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How to Stay Pain Free with The Foot Collective #39

Dec 5, 2018 1h 7m 35 insights
Have you ever thought about how important our feet are? And how they're connected to so many other parts of our bodies? This week's podcast is with Nick and Mike from ‘The Foot Collective’, a group of Canadian physical therapists on a mission to help humans reclaim strong, functional and pain-free feet through foot health education. The feet are an often neglected part of our body. If you’re experiencing hip, knee or back pain, your feet may be the cause. Nick and Mike explain that although there are many ailments that many of us just write off as something that we just have, or that we've inherited, in actual fact, there may be something we can do to improve these conditions. The truth is, that while we might have a genetic susceptibility, our environment and our lifestyles also determine what happens to our bodies. In our modern lives, we create an imbalance in our bodies by sitting too much and this can expose us to risk of injury. The Foot Collective give some brilliant tips on what we can do to avoid this. We also discuss orthotics and the damaging effects of wearing narrow shoes which squash our feet and talk about how we can help restore our feet to their natural state. After experiencing back pain for years, I found working on my feet made a huge difference. I hope you find this podcast helps you! Show notes available at drchatterjee.com/footcollective Follow me on instagram.com/drchatterjee/ Follow me on facebook.com/DrChatterjee/ Follow me on twitter.com/drchatterjeeuk
Actionable Insights

1. Go Barefoot at Home

The simplest and most impactful action is to take your shoes off and go barefoot when inside your home, as this naturally strengthens feet, improves sensory input, and promotes optimal movement.

2. Modify or Eliminate Negatives

Focus on modifying or eliminating negative habits (like prolonged chair sitting) rather than just adding positive ones, as reducing detrimental behaviors can be more impactful for health than adding exercises.

3. Prioritize Movement Quality First

Before engaging in frequent or loaded exercise, prioritize movement quality to avoid injury. Layering repetitions or load on dysfunctional patterns can ingrain them further and turn exercise into a risk factor.

4. Restore Joint Mobility First

Prioritize restoring joint mobility, especially in the hips, before attempting complex movements or exercises. If your ‘hardware’ (joints) isn’t moving properly, your ‘software’ (movement patterns) will struggle.

5. Offset Sitting with Hip Mobility

For every hour spent sitting, perform one minute of hip mobility work per side, focusing on hip extension (getting your leg behind your torso) to counteract the effects of prolonged hip flexion.

6. Sit on the Floor at Home

Engineer your home environment by sitting on the ground instead of a sofa when watching TV or relaxing. This encourages varied hip positions and natural movement, mobilizing your hips without conscious effort.

7. Engineer Your Environment

Proactively engineer your environment to support healthy movement, such as temporarily removing chairs to eliminate the option of sitting and encourage alternative, more beneficial body positions.

8. Apply “Protect, Correct, Develop”

Adopt a three-part, order-sensitive approach to physical health: first, protect by understanding and eliminating the causes of problems; second, correct existing mobility issues; and third, develop fitness on a functional foundation.

9. Seek Root Cause of Pain

Understand that the location of pain may not be the root cause of the problem; investigate underlying issues, as symptoms can be a byproduct of problems elsewhere in the body.

10. Challenge Genetic Predispositions

Distinguish between familial and genetic conditions; many issues like bunions or arthritis may be due to shared lifestyle choices and environment within a family, rather than unavoidable genetics.

11. Distinguish Movement from Exercise

Recognize that ‘movement’ is a broad continuum of what humans are designed to do, while ’exercise’ is a small subset. Focus on overall movement rather than just isolated exercises.

12. Master Basic Movement Patterns

Learn and be competent in fundamental human movement patterns like squatting, lunging, and standing on one leg, as these are foundational for overall movement quality and joint health.

13. Dedicate Time to Hip Mobility

Spend 5-10 minutes daily on hip mobilization exercises to restore hip rotation, abduction, flexion, and extension. This can significantly improve range of motion and is crucial for modern humans to maintain joint health.

14. Distribute Mobility Work Daily

Distribute your hip mobility work throughout the day (e.g., two minutes per hip at each break) rather than accumulating it all at the end, to make it more manageable and effective.

15. Perform Kneeling Hip Mobilization

Mobilize your hip into extension by getting down on one knee and performing a series of glute contractions to stretch the front of your hip. This is feasible to do in an office setting.

16. Walk to Promote Hip Extension

Follow hip mobility exercises with a short walk to repetitively expose your hips to extension, as walking is essentially a series of hip extensions and the opposite of sitting.

17. Incorporate Loaded Carries

To develop fitness and reinforce stabilization, incorporate loaded carries (walking with two heavy weights in your hands) into your routine, as it loads posture and forces stabilization at the right joints in a self-limiting way.

18. Transition Gradually to Standing Desk

If transitioning to a standing-centric workplace, do so gradually. First, offset the effects of sitting and improve hip mobility, then slowly incorporate more standing to avoid new problems from standing in a suboptimal position.

19. Restore Foot Function Simply

Restore foot function by providing less support, using foot muscles more, and mobilizing tight joints. Simply going barefoot will automatically strengthen your feet.

20. Strengthen Weak, Stiff Feet

If your feet are stiff or weak, mobilize them and strengthen them by removing artificial support, such as weaning off supportive orthotics.

21. Know Optimal Footwear Features

Instead of seeking a specific ‘best shoe,’ learn the features of optimal footwear (wide forefoot, thin sole, very flexible) to evaluate and choose shoes that best support natural foot function within your means.

22. Choose Wide, Flexible Footwear

Opt for footwear that does not compress your foot and has a wide toe box, thin sole, and flexibility, as narrow or rigid shoes hinder foot function and stability.

23. Test Foot Arch Potential

Stand barefoot, bend knees slightly with feet straight, and push knees out to the side to generate torque at the hip. Observe if your foot arch lifts, demonstrating the hip’s effect on foot structure.

24. Use Balance Beams for Stability

Incorporate balance beam activities (e.g., walking back and forth on a raised surface) to improve hip stability and balance for both children and adults, making movement playful and effective.

25. Walk on Timber for Balance

For improved balance and hip stability, walk heel-to-toe on a 2x4 piece of lumber (approx. 10 cm wide by 2 meters long) for five minutes daily, without looking at your feet.

26. Improve Foot Warmth with Movement

Wearing minimalist footwear or going barefoot can improve foot warmth even in cold conditions, as it allows foot muscles to work, increasing blood flow to the extremities.

27. Mobilize Cold Feet with Lacrosse Ball

If your feet get cold, roll your foot over a lacrosse ball and perform contractions to stimulate muscle activity and increase blood flow, helping to warm them up.

28. Develop Counter-Environment Strategies

Recognize that society and the environment often work against health; develop conscious strategies to combat these influences, as a lack of strategy will lead to consequences.

29. Kids: Barefoot or Barefoot Shoes

For children, avoid heeled and cushioned shoes; instead, encourage them to be barefoot or wear barefoot shoes to promote natural foot development and prevent future biomechanical issues.

30. Practice Mobility as a Family

Engage in hip mobility exercises as a family (e.g., five minutes before dinner) to create positive change and instill healthy habits in children, as adults often need it more and doing it together is more effective.

31. Engage Kids with Playful Movement

Encourage children to move by integrating beneficial movements into activities they enjoy, such as playing video games on the floor instead of a couch, to make hip mobility and joint health engaging and sustainable.

32. Motivate Kids with Performance Benefits

Motivate children to engage in hip mobility and movement by explaining how it enhances their athletic performance, such as jumping higher, skating faster, or running faster, rather than focusing on injury prevention.

33. Enroll Kids in Movement Arts

Encourage children to participate in movement-oriented activities like martial arts or gymnastics, which often involve barefoot movement, diverse body positions, and develop flexibility, complementing classical sports.

34. Educate Kids on Body Health

Teach children the basic elements needed for a healthy body and how to avoid injuries, explaining concepts in an understandable way to empower them to make informed choices about their movement and health.

35. Supplement Daily Nutrition

Consider taking Athletic Greens each morning as an insurance policy to meet nutritional needs, especially if getting nutrition from real foods isn’t always possible. Access a special offer at athleticgreens.com/livemore.