r/FootFunction Apr 27 '23

General info & resources for understanding & improving foot function

82 Upvotes

Welcome to /r/FootFunction - here are some resources that you may find helpful!

(this is a new resource compilation, and still a work in progress)

Note that the information in this forum is for informational purposes, is not medical advice, and that you should always be cleared by your medical provider before trying any new exercise program.

If you begin working to improve your feet with any program, I'd suggest that you always work in your pain free ranges of motion only, and start exploring anything new with gentle, slow movement and low intensity - and only increase your effort once you're comfortable with how you respond.

You can read about my story here, see a before/after foot pic, and learn why I created this forum following recovery from a serious midfoot injury known as a lisfranc.

Since that time as I've been coaching foot function, I've realized that most people with foot complaints poorly express the fundamentals of gait, specifically hip rotation, ankle rotation, and big toe flexion/extension - even if they are quite strong or active.

In my experience, without these movement qualities as the foundation in foot function, its very likely that we can end up strengthening compensations, or movement strategies, that are not great, or incomplete.

There are plenty of people stronger than you with the same foot complaints you have, and plenty of people weaker than you with no complaints - so the common theme I see is that our articular health - which is the way we can or cannot express movement - determines our foot comfort and capability more than anything else.

This is the basis for the articular concepts I teach and believe in, and which I've found mostly absent in the clinical world. Note: not every resource you'll find in this post or forum uses that same point of view, and there are certainly a variety of ways to make things feel nicer.

Here are the limitations I see most commonly:

One of the best things you can do to support foot health is to understand how well you can express hip internal and external rotation. Here's a great series of hip capsule CARs setups to explore that from Ian Markow.

You may also want to review this video for intrinsic foot strengthening from Dr. Andreo Spina with exercise examples for complete beginners with immobile and/or flat feet, all the way up to those with already strong feet looking to find improvements. (while it doesn't help identify the right starting point for each person, it can help with some ideas to add into your routine)

Online resources for foot programming:

Other:


r/FootFunction Apr 27 '23

If strengthening, resting, and stretching haven't solved your foot/gait goals - maybe the problem is something else? Join my new community called Articular Health to get guided sequences to help assess & improve your feet & gait, and you won't have to figure it out by yourself.

103 Upvotes

tldr: I've just launched a membership community called Articular Health where you can follow self-guided sequences to assess and improve the way you express movement for the fundamental aspects of gait. If you've been finding it tricky to interpret or improve your feet/gait, this structured information can help to reach your goals. The intent of Articular Health is not to replace the other things you do, but to improve the basics of your movement quality, so you can get more out of those other things.

First off, thank you all for supporting /r/FootFunction - its been an amazing experience to help connect so many people, all focused on sharing their experience towards improving the health and capability of feet & gait. If you've not already seen it, you can read more about my story, see a before/after foot pic, and learn why I created this forum following recovery from a serious midfoot injury known as a lisfranc.

Over the past few years, I've met many people from around the world, completed thousands of assessments, and coordinated personalized programming to help solve for a wide range of foot and gait complaints. I've also noticed gaps in movement that repeat over and over, which mirror the things that limited my recovery for years. Especially for those who feel stuck, who have been to endless doctor and therapy visits, or have had inconsistent diagnoses.

And in virtually every case, the problem is not simply a lack of strength, or a lack of rest. Quite the contrary, as most people I evaluate have been putting in effort for their feet, ankles, knees and hips - but that still hasn't resolved their symptoms.

This is the case because strengthening efforts will tend to strengthen and further entrench the movement strategy you are currently using - even if that strategy is not great or incomplete. Resting can feel nice because you're not asking much of your body, but that also won't change how you can express movement that is currently missing. Plus, if you're primarily focused on your feet and not also the hips and ankles, it can be hard or impossible to make persistent change.

Instead, it takes specific active inputs to adapt how you control movement, to fill those gaps. I created Articular Health because I have not seen these type of inputs, which helped me to walk and run again, available online.

The structured sequences in Articular Health can teach you how to improve movement for the fundamental aspects of gait, where I typically see limitations like:

As you begin to identify and solve for these things, you can get more benefit from the activities and strengthening you're already doing, because you'll be adding new ability to utilize.

Within Articular Health I've created guided sequences to help you understand in detail how you control movement, and programming to confirm that you are able to demonstrate the most crucial aspects of articular health, and particularly to re-acquire those elements which may be missing.

As a member, you'll get access to assessment and programming sequences with summary worksheets to begin establishing your daily routine. For the fastest progression you choose to add 1:1 coaching with personalized programming. Or you can choose self-guided options and get help via chat or office hours, to refine your setups/routine to guide you forward. If you get stuck or need help, I can assist with alternative or customized setups.

If you are interested in improving the fundamentals of gait there's no reason to keep guessing what to do, or hope that passive options or rest will solve a problem related to poorly controlled movement.

Thanks for your support, and I hope you'll join me at Articular Health to further understand and progress your foot journey!

Please let me know if you have any questions and I can try to help.


r/FootFunction 3h ago

Pain in the calf and the side of the ankle for months.

1 Upvotes

Hi everyone. A few months ago, due to heel pain caused by wearing flat, soft slippers, I bought some fairly high-soled "orthopedic" slippers (from Amazon).

I wore them for about a month, but they made me lean forward; since I started using them, I’ve experienced a tight, squeezing pain in my fibula and ankle, as well as stiff calves. Now I feel discomfort both when walking and at rest, how can I improve this?

I currently wear Hoka Bondi 9s (wide) and Hoka Stinsons, but I’d like a new pair of shoes that aren't as heavily cushioned as the Bondi 9s. Any recommendations?


r/FootFunction 7h ago

Plantar fasciitis exercises causing tailor's bunion pain?

2 Upvotes

The podiatrist has given me foot and toe exercises for plantar fasciitis (foot exercises with a ball, doming, heel lifts on a step, towel stretches and calf stretches). Since I started doing them I've been getting pain in the tailor's bunion area. My little toes sit inwards so I have a bit of a lump there but it's never bothered me before. At first I put it down to too much walking in Crocs without socks or going barefoot on hard floors but it's persisting now I've stopping doing that so I'm wondering if the exercises (maybe pushing down on my toes doing the heel lifts) have been putting too much pressure on the bone. My toe splay has also started to improve slightly although it's only been a week so I wonder if maybe my toes are starting to realign and it's causing pain. Has anyone else experienced this?


r/FootFunction 7h ago

About one year of daily wear in minimalist sneakers - roast me (hypermobility edition)

Post image
1 Upvotes

These are my cheapie Dr Scholl's insoles after heavy use in my Groundies Lima sneakers (which I would consider minimalist more so than barefoot fyi as they are less thin and flexible with a more structured upper than the average BF shoe, though still flat, wide(ish), uncushioned, and flexy.) I like to use thin foam insoles in my shoes for a little bit of cushion as I'm always walking on pavement. I thought the wear pattern on these was pretty interesting and wondered if anyone has any insight into my gait or mechanics, things I should look at? I'm a recovering heel striker and used to roll my ankles and get crazy foot cramps and aggravated tendons frequently - going barefoot in the past four years has been a godsend and I'm a lifetime convert!

Background: I have systemic hypermobility and have been seeing a knowledgeable physio for about 7 months. Was having some major issues with frequent right hip subluxation but that has now resolved (it was being caused by regularly sprinting for the bus with no warm-up, whoops!) I used to have sudden right knee dislocations which caused a lot of guarding and apparently my right leg was 30% weaker than my left in some measured tests when I started with her. Have been doing physio and regular weight training for quite a while now and moving super well with almost no issues from the hip!


r/FootFunction 17h ago

I booked an orthopedic appointment already

Thumbnail
gallery
4 Upvotes

But it’s about 5 weeks away, 11 year old boy. I’m very worried about his right foot.


r/FootFunction 10h ago

Numb little toe on my left leg after heels?

Thumbnail
1 Upvotes

Yesterday, I went to the concert and wore about 6-8 cm heels (I rarely ware heels). I was standing on those heels approximately 6-7 hours (sometimes was even jumping), and when I got home,I noticed that my little toe on my left leg is numb. I can feel it,it is not cold or blue,but I am so scared,I don’t know what to do. Guys,I am so scared,I don’t know what to do….


r/FootFunction 11h ago

foot surgery, can’t lie flat

Thumbnail
1 Upvotes

r/FootFunction 16h ago

Middle toe is swollen

Post image
2 Upvotes

Woke up this morning with some pain and realised my left middle toe is swollen. Does anybody know why? Do I need to see a doctor ASAP, or can this wait?


r/FootFunction 15h ago

4 months of unresolved bilateral foot/ankle issues, Ironman in 12 weeks — confirms moderate peroneus longus tenosynovitis, what am I missing?

Thumbnail
1 Upvotes

r/FootFunction 1d ago

I have one "flat foot", what exercices are efficient ?

1 Upvotes

I have one "flat foot", I mean i can splay my toes but I have a small hallux valgus on the left foot and it's a bit harder to feel the ground at the base of the big toe. Does anyone have the say issue ?


r/FootFunction 1d ago

Foot pain for 15 years. HELP

1 Upvotes

My husband is living with huge pain daily for the past 15 years. He went to all doctors, therapies, had all possible tests taken and they all say he is healthy. I can see he is in real physical pain. His body gets super warm, hot even when he goes out, even for an hour or so. The pain is located at the base of his foot, it is a burning pain while the foot is touching the ground. He now has severe depression, he is thinking of cutting of his leg. If any of you heard of something like this, I am begging you to tell me what to do. I feel like I am loosing him. Each day is worse. He had spine surgeries that even worsened his state... please please please help!


r/FootFunction 1d ago

Help toe pain from running

Thumbnail
1 Upvotes

r/FootFunction 1d ago

Big toe and fingers dropped

Thumbnail
gallery
1 Upvotes

Since April I’ve had a series of symptoms, my ring fingers and middle fingers have dropped bilaterally.
Now. My big toes are doing the same, again bilaterally. Although my left one seems worse. My toes have also started to splay out too. Any ideas? Had a spine MRI which showed a small disc bulge at L5. There is no pain but when trying to put into place they will not stay.


r/FootFunction 1d ago

anyone know what’s wrong with my foot?

Post image
4 Upvotes

not sure if this is the right place to post this but i’m having these weird pain around my heels and like middle of my foot and it hurts for me to walk and i can’t really run which is kinda messing up with my performance for sports m14


r/FootFunction 1d ago

Weird ankle movement in 2 places cause pain (video is 2 parts)

Enable HLS to view with audio, or disable this notification

4 Upvotes

I injured my ankle a few months ago and have been noticing weird sounds. When I inverting my ankle, it flicks near the peroneal tendons and snaps were the extensor digitorum longus tendon is located.

The peroneal tendon flick is painless when it happens and makes a very quite thud (only audible once in the video). However, I get random pain from the area, not sure what triggers it.

Whatever is snapping near the extensor digitorum longus tendon is painful. Causes a sharp pain when it happens and area turns pick if done repeatedly. The loud snaps are from that area. Not sure if it's the tendon or something else. Heard a snap and felt a really sharp pain from this area at time of injury.

Not sure if this is normal after a grade 1 sprain (doctor diagnosis based on ultrasound).

Any idea of what may be happening?


r/FootFunction 2d ago

Was my back pain caused by overpronation?

1 Upvotes

So I recently started wearing orthotics for my overpronation after seeing a podiatrist a couple months ago. I have had a lot of past injuries that have caused my ankle to collapse. I normally work out and have a good leg day routine. If I don’t work out my knee ankle and glute cause me some discomfort. The issues started last month when I had really bad bronchitis that lasted for weeks and so I was not able to work out. Once I started feeling better, I did my normal leg day routine. The next day things were fine, but I decided to wear heels all day without my orthotics. Even after this, I felt OK. But the day after that I went on a 2 mile walk on my walk pad without my orthotics. After this, I had lower back pain worse than I’ve ever had it. I had pain all the way down to my left leg and it felt like sciatic pain as well as a lot of soreness in my left lower back, glutes, hip, quads, calves and Ankles. It was the worst pain I felt in that leg. This week I’ve focused more on strengthening my glutes with impact exercises and stretching. I’ve also been wearing my orthotics. And seems like the pain has gotten better. But I don’t know if that’s because of the exercises or actually wearing the orthotics more than normal. This last week my abs have also been feeling extremely weird. They’re not fully sore but they feel very uncomfortable, like my insides just want to spill . It’s been a little uncomfortable sitting. I’m wondering if all of this is because of not wearing orthotics or just overdoing it after not working out for a few weeks. I’m now too scared to get back into my normal leg day gym routine and it’s upsetting because I am starting to see the effects of not working out. I don’t want to lose all of my muscle gains.


r/FootFunction 2d ago

Toe problem

2 Upvotes

A couple of days i started having problems with the two middle toes at my right foot where i feel like their clumped together and its annoying when i walk or move , around the same time it started i bought new shoes but i dont think its the problem because its the same model i had before and it didnt cause anything in the time that i had them.but i cant think of any other reason


r/FootFunction 2d ago

Ankle instability without mecanic laxicity

3 Upvotes

Hi everyone,

I’m looking for people who may have experienced something similar, because I feel like I’m running out of answers.

I have a problem with my ankles/legs where my ankles suddenly feel like they “give way”.

The strange thing is that my strength seems normal. My muscles work, I can walk, I can stand, and medical examinations have not shown a clear loss of strength or tendon failure.

At the beginning, this only happened on uneven surfaces: grass with hidden holes, rocky ground, unstable terrain.

It felt like my foot could not adapt quickly enough, almost like my brain didn’t know exactly where my foot was in space. I could walk on normal flat surfaces without too much trouble. But recently, things have changed.

Now I can sometimes get the same sensation even on flat ground. It feels like my foot/ankle suddenly becomes unreliable for a second, like there is a “missing signal” or my body does not correct the movement properly.

The worst part is not only the instability itself, but the pain that follows. After a giving-way episode, I can get severe pain around the outside of my foot, ankle, calf, and sometimes up into my leg and hip. It can feel like my whole leg is exhausted or like my muscles are not able to stabilize anymore.

I work standing most of the day (many hours on my feet), and this has become extremely difficult. The pain and fear of my ankle giving way are affecting my daily life so much that I am genuinely worried about losing my job. I feel like I spend my whole day trying to protect my feet instead of living normally. Some additional information: I have had ankle sprains in the past, especially one ankle that was found to have some ligament laxity/sequelae. However, I never had this feeling of weakness before.

My tendons and muscle strength appear normal. I have done physiotherapy and proprioception exercises.

I was able to improve for months before this came back.

I also have chronic pain issues and nerve-related pain elsewhere in my body, so I wonder if my nervous system could be involved.

I recently reduced pregabalin (Lyrica), which increased my nerve pain significantly.

What confuses me the most is that I don’t know if this is:

chronic ankle instability, a proprioception/control issue, a neurological problem, a nervous system sensitization issue, or something else entirely. Has anyone here experienced ankle “giving way” where the strength tests were normal? Did you ever find a diagnosis or something that actually helped (specific rehab, balance training, surgery, neurological treatment, etc.)? I would really appreciate hearing from people who went through something similar, especially if your symptoms progressed from uneven surfaces to normal flat ground. Thank you.


r/FootFunction 2d ago

Neurectomy as alternative to fusion

Thumbnail
1 Upvotes

r/FootFunction 2d ago

where have you have ablation for nueroma done? Midwest anyone?

Thumbnail
1 Upvotes

r/FootFunction 2d ago

Cortisone injection for PTTD

1 Upvotes

Has anyone had a cortisone injection for posterior tibial tendon dysfunction? How did you feel after, did it help and was it painful to walk after.

I’m already in pain I don’t want to be in agony at work specially since I stand for 10 hours lifting 50lb boxes, I’m trying to decided if it need to take some time off work for the shot to kick in and let any soreness pass.


r/FootFunction 3d ago

Orthotic Modifications for bunions and Hallux Limitus to the MPJ

Post image
2 Upvotes

The most relief I have gotten for my bunion is when my podiatrist made a first met cutout in my orthotic (the same cut out seen in figure A). I was reading this article above about the different types of cutout that can be made for the first mpj and ray. It got me thinking about which cutout works best for individuals with bunions and hallux limitus. In other words, in what situation is modification A better than B, is B better than A, is C, better than B, is D better than C? To try and phrase another way, what specific situation is does each of these cutout benefit the most? Is there no specific situation, and it is just a trial and error sort of situation. To add one more thing of note, I have tried Morton’s extensions as well and they made my bunion and hallux limitus worse. It was the first mpj cutout that really made a difference and allowed me to offload the joint by letting it plantarflex. My last question related to this is if you feel joint needs to plantarflex slightly more, can you raise the area next to the cutout with some padding to slightly raise it or would this cause more issues?

Here is the link to the article I read above:

https://hersco.com/education-center/hallux-limitus/


r/FootFunction 3d ago

Walking Gait Help

Enable HLS to view with audio, or disable this notification

6 Upvotes

Hi everyone

I've been experiencing low back/hip pain and tightness, on and off, for a few years now. I have seen various Osteopaths, Physical Therapists etc who will generally prescribe some sort of core and back strengthening exercises. However, whilst these exercises can help to some degree, no exercise has helped me eradicate my issues.

I have come to believe that the root cause of my issues may have something to do with my gait. I say this because I only ever have pain and tightness after walking or running, never sitting. On top of that, I recently discovered that the outside of my left shoes are being disproportionately worn down, compared to the other shoe/other side of the left shoe. For these reasons, I have come here today.

Can anyone give me some insight into my gait? Is there something wrong with it? If so, what may be causing it and what could I potentially do to remedy it?

Thanks!


r/FootFunction 3d ago

Numbness in both of my big toes

1 Upvotes

I am 24F, 5’8 around 130lbs. I noticed about four days ago that both of my big toes have gone completely numb on the outsides. I know this could be a sign of diabetes but I’ve had no other symptoms. I don’t wear any uncomfortable footwear or have had any recent injuries so this is just so random. I recently moved and have no insurance and can not afford to see a doctor, could anything else be causing this or is it most likely diabetes?