Back Clinic Foot orthotics These are shoe inserts that are custom-made to medical specifications. Custom-made orthotics are considered more effective and made of higher quality than pre-made orthotics.
Custom-made orthotics can:
Correct abnormal walk or gait
Reduce pain
Prevent and protect foot/feet deformity
Better alignment
Take away pressure on the foot/feet
Improve mechanics of the foot
Foot pain can come from an injury, disease, or condition, but the cause of the foot pain is what the doctor wants to know to know what type of orthotic to design. The inserts are made by taking an impression of the foot/feet with a 3-D scan.
Suffering from foot pain, that can lead to leg, hip, and spine problems, then orthotics could hold the key to optimal health. By starting from the bottom up foot orthotics can prevent any problems/issues and relieve any pain. It is an option to be considered and should be discussed with your physician.
Few individuals realize they have problems with their feet. Flat feet can cause anterior or posterior pelvic tilt. This is a condition where the pelvis tilts too far forward or too far backward. Individuals can go through their entire life without realizing they have some type of foot issue. This can cause poor support in the lumbar spine generating back problems and chronic illness. The problem with foot issues is that it can set-up a chain of physiological deficiencies. This can include:
Many accept these health issues as part of their normal physiology. However, flat-feet and other related musculoskeletal issues can be identified and corrected with proper support. Custom FootOrthotics for the foot issue/s and chiropractic alignment for the whole-body. Based on the assessment of the spinal curvature and posture of the individual, a chiropractor will be able to determine to what degree the pelvic tilt and foot problem/s need to be corrected.
Foot Orthotic Support
How orthotics function to promote proper posture and alleviate back pain works like this.
First, immediate support to the feet that are weakened, unbalanced, and lack physiological strength is provided. This generates proper posture and balance all the way up the spine.
Second, the feet are able to remodel themselves over time as they become accustomed to the new support.
Pelvic Tilt Identification
Chiropractors utilize orthotics when correcting anterior or posterior pelvic tilt. This is because the conditions are the direct result of a poor/weakened foundation. When there is little or no natural arch of the foot there is no support for the:
The lower body needs this support from these various muscle groups with many in the lower back. This causes strain on these muscles and causes pelvic and potential spinal misalignment. Depending on the progress of the tilt/misalignment and posture, will aid a chiropractor to determine the best treatment approach.
Rebuilding
Chiropractic adjustments will be able to restore the lumbar support that was weakened or lost from foot issues. A chiropractor will go to the source or root of the problem. Foot orthotics can be a primary tool for re-training the feet for proper support. These orthotics are custom modeled to an individual�s feet.
This promotes spinal and pelvic wellness combined with the right amount of support required for each foot. Over time, and as the feet remodel themselves the custom orthotics can also be remodeled allowing for continuous improvement. With time it�s possible for many to accomplish the restoration of the body’s musculoskeletal health. These include:
Strengthened foot arches
Stress and muscle tension alleviation
A re-trained proper lower back support
Restoration of proper spinal curvature
Correct and retrain anterior/posterior pelvic tilting habits
Custom Foot Orthotics
Foot orthotics require no effort. An individual just puts them in their footwear and done. The orthotics do the work for the individual when standing, walking, or running. If diagnosed with a pelvic tilt condition or are unsure if there is a tilt, contact a chiropractor about the benefits of foot orthotics.
Benefits of Functional Foot Orthotics
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Betsch, Marcel, et al. �Influence of foot positions on the spine and pelvis.� Arthritis care & research�vol. 63,12 (2011): 1758-65. doi:10.1002/acr.20601
Summer footwear, although light and comfortable can lead to low back pain. Individuals with low back pain conditions/issues should opt for custom flip-flops or sandals. A few tips on how to choose the right summer footwear and avoid back pain. With the temperature going up we’re all ready to take out the shorts, t-shirts, and flip-flops or sandals. That’s when back pain can flare-up.
There are a variety of things that can generate back pain like improper posture, muscle spasms, and various medical issues. However, everyday shoe choices can also impact the spine and cause back pain. NCBI studies backed by podiatrists have found that unstable shoes, e.g., cheap flip-flops, and sandals can cause low back pain. �
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Improper footwear allows biomechanical abnormalities affecting the feet to be compounded and worsened. This leads to increased pain in the knees, hips, and lower back. Accurately fitted shoes and orthotics are some of the best footwear for lower back pain. While flip-flops and sandals unless they are orthotic based offer little to no support.
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Summer Footwear Back Pain
Like any type of mechanical system, if there is something wrong in one area, other problem issues begin to arise in other areas. It is the same with the body. If there is an issue with the feet it can affect the knees and hips, rising up to the spine causing back pain.
Summer shoes can worsen any of these underlying issues that often individuals don’t even know they had until they see a doctor for their back pain. This usually begins with the foot type. Those with flat feet tend to force the muscles and tendons in the feet to work more leading to tendinitis.
Arches that have fallen or droppedand remain unsupported can lead to arthritis development in the knees and the wearing down of the medial meniscus. Knees that do not function properly place added stress on the hips and lower back. This can lead to disc degeneration of the intervertebral discs. �
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Foot Arch Type
Anatomical anomalies like fallen arches/flat feet and high arches can cause back pain differently. Hyperpronation happens in flat feet causing the arches to collapse. This places more pressure on the inside of the legs and knees, which creates more imbalance in the hips and low back. �
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Hyper supination happens in high-arched feet causing the arches to rise. This places the pressure on the outside of the legs and knees, leading to muscle imbalances on the outside of the legs along with the hips and low back. Wearing unsupportive shoes like flip-flops, sandals, and heels for a long time, can cause back pain or make an existing condition worse. �
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Either flat feet or high-arched feet left untreated can lead to long-term injuries and extended/over wear and tear of the spine’s vertebrae and intervertebral discs. Summer footwear choices can influence discomfort and back pain.
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The Right Shoes
Summer footwear that doesn’t generate back pain doesn’t mean that you have to throw out the flip-flops. Look for shoes or flip-flops that are highly durable, sturdy, that don’t bend in the middle, and only at the toes.
For those with flat feet look for sufficient arch support to prevent hyperpronation. Pay attention to the details of the shoes/flip-flops/sandals. For example, added cushion, or ankle support could mean the difference between pain and relief. There are sandals that have ankle straps to keep the feet in place. This prevents the feet from slipping out, provides better stability during walks, and can help prevent tendinitis. �
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It is better to avoid anything with a heel, especially sandals or flip-flops that have a heel/high lift. These force the individual to shift their center of gravity forwardforcing the arching of the spine when standing. This position definitely contributes to back pain.
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Customized Footwear
Customized flip-flops or sandals that won�t cause any back pain are available with the help of a podiatrist or a chiropractor that helps and works with podiatrists. 3D-scans can be done to make fully-customized flip-flops that support the arches based on the scan. �
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Excessive Foot Pronation and Custom Foot Orthotics
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Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
The way a person walks is known as gait. A problem with gait can indicate pain in a patient as well as serious conditions like diabetes and arthritis. An individual’s gait can be very telling revealing problems in the:
It is a diagnostic tool for a variety of conditions, injuries, and syndromes including autism. When it comes to chiropractic, an individual’s gait can offer important information regarding the root of the complaints, allowing for a more well-rounded, whole-body approach. If you think that the way you walk or moves does not matter, think again, as it could save you from developing back problems in the long run.
Gait Analysis
Gait analysis consists of a set of tests designed to provide a comprehensive evaluation of an individual’s gait. It is a study of human movement/motion that involves observing the individual and using specialized instruments that measure body movements, muscle activity, and body mechanics.
It is an assessment tool to provide insight into creating a treatment plan for people who have conditions or injuries that affect their ability to walk. It is utilized in sports biomechanics to help athletes gain optimal movement and for identifying problems with movement or posture, especially those with injuries. During the analysis, the individual may be asked to walk in a certain pattern or on a treadmill, that is usually connected to a computer, while the chiropractor/therapist looks at them from different angles.
Cameras are placed at different points to capture various views/perspectives including the front, back, and sides. The individual might have markers placed at certain points on the body like the knee, ankle, pelvis, etc. As the person moves, the computer captures data of the movement with a three-dimensional calculation of each marker. It generates a model to assess the movement of the skeletal structure, resulting in a detailed analysis of each joint�s movement.
Factors that Affect Gait
There are factors that affect an individual’s gait and that information is necessary for the analysis to be accurate. Age, gender, height, and weight of the individual is vital because men and women move differently and as individual age their body structure changes. Excess weight or physique can affect an individual’s posture and gait.
Shoes or not wearing shoes will also affect gait, as the terrain individuals walk on, and articles they carry, like a purse or backpack, changes how we walk. Other factors include:
Body proportion
State of mind
Emotions
Stress level
Personality type
Pathological factors such as
Neurological diseases
Psychiatric disorders
Trauma
Musculoskeletal issues
This is also measured and factored into the analysis data that includes the patients:
Length of stride
Cadence
Hip angle
Foot angle
Step length
Walking
Motion speed
Advantages of a Gait Analysis
Getting a gait analysis can be very helpful because it can provide invaluable insight into how your body is aligned and how it moves. It is a great diagnostic tool for identifying health issues related to the gait, spine, and feet and can also help provide early detection of health issues before the onset of symptoms.
If your chiropractor recommends you get a gait analysis it could be they suspect that something is going on, or it could mean they want a more thorough examination to provide optimal care. If you have any concerns talk with your chiropractor and ask them any questions that you have prior to the analysis, as stress and anxiety can put tension on the muscles and body, thus affecting the results.
Reduce Excessive Foot Pronation with Custom Foot Orthotics
Musculoskeletal health is one of the highest costs in healthcare today.
There are 1 in 2 Americans that have a musculoskeletal condition. And the need for support along with body alignment is at an all-time high.
In today’s world surveys found that Americans wear two to three pairs of shoes during the week.
However, these shoes are not made to support:
The body
Fit the feet
And can be dangerous to general musculoskeletal health
Health and freedom from pain are important factors in a healthy quality of life. But it starts with proper support for the body that begins from the ground up.
Many believe that to get proper support all you need is to buy top shoes that are optimized with athletic properties. While athletic shoes are definitely more comfortable they do not provide adequate support for the body and can affect posture and the body’s alignment.
The shoes out on the market today, whether athletic or dress are more about fashion than function. These shoes are designed based on sample sizes. Shoe companies use for men a size ten and for women a size eight for their sample. Then material is�added or subtracted to create the larger or smaller sizes.
The resultant shoes are designed to fit and provide optimum performance but are not customized to conform to each individual’s unique feet.�
Shoes are designed to protect feet from the elements and adapt to various activities.
They are not designed to handle the additional forces necessary to support the body.
Take a look at the extensive wear patterns on your shoes and see if there are imbalances in the feet. If there are areas that are really worn/flattened out then there can be severe pronation taking place. This is one serious reason to look into foot orthotics,
Not to worry, as excessive foot pronation affects everyone.
While at school, work or conducting daily chores is when individuals pronate and while wearing shoes with no arch/spine support.
Pronation in the feet combined with shoes that don’t fit with no support has a negative impact on posture and alignment.
With no sufficient support, the body reverts to the imbalanced state. With continued use and not addressed will cause pain in the:
Knees
Hips
Back
Neck
And unfortunately, most of us ignore and even power through the pain caused by the poor fit and lack of support from these shoes.
Reasons to Use Custom Orthotics
The feet make up the body�s foundation. Just like a house, problems with the foundation will create problems throughout the structure over time. Therefore if the foundation is remedied properly then the other issues remedy themselves or are easier to treat because the feet are already taken care of.
Feet problems/issues create back problems. Fixing foot problems will make a difference with the back pain treatment plan.
Individuals think their feet are just fine. However, they don’t know what problems are in the background waiting for the worst moment to present. Imbalance/dysfunction is a silent issue that can ripple into many problems along with pain in the spine.
Feet are as unique as fingerprints. Custom orthotics will make a vast difference between the right and left foot and accommodate the body to achieve its full potential.
Custom orthotics are built just for you. Based on a high-resolution 3D scan of your feet, that is sent to a Foot Levelers� team of technicians, who create your 100% unique, tailored foot orthotic/s.
Don�t be fooled by over-the-counter knock offs. These are mass-produced insoles that can worsen pain. And while most cases of back pain respond well with Chiropractic care, adding custom foot orthotics will enhance the effectiveness of the treatment with no need for surgery or side effects from medications.
Your feet and your body will thank you and will improve health by maintaining proper posture, combined with full-body support to achieve optimal quality of life.
How to eliminate Back Pain naturally | (2020) Foot Levelers |El Paso, Tx
NCBI Resources
When there are problems with the feet, it can cause problems through the legs and all the way to the spine. This can cause the ankle to pronate, meaning it rolls inward. This alters the way the�bones of the foot�line up which extends through the tibia, or shin bone.
This can cause a condition called knock knees and it can change the way the entire body is aligned. This puts the body out of balance, destabilizing the spine, and can even cause the pelvis to tilt to one side or the other. When you are walking or standing, the stress caused by the misalignment can create a domino effect, causing or contributing to low back pain.
Q: Dr. Jimenez, I have a question about degenerative disc disease, and that is can it cause nerve pain in the feet? El Paso, TX.
A: Yes in certain cases, degenerative disc disease (DDD) can cause nerve problems with the feet.
Degenerative disc disease, specifically of the lower spine, can cause nerve pain to radiate and spread into the feet from the spine.
Degenerative disc disease
Is a spine condition that’s caused by everyday wear and tear of the spine can lead to significant loss of disc height.
A disc can also herniate and push on the nerves that flow into the feet, and cause:
Pain
Tingling
Numbness
The wear and tear of the spine combined with a herniated disc can pinch the nerves that go to the feet.
There is a condition known as foraminal spinal stenosis when the spinal foramen or the small opening between the bones of the spine begins to narrow and tighten so the nerves get compressed and do not allow signals and chemicals to flow properly.
This could explain the pain or other symptoms in the foot.
DDD can cause nerve problems in the feet, back and chronic back pain is the most common symptom of degenerative disc disease.
Common degenerative disc disease symptoms
The pain increases when:
Sit down for a long time
Bending
Lifting
Twisting
The pain decreases with:
Walking
Running
Lying down
Continually changing body positions
It’s important to remember that nerve issues with the feet are not always caused by spinal conditions, this could include
Depending on how severe the nerve problem is, there are a number of treatment options. These range from:
Chiropractic care
Physical therapy
Over-the-counter medication
Talk to a doctor or a chiropractor about the right treatment option for foot nerve pain. Whether it is caused by degenerative disc disease or some other condition.
These can help maintain a healthy weight, as being overweight puts extra pressure on the spine that leads to increased back pain. Consult with a registered dietitian or health coach to discuss the best foods for your diet.
Exercise
A training regimen that incorporates aerobic, strength and flexibility exercises that can help manage degenerative disc symptoms.
A personal trainer or sports chiropractor that has experience rehabilitating patients with spine conditions. They can teach exercises that can help relieve pain and other symptoms.
They can develop a custom physical therapy program
Regular chiropractic and physical therapy can help restore proper body mechanics, proper posture, as well as, avoiding positions that cause pain.
Surgery
Surgery is considered a last resort or if the condition is progressing and getting worse. If surgery is needed, your doctor will discuss the best treatment option for your condition.
Difference Foot Orthotics Make to *REDUCE FOOT PAIN* & Correct Posture | El Paso, TX.
NCBI Resources
Chiropractic focuses on restoring and maintaining overall health and wellness. Through the use of spinal adjustments and manual manipulations, a chiropractor can re-align the spine, and improve a patient�s strength, mobility, and flexibility.
Over-the-counter or OTC remedies don’t do anything but give some temporary relief, if any at all, but the thing to take away here is that this kind of treatment can exacerbate the issue.
An example of this remedy solution is using store-bought shoe inserts that don’t provide support for the feet and can worsen the condition.
Over the counter, treatment can cost more money in the end, and all this without relief.
These types of insoles are not designed for long-term, daily use. This means they have to be replaced sooner.
Options like wraps and tape also give short-term relief but are not designed to treat the root cause to get rid of it.
Work with a professional to help you get a customized plant like an orthotic insole that will effectively treat the plantar fasciitis and bring long-lasting relief.
Self-Diagnosing & Treatment
This condition can be difficult to identify because of the varying symptoms. Patients could have all or only a few of them.
Symptoms include:
Sharp pain when waking up
Heel spurs
Painful arches
The causes can also vary and include:
Lifestyle
Weight
Age
Gender
Unique composition, shape, and size of the foot
Since it is different for everyone, many try to self-diagnose and do it incorrectly.
Then they try to create their own treatment plans which can be ineffective and dangerous.
Proper treatment requires professional medical attention and not just looking up symptoms online. Treatment is also more than just changing shoes or buying an insole at the local drug or shoe store.
Looking up symptoms and self-diagnosing is not a bad thing, but get a second opinion from a health professional like a chiropractor to make sure that you’re correct and to guide you in obtaining the proper treatment.
Pain Reliever Overuse
Pain relievers are not for treating pain caused by plantar fasciitis.
The convenience of pain relievers like Tylenol and acetaminophen makes it easy to take as soon as the pain kicks in.
The problem is that overuse can be dangerous to the body and can cause:
Kidney problems
Mask symptoms
Disguise other serious issues
Addiction potential�
The best treatment does not require pain relievers.
A professional can help you find relief without pills.
Not Listening to Professional Advice
Trying to schedule a doctor�s appointment can be overwhelming.
Trying to figure out what your insurance covers
Trying to find the time to see a doctor
Finding the right one
Many avoid it altogether and hope the pain goes away.
Many make assumptions about treatment that makes them avoid the doctor,
People have anxiety and are scared of the doctor or what the doctor will find.
There are plenty of excuses for not seeing a qualified professional that specializes in whatever condition you may have.
This is not the case here, the physical therapy or chiropractic care doesn’t go on for weeks or a bunch of follow up appointments.
Relief can be as simple as a customized orthotic insole and an adjustment to the lower back.
Reach out to a chiropractor that can identify, treat and get you moving and pain-free.
Pain and discomfort do not have to be part of normal life.
Saying age or lifestyle is the cause and there’s nothing you can do about it is ridiculous. Remember there are solutions to help prevent and maintain comfort within your body. Give us a call and let us help you live your life pain-free.
Plantar Fasciitis, Reduce *FOOT PAIN* with Custom Orthotics | El Paso, TX (2019)
Gloria Casillas experienced painful symptoms before visiting Dr. Alex Jimenez, a chiropractor in El Paso, TX. Gloria describes how her foot pain gradually developed into plantar fasciitis and how it tremendously affected her quality of life. Gloria Casillas discusses how custom foot orthotics helped her achieve foot pain relief from her plantar fasciitis. Gloria highly recommends Dr. Jimenez as the non-surgical choice for foot pain and plantar fasciitis. Gloria Casillas is grateful for the use of custom foot orthotics.
NCBI Resources
Feet are important. When you consider what your feet go through, taking 8,000 steps over the course of a day, according to the�Illinois Podiatric Medical Association�(IPMA), it�s easy to see how 75 percent of all Americans will have some type of�foot pain�at some point in their lives.�Plantar fasciitis is a common and very painful foot condition that can become chronic if not treated. It is also a condition that responds very well to chiropractic care. Chiropractic adjustments made to the heel and foot take the pressure off of the plantar fascia, allowing it to relax.
One of the most recognized running injuries is runner�s knee. However, runner�s knee is not an injury but a result of different injuries. Running can hurt when improper mechanics, inadequate shoes, and cheap over the counter insoles are being used. It can lead to:
Plantar fasciitis
Achilles tendonitis
Medial tibial stress syndrome
Metatarsalgia
Runner�s knee
Runner�s knee is not an actual injury in of itself
It�s a broad description of knee pain caused by other knee injuries, which include:
Iliotibial band syndrome
Patellofemoral pain syndrome (PFPS)
Chondromalacia patella
This can keep runners sidelined, annually.
Runner�s knee is caused by usually one of two things: poor biomechanics and overuse.
Feet are the foundation of the body and if not taken care of, pain
Feet are 99% normal at birth.
Then life takes over and issues begin to arise.
8% develop foot conditions, then�by age 5 that number jumps to 41% and 80%� at twenty.
By forty pretty much everyone has a foot condition or some type of foot pain from work and activity.
These foot issues then begin to set up problems for the rest of the body, especially the generalized condition of back pain or leg/knee/hip problems.
Being able to foresee and realize a potential problem with the feet can PREVENT other injuries from beginning to present themselves and dodge any issues that can affect health and lifestyle.
Runners who are able to avoid injury are those that land the lightest, much like a cat and sustain the lowest level of impact.
Runners think about landing softly and adjust their stride so they land closer to the midfoot.
However, it’s easier said than done.
Most runners tend to be heel-strikers
Runners with excessive pronation that try to change to a forefoot strike pattern are more prone to inner foot and ankle injuries,
And runners with high arches that try to change to a forefoot strike pattern end up with sprained ankles and metatarsal fractures.
Runners try to treat the pain with stretches or exercises that target the area, but the source of the pain is actually elsewhere and they don’t realize it and are treating the wrong area.
A lot of the time the source of the imbalance comes from the feet.
An overlooked option for reducing knee injury and pain is the use of custom orthotics.
Custom orthotics align and support the foot/ankle in a more normal physiologic position for weight-bearing, which prevents dysfunction and improves the function of the body as a whole.
What they do is:
Make a symmetrical foundation that blocks pronation and supports supination
Give the heels shock absorption
Stops serial stress throughout the body
Enhances re-educating muscle-memory
Custom-made orthotics help reduce the impact of heel strikes when running or walking.
Shock absorption is a must when there is
Instability
Chronic degeneration
Inflammatory arthritis
Orthotics that are designed specifically to cushion the impact load from running can reduce pain triggers throughout the body.
Avoiding knee injuries
When orthotic care is indicated, custom-made functional orthotics can help reduce pain.
Look for orthotics that support the running gait and
Absorb shock at heel-strike
Support mid-stance
Provide propulsion at toe-off
Excessive Foot Pronation can Affect *FOOT POSTURE & MOBILITY* | El Paso, TX (2019)
The following video discusses how excessive foot pronation can ultimately have an effect on foot posture and mobility. Several things can impact foot posture and mobility, such as excessive foot pronation. Excessive foot pronation is most widespread among the overall populace, therefore, it’s regarded as one of the most frequent factors for abnormal foot posture and mobility, which can lead to a variety of health issues like overuse injuries. Excessive foot pronation and supination can ultimately impact general health and wellness.
What’s Afoot
Misalignment can be caused by many common runners� experiences including running on the same type of surface every day, running on a slanted surface such as a beach or replacing running shoes too infrequently. As a runner, you can work to vary your running surfaces and keep a better watch on your shoes, but your chiropractor will let you know if your body is in need of more balance.
NCBI Resources
If you are an active amateur or a competitive runner, using the services of a chiropractor can make a vast change in your overall health, reduce your pain from injuries and improve your alignment for a more effective run. Runners may not even realize that the tension they feel is the beginning of pain caused by being out of balance until it is adjusted. Chiropractic adjustments are often part and parcel of a runner�s training program to strengthen and improve performance. They can also help�recover from pregnancy�and postpartum bodily changes.
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