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47: Getting Over Over-Pronation (Ankle & Foot Function)

Author
Til Luchau & Whitney Lowe
Published
Wed 08 Sep 2021
Episode Link
https://www.thethinkingpractitioner.com/e/episode-47-ankle-fetish-the-problem-with-pronation-as-a-problem/

In celebration of Til's upcoming "Leg Knee & Foot" online course, he and Whitney geek out on conditions, anatomy, function, and biomechanics of the ankle and foot.


Topics include: 


  • How the structure of the foot/ankle complex determines function

  • Are we over over-pronation yet? 

  • Plantar fasciitis/fasciosis, bunions, hammertoes, and other things you wouldn’t have thought of as ankle issues.


Episode Outline:


  • Structure of the foot/ankle complex
    • Medial side deltoid ligament complex

    • Lateral side ATF, CF, PTF


    • How does structure govern function

    • Distal tibiofibular joint & talocrural joint form mortise & tenon

    • Primary supporting ligaments




  • Mechanics of the region:
    • Talocrural motions: dorsiflexion & plantarflexion

    • Type I and type II limitations

    • Subtalar motions: inversion & eversion

    • Pronation and supination (definitions and confusion)

    • Phases of gait




  • Some common issues/problems
    • Valgus and varus angulations (toes and calcaneal region)

    • “Overpronation”

    • Bunions & hammertoes

    • Plantar fasciitis

    • Tendon overuse (Achilles tendon etc.)

    • Trauma: sprains breaks

    • Nerve entrapments mimicking soft-tissue pathology (i.e. tarsal tunnel syndrome, Baxter’s neuropathy, etc.)




Resources and references discussed in this episode:



Podcast anatomy image from Advanced Myofascial Techniques, Volume 1. Used under license from Primal Pictures.



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About Whitney Lowe  | About Til Luchau  |  Email Us: [email protected]


(The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

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