How to Stay Pain Free with The Foot Collective #39

Dec 5, 2018 Episode Page ↗
Overview

Nick and Mike from ‘The Foot Collective’, Canadian physical therapists, discuss the critical role of healthy feet and hips in preventing pain. They highlight the dangers of excessive sitting and modern footwear, offering practical tips to restore natural foot function and improve overall body mechanics.

At a Glance
34 Insights
1h 7m Duration
19 Topics
5 Concepts

Deep Dive Analysis

Defining Movement vs. Exercise

The Foot Collective's Mission and Philosophy

Root Causes of Pain: Feet, Hips, and Modern Footwear

Physical Therapists' Limited Foot Training and Self-Discovery

Challenging Orthotics and the Myth of Genetic Foot Problems

Impact of Excessive Sitting on Hip Function and Biomechanics

Movement Quality Precedes Quantity to Prevent Injury

Restoring Joint Mobility and Hip Function

The Problem with Sitting-Centric School Environments for Children

Strategies to Combat Sedentary Lifestyles and Improve Mobility

Downstream Consequences of Poor Biomechanics: Joint Replacements and Pain

The Importance of Barefoot Time and Minimalist Footwear

Sensory Feedback from Feet and its Role in Balance

Cultural Differences in Footwear Habits and Foot Health

Foot Temperature, Blood Flow, and Muscle Activity

The Complexity of the Foot and the Epidemic of Plantar Fasciitis

Simple Solutions for Foot and Hip Health

Loaded Carries as a Tool for Stability and Strength

Gradual Transition to Standing Desks and Environment Engineering

Movement vs. Exercise

Movement is a broad continuum encompassing all human capabilities, while exercise is a small, specific subset of movement. Focusing solely on a limited range of exercises with dysfunctional patterns can lead to injury.

Familial vs. Genetic

The distinction between familial and genetic conditions is crucial; many ailments like bunions or flat feet are familial (shared lifestyle/environment within a family) rather than purely genetic, meaning they can be influenced and changed.

Hardware and Software (Body)

Joint mobility is considered the 'hardware' of the body. If the hardware (e.g., hips) is not moving appropriately, it's difficult to run the 'software programs' of movement effectively, leading to compensation and dysfunction.

Protect, Correct, Develop

This is an order-sensitive, three-part approach to physical health. First, understand and remove the causes of problems ('protect'), then restore joint mobility ('correct'), and finally build strength and fitness ('develop').

Foot as a Sensor

The feet are designed to be primary sensors, sending crucial information about the environment to the brain. Heavily cushioned or rigid footwear diminishes this sensory input, impairing balance and optimal movement.

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Why are feet often the root cause of other body pains?

Feet are the foundation of the body, and modern footwear often creates problems at this foundation. Dysfunction in the feet can lead to compensatory issues upstream, manifesting as hip, knee, or back pain.

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Are conditions like flat feet or bunions truly genetic?

Many foot dysfunctions are often familial rather than purely genetic, meaning they are influenced by shared environmental factors and lifestyle choices (like footwear) within a family, rather than being solely inherited.

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How does excessive sitting negatively impact the body?

Spending too much time sitting shortens hip flexor muscles, leading to a forward pelvic tilt. This causes over-reliance on the anterior chain (quads) and under-reliance on the posterior chain (glutes), compressing the low back and affecting knee and foot function.

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Can exercising with poor movement patterns cause more harm than good?

Yes, layering repetitions or heavy loads on top of dysfunctional movement patterns not only ingrains those patterns further but can also turn physical fitness or exercise into a risk factor for injury.

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Is it possible to improve joint mobility at any age?

Yes, joint mobility can be significantly improved at any age through consistent tissue change via loading. People can retrieve massive amounts of range of motion, even 50% more, with dedicated daily work.

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Why do feet sometimes feel colder in insulated, rigid shoes?

If shoes crush the foot and restrict its movement, the muscles cannot fire effectively. This reduces blood flow to the distal extremities, making the feet feel colder despite the insulation, as warmth is delivered by blood flow.

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What is the primary cause of widespread foot problems like plantar fasciitis?

The epidemic of plantar fasciitis and other foot issues stems from stiff, weak feet, often exacerbated by modern footwear that provides excessive support and rigidity, preventing the foot's 33 joints from moving naturally.

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.

Movement is this giant circle that encompasses the whole continuum of what humans are designed to be able to do. And exercise is this very small subset. It's like a little pebble in the beach of movement.

Nick

Genes load the gun, the environment pulls the trigger.

Dr. Rangan Chatterjee

If you have dysfunctional hardware and bad software because your joints are stiff, then you're going to express that software. And if you do it through five times a week on a basketball court, you're going to have problems significantly quicker than someone who perhaps only walks or has most of a sedentary lifestyle.

Nick

If you're wearing a heavily cushioned shoe, people literally look like their, their brains will not let them express mobility at certain joints and will lock certain joints up because it doesn't know if you're standing on a, like a three centimeter air bubble, tell me your brain doesn't feel a little bit threatened by the instability of that surface.

Nick

It's not so much about adding a bunch of extra things, a bunch of good things. It's about taking away or modifying the negatives.

Nick

Sitting Offset Hip Mobility

Nick & Mike
  1. For every hour spent in a sitting position, perform one minute of hip extension work per side.
  2. Ideally, space these mobility sessions out throughout the day rather than accumulating them all at once.
  3. Refer to videos on tfc-shop.com (under 'videos') for examples of hip extension mobilizations, such as getting down on one knee and performing glute contractions to stretch the front of the hip.

Beginner Balance Training

Nick & Mike
  1. Obtain a 2x4 inch (approximately 10cm wide) piece of lumber that is 6 feet (approximately 2 meters) long.
  2. Every day, walk heel-to-toe along the length of the wood for five minutes.
  3. Focus on walking in a straight line without looking down at your feet.

Environmental Hip Mobility Hack

Mike
  1. Instead of sitting on a couch or chair, sit on the floor while watching TV or engaging in other sedentary activities.
  2. Allow your body to naturally shift positions as it gets uncomfortable, exposing your hips to different ranges of motion.
  3. This helps mobilize hips without requiring dedicated exercise time.
8-10+ hours
Typical daily sitting time People often underestimate how much time they spend sitting per day.
33
Joints in the human foot The foot is an insanely complex piece of machinery designed for movement.
50% more
Potential increase in hip range of motion Achievable with consistent daily hip mobility work.
2x4 inches (10cm wide) by 6 feet (2 meters) long
Recommended dimensions for a balance beam (lumber) A simple, inexpensive tool for improving balance and hip stability.
4
Layers of muscles in the foot These muscles are essential for foot function and sensory input.
26
Bones in the human foot Part of the foot's complex structure designed for dynamic movement.