Category: Strength

Today I wanted to address how your feet influence the movements of your entire body. Your feet play a critical role in many movements beyond just walking, running, and jumping. The foot and ankle complex (FAC) provides a base of support for all of our upright movement, and if the muscles within the FAC become imbalanced it can set off a chain of negative reactions. So why don’t more people do exercises to strengthen such an important part of their body?!?! Well, today I am going to lay out what what the FAC is good for, and how to best go about achieving arch strength and happy feet.

The FAC is extremely complex because there are dozens of bones and hundreds of muscles, tendons, fascial components, and ligaments at play. All of these components come together within the FAC to provide stationary support while standing and dynamic spring while moving. So I will do my best to keep it simple, but please forgive me if my inner nerd comes out and I use too much technical jargon. When it comes to movement of the FAC, one major concern is the interaction between the arch of the foot and dorsiflexion of the foot (taking your foot off the gas motion). A lack of dorsiflexion in the ankle can be the caused by several factors, but frequently involves decreased strength of the tibialis anterior muscle (1). The decrease in shin muscle strength can then lead to flat feet, increased plantar flexion (pressing the foot down on the gas) during squatting motions and gait (walking). All in all, the arch can be placed under great amount of stress during the load acceptance phase of gate, if your foot is weak and there is limited dorsi flexion. That’s because during this phase of the walking/running cycle the shin and ankle muscles assist the arch in energy absorption (2). If the ankle is unable to properly dorsiflex, a huge amount of stress will be placed on the foots spring ligament, plantar fascia, and intrinsic muscles which can lower the arch. This lowered arch in turn causes tibial (shin) rotation, hip internal rotation, slight hip flexion, and hip adduction creating a valgus (knock knee) stress (3,4). So what does this mean for you? Well to sum it all up, when we don’t pay attention to the FAC we are more likely to have stiff hips, lower back pain, tight calves, weak feet, weak ankles, altered gait, plantar fasciitis, hallux valgus (a.k.a. bunions), patellofemoral pain, increased susceptibility to medial collateral ligament (MCL) injuries, and an increased likelihood of anterior cruciate ligament (ACL) tears.

There are also some other surprising aspects of foot strength that I’m betting most of you didn’t even think about. Having proper FAC strength means you have developed some proprioception (foot eye coordination in this case). In turn, this means you know where your body is at in space. This is extremely important if you think about it because it’s the same as knowing where my fingers are as I type each letter of this post. I don’t need to look down for each letter, I just know how to move my hands. So, if you practice strengthening your FAC you will know where your lower body is during each step you take. This leads to better performance for athletes, enhancements in the standing and walking positions, and the ever crucial prevention of falls for seniors (5).

Okay, I know that if you have read this far you might be a little frightened of your weak feet. But I promise you that you don’t have to do that much to whip them into shape! This is because even though you use them all day long, the interaction between your nerves and your muscles may be the real underlying issue. So to re-learn your own feet, there are a few simple steps you need to take. Use your time wisely by standing on one foot as often as you can. This can be done while you wash dishes, make phone calls, eat Ramen noodles, or other things that people who aren’t poor college students do. You can also practice flexing your toes while you’re sitting down. This can be done by simple scrunching your toes together while at your desk, or by picking up objects and putting them into a container while you’re seated (7). Additional exercises include standing on one foot, bunny hops, walk heel to toe, medial (inside) calf raises, resisted ankle inversion exercises, single-leg kettlebell swap, foam rolling the biceps femoris (outside hamstring) and plantar fascia, and walking in a straight line with one foot in front of the other. Finally, you should take care of your hips. The interaction between the hips and the ankles goes both ways. So stiff hips can mean stiff ankles and visa versa.

One thing I take pride in, and greatly enjoy, about my job, is my ability to see dysfunction postures and movement pasterns. So this week I wanted to discus an issue that I see far too often these days. This issue is the forward head posture. So while you read this weeks post, make sure you sit up straight!

The Cervical spine, the neck, can bend forwards, backwards, to the side, and rotates. It’s made out of seven vertebrae and dozens of muscles, both large and small. Some of these muscles never rest when you’re upright, otherwise your head would fall to your chest! The neck is really designed to balance the 10- to 14-pound pumpkin that sits on top of it. The problem arises when your head starts to drift forward. This is because for every inch the head juts forward, the neck takes on a load equal to roughly 10 additional pounds. In turn this can lead to neck pain, stiffness, cervical muscle strains, headaches, dizziness, early onset arthritis, decreased lung capacity, and pain or weakness in parts of the body that lie below the cervical spine.Yikes!

By now I assume you’re all sitting up straight in your chair like Hermione Granger in class. But in reality, this posture develops over a long period of time. Most commonly, people who work long hours at a computer, professional drivers, cyclists, runners, baseball players, cell phone addicts, musicians, chefs, surgeons, dentists, and other people who lean over their work are likely to develop a forward head posture.

So by now you should be able to tell that this issue doesn’t just develop over night. So don’t be a Goober and think simply sitting up straight more often will fix it. You spend your whole life getting into the posture that your in, so you will need to take a few more steps to overcome the postural dysfunction. The first step is to see a doctor if you’re experiencing numbness, pain that radiates toward the shoulder or arm, or a loss of strength in the arms or hands. If you don’t have any of these medical concerns then you can try stretching and foam rolling the thoracic spine, sternocleidomastoid, levator scapulae, and upper trapezius to start. Next, you need to be mindful of the muscles that are working during your exercise. If you’re doing a shoulder raise, but feel the muscles in the upper traps firing up, you will need to make adjustments to what you’re doing.