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296 ‒ Foot health: preventing common injuries, enhancing strength and mobility, & picking footwear 

Peter Attia MD
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Courtney Conley is an internationally renowned foot and gait specialist. In this episode, Courtney delves into the intricate world of foot anatomy and functionality. She explores the complexities of the foot, discussing its anatomy, common injuries, and the importance of understanding its structure in preventing issues. She covers a range of foot ailments, factors contributing to them, treatment options, and prevention strategies. She delves into the significance of loading, balance, range of motion, and posture, emphasizing the crucial role of strength in preventing both injuries and falls. Additionally, she sheds light on the interconnectedness of the kinetic chain, from the leg muscles down to the foot, and how issues within this chain can cascade downstream, leading to various injuries and pathologies. Additionally, she provides a comprehensive overview of footwear, discussing suitable options for both adults and children to promote foot health and mitigate potential problems.
We discuss:
0:00:00-Intro
0:01:11-Why Courtney chose to specialize in the foot
0:04:12-The vital role of foot strength, function, and health in human movement and well-being
0:08:25-Anatomy of the rear foot and midfoot
0:19:10-The development of flat feet, the impact of footwear, and the benefits of going barefoot
0:23:20-Anatomy of the forefoot, common injuries, and why most injuries occur in the forefoot
0:31:00-Foot musculature and its role in maintaining foot stability and preventing deformities like bunions and hammer toes
0:41:00-The intrinsic musculature of the foot, plantar fasciitis, footwear, & more
0:54:41-Plantar fasciitis: diagnosis, causes, and treatment
1:03:45-Posterior leg muscles: strength assessment methods, role in ACL injuries, & more
1:09:27-Lateral and medial muscles: ankle stability, arch support, big toe stabilization, and exercises to strengthen and prevent injuries
1:13:56-Importance of strength of lower leg muscles for gait and preventing shin splints, stress injuries, & more
1:19:21-Tendinopathies and other common pathologies related to the anterior and lateral compartments of the foot
1:26:55-The importance of midfoot integrity and ankle dorsiflexion and a discussion of gait alterations
1:34:57-Proximal stability and its implications for posture and movement patterns
1:41:23-The age-related decline in foot sensation and strength
1:45:49-Common toe injuries, treatment, and how to prevent further progression of the injury
1:57:33-Preventing falls & managing arthritis with proactive foot care & exercises
2:06:20-Footwear: advice for picking shoes that promote foot health
2:19:05-Footwear for runners
2:23:39-The importance of prioritizing footwear that promotes natural foot movement & strength while considering individual comfort & foot health needs
--------
About:
The Peter Attia Drive is a deep-dive podcast focusing on maximizing longevity, and all that goes into that from physical to cognitive to emotional health. With over 70 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimer’s disease, cancer, mental health, and much more.
Peter Attia is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan.
Learn more: peterattiamd.com
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Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions. I take conflicts of interest very seriously. For all of my disclosures and the companies I invest in or advise, please visit my website where I keep an up-to-date and active list of such companies. For a full list of our registered and unregistered trademarks, trade names, and service marks, please review our Terms of Use: peterattiamd.com/terms-of-use/

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30 июн 2024

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Комментарии : 557   
@PeterAttiaMD
@PeterAttiaMD 3 месяца назад
In this episode, we discuss: 0:01:11-Why Courtney chose to specialize in the foot 0:04:12-The vital role of foot strength, function, and health in human movement and well-being 0:08:25-Anatomy of the rear foot and midfoot 0:19:10-The development of flat feet, the impact of footwear, and the benefits of going barefoot 0:23:20-Anatomy of the forefoot, common injuries, and why most injuries occur in the forefoot 0:31:00-Foot musculature and its role in maintaining foot stability and preventing deformities like bunions and hammer toes 0:41:00-The intrinsic musculature of the foot, plantar fasciitis, footwear, & more 0:54:41-Plantar fasciitis: diagnosis, causes, and treatment 1:03:45-Posterior leg muscles: strength assessment methods, role in ACL injuries, & more 1:09:27-Lateral and medial muscles: ankle stability, arch support, big toe stabilization, and exercises to strengthen and prevent injuries 1:13:56-Importance of strength of lower leg muscles for gait and preventing shin splints, stress injuries, & more 1:19:21-Tendinopathies and other common pathologies related to the anterior and lateral compartments of the foot 1:26:55-The importance of midfoot integrity and ankle dorsiflexion and a discussion of gait alterations 1:34:57-Proximal stability and its implications for posture and movement patterns 1:41:23-The age-related decline in foot sensation and strength 1:45:49-Common toe injuries, treatment, and how to prevent further progression of the injury 1:57:33-Preventing falls & managing arthritis with proactive foot care & exercises 2:06:20-Footwear: advice for picking shoes that promote foot health 2:19:05-Footwear for runners 2:23:39-The importance of prioritizing footwear that promotes natural foot movement & strength while considering individual comfort & foot health needs
@cil949
@cil949 2 месяца назад
Where is the list of shoe brands and other things that were mentioned by your guest to help with healthy feet ?
@bogdanf6698
@bogdanf6698 2 месяца назад
yep, same question! shoe list please :)
@sugarbaker1015
@sugarbaker1015 2 месяца назад
Shoe list?
@mikeugen
@mikeugen 2 месяца назад
I hope they’re not trying to figure out a way to monetize the shoe list.
@guysmith8662
@guysmith8662 2 месяца назад
Altras and LEMS are my two favorite shoe companies. Both have a Wide Toe Box & Zero Drop which are important. Not mentioned in this video that is just as important is that the Last of the shoe should have no inflare; it should be straight, not crooked. Just like your foot. Dr. Rossi has written some excellent articles about shoes that promote foot health. I highly recommend his work.
@richardthomas9856
@richardthomas9856 2 месяца назад
Fascinating interview. I'm an 86 year old who was limping maybe three years ago due to foot pain. Now I'm running three miles a couple of times a week after just forcing myself. This interview has given me a lot to think about and probably to act upon.
@gaithappens5872
@gaithappens5872 2 месяца назад
keep up the amazing progress!
@Kaderlid13
@Kaderlid13 2 месяца назад
Amazing!
@drironmom6815
@drironmom6815 2 месяца назад
Good job! As a 68 yo runner you give me hope!
@natem1334
@natem1334 2 месяца назад
Three miles is no joke. Good work!
@KatharineLikesCake
@KatharineLikesCake 3 месяца назад
I'm a manual Osteopath - I treat feet everyday in clinic. This was a fabulous episode. I thought I knew the foot, but I learned alot. Thx
@gaithappens5872
@gaithappens5872 3 месяца назад
So happy to hear that this conversation was helpful for you. Keep helping people.
@megansloan25
@megansloan25 2 месяца назад
@katharine_Liberatore I agree being a manual osteopath myself! Great info!
@HH-gv8mx
@HH-gv8mx 2 месяца назад
I’ve been an avid runner for decades. But for the past 2 1/2 years, I have what feels like a broken right toe big toe. I cannot run as long as I would like without it swelling up. I cannot do lunges at all without excruciating pain. When I was in the emergency room a couple years ago for something else unrelated, I asked them to x-ray the big toe and they said that it was not broken. It gets swollen in the joint and it hurts so bad. Is it turf toe? I just never experienced anything like this. And obviously it’s affecting my workouts
@elizabethmeister111
@elizabethmeister111 2 месяца назад
@@HH-gv8mx1:46:00 talks about this?
@gloriareszler4196
@gloriareszler4196 2 месяца назад
Good on ya! There are not many of your profession out there! Qs a lay person, I have learned so much from this video!👏
@denisecatlett7203
@denisecatlett7203 4 дня назад
Oh jeeze, over two hours of foot care talk. I’m going to need every second of this. I had a doc tell me when I was 14 ( 56 now) that I was going to have feet problems.
@korakatar7921
@korakatar7921 Месяц назад
Wow! I am a 56 year old general surgeon and i learned so much about the foot that i never ever knew or even thought of. Just an outstanding episode. Thank you so much Dr Attia and Dr Conley 🙏
@bojangles322
@bojangles322 2 месяца назад
her enthusiasm is contagious. She got me thinkin about feet a lot lately.
@movements4life
@movements4life 2 месяца назад
As a practitioner of Applied Functional Science, I thoroughly enjoyed this episode! Congrats to both Peter and to Courtney for sharing “the message” on such a big stage! Thanks again for shedding light on such an vital part of human movement! I’d highly recommend a Part 2 followup where you do a practical demonstration of the movement patterns/assessments to help facilitate a “learning by doing” environment. Thanks in advance.
@nichtsistkostenlos6565
@nichtsistkostenlos6565 2 месяца назад
"As a practitioner of Applied Functional Science" - This is a 23 hour online certification from the Gray Institute. While I agree that the interview was great, throwing out your nonsense credential provides less than zero validity to your opinion, so you could have and should have just not mentioned it.
@movements4life
@movements4life 2 месяца назад
@@nichtsistkostenlos6565 and thanks for your opinion.
@hi-leehi-lohi-la9276
@hi-leehi-lohi-la9276 2 месяца назад
Your RU-vid name is great. Who are you referring to, and which credential?
@drironmom6815
@drironmom6815 2 месяца назад
I’d love to see a follow up with some demonstrations
@BakedJake27
@BakedJake27 Месяц назад
@@nichtsistkostenlos6565although i see your point, i’d far rather see this guy than a traditional PT
@shelleydiamond6468
@shelleydiamond6468 3 месяца назад
Fascinating thank you Peter & Courtney ! I’m a 71 yr old avid walker and hiker and love navigating rock & uneven surfaces for my balance and just for fun. My balance and foot “fitness” is top of my mind / physicality when I’m out there.
@gaithappens5872
@gaithappens5872 3 месяца назад
Amazing! Keep it up!
@nikki.nav.
@nikki.nav. 3 месяца назад
I'm a pelvic floor therapist and can't get over how awesome this is. Do you leak when you sprint, jump, cut, or land? Check out the foot and shock absorption. Also, think about grandma and grandpa's balance and continence. It's all related.
@gaithappens5872
@gaithappens5872 2 месяца назад
it's absolutely all connected, and our patients don't know to tell us about their incontinence when they came in for their feet or vice versa. We have to ask the questions to connect the dots.
@nikki.nav.
@nikki.nav. 2 месяца назад
Lol it's my whole job. They lose their minds when I say that their doc referred them for leaking and then I have them take off their shoes lolol
@jtm7clan277
@jtm7clan277 Месяц назад
I’ve always had issues (with stress incontinence) when I jump, even as a teenager. Now that I’ve had 3 babies it’s worse 😫
@Dirtydreamer2023
@Dirtydreamer2023 2 месяца назад
Wow! I thought I was going to skip to specific parts of the video but every single minute was full of amazing information.
@susanauchincloss4990
@susanauchincloss4990 3 месяца назад
hoping to see some exercise recommendations from this episode
@1960stephen
@1960stephen 2 месяца назад
as a bunion sufferer I'm glad this conversation is finally taking place!!!!
@theresapryor1589
@theresapryor1589 2 месяца назад
Amen!!!
@johnnyclimax
@johnnyclimax 2 месяца назад
When will we see the exercises?
@Marco-pf3te
@Marco-pf3te 2 месяца назад
Yes please!
@annaz9655
@annaz9655 2 месяца назад
There are plenty of videos on youtube on foot strength 😊
@nbasingh
@nbasingh 2 месяца назад
Yes but I would like to see their specific exercises given it was mentioned in the pod
@sandraredmond4812
@sandraredmond4812 2 месяца назад
How do you fix mortons neuroma?
@Marco-pf3te
@Marco-pf3te 2 месяца назад
@@sandraredmond4812 depends on the cause. Fix the cause and the nerve should be less compressed. In some cases wide toe box shoes but in my case it's about restoring my arch with strengthening
@TitanBodybuilding
@TitanBodybuilding 2 месяца назад
Courtney is absolutely amazing. I’ve had the opportunity to work with her and also work with a few clients mutually. She’s so knowledgeable about the foot and the body that it’s mind blowing. ❤
@HH-gv8mx
@HH-gv8mx 2 месяца назад
I’ve been an avid runner for decades. But for the past 2 1/2 years, I have what feels like a broken right toe big toe. I cannot run as long as I would like without it swelling up. I cannot do lunges at all without excruciating pain. When I was in the emergency room a couple years ago for something else unrelated, I asked them to x-ray the big toe and they said that it was not broken. It gets swollen in the joint and it hurts so bad. Is it turf toe? I just never experienced anything like this. And obviously it’s affecting my workouts
@joshc7200
@joshc7200 3 месяца назад
Finally...I've been waiitng and suggesting this guest for so long!
@gaithappens5872
@gaithappens5872 3 месяца назад
Thank you!
@amandawalker4510
@amandawalker4510 3 месяца назад
Love her enthusiasm, a brilliant insight into foot health 🎉
@gaithappens5872
@gaithappens5872 3 месяца назад
how can you NOT get excited when the foot is so cool! 🤓👣
@elizabethfletcher1487
@elizabethfletcher1487 2 месяца назад
When I (age about 65 back then) discovered the 0 drop, wide box toe Lems Boulder Boot, I lost all the pain in my feet, ankles, knees, and hips within three weeks. I seldom wear anything besides the Boulder Boot ever since. My second toe, which is drawn back due to hammer toe, never relaxed but the pain disappeared. At age 72 I started wearing 2 pair of wool dress socks that have a bit of padding in the sole. This seems to be helping with the problem of the bottom of my foot going numb when on my feet for many hours at a time.
@hi-leehi-lohi-la9276
@hi-leehi-lohi-la9276 2 месяца назад
Courtney Conley is so very gifted at teaching! I will be listening to this multiple times. Thank you Peter for bringing her on.
@radidov5333
@radidov5333 2 месяца назад
goodness this lady is charging a sht ton of money $$$$ at her business ...$300 for a virtual consultation ? lol
@innuendo4469
@innuendo4469 2 месяца назад
Nothing better than seeing / listening to a person so enthusiastic on their subject. Beautifully explained anatomy of the foot and reasoning of why. Thank you! In my late teens and early 20s I used to walk barefoot quite a lot in the summer, even in the city, I enjoyed how the sole skin gets tougher. Nowadays I go "aww.. ouch" stepping barefoot on any non hit absorbing surface. Good to know I was right back then. Need to start doing it again, adding 5 min at a time. I also had a thought lately to get one of these balls that you roll your foot on when sat. Courtney rules!
@janineclaassens9019
@janineclaassens9019 2 месяца назад
One of the best podcasts I've ever watched. Thank you a million times Courtney and Peter.
@donnatirino3987
@donnatirino3987 3 месяца назад
I do not see shoe list in show notes.
@jenniferly1410
@jenniferly1410 2 месяца назад
I don't see a list either
@saved4jesus
@saved4jesus 2 месяца назад
Show notes are available only with membership @@jenniferly1410
@jmielatl3981
@jmielatl3981 2 месяца назад
Shoe list would be great, please add to notes.
@laurenfrye3887
@laurenfrye3887 2 месяца назад
Hey, I also don't see a list 😕
@emilycook1904
@emilycook1904 2 месяца назад
Xero, vivobarefoot, Lems, Altras are all wide toe box shoes
@Gypsy218
@Gypsy218 4 дня назад
I hike several miles every day at 75 and now am having PT for peroneal tendinitis in a foot where i had a trimalleolar fracture over 20 years ago that they told me might eventially have to be fused. Have no idea what was over stretched or damaged as far as ligaments besides my achilles which was a mess. The orth that diagnosed the tendinitus said the joint actually looked good, just a lithle arthritis so thats great. I have a good PT but i dont know that he knows all this so im going to forward him this episode. Im a retired PT and i learned a huge amount. Thanks so much for this episode. Forwarding to friends with bunions as well.
@lourdesavitia1578
@lourdesavitia1578 2 месяца назад
I'm a pilates instructor, and I keep telling my clients how important it is to strengthen and have mobility in their feet. This information is invaluable for my practice at my studio. Thank you!
@Gusman007
@Gusman007 2 месяца назад
Peter & Courtney, this is the best conversation about foot health I have ever come across (and I have listened to many over the last 7 years) - best technical understanding, best treatment approach. Awesome! I am a qualified PT with a personal journey of overcoming damage to my gait musculature (hips and feet) as a result of falling 6 foot onto ashphalt at age 4. It was at age 27 I started to unravel it all. Now at 50yrs I am dealing with the last 5%. I find all shared to be true to my understanding and experience with what has worked plus some additional insights. The only significant thing in this conversation I have yet to do is start wearing toe spacers. I am a bit suprised there was no mention of the problem of fibrosis and scar-tissue in this conversation.
@Rob-me8vp
@Rob-me8vp 2 месяца назад
What I like about Dr Attia is that he has no hesitation to bring in people from multiple disciplines for great conversations.
@tdc3rd
@tdc3rd 3 месяца назад
Fascinating discussion. Courtney was so engaging and knowledgeable, answering Peter’s great questions with really helpful explanations. Today was squat day; because of this episode I decided at the end to add something that might help my foot and ankle strength and stabilization by balancing on a single leg/foot on an inverted Bosu Ball. I was all over the place at first. By the third set, I paid more attention to my toe pressure, esp big toes, and I was able to hold it for 60 sec, not wobbling as much. For years while exercising I’ve heard “ weight on your heels”, which I think has turned off much of my toe usage … will be more cognizant of using the strength of my toes now!
@celwise
@celwise 2 месяца назад
This is such an important show! Thank you for having Courtney on here! She's an incredible teacher!
@saved4jesus
@saved4jesus 2 месяца назад
Courtney's enthusiasm is contagious! It's evident she loves what she does. Thank you so much for explaining. I've been dealing with plantar fasciitis for over a year. This is very informative. Thank you, Peter, for this interview.
@ginger6803
@ginger6803 Месяц назад
It turned out to be the episode I didn't know I needed! Really interesting one, you can tell how passionate Dr. Conley is about the subject. Thank you!
@lisagreco7048
@lisagreco7048 2 месяца назад
The human foot is fascinating . Dr. Conley rocks. She is brilliant. Thank you for this. Please keep it coming. ❤😊👣👣
@cloverfarr6133
@cloverfarr6133 3 месяца назад
This was amazing and I can’t wait for the second part. I have been following her for a while and have learned so much. I hope to take a course some day. I have moved to working with the much older population and am looking forward to reading the fall prevention protocol she talked about.
@guysmith8662
@guysmith8662 2 месяца назад
Excellent analysis of foot health. Good discussion of shoes as well. For me ALTRAs, LEMS and XEROES are the best shoes for foot health.
@Livinginpeace1
@Livinginpeace1 2 месяца назад
Since I started using altras foot pain has stopped. It took about a year though
@AikiAwe
@AikiAwe 2 месяца назад
As a massage therapist it makes me so happy to hear someone articulate so well the things I’ve been saying for years. Thank you for this one.
@grasmi
@grasmi 2 месяца назад
Thank you so much. Fantastic information. I have had niggling plantar fasciitis on one foot for the best part of a year. Mildly annoying, but I never had time to look into it. With what I've learned from this video, and a couple of Dr Courtney's other videos, I've cleared it up in 4 days! Main thing [for me] was just doing calf raises with the toes elevated (you can use a towel, but I just use some small wooden wedges I have to elevate the toes). I've just left my squat rack set up like that and do them with a barbell, running the barbell along the rack to remove the balance component from the calf raise, but using a bar so I can do both feet at the same time (rather than doing a single leg raise). Having the rack set up reminds me to do them every time I leave my desk. Once the muscles are warmed up and I could feel them, I've been doing a lot of stretching around various angles of ankle dorsiflexion leaning into the rack and trying to find tight spots. I also did a little MFR with a torturous hand roller with spiky wheels on it to roll my calves (which are now black and blue - I used to do a lot of running and my calves are super tight). The prior couple of days I woke up with my foot still a bit stiff and a little residual plantar pain, but today, NOTHING! And I had run a few k's barefoot on paving yesterday, and been on the bike (both of which normally trigger it). Thanks for the information - I'm so grateful that this medical information can be made available to us laymen who wish to take control of their own destiny and fix their sh!t!
@gloriareszler4196
@gloriareszler4196 2 месяца назад
This video needs to shared widely! Media must pick up on this!!!
@joanfrisinabowles1369
@joanfrisinabowles1369 3 месяца назад
She is spot on! I have always been very concerned about the shoe issues.. it takes me a lot of time and effort to find quality, roomy shoes. She is l00% correct!
@innuendo4469
@innuendo4469 2 месяца назад
True in, oh so many, subjects one start to think thru on a deeper level. Not much of quality these days.
@samfox1312
@samfox1312 3 месяца назад
OMG!!! SO grateful, you two!! I am learning SO much I can use!!!!
@danafoltin8114
@danafoltin8114 2 месяца назад
Absolutely love the wealth of education about feet. Thank you very much to both of you. I like to contribute a little observation from my case. I work full time in the food store wearing Altra snickers, but developing more and more pain in my feet - until a I was diagnosed with Extensor tendonitis. From the X rays the Doc said there is nothing wrong with my feet. He said : the drop 0 shoes are great - but not for walking on the concrete floor every day - 8 hours a day ! But here is the why I am writing you. I observed that while my right foot is OK and regenerate overnight - it was the left foot extreme pain that broth me to the podiatrist. My chiropractor did not see any imbalances in the pelvis tilt or spine. Than - why the left foot ? I am thinking while driving home - and it hit me ! Because I exercise my right foot every time I drive pushing on the gas or breaks pedals alternatively every day while the left foot is doing nothing - sometimes even cramping while I am driving. In other words: exercising the feet is the key ! Courtney is amazing emphasizing this .
@ProActiveChiro
@ProActiveChiro 2 месяца назад
Dr. Connley is a master of the foot and gait. I'm thrilled to see her combo up with Dr. Attia!
@marymorrison9370
@marymorrison9370 2 месяца назад
Her knowledge of muscle physiology and function is, in many instances in this presentation, not fully and sometimes even partially accurate.
@TrueMarketLeader
@TrueMarketLeader 2 месяца назад
amazing segment! I recently injured my foot running on a treadmill and she answered all of my questions. My PT and chiropractor were clueless!
@rbrijeshy
@rbrijeshy 2 месяца назад
Perfect timing of the episode, I just had shoe fitting done and was debating between the zero drop and minimal drop, this has made my decision easy.
@barrykearns7193
@barrykearns7193 2 месяца назад
Fascinating. I've had a replacement ankle and lots of foot surgeries to accommodate the new ankle, all done by a very highly respected surgeon. Unfortunately, the physical therapy I've received has been very lacking. In mind own self analysis I know my mid foot and toes strength is terrible. But this also extends up into my calf. After nearly two years, I am finally seeing my calf strength increase. I now know my feet are the next area to focus on now. Your podcast with Courtney has opened my eyes to this. I just wish Courtney were here to help me.
@jeffreyharrison4045
@jeffreyharrison4045 2 месяца назад
Such an important episode! Yogis, ultrarunners, and many others will appreciate its content!
@jimmyscurry9720
@jimmyscurry9720 2 месяца назад
Loved the content. Courtney was excellent in her presentation with really brining it home, the importance of foot care Thank you so much Would love to see some recommended toe & foot exercises to help correct, strengthen & maintain same
@knucklesprayer
@knucklesprayer 2 месяца назад
I love this video. Thank you for sharing this valuable information with the world! I had plantar fasciitis for almost 2 years; it is terrible. But the biggest problem is being unaware of the importance of your shoes, training your ankles, feet or your lower body in general. I still have my very expensive running shoes, which helped me a lot when I was in pain. and now I use it only if I know I will walk a lot, dance, or run. For the rest, I try my best to use shoes that let my toes spread and be conscious of the arch of my foot, how to walk, how to stand, and so on. I wish I could listen to this podcast at that time when I was trying to understand what to do to cure it without going to surgery.
@MonicaLopez-yi8ul
@MonicaLopez-yi8ul 2 месяца назад
Fascinating! Love her knowledge and explanation. Now I have a new love for the wonder that our feet are and do!! Thanks for doing this video!
@user-iq3bg9ll7t
@user-iq3bg9ll7t 3 месяца назад
Great episode. The podiatrist I saw to diagnose my Halux Limitus 15 years ago basically said to come back to him when I couldn't stand the pain anymore, so he could go in and grind some bone/arthritis. Yes, shoes are a problem. Add a bunion on the other big toe and a broken tib & fib the next year. But I keep mountain biking through it. 😁
@markuscg1
@markuscg1 2 месяца назад
Excellent discussion. I scheduled an online 1:1 consultation with Dr. Courtney's company since I've been experiencing a lot of foot pain lately. I wish I still lived in Colorado. I'd travel there.
@alessandrovalzania2316
@alessandrovalzania2316 2 месяца назад
I Started running in Topo 18 months ago and also added 2 pair of Altra zero drop. My feet has never been stronger and I run 2600 km since the begin of 2023. Wide toebox is the way.
@GabrielaHandalArt
@GabrielaHandalArt 2 месяца назад
I am so glad she is on your podcast, and I love her excitement, and obsession with the foot, and it's function. She has taught me so much about foot function just through her instagram account, and also about how important it is to realize the body is fine, and what it does is fine, we just to understand how its design is meant to work.
@mTaR36S
@mTaR36S 3 месяца назад
Thankyou Peter and Courtney ! So much valuable information !
@77777jetta
@77777jetta 2 месяца назад
This is the best podcast ever!!! Both of you are so incredibly smart and awesome! Thank you both for sharing your knowledge! Hope to use this information to help my foot problems! Again, thank you! Love my Attia! Mj🏃‍♀️
@kanaipathak4426
@kanaipathak4426 Месяц назад
I watched this entire thing on Sunday morning, ordered Xero, started wearing toe spacers, and I hope to improve my running. Awesome episode.
@janicemarticorena2482
@janicemarticorena2482 23 дня назад
They advise “ go slow” with the shoes and toe spacers. Hubby wore them for too long daily in the beginning and had compensatory pain. So ease on in 😃 good luck
@woubishetbezuayehu4644
@woubishetbezuayehu4644 2 месяца назад
Dr.Peter Attia, it is very valuable podcast, and thank you and Courtney Conley ❤
@rstyll
@rstyll 2 месяца назад
So helpful. I’m a runner that supinates and sprained my ankle six months ago. I’m researching different toe box widths and heal/toe drops. My parents are in their 80s and walking is becoming an issue. This episode is very timely!
@paulquinn4087
@paulquinn4087 2 месяца назад
This clinician is a rock star As sports chiro she cleared up a lot of issues I struggle with treating high end athletes
@davidrieger4397
@davidrieger4397 2 месяца назад
THANK YOU! THANK YOU! AND THANK YOU! A new world! Great doctor questions Peter! Real scientific practical solutions Courtney! WOW! What a team. 🤩
@gloriareszler4196
@gloriareszler4196 2 месяца назад
Such an important issue. Toes are so important to my balance as a 76 yr old!!! And the medical profession does not pay attention to this critical part of our body. Huge tks for airing this video!👏♥️
@roodog11
@roodog11 2 месяца назад
There is little attention given to the foot by the medical community in my opinion & experience and yet it is the foundation on which we stand. Ha! I appreciate a focus on identifying a root cause and having protocols to address and perhaps fix a foot issue. Strengthening the foot where weak makes sense to me. And it was news to me that we lose sensory perception in the foot as part of aging. I've been self-diagnosing my foot issues since my PCP and PT have focused on treating the symptoms versus identifying why the issues occurred in the first place. My last PT said that I need to wear heel lifts because my feet don't lie flat. Is this a real condition? or is a symptom of weak strength in the foot? This interview was informative & given me another option for treating my foot issues. Thanks to both of you!
@shannonlynnmomof3
@shannonlynnmomof3 3 месяца назад
I was hoping for a video with the exercises and a list of the products she talked about.
@br_ok_in
@br_ok_in 2 месяца назад
Agreed. I was bummed not to see this. Incredible interview otherwise.
@bhut1571
@bhut1571 2 месяца назад
Think you need to be a member. I would like that too, but understand they need to be paid for this precious info.
@pedro.almeida
@pedro.almeida 2 месяца назад
The videos are for subscribers only, check the website.
@sph1n3x
@sph1n3x 2 месяца назад
Dr. Courtney is part of the healthy feet alliance. Their website actually has some brand and product recommendations.
@Ummonchinable
@Ummonchinable 2 месяца назад
She has a list of the shoes, at least, on her website (GaitMatters).
@richiejames928
@richiejames928 2 месяца назад
Yet again. An amazing discussion. thanks Peter and Courtney
@ebklos
@ebklos 2 месяца назад
I watched and love what Cortney was saying because I healed my bad Plantar Fasciitis with foot exercises, gait rehabilitation & better shoes. Peter, you should also interview Paul Howell, founder of The Sling Method. He is a gait exercise master!
@mariafox9232
@mariafox9232 2 месяца назад
🤯This was so amazing!! I learned soooo much! And yet, I realize there is so much more to cover. Part Two please!!! As a dentist, I can't wait until you give oral health/ jaw (i.e.airway) development the same in-depth discussion. Thanks for bringing things like this to light. The human body is simply amazing and even the most humble of parts, that rarely get the attention they deserve, contribute vastly to our overall health and vitality.
@mauraborealice
@mauraborealice 2 месяца назад
Superb! So skillful! I truly wish Courtney was nearby! I was looking for this level of foot health assessment when I scheduled what I thought was a podiatry appt at Kaiser. Their only skill level/option was "come back when you need surgery". I have a complicated foot history that could really use the right intervention and a dance hobby that compromises my foot health!
@mirandaclements9774
@mirandaclements9774 2 месяца назад
That is so disappointing and I have received similar "treatment plans" from Kaiser! You should definitely get in touch with a Gait Happens practitioner though! They're all excellent!
@EddyWoon
@EddyWoon 2 месяца назад
Great episode! As for the "Eddie", I had initially thought it is Eddie from Iron Maiden. I have EEEE wide feet with splayed toes... making the buying of shoes/boots very difficult. As a result for my whole life I had been buying wide shoes at about 1 to 1.5 US size larger so that they can provide the required toe box width. This had unfortunately changed my gait to minimise the trip hazard from the extra shoe length that I had been wearing for my whole life. I am so happy to see that we now have companies that are producing wide shoes with wide toe box.
@10thMorales
@10thMorales 2 месяца назад
Same problem here.🥴
@pedro.almeida
@pedro.almeida 2 месяца назад
For people looking for the exercises, the show notes in the website say "The interview will be available to everyone while the videos from the gym will only be available to paid subscribers"
@kimk932
@kimk932 2 месяца назад
I was disappointed until I found lots of her exercises shown/detailed on her Instagram account Gait Happens
@garethf5131
@garethf5131 3 месяца назад
This is a fantastic episode. Very informative and eye opening
@gaithappens5872
@gaithappens5872 3 месяца назад
Thank you!
@simonphuket7782
@simonphuket7782 2 месяца назад
Great guest! Real knowledge! I stopped minimalist shoes but will now go back to them!
@JaredandTasha
@JaredandTasha 3 месяца назад
wow this was incredibly helpful, I went to a PT and they did nothing to examine what's wrong with my Talus bone area. This gave me a great starting point
@review-report
@review-report 2 месяца назад
*This is Gold & it’s Free!*
@sebastianboninodiaz5495
@sebastianboninodiaz5495 3 месяца назад
I can not find the list of shoes
@emilycook1904
@emilycook1904 2 месяца назад
Shoe list: xero, vivobarefoot, topo, altra, wildling, Lems, Joe nimble
@tvz111284
@tvz111284 2 месяца назад
GOATA, knees over toes and Courtney Conley all in 1 room 🤯🤯
@Kaleogriffith
@Kaleogriffith 25 дней назад
Absolutely love the passion you both bring to this talk. Thank you!
@loopba
@loopba 3 месяца назад
Awesome episode and love the direction of recent content
@aaronl528
@aaronl528 2 месяца назад
Great podcast! I have a bunion and I guess hammers toes, but realize I don't just have to live with. Bought zero drop shoes to wear to work b/c I now realize that my shoes are a big part of the problem. Thank you Peter and Courtney!
@redwan03able
@redwan03able 2 месяца назад
Fascinating! I have plantar faciitis and moderate to severe neuropathy (moderate in one foot, severe in the other) and have started wearing minimalist shoes (Xero). It's so hard for me to stop from striking my heel in these shoes. I have to mince. And it takes me so much longer to walk any distance because my gait is so much shorter. I'll stick with it but it is exasperating - I just want to get to where I'm going!
@kbc1883
@kbc1883 2 месяца назад
It took me 2 full years to slowly move all of my shoes over to zero drop, foot shaped shoes. I started with Xeros too. But it was when I changed to zero drop Altas and Tapos sneakers that I made good/faster progress and then was able to move from thoseback to the Xeros and other barefoot shoes. The Xero were not the best starter option for me.
@aberosh1819
@aberosh1819 2 месяца назад
I want to love anything the way she loves the physiology of feet. Inspirational!!
@Jacques-Ingela2024
@Jacques-Ingela2024 2 месяца назад
Thanks Courtney and Peter for a great and absolutely best pod ever about our loving feet. I have a question that I think many of us backpacking hikers have and have received lots of different answers. Me (69 years) and my girlfriend hike every weekend between 15-20 km and stay overnight camping which means we have equipment of about 10-12 kg on our back including backpack. When I started hiking, I was told that I absolutely must have hiking boots that keep the foot in place and have the stiffness to handle the weight of carrying a backpack of xx kg. So we both bought traditional hiking boots which, by the way, weigh a lot and don't have much room for the toes. Now, two years later, we have switched to the Altra Done Peak and most recently the Wondertoes 2.0 from Joe Nimble. These boots have a wide toe box and have zerodrop. Now the question: Is it wrong to wear these types of shoes without stiffness and stability when hiking? What could happen in the worst case scenario if there is one? By the way, we have no problems with our feet today despite many hikes with and without packing but wonder if we are overloading our feet with these types of shoes. This summer we are going to the French Southern Alps and it will be different and more demanding hiking than what we are used to. With kind regards and hoping for an answer from both of you. Jacques Montel from Sweden.
@finanzferdinand9874
@finanzferdinand9874 3 месяца назад
I would also look at things like sight for falls. Being able to see obstacles, peripheral vision for example. My dad had a bad fall and I would say it was due to his lack of attention, this being something linked to sight and seeing obstacles.
@ddmontg3402
@ddmontg3402 3 месяца назад
Could you tell me where the links are to everything you stated would be in the notes? Like the toast spacers I think there might’ve been some other products you were mentioning that I’d like to look up.
@ErinIsReal
@ErinIsReal 2 месяца назад
I need some toast spacers, too! The slices are too close together.
@carlabeaver8233
@carlabeaver8233 Месяц назад
There are good toe spacers on Amazon.
@artjaazz1
@artjaazz1 2 месяца назад
I'm a trail runner and I run in Xero shoes or Luna sandals - 25, 30, 35 km (45 km is my current record) in all kinds of terrain (Poland) and enjoying it. Slowly built up to it, of course. So far didn't have any foot problems, only regular overtrained/strained muscles
@debbiesmith2207
@debbiesmith2207 Месяц назад
Thank you, thank you, thank you for this video! My doctor told me I had plantar facetious, it was probably a stess fracture, he put me in orthotic.... all this made matters worse. I was also well on my way to hallux ridgidus and started doing exercises on my own. I just knew I needed to be able to bend my toe! I'll be watching this video and making notes!
@jasonsimpson4805
@jasonsimpson4805 2 месяца назад
One of the best episodes you’ve done. Keep up the excellent work!
@ckflack2
@ckflack2 2 месяца назад
The content was (of course) amazing. But also I want to thank your team for excellent video production. It really added to the experience and was well worth the effort.
@kevinwindels6862
@kevinwindels6862 3 месяца назад
Thank you so much guys, amazing !
@Jaydawg5422
@Jaydawg5422 2 месяца назад
Seeing Ed and Jeff hug was killer!! The best Pearl Jam interview ive ever seen! Incredible
@joanfrisinabowles1369
@joanfrisinabowles1369 3 месяца назад
Excellent Information!
@markpuccinelli2316
@markpuccinelli2316 2 месяца назад
Another fabulous interview, thank you both.
@innuendo4469
@innuendo4469 2 месяца назад
Oh, and a big plus for Eddie Vedder - my barefoot years in the summer, feeling the off road dust while listening to "VS" album. BIG HUGS, Courtney!
@SamuraiiiJack
@SamuraiiiJack 2 месяца назад
Phenomenal episode ! Thank you
@Neeko_Z
@Neeko_Z 2 месяца назад
The last interviewee i had checked out was lame. But this lady WANTED to be there. And she’s GOOD. Very informative, passionate. No stuttering.
@poolmilethirty2859
@poolmilethirty2859 2 месяца назад
Great information. Thank you so much, Courtney. Dr. Attia, you're such a good interviewer, and you always have the best guests.
@rbphilip
@rbphilip 3 месяца назад
Such a good episode! I want those exercises! And I’m going to try toe spacers.
@paulastowers3537
@paulastowers3537 2 месяца назад
One of my favorite podcasts!
@aaronbenesh4722
@aaronbenesh4722 Месяц назад
I'm a physical therapist and I treat foot & ankle problems all of time and do so in a variety of ways based on mechanics, weaknesses, etc of the LE chain, but now have a few more things I can do and use. Thank you.
@myhandle321
@myhandle321 28 дней назад
What is LE chain?
@aaronbenesh4722
@aaronbenesh4722 27 дней назад
@@myhandle321 LE = lower extremity
@rdbm-uo5zt
@rdbm-uo5zt 2 месяца назад
About 35 years ago, I was going down like a horse with laminitis. In 1981, my right heel got sore and stayed that way. Then around 1990, my left heel got sore. It got to the point where I was walking like a duck to avoid pronation pain on my heels. I made an appointment with a podiatrist and he examined my feet with X-Rays. My right heel had a well-developed spur and my left heel had a grainy cloud near where the plantar fascia joins to the calcaneus. He said that my longitudinal arches were almost non-existent. More concerning was that my feet were solidly deformed in an over pronated arrangement with the calcaneus bent to about 3° outside of a vertical line through the tibia and talus ... too significant. He said that my plantar fascia will never adapt to this arrangement and that I will likely need to keep my orthotics on hand whenever my heel(s) get sore. But he also warned me not to just keep wearing them all the time. Whenever the soreness subsides, I dispense with them, and I was also told to walk barefoot or in socks when indoors regularly to keep things strong: listening to Courtney, it seems he was maybe ahead of the times. The orthotics were made out of tough bullet-proof resin and were molded using plaster casts that he made of my feet. They fit my feet like a lense to lock my feet in a more supinated position whenever my foot bore weight. Of course, my heels flare up form time to time, but I just step onto my crutches.
@MsChamakchalo
@MsChamakchalo 2 месяца назад
Fantastic information. I was glued to this stuff.
@phalgunarao1
@phalgunarao1 2 месяца назад
Thanks for this podcast. A very useful one and a constant problem for all. This gives me much more ammunition to work with my girls to choose the right footwear
@kevenwang9285
@kevenwang9285 3 месяца назад
Thank you for this episode. I remember there was another one years ago
@harriettwells3936
@harriettwells3936 2 месяца назад
Amazing episode! Super keen for a follow-up on exercises for the foot
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