Drop of Knowledge

First things first...we don't know everything.

So for that reason alone, we want to continue to educate ourselves and in turn help enlighten you with what we discover.

We would like to officially announce our commitment to providing you with quality content to inspire, motivate and educate you on a variety health and wellness topics. You will see content here through email, facebook, instagram and on the website, so please click on the icons at the bottom and follow us!

You can expect to see posts from your very own SMC team as well as guest material from people we think are super smart.

Speaking of peeps who are super smart, this inaugural post comes from our very own Kevin Coates, a trainer here at SMC.

Let's see what his work playfully labelled as his 'Drop of Knowledge' is delving into this week

Enjoy!

Foot, Ankle, and Hip

Why do you need to pay more attention to these areas?

Feet are the foundation upon which your entire skeletal structure is carefully crafted. Just like the foundation of a house or a skyscraper, if it is weak, shifting or crumbling, the integrity of the entire structure is compromised. It will not be able to withstand the forces it was designed to take and could potentially collapse.

Our foot and ankle joints evolved in an environment that required the foot to be a stable, strong, pliable, dexterous, and mobile, resulting in a foundation which functions effectively and efficiently and with minimal protection from a variety of surfaces. If your feet do not have these qualities, every single step you take through your life time will transfer stresses and forces through your joints, skeleton, and muscles in an ineffective and inefficient manner. This may lead to a breakdown of structures that are not designed to take the stress. It may also limit the range of motion of some joints, leading to compromised movement, muscle weakness and instabilities.

In this blog post series on foot, ankle and hip function, I will explain how these three body parts can have a serious impact on your posture and your ability to move correctly and pain free. I will also help you understand why and how certain shoes and orthotics may be contributing to your lack of quality movement and may be putting you at risk of injury if they are not used wisely.

Part 1-Support

“I thought supportive shoes and orthotics were supposed to be a good thing”

Well, I’ll put it this way: Our feet are very complex so that our shoes don’t have to be. Our feet have 33 joints, which makes up approximately one quarter of our entire body’s joints. There are more than 100 moving parts in the foot and ankle, including muscles, tendons, and ligaments. Our feet are designed to support, balance, and cushion without the need for modern shoes.

Unfortunately, from the time that we are able to walk as toddlers, we are put in a tight, narrow, supportive shoe with elevated heels. This alters our gait and changes our posture at a critical time of motor development and growth. A life time in shoes does not provide the stimulus needed to develop pliable, strong, stable feet that function well.

Even if you are active and moving your legs, it does not mean the joints in your feet are moving enough, or are loading the muscles enough. All those joints and muscles in our feet need to be moved, torqued and stimulated with a variety of surface shapes, textures, and loads of work. Without this level of stimulus, we become adults with feet that cannot support our own body weight.

There is a time and a place for support, heel lift, cushioning and some of the other technologies that come with modern shoes and orthotics, however; all day, every day is not appropriate.

Why don’t we brace, cast or support any other joint or group of joints for our entire lives? For the same reason it is not a good idea to sit on a couch to support your body or to lie in bed your entire life. The body adapts to the stresses and stimuli that you give or don’t give it. The simple concept that the body needs movement to stimulate growth and development of your bones, muscles, tendons, and ligaments applies here as well as with feet. Without enough stimuli the body adapts by breaking down bone and muscle.

When it comes to general injuries, you may need to use a brace or cast in order to give that limb/joint the rest that it needs to heal. Once the brace/cast comes off, you have to rehabilitate that area to regain the mobility, strength, and stability you had prior to the injury. The treatment plan for foot injuries, even simply the maintenance of the feet, doesn’t usually get this kind of care. Most treatments for foot injuries and collapsed arches consist of a couple stretches, perhaps an exercise or two. It does not end there; orthotic devices and supportive shoes are also recommended for the rest of your life. This goes against the principal that splinting or bracing is meant to be used temporarily.

In conventional practice, little thought is given to try to mobilize the stiff joints of the foot and ankle, splay out the toes, strengthen the muscles, and rewire the nervous system which controls the function of all that hardware. We can make the changes necessary to rewire our nervous system to promote healthy feet and ankles. This will take some work and attention but the results may surprise you.

With all of this in mind, transitioning to more natural footwear requires slow, progressive loading, time and consistency. PLEASE DO NOT THROW OUT YOUR SHOES AND ORTHOTICS!!! This is especially important if they have been prescribed. Logically, if you were going to a gym for the first time, you wouldn’t try to squat 300 lb because it would likely cause a debilitating injury. The same logic applies to feet…DO NOT go for a five kilometer run barefoot on your first day without shoes/orthotics!

I would like to help you learn how you can get healthier, stronger feet and ankles. My new Foot, Ankle, and Hip class at Serratus Movement Centre will begin in January 2019. Please stay tuned for Part 2 of this series on foot, ankle and hip function and further details on the new class.

Team SMC

Ps. If you have questions, concerns or you agree to disagree, we want to hear from you! If you have feedback or ideas for future blog posts, we are listening.