Good Posture is More than Standing Up Straight

There is a lot more to good posture than standing up straight. Your default posture (how you stand, sit and move without thinking) is your basic posture. People think you're born with posture or somehow inherit it. The truth about posture is that it is a learned skill.

Our stone age ancestors had to rely on instant athletic movement to save their lives. In order to cover long distances, hunt or avoid being hunted, an athletic body was a necessity. As human kind became more civilized, ideas about movement and culture got in the way of natural movement. For example in the modern United States, fashion models and store manikins are often posed purposely in awkward positions that many young girls emulate.

Also in the U.S. many people do not move their hips while walking. I'm not exactly sure why that is. I've been observing gait for decades and find that many Americans use their hips as a hinge joint rather than the ball-and-socket joint it is, a cultural habit that I think is linked to hip damage in middle-aged adults, particularly athletes that have put many miles on their bodies.

Correct or "good" posture isn't a ramrod straight spine. Good posture is when you can move freely and easily to do anything you need to do instantly. Bad posture is when you lock your joints to brace your skeleton against itself to stay up. This locks out movement and makes any new movement a process of awkward adjustments.

Locking your knees, jutting your neck forwards or slumping your shoulders forwards are all common things people do to "rest" themselves while standing or sitting. Here are some posture tips to get you on the road to healthy posture.

• The first step to better posture is to develop body awareness through dance, exercise, yoga, martial arts, tai chi, sports -- anything that requires you to learn new movements (therefore becoming conscious of how you move).

• Now, take that new body knowledge and as much as possible stop yourself during the day and note how you are doing.

• Most importantly, bend your knees whenever you stand or walk. Never lock your knees no matter how fast you are walking.
  

• Keep your abs or core toned and engaged. Think about this when walking and sitting.

There is much more to say about gait and posture, but this is a good start. For personal gait and stance and posture training, contact my office for a half-hour appointment.
Footform Performance Orthotics Center, 345 SW Century Drive, Ste.1, Bend, Oregon
541-389-4547
www.Footform.com

Balance Everyday with Easy 1 Minute Exercise

Tipping over is a problem as we age. Toddlers tip over often as they walk, getting better and better at not falling as they practice. Most of us go through life on the walking and standing skills we developed as a child. We don't realize that balance is a learned skill, something we have to practice and nurture. If we don't practice our balance skills, as we age tipping over may start to happen again. Only with age, the consequences of falling can be dire.

Balance requires always moving to find balance. It's a subtle thing. Even though a person may appear to be perfectly still as they stand, muscles and nerves are constantly working to maintain equilibrium. Staying centered takes awareness.

Practice your balance skills with these easy tips: This exercise can take as little as 10 seconds. Repeat the exercise throughout your day.

• Keep Moving: Practice bending your knees different amounts while you walk and stand.
  
• While standing, practice shifting your weight in this order:(Both feet hip width apart, pointing straight ahead)

1. Toe - Heel - Back to Center
2. Shift Right - Shift Left - Back to Center
3. Roll to the Outside of the Foot - Roll to the Inside of the Foot - Back to Center

www.Footform.com

Keep Your Balance on Your Feet and In Your Life

Having good balance keeps you from falling down. And I'm not only talking about tripping and falling. Balance goes beyond your feet and relates to your life. A commitment to balance in all things helps with your life. Balance is all about movement, continually finding that sweet-spot between two extremes.

Here's an example: Imagine a teeter-totter or see-saw, the children's toy in many playgrounds. If one side is over-loaded the teeter-totter gets stuck on one side and movement stops. The eventual outcome of less movement for the human body is a sedentary life that can result in a wheelchair. 

Physical skills for balance: (Here are the 2 main skills most of us have.)

• Feel for the ground: Sensing your foot you are aware of where the pressures of your weight is on your foot. The more foot you have on the ground, the more stable you are in most cases. Experiment with movement heel-to-toe and inner-to-outer side of your foot, especially when walking.
• Vision: Most people rely on their vision for balance. When vision tilts the body corrects. Try closing your eyes and walking around (in a safe place) to see how much you rely on your vision.
• Inner Ear: Not under our control.

Our goal is to use both visual skills and your feel for the ground. Here are some tips to improve your balance:

• Walk backwards: Your feel for the ground is enhanced because you can't see where you're going.
  
• Orthotics: The point of a foot orthotic is to increase your feel for the ground (not just cushion your foot). The exact 3-D matching contour between orthotic and foot helps you sense any movements and to make adjustments so that you keep your balance.
  

www.Footform.com

Growing Pains: Why Kids Complain

Kids complain about pain in the back of their legs -- calf and hamstring muscles. Commonly referred to as growing pains, these twinges occur because bones grow at a much faster pace than muscles. The problem that youth (ages 10-16) have as they grow is that as soon as their muscles start getting tight during and after a growth spurt, they compensate for the muscle tightness with actions such as toe-walking and pronating. 

• Toe-walking - not "tiptoe" walking, but a stride where the heel does not touch the ground. The pivot point in the stride is at the forefoot instead of the ankle.
• Pronating: The mid-foot collapses inward and  gives the appearance of ankle bend, but is really stress on the foot. 

These gait compensations create strains in the tendons connecting muscles to the foot (plantar fascia and achilles tendon). Then the muscles that attach up the leg become tighter, hence a kid will experience more growing pains. Muscles need to be used, stretched and worked to grow bigger and longer. (This is true at anytime of life.)

When a youth has growing pains, here's what you do:

• Explain to them what's going on.
• Keep them in physically active recreation or sports that don't have a lot of sitting-around time.
• Teach them this simple stretch: Sit on the floor with your legs straight out in front of you and your feet against a wall or piece of furniture. With your back straight, use your hands to push your torso forwards until you feel a stretch. Hold this 30 seconds. Repeat 3 times.
• Remember: Feet straight, bend your knees (just a little) as you walk and stand.

www.Footform.com

Prevent Fractures: Tips for Better Balance

Have you ever lost your balance? Of course you have, and it's usually no big deal. But if loosing your balance results in a fall, the result can be serious. According to a recent Swedish study, impaired balance is associated with triple the risk of hip fracture! 

As we age, bones may become more brittle and the risk for fractures increases. As a person gets more sedentary and moves less in their life, they lose flexibility and balance along with other types of fitness. This can happen regardless of a person's age, and is especially important for older people. 

Balance requires mobility in motion. Have you ever balanced a yardstick or pole vertically on the palm of your hand? You'll notice that to keep the pole vertical you must move your hand around. If you hold your hand still, the pole falls off your hand.

So how does this relate to keeping your balance as you're standing "still". Well, when you stand, if you keep your knees soft (slightly bent), your pelvis/hips are free to move. Your potential for mobility is increased. If you lock your knees (keep them straight), you lose mobility, and your balance worsens. This is a subtle difference, but a difference that is very important as we age. 

The ASBMR (American Society for Bone and Mineral Research) published the article, Lack of Balance Predicts Fractures. They cited a recent medical study in Sweden, and Karl Michaelsson, M.D., P.H.D., of the Uppsala University Hospital in Uppsala Sweden. In the study, impaired balance was associated with double the risk of any fracture!

Here are some tips to improve your balance as you stand:

• Bend your knees a little EVERY time you stand AND Walk.
• Keep your hips loose. Visualize the Hula dance and practice bending your knees and moving your hips in circles.
• Feel the ground with your feet. Concentrate on "sinking" your weight through your feet into the ground.

For advanced practice, do all of the above while standing on one foot. Be sure to alternate feet.

www.Footform.com

How to Walk Like a Very Old Person

Of course you don't really want to walk like an old person. What may surprise you is that the impression of age starts long before you get close enough to a person to see a wrinkle. A person's gait and posture conveys their strength, balance, and flexibility.

Walking is propulsion. As toddlers we all start with a stiff-legged stance and leaning forwards to create motion. I call this "The Leaning Tower Stride". Once you're past the age of three, this stride will only make you look old.

I see variations of the Leaning Tower Stride constantly in my Footform Performance clinic in Bend, Oregon. This stride uses fewer joints: the hip and toe (metatarsal) joints -- therefore a person with a injury or ache may default to this style of movement. The hip is used as a hinge joint instead of as a ball and socket. The forward momentum of the stride is created by jutting the neck and shoulders forward. This brings the top of the body in front of the feet creating a "fall" where each leg "catches up" with the rest of the body.

The result of this bio-mechanical movement is that the body is on the edge of losing balance constantly and the hip and toe joints get undue stress. All sorts of problems come with too much stress on joints.

The solution is a balanced stride. The body is in an athletic position with the knees slightly bent. Pretend you are receiving a tennis serve or flexing before a golf swing. As you go through your daily activity here are the things to keep in mind for healthy movement:

• Bend your knees and point your feet straight ahead as you walk.
• Focus on the back foot in the stride staying on the ground as long as possible and pushing you off from behind.
  
• Do a few practice hula dance movements to loosen the hips.
• Keep your abs toned (Keep your stomach muscles firm, pulling inwards towards the spine.)
• Wobble your head and shoulders loosely to feel the center of the joints. (This takes practice - a mirror and a coach helps here).
  

When you're ready for some one-on-one training, call Footform Performance and schedule an appointment. We offer stance and gait training appointments, including a private walking lesson at my clinic in Bend, Oregon
www.Footform.com 541-389-4547

Knee Pain Isn't Inevitable

Knee pain isn't inevitable as you age. Barring injury, how you use your knee with each step determines how wear and tear of use affects your body. The knee is a hinge joint designed to bend in a straight line. Knee strains and pains occur when the arc of the bend becomes twisted. The beginning of a twist starts with the foot pronating (or rolling inwards on the big toe side). Twisting the foot results in twisting the ankle which carries the stress to the knee. The knee will rotate inward. Repeating this movement throughout the 10,000 steps you take in a day can result in a repetitive strain injury.

If you're sedentary you take less than 10,000 steps per day. If you have a job that requires walking like a nurse or postal worker you'll be taking even more steps.
So what can you do to protect your knee as you walk?

• Bend your knees slightly (keep a soft knee) with every step and while you stand.
• When you're walking, concentrate on keeping your heel on the ground as long as possible (this discourages toe walking).
• When you walk, concentrate on keeping your foot pointing straight ahead with every step and keeping the direction of your knee bend straight over the foot.
• Keep your hips loose and rotating with each step.
  
• Look for shoes that are stable such as an athletic shoe or walking shoe that bend easily in the forefoot.
• Foot Orthotics help to guide your foot so that it doesn't pronate.
  

All of this may sound a bit complicated. At my clinic I coach clients to walk and stand so that they protect their knee joints. If you are unable to find a gait training specialist in your area, I suggest you find a friend to video you walking straight towards the camera and from the side. When you watch yourself on the video check the alignment of your leg bend and foot position.
www.Footform.com

Can Orthotics Banish Back Pain?

Remember the children's song, Dem Bones, about the ankle bone connecting to the shin bone, the shin bone connecting to the knee bone, etc.? Whether the anatomy lesson in the song is accurate or not, it's an important reminder that everything in your body is connected to everything else. Every part of your body in some way affects the rest of your body.

So, can orthotics/insoles eliminate back pain? Maybe. This probably isn't the answer you're looking for, but it's the honest answer. Back pain can be caused by a myriad of things, so it would be highly unusual for one thing to cure it. Orthotics are not a cure-all. Orthotics are a tool. As much as they give you comfort and support, orthotics serve as a reminder to walk and stand properly.

Do you remember my best tips for orthotics success? Feet straight, bend your knees! So how does this help your back? Keeping your knee soft (slightly bent) during your entire stride enables your hips to rotate more easily. A flexible pelvis/hip region eases the lower back muscular tension that causes so many problems for people. Bending your knees and standing with your feet straight encourages your hips to move forwards (like a dog tucking it's tail) and puts the stress of standing mostly on the large muscles of your hips and thighs rather than the smaller muscles in your lower back that exhaust easily.

www.footform.com

Do You Need to Learn to Walk All Over Again?

If you're like most people you learned to walk somewhere between the ages of 1 to 3 and haven't thought much about it since. Sure, life can send you a curve ball and you may have hurt yourself and had difficulty walking at some time. But after you recovered you were back to normal. Any aches and pains that linger you may think of as inevitable signs of aging.

The good news is that you're younger than you think. Aches and pains may be a lot less inevitable than you think. Here's why: Most of us don't walk as well as we could. Walking seems simple enough. One foot in front of the other seems pretty obvious. But walking well isn't. How we walk is a lot less "natural" than we think. How we walk is influenced by both nature and nurture. Along with civilization came shoes and roads. The ever-changing surface of the earth under our feet is now most often a hard floor or sidewalk. Fashion dictates a shoe wardrobe that may be all wrong for your feet.

So how can you learn to walk well? How can you finally get comfortable on your feet? I'll cover the many answers to this question on this blog. For now, I have two tips for you:

1. Bend Your Knees - ALWAYS, ALWAYS, ALWAYS keep your knees "soft". Don't straighten your leg mid-stride. Do this EVERY time you stand and through EVERY step you take.
2. Feet Straight -- Keeping your feet pointed straight forward when you stand and stride sets-up the alignment with the rest of your body. Think about driving a car with the wheels splayed out. It would cause a lot of unnecessary wear and tear. Keep your feet straight.

Randall Barna
www.Footform.com