shin splints

Since the pandemic we are delighted to have resumed teacher training and welcomed 12 new teachers to the Gokhale Method community in Europe and the U.S. We are also steadily growing our roots in the Southern Hemisphere. Below, Australia-based Teacher Tegan Kahn shares the story of how and why she decided to train.

One New Year’s Day many years ago, I made a resolution to “have better posture.” This was back before I had kids; when I had time and energy to devote to grand plans! But, like most New Year’s Resolutions, it fizzled out pretty quickly. For several days, I reminded myself every hour to sit up straight and pull my shoulders back. But because I didn’t know how to be tall and regal without holding myself stiffly, my efforts just made me more uncomfortable and tired than remaining in my perpetual slouch.

Me on New Year’s Day twenty years ago at age 16. Slouching was my default. I felt it was impossible to maintain “good” posture for more than a few minutes at a time. 

Me slouching at 22. Another beautiful dress spoilt by poor posture!

I used to experience all kinds of pain and dysfunction in my body: lower back pain, upper back strain, jaw tightness, shin splints, IT band tenderness, tight hamstrings, lactic acid buildup, and dodgy knees, to name a few. Even gentle massage on some parts of my body, such as the backs of my upper arms and lower legs, caused me to leap off the table. 

Despite attempting to stand up straight for this “before” photo, by the time I took the Gokhale Foundations Course in 2016 I was starting to develop a dowager’s hump (at the ripe old age of 28). I wonder what my posture would be like now had I continued on this trajectory.

One day when I was having my twice-weekly massage for typing-related forearm tendonitis (a repetitive strain injury covered by workers’ compensation), my massage therapist told me I had little crunchy crystals of lymphatic fluid along the lower left border of my rib cage. I had known for a long time that my lymphatic system was sluggish, but so slow-flowing that the fluid had crystallised was a bit of a wake-up call! 

That discovery led me to tumble down the YouTube rabbit hole of lymph and fascia research, where I stumbled upon Esther Gokhale’s TEDxStanford talk. It is hard to overstate how great an impact that six-minute video has had on my life. The slide Esther presented showing a J-shaped spine next to an S-shaped spine blew my mind. I had studied anatomy at university during my biology degrees but it had never occurred to me that my textbooks might have been based on incorrect assumptions. 

The illustration that immediately convinced me of the sound logic behind the Gokhale Method. If you’d like to learn more about it, consider reading our blog  What Shape Is Your Spine?

The logic of Esther’s presentation was so arresting I felt a bit dumbfounded (and a touch indignant) that I had never heard this information before. I set about reading and watching anything Gokhale Method-related that I could get my hands on. I was extremely fortunate that the original, and only Gokhale Method Teacher in Australia at that time, Michelle Ball, was offering a Gokhale Foundations Course in my home city of Canberra a mere three months after I watched the TEDx talk. I felt like the stars were aligning. 

I was already convinced by the theory and evidence basis of the Gokhale Method, but I was yet to see first-hand the ramifications of implementing it. My mum, who had been left with daily pain following a serious car accident before I was born, attended the Foundations Course with me. When she turned to me at the end of the first lesson and said, “this is the longest I've sat without pain in 30 years,” I was doubly sure that this was something I wanted to be involved with in a big way. In fact, Michelle may recall that even on that first day of the Course I was already asking her what the steps were for becoming a qualified Gokhale Method Teacher.

At that time, I was also struggling to find motivation to return to my job as a science writer for a university following my maternity leave—while my work had a worthwhile indirect impact, I was having trouble justifying being away from my little son to do work that wasn’t directly and palpably making a difference to people. Perhaps it was the sleep deprivation, or the deep well of support from my mum, that led to me booking the three of us (myself, mum, and my by-then-14-month-old) on flights to San Francisco to begin the week-long intensive training with Esther, the start of the qualifying process. Looking back, it seems kind of a crazy undertaking, but I’m glad I did it, as I’ve rarely been more sure of wanting to do something.

I feel extremely grateful to have gained the know-how to help preserve my kids’ naturally healthy posture. Although, with their J-spines still mostly intact, they are more often good posture role models for me than the other way around! 

Training with Esther was bliss. I was so fortunate to be in company with the beyond lovely Kathleen O’Donohue and Tiffany Mann, my fellow trainees. Every day we explored a wide variety of subjects relating to teaching the method and then practised our new skills on a willing Foundations Course cohort. I just loved the depth and nuance that’s involved in rolling someone’s shoulders to just the right position for them (and of course seeing the change in their facial expression when they realised it was now easy and comfortable to maintain healthy shoulder architecture!). Esther’s knowledge and expertise were awe-inspiring, and it was a jam-packed journey. One day we toured the Cantor Arts Center at Stanford University, analysing the posture of the sculptures; the next day she ordered in some Chinese food for our lunch (and when she ordered over the phone in fluent Chinese, I thought: “of course Esther speaks Chinese—what can’t she do?”)

Myself (second from left), Esther (second from right), and my fellow teacher trainees Tiffany Mann (right), and Kathleen O’Donohue after practising our hip-hinging while picking kale in Esther’s garden.

When I returned to Canberra with my head full of knowledge, I leapt straight into my case studies (my husband was the first and patiently continues to be my guinea pig all these years later), and was proud to become a fully-fledged Gokhale Method Teacher once my peers and Esther had reviewed the videos of my teaching and given their valuable advice and support. My enjoyment of teaching hasn’t lost its lustre. I love interacting with people from all walks of life, adapting my teaching style and my hands-on help to their particular bodies and personalities. I love seeing them smiling in their “after” pictures (hardly anyone smiles in the “before” pics!), and am always on a high when someone tells me how the techniques have improved their lives, in little and big ways. Although I have passed through the initial uncertainty of my early teaching experiences (it can be hard to believe what you’re doing will produce astounding results when all the health information around you is based on an entirely different paradigm of healthy human spinal shapes), I still sometimes feel the need to “pinch myself” when a student makes a particularly marked transformation in their posture and pain levels. 

I feel very privileged to be able to pass on this life-changing wisdom, and Michelle and I are excited to get this work to as many people who need us as we can. Some of our wonderful students have expressed interest in becoming Gokhale Method Teachers, too, and Esther is planning to come all the way to Australia to train them if there is enough interest. We wait to welcome them with open arms to work collaboratively on our mission to make back pain rare around the globe.

If you or someone you know are interested in hearing more about Gokhale Method teacher training with Esther Gokhale in Australia, please reach out to teachers@gokhalemethod.com. 

Best next action steps 

If you are new to the Gokhale Method, get started by booking a consultation, online, or in person with one of our teachers to find out how the Gokhale Method can help you.

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

Welcome to the sixth blog post in our series on running. My name is Michelle Ball, and I am a Gokhale Method® teacher living in Tasmania. I am also a lifelong runner and am passionate about sharing the benefits of healthy posture with the running community, be that beginners, seasoned runners, or anyone in between. Even if you walk rather than run, the posture principles outlined in this post can still help you to enjoy an active and pain-free body well into old age.

Running with a well-positioned upper body

In this post we will consider the upper body. Runners are inclined to pay far less attention to the upper half of the body than the lower half, as they focus on gait pattern, cadence, footwork, and propulsion. This is hardly surprising, but the lower body, while super-busy, really is just half the story. 

Healthy posture in the upper body brings the following benefits:

• Protected spinal structures
• Improved biomechanics
• Unimpeded flow and momentum
• Support that makes the body feel lighter
• Athletic appearance

Healthy posture principles are important for the upper body as well as the lower. Implementing them can both protect your spine, and bring mechanical advantage to your running. Unsplash

I have found the upper body principles that we teach in the Gokhale Method® in-person Foundations and Pop-up courses, and our online Elements course, made a world of difference to my running. Let me share some key points with you. . .

Anchoring your ribs

As explained in my previous post, Running: Part 5: Anteverted Pelvis, a forward leaning position when running helps to avoid compression in the lower back. In our culture it is common that people have tight lower back muscles (erector spinae), and weak opposing muscles of the torso (internal obliques). This creates a sway back, which pulls the torso into a backward leaning position. A deliberate forward lean will help counter this. 

Here you can see me keeping a consistent forward angle throughout my torso, neck, and head.

Most people will benefit from some degree of forward rotation of the thorax to fully correct a sway and bring their torso into a straight and healthy alignment. This adjustment can be made and maintained by engagement of the internal oblique muscles, or rib anchor, as we Gokhale Method teachers call it. The rib anchor can be learned with a simple but precise maneuver which you can learn here. 

Overly contracted back and neck muscles can give a misleading feeling and appearance of being upright. In reality, overly muscles are pulling the lumbar and cervical spine into compression, threatening discs and nerves. Pexels

Deeper support and protection for your spine

Running is classed as a “high impact” activity. This is one reason to run with the best posture and technique you can. Even if you are running smoothly with impeccable form, running will generate additional forces that impact the spine on landing. Perhaps that is how “jogging” got its name! 

Using your inner corset while running lends natural protection to the joints, discs, and nerves of the spine in two important ways. Firstly, it creates and maintains length, and secondly, it confers stability, preventing untoward twisting, forward, back, and sideways movement. The trunk and pelvis remain a single unit, with no jiggling from micro-flexing and extension, or bobbing up and down—and the head travels at a continuous level, sparing the neck. In these respects good running form is the same as good walking form. The spine and its tissues are saved from both acute injury and long-term wear and tear. How to find and deploy your inner corset is explained in detail in Esther’s bestselling book, 8 Steps to a Pain-Free Back.

These two medical illustrations from 8 Steps to a Pain-Free Back show how, in modern times (e.g., 1990), deeper spinal curves have come to be regarded as normal and desirable. The Gokhale Method advocates a return to a straighter, longer spinal shape (e.g., 1911). 

Avoiding neck pain while running

Deep engagement of the inner corset will preserve length in the lumbar spine, and this supportive structure also encourages length in the cervical spine, or neck. In addition, locally, the longus colli muscle, which attaches to the front and side of the neck and upper thoracic vertebrae, needs to be engaged to draw the neck back into a tall, lengthened position in line with your body. 

The longus colli muscle (seen here in red) draws the vertebrae of the neck back into a healthy, tall, and spacious alignment. Wikimedia

Gliding your head up and back, while allowing your chin to rest down, will provide stable and relaxed carriage for your head, and a happier neck. You can learn how to glide your head back here.

Your head and neck want to remain back in line with your body, even as you lean forward. 

You don’t want to jut your chin forward and let your head literally run ahead of you. Pexels

Trunk stability

The trunk stability that protects the spine also enables efficiency when running, as energy is not dissipated into incidental movements that detract from forward motion. It enables all propulsion to be well channeled, rather than just pulling the spine around. As running expert Marc Cucazella reminds us, ‌“You‌ ‌can’t‌ ‌fire‌ ‌a‌ ‌cannon‌ ‌from‌ ‌a‌ ‌canoe.”‌ In the upper body this propulsion comes from the arms.

Arm movements in running

Whereas in glidewalking the arms largely rest, in running the arms actively contribute to propulsion and alternate with the leg action. In sprinting the arms are especially important, moving straight forward and back like pistons on either side of the body. The arms‌ ‌are bent at‌ ‌45 degrees ‌or‌ ‌slightly‌ ‌more,‌ with the hands‌ ‌moved ‌in‌ ‌a‌ ‌circular‌, ‌‌rearward‌ ‌pull motion,‌ ‌‌as‌ ‌if‌ ‌you‌ ‌were‌ ‌chopping‌ ‌wood.‌ The arms‌ ‌then‌ ‌recoil‌ ‌forward,‌ ‌very slightly rotating‌ the shoulders‌.‌ What you don’t want is the arms to be crossing the midline of your body and pulling you off balance. Arm action can be much more relaxed at an easy jogging pace or in distance running. 

The vigorous piston action of the arms in sprinting requires a well-configured shoulder joint. Unsplash

Whatever your running speed, it is extremely important that the shoulders be well positioned, so that the joint—where the bone of the upper arm, shoulder blade, and collarbone meet—can connect well, and the soft tissues, nerves, and circulation can function optimally. You want your shoulders to be happily at home in their natural, posterior position. You can learn how to roll your shoulders back here.

Open, posterior shoulders will also help you to access breathing in your upper chest. If you tend to hunch forward, draw your elbows more together behind you to assist the external rotation of your shoulders.

Relaxed and bouncy shoulders

In gentler jogging and long distance running, the shoulder area can be more relaxed. Healthy alignment within the shoulder joint is still important for the hundreds of to-and-fro arm reps, and to cushion the impacts traveling through the joint with every stride. A healthy postural relationship between the upper back, the shoulder girdle, and the neck will help the shoulders to be responsive rather than held tight, and to bounce a little as you run. 

The trapezius muscle is at the center of healthy upper back, neck, and shoulder posture. It helps the shoulder to lift, lower, and gently bounce through impactful movement. Wikimedia

Stick or twist?

The synchronized alternation of arm and leg movement is vital for momentum and balance during running. This will be integrated by the torso twisting somewhat. There is a counter movement of pelvic rotation backward as the chest moves forward on the opposite side. The key is neither to over stiffen, nor over twist the torso. A stiff body keeps the hips from extending fully, can shorten your stride, and puts more pressure on the knees and leg joints. Over twisting can cause a “sloppy” run and impinge on the spinal joints. This is where staying tall with a strong inner corset is invaluable, as the inner corset allows healthy rotation both through and beyond it.  

In particular, avoid an upper/lower torso separation with twisting happening almost entirely at the T12/L1 junction, where the ribs meet the lumbar area. Twisting here is sometimes misguidedly encouraged to help power the arms, especially in fitness walking classes. However, there is no ball and socket joint at T12/L1 that makes swiveling here a good idea for the spine! 

This runner’s torso shows considerable rotation, but it is distributed along the spine—it does not twist at just one point. South African sprinter Wayde van Niekerk sets a world record at the 2016 Olympics. Alessandro Bianchi / Reuters

Olympic gold medalist Tirunesh Dibaba also shows even rotation of her torso from hip to opposite shoulder. I’ve also noticed that most East African runners have a significantly higher arm carriage, and are among the best runners in the world. Bretta Riches – Run Forefoot

If you would like guidance on any aspect of your posture and/or running, including your head, neck or shoulder position, consider scheduling an Initial Consultation, online or in person, with a Gokhale Method teacher.

6-Part Gliderunning Series

• Read Part 1: Introduction.
• Read Part 2: Meet Your Feet.
• Read Part 3: How to Choose Running Shoes.
• Read Part 4: Taking Care of Your Knees.
• Read Part 5: Anteverted Pelvis.
• Read Part 6: Upper Body.

If you would like to find out more about how the Gokhale Method can help support you, sign up to join one of our upcoming FREE Online Workshops.

Welcome to the fifth blog post in our series on running. My name is Michelle Ball, and I am a Gokhale Method® teacher living in Tasmania. I am also a lifelong runner and am passionate about sharing the benefits of healthy posture with the running community, be that beginners, seasoned runners, or anyone in between. Even if you don’t run, but do want an active and pain-free body well into old age, this blog post is for you!

What is an anteverted pelvis? 

Pelvis refers to the bony pelvis, and means basin, or bowl, in Latin. Anteverted means tipped, turned, or inclined forward, from the Latin ante to go before or in front, and vertere to turn. So we are referring to a pelvis that tips forward. 

The angled belt line of the Ubong tribesman on the left shows that his pelvis is anteverted—mildly tipped forward. Contrary to popular belief, an anteverted pelvis does not cause excessive lumbar lordosis (sway back) when there is a healthy angle at the L5-S1 junction. His back remains surprisingly straight by conventional standards. 

(a.) An anteverted pelvis facilitates heath posture. The commonly advocated “neutral pelvis.” (b.) is actually mildly tucked and does not allow the correct lumbo-sacral angle and stacking of the spine. (c.) A markedly tucked (retroverted) pelvis leads to a tense, compressed lumbar area, or to slumping., 

How an anteverted pelvis benefits the spine:

As you see in the image above, an anteverted pelvis (see example (a.)), is the foundation for a healthy, straighter, more vertical spine, which does not sway or round. It provides the correct orientation for the sacrum to support the L5-S1 disc, which is wedge-shaped, and then for the L5 vertebra and those above to stack well. A tucked pelvis, over time, will likely cause the L5-S1 disc to suffer wear and tear, bulging, or worse, and put pressure on the sciatic nerve roots.

(a.) An anteverted pelvis preserves the wedge-shaped L5-S1 disc. (b.) A tucked pelvis cannot accommodate this and the lower discs will suffer undue pressure and bulging toward the nerve roots.

Like the Ubong tribesmen and people throughout the nonindustrialized world, these elite runners show both an anteverted pelvis and an upright torso. Unsplash

Running leaning forward

Some running coaches teach a forward lean of the torso, which I agree reproduces some of the benefits of a healthy L5-S1 angle for runners who are currently stiff at that joint and therefore slightly tucked if they remain upright. Leaning forward helps compensate for any lack of L5-S1 angle, and harnesses power from the energy of impact when the back leg pushes off. 

Leaning forward is strongly advocated in the ChiRunning technique, which was developed by Danny Dreyer. You can watch Esther in conversation with Danny here, where he explains his approach.

Danny Dreyer advocates a forward lean when running, with shoulders, hips and ankles aligned. This is a useful technique to help orient the pelvis, especially if the L5-S1 angle does not allow for the torso to be upright. It also provides additional momentum.

World-renowned Kenyan runners often run with a good L5-S1 angle that anteverts the pelvis, combined with only a slight forward lean. Flikr

Powerful glutes 

An anteverted pelvis also confers mechanical advantage to the buttock muscles. With the behind behind, they can contract powerfully to pull the legs back and aid propulsion. Under-developed glutes are a common casualty when the pelvis is tucked. 

You can see here that I am running with my pelvis anteverted, and a slight lean forward, both of which put my glutes behind to help power my stride.

It is important that, in an effort to get your behind behind, the anteverted pelvis is not mimicked by simply sticking your bottom back with tension (sway) in the lower back. The pelvis needs to settle into anteversion naturally, with healthy articulation at the L5-S1 joint, relaxed back muscles and hip joints, and healthy alignment throughout the body. Gokhale Method teachers have the techniques and expertise to help you get there without inadvertently creating more postural problems. 

This runner has her behind behind her—but, as the creases in her top confirm, she is tensing her back into a sway and lifting her front ribcage to get there. Pexels

This footballer has his behind behind with an anteverted pelvis that articulates at L5-S1. His torso remains largely straight, which enables him to twist with good length in his spine, rather than compounding compressed discs and nerves. Pixabay

I find it interesting that a forward-leaning stance which aligns the torso with the extended back leg and supports pelvic anteversion is also a key ingredient in learning to glidewalk. Glidewalking is taught in detail in our Gokhale Method® in-person Foundations and Pop-up courses, and our online Elements course. Glidewalking produces a natural, smooth and powerful gait, which in particular strengthens the glutes and the feet. Students who have learned glidewalking find their running improved by the Downtime Training™of simply walking—but walking well. 

Good hip health

The anteverted pelvis is part of nature’s blueprint for healthy human posture and sound biomechanics. It is no surprise therefore that it confers many benefits throughout the body. An anteverted pelvis gives the best fit and function for the hip joints, avoiding the misalignments that occur with tucking. Poorly aligned hips can cause bursitis, labral tears, and osteoarthritis within the joints, and soft tissue issues such as muscle strains, tendonitis, and ITB (iliotibial band) problems further down. 

Jogging or walking with a tucked pelvis encourages tight hip joints, internal rotation of the feet, legs, and hips, rounding of the torso, and forward head carriage. Pexels

Pain in the knees, lower legs, and feet 

When runners get pain in their knees, lower legs, or feet, one of the last places they are likely to look for a remedy is their pelvic position. They are far more likely to blame their shoes! While the right shoes are important, (see Running P3: How to choose running shoes), it is often a revelation for runners to realize how the angle of the pelvis affects their gait. 

One serious problem with tucking the pelvis that hits runners particularly hard is excessive heel strike. While this may also occur in walking with a tucked pelvis, running or even slow jogging will mean that an unduly forward thrusting front leg will suffer more impact. This may result in not only wear and tear, but immediate and painful damage, as the femoral head (top of the thigh bone) is jammed back into the hip socket, and the knee joint of a more forward and likely more straightened leg is jarred.  Sticking the heel forward is like ramming the brakes on while still stepping on the gas! The answer to a thudding heel strike is not to buy excessively padded shoes, but to antevert the pelvis.

A tucked pelvis points the thighs forward, resulting in an excessive heel strike and jarring through the front leg knee and hip. sportssurgeryclinic.com

This runner has her behind behind, but the orientation of her pelvis comes from a 
swayed lumbar area, not from L5-S1. The front of her rib cage and chin are pulled up.
She is about to heel strike—bad news for her straightened front leg and hip joint. Unsplash

Doing a much better job, an anteverted pelvis:

• Puts the muscles and soft tissues, especially the glutes, in a position of mechanical advantage, without threatening the lumbar spine
• Enables better weight distribution and therefore bone health 
• Places the thigh in a healthier position to absorb forces in the hip socket 
• Allows landing with a bent front knee, with better shock absorption 
• Facilitates a light heel/midfoot landing, avoids excessive heel strike, is more energy-efficient

This runner has good form. Her behind is behind because of a pronounced angle at L5-S1 (anteverted pelvis). Her back remains largely straight, her shoulders back, her neck tall. She will land without unduly jarring her joints. Unsplash

Support for the pelvic organs 

An important benefit of an anteverted pelvis is that the bones of the pubis are able to play their part in supporting the pelvic organs. Organ prolapse and incontinence can affect everyone, especially as we age, and is also a common problem in our culture for women during or after pregnancy. When the pelvis is tucked the organ support is overly reliant on the soft tissues of the pelvic floor, such as the Kegel muscle.

(a.) With an anteverted pelvis, the pubic bone is positioned to support the pelvic organs. (b.) With a tucked pelvis, the Kegel muscle is obliged to assume this role.

There is nothing worse than getting a run in and having to use the bathroom, especially if there is not one available! Heather A. Dunfee is a physical therapist in the Mayo Clinic Healthy Living Program, and a certified Pregnancy and Postpartum Corrective Exercise Specialist. She does not refer specifically to the anteverted pelvis, but she is clear that tucking the pelvis is bad news:

For runners, good alignment can help your core to better absorb impact, preventing leaks. For example, a slight forward lean helps to put your deep core "canister" in the best alignment to do its job. Think about stacking your rib cage over your pelvis, something that comes naturally when running uphill. . . Hills are great because they force the body into a position of rib cage over pelvis and untuck the bum.

If you would like guidance on any aspect of your posture and/or running, including pelvic position, consider scheduling an Initial Consultation, online or in person, with a Gokhale Method teacher.

6-Part Gliderunning Series

• Read Part 1: Introduction.
• Read Part 2: Meet Your Feet.
• Read Part 3: How to Choose Running Shoes.
• Read Part 4: Taking Care of Your Knees.
• Read Part 5: Anteverted Pelvis.
• Read Part 6: Upper Body.

If you would like to find out more about how the Gokhale Method can help support you, sign up to join one of our upcoming FREE Online Workshops.

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. 

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. 

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.

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.

An overpronated foot may show distortion of the Achilles tendon (right). Wikimedia

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.

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. 

            
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. 

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.

6-Part Gliderunning Series

• Read Part 1: Introduction.
• Read Part 2: Meet Your Feet.
• Read Part 3: How to Choose Running Shoes.
• Read Part 4: Taking Care of Your Knees.
• Read Part 5: Anteverted Pelvis.
• Read Part 6: Upper Body.