Over the past few years, the "core" has become a hot phrase in the fitness industry much the way the avocado has in the nutritional world. Catchy phrases such as 'core strength,' 'functional core,' or 'abdominal bracing' have all been thrown around haphazardly, with an inordinate number of core exercises to match.
An internationally researched system of assessment and rehab for spinal and extremity musculoskeletal pain. Clinicians that have training in the Mechanical Diagnosis & Therapy (MDT) system are able to assess, classify, manage, and properly refer out when indicated for all complaints of the musculoskeletal system. This means that if a pain complaint is coming from the spine, extremity joints, muscles or tendons, then a MDT evaluation is appropriate. A clinician with MDT training will be able to identify what management strategy is best and outline a predicted recovery plan. All using movement and patient education as a guide toward self management.
Limited Ankle Dorsiflexion (foot going toward shin) is shown to be a low to moderate risk for developing plantar fasciitis. Why? Our body is incredibly smart and even when it is lacking joint range of motion in the ankle it will still accomplish the task at hand like running, squatting, lunging by compensating and increasing strain up and down the chain. This commonly means increased demand and force placed upon the plantar fascia over time.
Treatment and rehab for plantar fasciitis can involve everything from foot, ankle, hip, and core based on your individual presentation. We will start from the bottom and move on up in an succeeding blog.
Many times, pain in the bottom of the foot or heel can be pushed into a blanket diagnosis of “you have plantar fasciitis”. But is it plantar fasciitis? Could it be another condition like tibialis posterior tendonitis, stress fracture in the heel, radiating pain from the low back? While getting a blanket diagnosis of plantar fasciitis based on zero exam with some basic rehab and soft tissue techniques thrown at it may work, there is a good chance it probably will not. You must know what you are aiming at. And in the same boat, what is causing the plantar fasciitis? Just because there is pain and inflammation in the plantar fascia does not mean that the CAUSE of the pain is coming from that area as well. In fact, it rarely does. This is why seeking out help from sports chiropractor or physical therapist is important to get a proper diagnosis and most importantly find out the main cause of the pain.
When patients present with pain, we can usually put each patient in one of two categories: they weren’t doing enough activity, or they were doing too much. Let’s give you two examples. The most obvious is in the springtime, when the weather is nicer, people will take up running; but this is after not running for months because of the season and weather. When the person tries to run the same amount of miles, or as fast as they did prior to their hiatus, is when they get in trouble. This is a simple case of "too much, too soon": the amount of excessive load on the tissues causes strain and will send a signal to the brain for help because something is wrong.
Think of the knee as Cinderella. She was a victim of unfortunate circumstances and left to bear the burden put on her by her stepmother and step sisters. Cinderella does not deserve the grunt work, but as she has no other option, she miserably trudges on. Similarly, the knee is stuck between the hip, ankle and foot; picking up slack where they have left off. Think of this as the fairy godmother blog to save you from present or future knee dysfunction and pain.
The big toe is often a forgotten and neglected component of the human body. Proper range of motion in the big toe is vital to creating stability as running speeds increase. Ideally, the big toe needs to dorsiflex (i.e. the toe bends toward the face) at least 45 degrees. However, as speeds increase from walking to running, 65 or more degrees of dorsiflexion is ideal. Lack of big toe range of motion can cause problems local to the foot such as plantar fasciitis,¹ and is even noted with over head athletes such as baseball pitchers and cricket bowlers.²
Lately, I have overheard several individuals at the gym discussing their troubles with deep squatting: ranging from anterior hip pain, to knees caving in. Yes, I was eavesdropping, but kept my two cents to myself and decided to share it in this blog instead! There are 3 things I have found to hinder one’s deep squat potential: improper breathing strategies, not spending enough time in the “hole,” and lack of bodyweight exercises with the hips flexed greater than 90 degrees.
Have you ever been told you have a short leg? Has a family member or friend ever mentioned having a short leg? Chances are, the answer is yes. What does this really mean? Is there truly a “short leg”, commonly referred as a LLD or leg length discrepancy? What is considered a significant difference?
