Based on The Human Spring Approach and many patients that I have helped with shoe fitting I will explain my opinion on what are the best shoes to keep the foot from deforming.
When the foot lands on the ground it lands on the outside and rolls towards the inside. That is how it absorbs the force. When it asends the force of the landing is absorbed by the 33 joints of the foot across the foot evenly.
To summarize there are two ways of attenuating the force
- The rolling effect
- and the loading of the force into the 33 joints of the foot
When you are wearing a shoe, it weakens the foot and makes it more difficult for the foot to attenuate these forces on it’s own. It creates it’s own weakness and then forces you to wear a shoe to keep your foot in a certain position so it does not roll too far over. That is what is called over-pronation or rolling outside the safe range further it might twist the entire limb that can cause injuries and pain.
Unsafe Range vs Safe Range
A shoe can be helpful and this is what I look for in a shoe:
- The counter support should be able to keep the heel from rolling outside the safe range.
- Using the she for a certain amount of time will help strengthen the muscles until the foot can do this on it’s own.
- Make sure the shoe fits. You shouldn’t be able to put two fingers in.
- Tie the shoes with both eyelets evenly with even pressure on both sides.
- When you take your shoe off be sure to untie your shoe and withdraw your foot. (instead of pulling the shoe off)
An important factor to remember is you cannot just rely on a good shoe in order to strengthen the foot. You will also need to exercise and release the foot.
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Contraindications:
There are times when you should refrain from massage or deep tissue massage because it may adversely affect a health condition.
Contraindication is the medical term for these conditions. “Contra” means against, as in contrary, and indications are things that tell you what to do one way or the other. Therefore, contraindications are things that are telling you not to do something.
- Fever: When you have a fever, your body is trying to isolate and expel an invader of some kind. Massage increases overall circulation and could therefore work against your body’s natural defenses.
- Inflammation: Massage can further irritate an area of inflammation, so you should not administer it. Inflamed conditions include anything that ends in itis, such as phlebitis (inflammation of a vein), dermatitis (inflammation of the skin), arthritis(inflammation of the joints), and so on. In the case of localized problems, you can still massage around them, however, avoiding the inflammation itself.
- High blood pressure: High blood pressure means excessive pressure against blood vessel walls. Massage affects the blood vessels, and so people with high blood pressure or a heart condition should receive light, sedating massages, if at all.
- Infectious diseases: Massage is not a good idea for someone coming down with the flu or diphtheria, for example, and to make matters worse, you expose yourself to the virus as well.
- Hernia: Hernias are protrusions of part of an organ (such as the intestines) through a muscular wall. It’s not a good idea to try to push these organs back inside. Surgery works better.
- Osteoporosis: Elderly people with a severe stoop to the shoulders often have this condition, in which bones become porous, brittle, and fragile. Massage may be too intense for this condition.
- Varicose veins: Massage directly over varicose veins can worsen the problem. However, if you apply a very light massage next to the problem, always in a direction toward the heart, it can be very beneficial.
- Broken bones: Stay away from an area of mending bones. A little light massage to the surrounding areas, though, can improve circulation and be quite helpful.
- Skin problems: You should avoid anything that looks like it shouldn’t be there, such as rashes, wounds, bruises, burns, boils, and blisters, for example. Usually these problems are local, so you can still massage in other areas.
- Cancer: Cancer can spread through the lymphatic system, and because massage increases lymphatic circulation, it may potentially spread the disease as well. Simple, caring touch is fine, but massage strokes that stimulate circulation are not.Always check with a doctor first.
- Other conditions and diseases: Diabetes, asthma, and other serious conditions each has its own precautions, seek a doctor’s opinion before administering massage.
- Pregnancy: No deep tissue work. Be aware: danger of triggering a miscarriage by strong myofascial work is greatest during the first 3 months (especially through work around the pelvis, abdomen, adductors, medial legs, or feet)
