale Method® concepts to help develop strong, functional feet, is “kidney-bean shaping.” Like inchworm, it strengthens the four layers of plantar muscle, helps raise the inner arches, and also preserves the transverse arch which spans the base of the toes. Restoring tone in these areas confers the springiness you are looking for and protects against common foot problems such as plantar fasciitis, Morton’s neuroma, and bunions. Infant’s feet have this more bean-like shape, and this is the shape preserved into adulthood among more traditional, nonindustrialized societies around the world.

Infants’ feet (right) a notably bean-like shape (left) 
Infants’ feet have a notably bean-like shape.

 Indian foot (left) and bean-like shape feet, drawn from underneath (right)
In nonindustrial societies a bean-shaped foot is maintained throughout life.

In addition, kidney-bean shaping the foot enables us to find a healthy outward angle for the feet and legs, and weight in our heels when standing. This multipurpose exercise is taught in all three formats for learning the Gokhale Method—our in-person Foundations course, our online Elements course, and our Pop-up course. Directions can also be found in Esther Gokhale’s number one best-selling book, 8 Steps to a Pain-Free Back, and her DVD (streamable), Back Pain: The Primal Posture™ Solution.

Kidney-bean shaping the feet, “before” and “after”, Tegan Kahn.
These photos show how, if you have a tendency toward flat feet (left), kidney-bean shaping can restore your arches, and counter any tendency to being pigeon-toed (right). It also guides your big toe home, reducing bunions. Modeled by Tegan Kahn, our Gokhale Method teacher in Australia.

Exercise 3: Bob before you jog

If you are not in the habit of jogging, or even if you do so already, it is good to ensure you jog with spring in your feet. This contributes to both push off and, most importantly for injury prevention, absorbs energy on impact. This is a natural, effective, and sophisticated mechanism that uses your muscles and foot structure rather than relying on heavily padded shoes to cushion your landing. It helps care for and protect all the weight-bearing joints in the body, as well as your feet. 

CAUTION: If you have back pain or reason to believe you may have spinal degeneration, we recommend you take one of our courses to learn appropriate techniques to protect your spine before doing this exercise.

Getting started with bobbing 

I recommend you start bobbing by shifting from one foot to the other with the heels scarcely leaving the ground. Initially just a few minutes may be plenty, and you can develop resilience for greater bounce and duration over a number of weeks. I like to suggest students play music and make it a dance. A few tracks each day will quickly build strength in your feet. 


Esther demonstrates bobbing on the feet. These clips are from her 1-2-3 Move program for Alumni. Each 15-minute Dance Party has bobbing covered!

Bobbing is a very adaptable exercise for all levels of foot strength—from slowly shifting your weight from one foot to the other, to your first split second of being airborne. As you get stronger you can intensify the work with more skipping and even hopping. 

Free Online Workshops

If you would like to find out more about how the Gokhale Method can help support you, whether you are currently sedentary or a seasoned runner, sign up to join one of Esther’s upcoming FREE Online Workshops.

How to Strengthen Your Feet

How to Strengthen Your Feet

Esther Gokhale
Date

Spring is in the air! As the temperature rises, we go for lighter footwear, exchanging our shoes for sandals, or going barefoot. It may have been a while since our feet had so much exposure - what can we do to benefit our feet and put a little spring into them?

Babies and Toddlers

For babies, the question about ideal footwear is easily answered - a baby is best off barefoot so she can feel the stimuli of different contours and surfaces. These induce her to engage and strengthen her arch muscles as she learns to crawl and then walk. Minimize putting shoes on infants, as this inhibits the natural development of their feet and affects their learning to move and walk well.

Toddlers and older children, as they venture into unfamiliar or less friendly terrain, may need protection for their feet. For any age group, choose a shoe that allows the foot to retain its natural kidney-bean shape.

Choosing Healthy Footwear

Avoid shoes that point or curve the big toe away from the inside edge of the foot. Heels that are higher than 1-2 inches pitch your weight forward onto the ball of the foot – avoid shoes with very high heels.

Well-designed shoes have a kidney-bean shaped footprint, pronounced arch supports (unless your feet are super strong and/or you're paying attention to your gait), and shock-absorbent soles
 

Healthy Foot Practices

Adults sometimes develop foot problems like bunions despite wearing well-shaped shoes. They may even see this as something that runs in the family – “my mom’s feet are exactly the same”. While it is true that our genes predispose us to certain problems, often it is poor postural habits that actually allow structural problems to develop. For example, if we have copied how our parents stand and now also park our pelvis forward and lock out our knees, then an excessive amount of our weight will fall on the front of the foot.


A pelvis thrust forward displaces body weight forward and puts excessive pressure on the delicate structures in the front of the foot

This is problematic because it flattens the transverse arch and causes distortion through the delicate joints of the forefoot – result: bunions, hammer toes, sesamoiditis, metatarsalgia, etc. It is the sturdy heel bone with its dense, cross-fiber construction that is perfectly adapted to take most of our weight. In Lesson 3 of the Gokhale Method Foundation course, when we teach this shift in tallstanding, most people feel somewhat odd, and have to reassure themselves that they don't look odd by looking at their reflection in a mirror!


The heel bone in our species is a sturdy bone adapted for weight-bearing. The bones in the front of the foot, by contrast, are delicate and not constructed to bear the weight of the body.

Bear in mind that our ancestors continually exercised their feet by walking on softer, more contoured surfaces than we encounter today. Compared with a hunter gatherer's foot, the modern urban foot tends to be underused and weak. Flat, or pronated feet misalign our ankles, which results in misaligned knees and hips, wear-and-tear, and arthritic change in the lower body.


Walking barefoot on the beach - depending on how you do it, this can be great foot exercise or destructive for the ligaments of your feet.

Supportive foot-beds, orthotic insoles, and arch supports can be a real help in correcting this sort of distortion. However, while shoe inserts do help to reshape the arches and restore mechanical advantage to the foot muscles, they are no substitute for learning to actively reshape, exercise and engage the feet. The inchworm exercise below is a great way to begin strengthening important muscles in your feet. After you master this exercise, integrate it into every step you take - grip the ground ahead of you, "pull" the ground towards you and then "push" it behind you. This builds the kind of strength and spring you want from your feet, and an elegant glidewalk will result from it!


Click here to watch.

Best,
Esther

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