Motion Stability's Blog


Can high-arched feet have any complications? by charlestlee

image source: amazonaws.com

Brian Yee PT, MPhty, OCS, FAAOMPT

People with high-arches typically have less give in their foot as compared to those with flat arches. It can affect different body parts. With a more rigid support at the arch there tends to be greater forces dispersed at the heel and ball of the foot. Whether it be callouses, neuromas, or spurs many times they are formed due to excessive forces on that area. People with high-arches also tend to walk on their outside of their foot This makes them have more weight-bearing forces to along the outside of their legs. Commonly you see associated problems with ankle sprains, lateral knee pain such as iliotibial band syndrome (ITB), or lateral hip pain. There is also a tendency for people with high-arches to be generally stiff in their joints and muscles. This is due to a greater amount of ground reaction forces not being absorbed in the foot and sent higher into the legs, back and trunk as weight-bearing occurs.

Physical Therapy typically focuses on improving the soft tissue and joint restrictions that are associated with the rigid / high-arched foot mechanics. Use of proper shoe wear and possible orthotics can help reduce the stresses on people’s feet as well.

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Why do I get pain on the inside of my foot when I increase my training? by charlestlee

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Brian Yee PT, MPhty, OCS, FAAOMPT
Pain that occurs on the inside of the foot when increasing your training is usually due abnormal forces placed upon it. This can occur with the foot either pronating too much (going flat) or the foot loading to the ball of it excessively.
Either way, increased stress is placed along the arch and pain can occur there.
Training then should be modified not to allow the arch to collapse or load to the front of the foot excessively. Small tips would include – putting more equal weight through the heel and ball of the foot, watching you knee angle so that it does not go into valgus (turning in) as that place more stress on the arch, and training hip stability primarily in the gluteal muscles as opposed to the calf and quad musculature.


Have Pain in the Arch or Heel of Your Foot? by charlestlee

Image Source: sdri.net

Post by Brian Yee PT, MPhty, OCS, FAAOMPT

Pain in the arch or heel of your foot is commonly diagnosed as ‘plantar fascitis’. However, there are several reasons that can cause pain at the bottom of the foot. Accurate diagnosis of the source of symptoms is needed to direct the proper course of action. This includes:

Plantar Fascitis: Usually due to an over-stretched arch from a flat or high arch. Treatment by taping, manual therapy, orthotics, and use of night splints can provide relief. Long term prognosis is based not only treating the plantar fascitis itself, but also restoring proper mechanics of the entire leg.

Nerve Pain: The tibial nerve, which is a branch of the sciatic nerve originating from the spine, can cause ┬ásymptoms in the bottom of the foot. The key to treatment in nerve injuries is to determine why and where the nerve injury occurred and treat the nerve accordingly. Physical Therapists can use specific nerve mobilization techniques to improve nerve integrity – called neurodynamics.

Myofascial Trigger Points: Muscle trigger points in the calf and foot muscles can cause referred pain to the foot. Soft tissue techniques and dry needling can be used to treat the trigger points referring and causing the ‘plantar fascitis’ like symptoms.