Orthotics and Foot Mechanics for Proper Gait (Walking)
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- เผยแพร่เมื่อ 28 ส.ค. 2024
- Life is walking and breathing. All our movements as human revolve around these two primary actions. If you can't walk and breathe correctly, chances are you'll end up in pain somewhere down the line.
Postural Restoration seeks to restore both of these at the same time. After all, they are inseparable. The same muscles that enable you to walk also enable you to breathe so dysfunction in one activity will carry over to the other. That's why all treatment for muscle and joint pain must start with restoring proper walking and breathing mechanics.
Sometimes we can't restore proper muscle function without the help of foot orthotics. I explain why in this video.
Hey there, my name is Neal Hallinan.
The purpose of this channel is to help people understand and resolve chronic muscular and joint pain, primarily through the discipline of Postural Restoration.
As someone who lived with chronic pain for many years of my life, I know how debilitating and isolating it can be. But I also know it can be resolved.
I hold the following credentials:
Postural Restoration Trained (PRT)
Strength and Conditioning Coach (CSCS)
Licensed Massage Therapist (LMT)
Amateur Historian (AH, my own self-designation)
I live and work in the great state of New Jersey, USA.
/ neal_hallinan
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Subscribe to my channel here: / @nealhallinan
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For further information about Postural Restoration defined patterns, check out these videos and blog posts.
pritrainer.com...
• What is the Left AIC p...
• Introduction to the Ri...
pritrainer.com...
• RTMCC Pattern Basics
pritrainer.com...
Great video. I've had low back pain for many years (I'm 37). It's taken me years of chasing symptoms to finally understand what's happening. This video helps a lot. My gait, hip flexion, breathing, posture, (ie everything) is all off, and it's all connected. Videos like yours are helping me finally get to the root of my issues, and hopefully begin to heal. Thank you.
Definitely watch this one if you haven't already.
th-cam.com/video/eb9Q_Gz9hwM/w-d-xo.html
@@NealHallinan absolutely fascinating. Thank you for all your time, effort, and sharing your knowledge
Perfect timing for a patient I am working with! I appreciate you, your education, love of learning and sharing your knowledge so much! You have a ripple effect only God knows how big! Thank you!💗
Thanks so much Amanda! And thanks for commenting!
Enjoyed your explanation of foot mechanics and how they set the stage for everything thing else above. I knew the foot was important, but never really understood it. So you were definitely a help there.
Great. Thanks for the comment Christopher. I'll definitely be doing more foot mechanics videos. It does set the stage for everything else above.
Great content and I understood the lesson since I have aic pattern and a very painful sciatica pain and started to put a peace of tissue underneath my right foot arch and pain decreased significantly
You saved me from the pain and will start pri exercises
Thank you sir Neal 🙏
Thanks man for sharing your knowledge 🙏
Very informative video. It would be nice if you could show us some footwear soles of a proper stepper and a problem stepper. I think most people have looked at the soles of their sneakers and said oh it's time for some new ones, but I doubt very few if any ever look at them and say, oh my step is off or my gate is wrong etc.
Showing us what to look for on the soles of our walking runners I think would be a great help in leading us to correcting properly. Thanks.
Got mine (suspect from the same guy) a few months back. Feel super grounded.
Awesome. Grounding is everything.
Dan Cholerton hey, how do you feel now sir? I am getting my PRI orthotics in a few days!
do he have a website ?
Neal, thank you for your videos. I do not doubt the sincerity within them. With this one, I find the Foot Posture you describe to be the exception and that hyper pronation is much more common . Given that this Foot Posture derives from the pelvis misalignment which is the raison d'etre of PRI:- Am I missing something?
I have the opposite, my right arch stuck and right foot only supinate and my left foot always pronating.
Awesomness
How would barefoot running/walking affect this. Barefoot is a toe-heel gait.
I have the opposite of this. My right foot is stuck in pronation. It cant supinate. Hence my right big toe isnt working right and all that.
Will this help correct left aic? Thank you for all your information. I've heard of pri for several years now but the way you explain everything is by far the best that I've heard. Thank you for all you do!
Hi Victor. Most people don't need orthotics to correct the left AIC pattern. Some do. Thanks for the kind words and thanks for commenting (sorry I didn't see your question until today)
Watching this now. Since I’ve been watching you I’ve been realizing that my right big toe barely touches the floor while I walk
Hi Neal - would wearing PRI orthotics combined with doing the PRI exercises daily help expedite the healing process of the left AIC pattern?
I've recently discovered your channel and I'm pretty much binging all your videos. I have a very supinated right foot and an externally rotated right tibia, and both have been giving me a lot of trouble and pain lately. I'm a runner, and I would like to know if there are any specific exefcises or recomendations for runners, since running gate is a little bit different than walking gate. For example, I have a foreffot to midfoot strike when I run, so I don't know how to integrate the "feeling the left heel" cue, since when running my heel is not the first part of my foot that strikes the ground. Any recomendations? Thank you in advance and keep it up with the amazing work.
Running is a different experience than walking, and PRI is "walking and breathing" without compensation. So there is nothing you can really do for running as you run.
On the other hand, learning to walk/stabilize appropriately in single leg stance/breathe without compensation with a true PRI program will absolutely carry over to athletic performance.
I need these. How do I get a mold of my feet done by Paul?
I have exactly what you are describing but the opposite - right foot supination left foot protonation. I believe you are refer to this elsewhere and here as Left AIC pattern. I am blown away, you are describing things that have been below the level of integrated awareness my entire life pre-adolescence. Thank you!
I think my next step (no pun intended) is to buy some orthotics. What should I be doing?
"below integrated awareness" nailed it.
What to do? What about making few steps with the foot cylce Neal suggested, barefoot. Being aware.
3 phase foot cycle on every step.
Basically land with the foot going inward , stabilize with the foot feeling on the outward part, proceed with putting the other leg forward and the planted leg foot going inward.
Cheers!
ok the swing of the idle leg happens in phase 2, but phase 3 is actually extending the planted leg while landing on the idle leg.
Anyway, not the worst exercise - being aware of the foot cyle.
How do I align the knee ankle and big toe ? I have no internal rotation
Oh my gosh Neal....my problem started with my hip/heel on the left side. Diagnosed with plantar faciitis and posterior pelvic tilt. Can't seem to get my left side to align properly. Going to physical therapy but traditional methods don't seem to be working. I have made my own foot support but the left foot seems crooked...and now my right heel is also a problem.
are all orthopaedics aware of this context or would I need to see a PRI trained orthopaedic????
What are things to look for with my PRI therapist that indicate that these orthotics are neccessary? Also Is Paul in Iowa the only Podiatrist that deals with PRI?
If you can't get neutral or stay neutral, and there aren't any other cranial influences that would be causing it.
I have a couple questions for you. What shoes do you recommend if someone is experiencing postural issues? And lastly, can a person repair their vagus nerve without undergoing prolotherapy?
You can google "PRI Shoe List".
I don't really know anything about vagus nerve repair. The vagus nerve function can change when people are stuck in state of tension. That's really what this channel is about. It's like the vagus is a symptom of dysfunction, rather than the cause.
@@NealHallinan Thanks Neal.
Is left AIC patterns responsible for just the right foot moving outward (out toeing) and left foot being straight. I think right foot will out toe just to find that pronantion? Do you think I am thinking it right?
I have a a slight underbite and jaw veers off to left, teeth and space in mouth isnt that narrow and when i bite i mainly feel it on the left also poor vision, would these things be the main aspects of why im laterally tilted with my left side feeling in pain and compressed? Or could i fix all these posture issues without fixing my jaw and eyes? Feeling very lost, im seeing a phyiso that does pri and he said any exercise is pointless until we get my lower abs on so we can engage the glutes and see if it gets me out of extension
You do need the abs, but perhaps it's the cranial issues that are preventing the abs from engaging. If the jaw and vision is truly an issue, they will prevent the techniques from working effectively.
@@NealHallinan whats your adive to fix these issues? Feeling abit lost
Getting ting my new soles in may after visited the podiatrist .. the thing is ... can they fix the neuropathy , especially for those with glasses
Unfortunately I don't have the answer to that one.
Hi Neal - I have been working with a PRI physical therapist for a couple months now and he is now recommending that I order orthodics from Iowa (which I assume is Paul Coffin). If I agree to have them ordered, am I going to have to wear them for the rest of my life and be dependent on them for proper muscle function? Are orthotics acting as a 'band-aid' for improper foot physiology or are they necessary in this case?
In my case they are necessary. They are being used to restore proper muscle function. Actually, I probably never had proper muscle function from the day I was born because my left foot is not normal.
As Dr. Coffin explained to me, his orthotics are used to "align the hinges", those hinges being the joints of the foot, ankle and knee. Without this alignment, proper muscle function will never occur and compensatory muscle function will have to occur which will throw off mechanics of the hip, spine, neck and jaw.
I've lived this. It's not fun. Chronic pain, ringing in the ears, gut issues. All because my left foot had an arch that was so high that it could never pronate properly.
If it's the choice between proper muscle function with an orthotic or improper muscle function without an orthotic, I'd take proper muscle function every time.
I would not look at them as a band aid any more than I'd look at contact lenses or glasses as a bandaid. If you can't see, you can't see. Not all orthotics are made the same however. Not all podiatrists are going to have any clue what your PRI therapist is trying to do.
Dr. Coffin and PRI are well aligned in what they are trying to do. From a PRI perspective, you are either staying neutral or you aren't. If you aren't, your muscle function is not balanced.
That makes sense. I guess my reasoning was based on how PRI can change position with non-manual techniques to thus change function and applying that to feet (since orthotics are like a manual technique). And even if this were the case, then I can imagine that an older patient would have a more difficult time doing this since development of the foot is more solidified than it was in adolescence.
@@JaiNormis I understand your thoughts. When I had plantar fasciitis for 4 years I had a pair of orthotics made and they just made things worse. The doctor who made them was trying to support my feet, something my feet didn't need. My feet needed to be "guided" into proper pronation. He never imagined that my pelvis, ribcage, and neck were stuck and contributed to my issues.
Some feet aren't going back to what they were when we were born (or in my case, they were never normal). Dr Coffin's orthotics return feet to a normal position so proper biomechanics can take place at the foot. Otherwise, improper mechanics will take place further up the chain and the body will always be forced to compensate
This is good to know. It's very difficult to get in touch with my PT as he is always fully booked and also to ask these types of questions during the short amount of time I have per appointment with him, so I appreciate your detailed and informative responses and video content. Thank you Neal!
@@Allyourheroswenttohell From what I understand about Dr. Coffin's orthotics is that they are not forcing your feet into a fixed position like an arm brace would - they can still bend and twist to allow the intrinsic foot muscles to function and the midfoot to supinate and pronate while giving the foot the support required to alter muscle function further up the chain. I've been seeing my PT for about 10 appointments so far, coming in each time being out of neutral even while performing the prescribed exercises daily with impeccable technique (I have him record a video of each exercise on my phone and play those videos while performing those exercises to ensure this). So it seems that orthotics might be beneficial in my case since my objective tests keep coming back as positive.
where did you get them?
Dr. Paul Coffin is in South Sioux City (not Souix), which is in Nebraska, not Iowa. Sioux City is in Iowa - I went to college there. North Sioux City is in South Dakota. The explanations in your videos seem to be spot on, but when you get simple pieces of information wrong, and repeat that error, it makes me distrust much of what you have to say.
Well, when I saw him it was in Lincoln, Nebraska. It was after some severe flooding that occurred in Iowa, and someone asked him how the drive was from Sioux City (perhaps the person said "South" before Sioux City but I can't recall), and he said it was bad because of the flooding. I'm horrified to find out I made such a tragic geographical error.
Any tips on choosing orthotics? I live in Europe, Croatia and choosing Pri orthotics isnt a choice. Im planning on getting custom made orthotics, so any tips because you sad that custom made orthotics made you even more damage when you had plantar fasciatis?
I have the same problem as you had, left foot is oversupinated and cant pronate, and I have back and neck pain on my left side mostly
I don't really have any tips. The thing is that you don't want to put orthotics on feet underneath a body that is "patterned". You want to establish neutrality of the pelvis, ribcage, and neck first. Otherwise you may be putting orthotics underneath feet that don't really need them, and simply locking someone into the wrong position.
@@NealHallinan do you mean, make sure it's the foot that's the issue not a say oblique strain for example?
“If your feet are not hitting the ground properly, muscle function will be altered.” How are your feet supposed to hit the ground properly when you cover them with prosthetics and heel strike? Unless you’ve retrained your body to walk using your forefoot, while barefoot, you have no chance of your foot hitting the ground properly. Sugar and shoes alter the natural function of the body…diabetes and back pain. Human ego is so overwhelming…people think orthotics can help the body as if the last 50 years of footwear invention trumps 1 million years of skeletal muscular evolution. Be natural or be in pain. Period.
Because we’ve been walking on flat man made concrete floors for 1 million years also right?
If you understood their logic on flat floors being perceived as dangerous to the brain it might make more sense to you. Modern solutions for modern problems
Very true. I can't count the number of people I've seen buy a pair of "barefoot" shoes, just to go heel striking through the concrete jungle. Their confirmation bias lets them feel like the purchase has accomplished something that will improve their health, when really all they've done is create a stronger impact force (due to reduced cushioning) that is transferred from the concrete to the top of their skull with every smash of the heel. People really need to ditch all this orthotic snake oil and walk around barefoot in the woods. If these damaged people would spend a few months in the woods, treading forefoot on game trails (like our ancestors did), they would realize that most foot experts are grifters and a natural life is the real solution to their aches and pains. But sadly, most people can't afford to do so because they're stuck trodding along to their soulless jobs that keep them stuck in the modern Matrix til they whither and die. Just look at every elderly person's toes and you'll witness a deformed stump that could have been a powerful, gripping, and very capable human foot. Very sad. @@jmitch0062
@grownhealthy