[Kyle Feldman]

So this was a good read
I liked how they broke down the causes, the types and how to treat.

I have been using the harvard medicine return to running program which is very detailed and gives a runner some great info. It is pretty similiar to this one in the text

The flow charts were also great to give the big concepts and how the cycle can begin and continue but also how you can stop it

The feedback tools for gait training, will help in the clinic as well. Having all of this information is great for some of those runners who think they know all about running. Give some of this information about running form and how training can affect this is key. This article has a lot of the good info all together

Without being able to do much unloading without a pool or alter G we do not have the ability to do much of the final things from the article

[Kyle Feldman]

great points cameron Thanks!!!
function should always be key

[Kyle Feldman]

Eric explained the exercise for you guys
Maybe not the best exercise but use it. Will keep adding short foot exercises

I would use this intrinsic foot with patients who have Hammer toes, medial arch breakdown, ankle instability, bunion pain, as well as others I prob missed what else would you add?

[Kyle Feldman]

i like the input from clinical experience
that helps a lot

[Kyle Feldman]

I liked the flow of this article to address the history of the foot, break down the importance and then get into the PT aspect.
Having this background will allow us as a clinician explain this

the continue link of core to foot intrinsics can be another great explanation for your patient to get then on board. I plan to use this with a lady I evaled on friday with ankle instability and high fear avoidance

This author went as far as using Panjabi’s literature and relating it to the foot. I liked that

This article talks about foot sensation being important for intrinsics and Gail talked about the medial breakdown with neuropathy. It seems like this would be a great thing to teach all of our hip and ankle patients that are on the older side of things. Great preventative measure just like how we teach proper squatting and lifting techniques

Has anyone done the intrinsic foot muscle test before? How do you think it will work? easy to grade?

At PRO we use the toe yoga exercises the most. I remember doing the foot dome exercise but had gone away from it a little. I need to get back to it
WHat do you guys do? Any cool clues you have found effective for patients? esp the motor morons?

The articles shows a lot of improvement with 4 weeks of training. That is quick. It seems like it is more the “mind to muscle connection” turning on that is causing such quick results because i wouldnt expect that much change in a short time

[Kyle Feldman]

stephanies back and forth is exactly how i think about this
one moment i think great lets do it
but then i go back to the basics and lets keep it simple
then i just want my mentor to tell me what is best

It seems like for this cohort it didnt make a difference but for one of your patients this may be the key cues needed

It seems like it will help, just not at such a significant rate that showed statistical significance

anyone feel the same?

[Kyle Feldman]

Cameron, Such a great catch
That is really strange that so many people are eliminated
I would have loved to see what it looked like with more of these people included

Casey, I agree with the education and motor training/re-learning
We have to use our own concepts and what we do best- movement pattern adjustments

I will look forward to the next article that gives us more info

[Kyle Feldman]

sounds like an anti anxiety may help this dude too. I am surprised that after the surgery showing nothing that he didn’t realize it was ok. Does he have some type of conversion disorder?
you have your hands full. I hope you get through his shell and turn the leaf for him!

[Kyle Feldman]

I think that PT is a backburner for the medical world. To have such a high researched hospital not mention a thing about PT is nuts. We have done nothing but keep people away from the knife and improve quality of life. That is very frustrating to hear but the only want to improve this is keep doing research, and finally treat some of these docs for their injuries and make them believers

As for the article,I like the NWR as this seems to maybe help differentiate how the pain is being sent and which area is being affected
I liked the idea of temporal summation never thought about this and maybe explaining this to patients that you are not changing intensity (could be why after walking a while the pain gets worse when its the same forces and rate)

I showed the Why I hurt video to a patient the other day and she came back with a great point (she is a teacher) She said it was a great 14 min speech, but he never gave one solution or something a patient can do. And of course that is where we come in, but it makes a good point…. education is key and it will help a ton in the long run to get to the source and figure out the problem …. but we need to have a solid foundation of WHAT WE ARE GOING TO DO TO HELP THEM FIX IT!
I would love some great advice of the next step after we give these great explanations that everyone is working on Its hard to get someone to believe it is nervous system and only exercise will help Thanks for the help

For me. I love using laymen terms and breaking it down nice and easy. My problem is that I sometimes get so basic that can make me sound almost uneducated and not very reliable.

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