In my experience working with feet, folks with heel pain or plantar fasciitis tend to have either a heel that doesn't move in all three planes well or a forefoot that doesn't oppose the heel well. In addition to a pelvis and ribcage that doesn't move well. I've also had a very fit client develop plantar fasciitis by purposefully changing how they use their feet when they run after watching a video on social media when their feet moved perfectly fine as they were.
Great content as always Neal, I have seen the same foam put under the medial heel for the same right side inverted foot. The explanation was to bring the ground up for sense and then to push inside heel down into foam. Can you talk more about strategies like this? I can see it from both perspectives but it does get confusing.
The heel pain is the most horrific pain I have ever experienced. I believe it started because I was suponating on the left side plus had hip pain. As time went on sciatica and tight hamstrings/calves and then pelvic tilt. It has been a nightmare!
Goldie, if you are in the United States, you really should seek out professional help from a Postural Restoration provider. Unfortunately this is a complex issue and I can't really help in RU-vid comments.
You described my issues exactly! I roll on the outside and can’t seem to get off of the outside of my foot. I also have a bunion on the right foot which causes pain and keeps me on the outside, instead of the proper gait and movement of the big toe. I have been working on getting to the right arch and my bunion hurts because it’s so stiff because it hasn’t been moving in the proper pattern!
Well, the only way you can get to the right arch is by shifting into your left hip at the same time. So your brain should associate left hip shift with pronation/right glute max, as in the left sidelying right glute max technique on my website.
I had it on my right foot for about two years. I have flat feet and it seems like the bottom of my right foot wants to twist towards the end when I’m try to push off with my big toe.
Just wanted to comment to say that this is exactly how I have experience plantar fasciitis as well. Always in my right foot, weight always on the outside of my right heel. Standard PRI pattern everywhere else. I'm confident that PRI thinking is the route towards fixing it for many people. Neal, just out of interest, have you ever run into clients or colleagues who have ended up with PRI patterns following jaw and/or TMJ disk displacements? I'm a member of a Facebook group called 'TMJ, Dystonia, and the Connection', where thousands of people are trying to address the root cause of their neck spasms (and whole body pain, up to and including plantar fasciitis) by normalising their TMJ problems. At the moment it seems mostly to be cutting-edge dentists who are interested in providing the treatments, mostly via forms of splint therapy, but I'm sure it all ties into the PRI models. I know it is only anecdotal, but I'm sure that this is what triggered everything for me, and why none of the PRI exercises have fully helped, despite making perfect sense in theory.
Hi Henry. I'm not sure if I could know when someone's pattern began. Virtually everyone will have a pelvis pattern once they pass through puberty and then the upper body follows. None of this is necessarily bad unless their pattern becomes too extreme. Jaw injuries (or any head trauma) can definitely make neck patterns worse and the cranium can then "twist" in distorted ways. These twists, called torsions are more serious and usually require multi-disciplanary care including splints. But a splint may not help unless you address the position of the neck first. Our neck muscles have a strong influence on jaw muscles, so if someone's neck is stuck, neck muscles are tight, and they will undoubtedly influence the position of the TMJ. Another less understood aspect is that anything that occurs above the chest can affect vision: either visual clarity or visual perception. Vision issues almost always impact the neck because eye movement and neck muscles are so intimately connected.
Hi Neal, it was just my anecdotal experience really, by no means trying to seek a diagnosis from afar... I hear exactly what you're saying about a stuck neck affecting the jaw, I just think that for me it is the other way around. As such I'm in the process of going about getting an acrylic splint made now. Failing that I'm also a candidate for a jaw joint wash-out apparently, to try and get the disk back in place. What I can do about vision, beyond having the right glasses, I've no idea. Anyway, everyone is different. Love the videos though, thanks. @@NealHallinan
Neal i like your vids and good observation. actually in mobility and illustration it would be best that you remove the shoes and just do socks like you did in the postural rotation 90/90 video it works great for understanding in all of workouts and foundation and mobility, stability. i like to follow along. kim
Hmm, wonder if this explains why my right achilles flared up after a half-marathon last weekend. My right shoe wears more on the outer heel, so does a supinated/inverted foot make for a tight foot/calf? Do you wear that pad under outer heel all the time?
Yes. Any muscle in your lower leg that contributes to inversion/supination will likely be tight. On the other hand, muscles that contribute to eversion/pronation may be stressed out and painful. Prolonged static stretching of the calves can be beneficial, but if your pelvis is resting in an asymmetrical state (which it most likely is) the stretching will only help temporarily because the underlying asymmetry can't be stretched away. I wear the lateral heel wedge under my right foot all the time even with the pair of sneakers that seem to be best for me (Asics Foundations)
Thanks, so it looks like the posterior tib is an inversion muscle then? Google says it's "trigger points" are associated with achilles pain (as well as soleus). I guess addressing trigger points is just a quick fix, and need to keep working the PRI program. No providers nearby though. That's why I appreciate your vids.
@@CA-ri5lu Well, without knowing your particular situation, you may benefit from the supine 90/90 with hip shift, and left sidelying right glute max. Pretty much anybody will benefit from these exercises.
So the pain for me is on the outside heal of my left foot. Does this mean I put the extra pad on the outside of my left foot to let my left foot arc fall???
I think it would be much easier if you just show the mechanics on your own feet. Most of the people doesn't understand what do you mean, by showing it on the skeleton.
