orthotics

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. 

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

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. 

 
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. 

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. 

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.

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. 

  
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. . .

We’re a month into the New Year—and that has me thinking about what helps us to keep going and succeed with our New Year's resolutions. Including our posture and exercise goals. 

One thing that I have found works well for me, and for my students, is to choose my words carefully. 

Choosing words with care

The words we use can be extremely powerful. They can shift your mindset from negative to positive. We may not even realize that we have disadvantaged ourselves with a mental framework of negative words and phrases until we gain a fresh perspective. These frameworks can go back so many years we have mistaken them for a permanent part of ourselves.

Some of our self-talk goes back to our childhood. Our parents of course do their best for us, but parenting in our culture is often an isolated, poorly supported, and arduous journey. Parents’ anxieties, prejudices, and even best intentions are often embedded in negative language and unwittingly passed on to us. Over the years I have seen how many students have internalized their parents' criticism. I encourage students to let this go. It’s a disservice to yourself. 

You can cut out the negatives in your vocabulary.

Our peers have also often learned to speak in terms that are unhealthily competitive and even unkind. For example, imitating or commenting on other people’s physicality is an easy way to score a laugh. The intention may be to entertain, but on the receiving end it can be hurtful. 

Change your language to change your mindset

Carol Dweck, a professor of Psychology at Stanford University, wrote her seminal book Mindset about the importance of what we believe to be true, especially about ourselves. A person with a fixed mindset will believe that they have a finite level of endowed talents, intellect, and so on. This is self-limiting, and leads to behaviors which seek to protect this self-image—for example, not trying too hard, or shying away from challenges.

Let’s not limit our potential with negative beliefs and a fixed mindset. Pixabay

This is not to say there’s no individual variation in talent; there clearly is. But aptitude is not a fixed entity. For example, many people feel they cannot dance. Maybe someone told them once that they had “two left feet.” One of our teachers in England, Clare Chapman, told me, “I was a non-dancer for 50 years until I worked with the Gokhale Method. I now enjoy healthier posture, love to dance, and join 1-2-3 Move with my camera on.” Potential can be left unused, or it can be nurtured. What helps is a growth mindset, and a positive vocabulary to express it.

Our daily 1-2-3 Move program includes a joyful Dance Party to start each session.

Here are some examples of fixed mindset language that we have heard over the years as teachers:

1. I have the family shoulders—people used to call me “coke bottle.”
2. I hate my flat feet 
3. I have no butt

Such statements hold you back from believing you can change. If you have previously said negative things about your posture, your body, or appearance, there is still the opportunity to reframe your observations positively. For example. . .

1. Shoulders come in various shapes and sizes, but how they appear is only partly due to inheritance. Odds are that if you learn how to shoulder roll, you will lose the exaggerated sloping that tends to come with rounded posture. Gently opening and resettling your shoulder joints will guide them “back home” to a more posterior, externally rotated, and natural place. You can learn how to shoulder roll here.
2. By learning to kidney-bean shape your feet you can realign the bones of your foot arches, and strengthen the muscles which support them. Restoring this natural foot shape is also a great correction and preventative for bunions. You can use any orthotics you may have as a training aid, although many of our students soon find they no longer need them.

Note the bean-shaped contours of this woman’s feet. She has well developed inner and transverse arches, giving her feet convexity rather than a collapsed shape. (Odisha, India, 2017) 

3. Let go of thinking “I have no butt!” What that usually means is that you haven’t yet developed your glutes due to tucked posture, which disadvantages their action. Most people in our culture tuck their pelvis, which results in underusing the glutes. We teach our students how to get their behinds behind them (without tensing their backs), and to use their glutes to power each step. We call this smooth, elegant action glidewalking.

Buttock muscles that have been underused due to tucking the pelvis retain their potential to be developed in healthy walking and posture.

Changing your posture with love

All these techniques and principles are covered in our in-person Foundations and Pop-up courses, and our online Elements course. Technically effective and efficient as our courses are, our teachings really land best when we bring love into the process. A loving attitude enables new possibilities and holds us safely on course. It is the best way to parent, to teach, and to succeed in changing what we do. It is not by accident that the name of our publishing house for 8 Steps to a Pain-Free Back is Pendo, the Swahili word for love. 

Changing your posture with positivity

The uplifting words, music, and dance of Bing Crosby and the Andrews Sisters summarize it all. . . Enjoy!

The inspiring song Ac-Cent-Tchu-Ate the Positive alongside video footage.

To find out how the Gokhale Method can help you become pain free, schedule an Initial Consultation, online or in person, with a Gokhale Method teacher.

To learn more about the Gokhale Method, sign up for one of our upcoming FREE Online Workshops...