My son's feet are flat and pronated; doctors told us not to worry. When he began running track, the pain in his feet, buttocks and hip made him stop. Arch supports should be worn, but only when you participate in the activity that gives you the pain.
I doubt his feet were as flat as mine - I became a very good athlete in my late teens but I do remember the years before this in which I experienced pain in both feet and had to manually "unstiffen" by aching feet at the end of each day. Now I don't get any pain. I crushed every orthotic ever given to me from the age of 8 years to 45 years before I just threw them all out. I have noticed that training the glutes (crab walking with resistance bands) causes the knees to rotate outwards (after approx 4 weeks training you can feel it working) and the pelvis to correct anterior pelvic tilt - the result being that my feet became less flat. Your son can try this himself - just stand up with feet pointing forwards and clench buttocks very hard causing pelvis to tuck under and kness to rotate outwards - the weight automatically moves to the outside of the feet. The longer term aim is to train the glutes and correct anterior pelvic tilt so this becomes the resting position. Flat feet are a top down issue - not a bottom up. I disagree with this video because it is only our sedantry "sitting" lifestyle that causes glute atrophy, tight psoas/hip flexors and anterior pelvic tilt - therefore this is why so many people these days have pronating feet. It isn't a good sign because there are other postural issues that these anomalies create.
I have flexible flat feet. Although my arches haven’t completely collapsed they are low due to overpronation. And yes, it has caused problems in my posterior tibial tendon. I wear painful custom orthotics to avoid collapse of my arches due to over pronation.
I disagree with this. I have a flat arch on one side and a nice arch on the other. I’ve had nothing but knee problems after knee problems on the side with the flat arch
Same here the best thing that has happened to my feet are walkfit orthotics without them i cannot walk properly and I get a host of aches and pains after a day of wlaking without them.
@@bigbagwilly1108I had insoles made for “flat feet” now I feel my arches on both sides are burning and tender after jog or even good walk. Not sure what to do now. Felt better with my old normal running shoes .
Thank you for this! I recently learned I am flat footed when my feet ached after walking 25k steps for 3 straight days during a holiday. I felt doomed to an incurable condition (except for surgery) and was frantically researching about arch supports, orthotics, and stability shoes. Your video made me realize it was all a matter of load and capacity - I simply walked more than my feet can handle, and this caused me pain. Looking back, my feet never bothered me in the past, even in more active days. I guess I don't really need any drastic changes - I very rarely reach 25k steps anyway. Before my next holiday, I guess I can just strengthen my feet a bit, maybe lose a little weight - and of course, some supportive shoes won't hurt.
This has been my experience over 60 years. I had a box of expensive orthotics and threw them out a long time ago. Now I modify all my shoes to maximize comfort and it works great. I routinely walk 10 miles and play tons of tennis, all pain free. There is no need for anyone to have "arch support" unless it feels better immediately. Thank you for making this!
@@iCookSlipDid you watch the video my friend? There is no need to fix flat feet, there is nothing to FIX. Most people have flat feet and they didn’t have any pain. If you have pain start doing movements that don’t bring out pain and progress from there gradually.
How do you modify your shoes? I find that a medial wedge helps the arches stay up because we’re not pronating as much to cause our arches to fall. When we are allowed to prune, our arches will naturally fall onto art support, which feels like we’re walking on tennis balls and burns and hurts.
I've had flat feet my whole life and they never hurt--UNTIL AGE 40. The next seven years my feet have hurt more and more and now my feet knees are aching. I'm in pain 24/7 in both feet and both knees. I am not overweight. I am an art teacher who has to be on my feet most of the day. I play softball 1/week and go to the gym 3-4 x a week. No exercise I have tried has helped at all. 6 weeks of PT and no reduction of inflammation in my feet. What the hell do I do? Should I take a week or two off and stay in bed? Then start PT again? I have seen 5 podiatrist over 5 years. No progress. Please HELP!
What specific exercises have you done? Did you strengthen the posterior tibialis? Strengthen that muscle. Stretch the peroneal muscles of the outer lower leg. There is so much more I could tell you.
@@yessransari85 I sit with my legs outstretched. I have a long soft cotton belt that I use for stretching, around my feet, and I turn my foot inward, until I feel the stretch along the outside, lower leg from the knee down.
I just found this video. I don't have solutions, but maybe a few tips. When I'm going to work, I put on shoes that are at least a full size larger, usually a size and a half. Depending on the style, I've worn shoes that are two sizes larger. On break times, I elevate my legs. For bed, I put pillows under my feet and knees. I tried going to physical therapists but it caused too much pain in new areas. The above tips, however, help me get through my 12-hour shifts. They might help others. Regardless, I hope you find whatever works best for you.
I've had flat feet with the worst hyper-mobile ankles you can imagine. As I started to strengthen the muscles those weakness contributed to this I realized how much better doing sports and everyday activities feels now.
Thank you so much for this valuable education. I think it helps with people with their body image and reduce the barrier to exercise or any activity that require to use body. I think this is really great and underrated body positivity content.
As a general sentiment: Great video! Regardless of any systemic dysfunctions, increasing load bearing capacity will almost always be a surefire way to start addressing an issue. My friend has very flat feet but there is nothing abnormal about his capacity to performance. I don't have flat feet naturally, but I used to have a bias towards pronation. Presented with said flat feet, knee valgus, hyperextending knees, forward pelvis, weak core and inactive glutes. Started walking more, became more active. Half a year of consciousness around my posture and activity, and I no longer had flat feet. Was that because I was trying to fix my flat feet? Yes. Did I do anything particular other than just exercise regularly? No. It didn't matter that I knew how my weakness was presenting itself in my body. What mattered was the exercise. Don't overthink it, don't be quick to hyperfixate on "THE ISSUE" you think is causing everything.
Just putting this here cause it's not entirely clear in your comment. None of the above 'postural imbalances' are problems. Flat feet, pronation, forward pelvis are postural variations with no more relation to pain and injury then any other. Weak core and inactive glutes are both made-up nonsense. You cannot squat/sit, or walk up a hill/stairs if those muscles aren't working.
Some of the issues you mentioned such as Gluth weakness, and core weakness are things that were targeted during physiotherapy for me. However, no matter what exercises or what strengthening I do I cannot control which angle my subtly joint wants to move. It obviously isn’t neutral or I wouldn’t be in the situation im in. Walking was my main exercise and this is what ended up, causing me to have posterior tibial tendinitis, which was insidious.
@@fallblossom5 I assume you mean subtalar joint? Non the less I don't know anything about you. But it's worth noting that lifestyles do leave traces, even if we try to change. People who lose weight get loose skin. People who get in shape once, can more easily do it again. If someone does like me and stays mostly sedentary for their early life, you get the body that corresponds. Even though I no longer present with flat feet, my knees still slightly bow in, and my knees will still hyperextend, if i let them. I mean to say that if your joints aren't aligning as they optimally should, that might be expected depending on your history. You also say that walking caused posterior tibial tendonitis. Probably a factor of how much / too much walking you did, and how fast. In theory you always get tendonitis because you do too much to quickly, and maybe expedited by muscles not working as they should, inceasing load on tendons. For that I'd anecdotally recommend arched shoes and walking. It's not the support we're after, it's the feedback that foot feels from the arch. The arch is supposd to collapse while walking, like a spring. Putting an arch under it gives the foot feetback for how and where to go for proper gait cycle. Again, I know nothing about you. I wish you the best, and the best I can do is bounce some ideas with you if you want.
Videos like this are why I didn't get diagnosed during PT. And why I've have to lead my own healing. Yes, you can change your posture, and yes it does matter
Thank you so much for this!! I have flat feet which cause me no pain whatsoever and don't affect my body structure or anything, but my mum hasn't been listening to me and has been saying that I have to be doing over 30 minutes of exercises every single day for who knows how long. I want to send this to her the next time the conversation is brought up, so that she will finally listen to me.
Flat fleets do hurt in long term, it's not like suddenly you develop flat fleet in your 20's and their start hurting. Give it 10-20 years and you will be either forced to go Barefoot or strengthen your ankles & feets and throw out all the narrow shoes our of your house.
@@rimarruhis dad's feet look like troll feet. Just because the guy's dad doesn't experience pain, he decides to make a whole video saying flat feet are fake. Meanwhile there are a lot of people with severe pain diagnosed with flat feet.
@@Biake22 whole video says that flat feet are normal. Pain experiences with flat feet are valid and real, but if you only look to change the structure of the foot to relieve pain then you likely won’t find complete relief with that because other factors also influence pain in the foot.
This is a very comprehensive explanation. These exercises make my feet feel great afterward. And wow Marc has such nice bare feet it seems the exercises have worked for his arch.
Yeah this is pretty much 100% my experience. I used to run a lot and suddenly I started having pain in my arch. So I went to the orthopedist and he said I have flat feet and prescribed custom orthotics. They actually did help, but after a while I switched shoes and didn't bother to use them anymore, and I didn't have any issues for years.
What about my posture? My feet are flat and pronated, My hips are more anterior, and I have thoracic hyperkyphosis, I don’t like the appearece of it. What should I do if my feet are the cause of bad posture?
okey so i should just not try to fix muscle weaknesses in my feet that make working my calves and by extension my entire locomotive system impossible because my feet are perfect just the way they are? I am seriously confused
this video is such a relief. I have NEVER been able to run more than 5K because of my ankles, which are my limiting factor. After a run they hurt for all the week. I am going to try loading very slowly and lets see.
I have flat feet. I over pronate a good bit. I feel that all my balance training is highly effected by the over pronation. When I push my big toe down creating a strong arch I can then balance better.
My feet went flat, and I didn’t realize I was also developing bunionettes. I just wish there were more functional podiatrists who could help prevent and remedy problems rather than suggest orthotics surgery.
when running for more than a few miles, i get pain in my arch where it is practically flat from over pronation. my shoes get deformed from the pressure of my weight going into the inside. i believe it has something to do with my shoes wearing down faster than they should be and on the bottom, it is always wore down more on the inside where my weight goes. my coach recommended i get shoes or inserts that better support my feet, but i'm not sure if that is the fix i should be looking for. thanks for this video, i will definitely work on strengthening my feet and posture
Thank you sooo much sir for the best ever and most informative content regarding this topic .. Am a 18 year old girl having flat feet.. I use the specialized shoes and i have even undergone physiotherapy 10 years ago and it was under control too but since past 2 to 3 years it have increased much.. We consulted doctors but they just said to do few exercises and to use shoes.. I use shoes but ignored the exercises for which I will have a life long regret coz now sometimes after I wake up or suddenly at anytime during the entire day my feet start hurting me near the knees or hips.. So am really stressed out and couldn't even share it as it's all because of my negligence.. But today after watching ur video am still having a hope that i can bring it under my control as it just needs little efforts.. Thanks a lot❤ Respect from India
Thank you - the Podiatrist wanted me to wear ankle boots all the time for my flat feet & very raised inner soles causing so much pain. Just could not do it. Thanks for your video.
Our support hurts so much! If a person like us is going to wear art support, they need to have them wedged immediately. This controls the pronation, but just wedged a little bit and not too much.
I was born with bowed legs and therefore flat feet, and a r leg slightly shorter than the left. My parents were constantly trying to 'fix' it with MD advice, lots of ankle support and arch supported shoes growing up. But I'd always have pain off and on in my right knee and ankle. As an adult I tried wearing shoeless and zero heel drop shoes. No more pain. No loss in mobility or strength. Now they're all I wear. Totally the opposite of conventional wisdom. I wish the regulatory bodies and schools in this industry would do their job better so patients could get better outcomes. So glad you guys keep making these reality based videos calling out the snake oil in your industry!
I've flat feet, i'm an athlete for the last 20 yrs, i do basketball, badminton & several variance of martial arts, not to mention running, weightlifting & so on, i guess it will be better if a flat feet athlete using good cushion sports shoes, which i don't understand because lack of informations about flat feet healthiness, back when in my days..hope this help😊
This video changed my mind on my flat feet, thank you so much, I have a question, since I'm trying to fix my toes, can I use toe spacers during running?
I have a duck foot and i tried to correct it when i walk, like make it kinda straight when i walk. But it hurt my knee. Should i stop and walke like my anatomy is? Sorry english is not my mother language and i cant understand all the meaning in the vid
I have flat feet and painful knees.my one knee just gives way sometimes when I,m walking! I was told by a physiotherapist that I had to sort my flat feet out first before any relief would come in my knees.And I was told i could have severe arthritis later on .I am now 69 yrs. Was told to wear two pairs of insoles in my shoes. Any advice PLEASE!!
Two points: 1. Argument against this video: Compare our feet with cultures that don’t typically wear shoes. Much different. Our messed up feet are normalized nowadays. 2. Argument supporting this video: Usain Bolt has flat feet…
My feet qre fine as long as I have good footwear. The problem is finding shoes and boots that don't rub on my heel or ankle, arent too tight on my toes and have rome arch support.
Thank you for this Video! It would be interesting for me to see the topic of flat feet in context of proper squatting technique. Like foot and knee alignment etc.. You read and see a lot of content regarding this topic and it can become really stressful for an individual. Maybe something for you to handle in a future video? Anyways great work from all of you! I am a big fan of your calm and evidence based information you deliver.
I have trouble squatting barefoot, so as someone with flat feet I find that wearing shoes with insoles helps me have a more stable squat. Which is funny because most people, who don’t have flat feet, recommend squatting barefoot lol.
I have always had flat feet and overpronation on my right foot, eventually this led to Hallux Ridgidus of my right big toe, so now I tend to force my foot to supinate to spare my toe joint that can't bend. I was doing well walking 2 hours a day at a fast pace but recently something caused too much strain on my arch and ankle. I have never found any orthotic to help.
I have been jogging about 15 min every day for 4 month and during those four month my knee hurt and in someday it even hurt to walk. I thought it is because of a runner knee. but the problem is that my right feet is a little overpronated and I didn't aware. and then I stop jogging and only walk with the correct posture. it hurt my feet a little bit during walking but after 5 days when I can tolerate my feet pain, I start jogging again and my knee doesn't hurt anymore like use to be. And also, I change my shoes to a minimalist shoe and now my jogging is completely pain free now.
I’m 17 and I have always had flat feet and whenever I would walk or run with shoes my feet would hurt it has enabled me from being able to do many sports. I was the fastest kid but after I’d run my feet would hurt so bad I would need to sit on the field or the benches till they would stop hurting. Then when I got into working out it was painful for me to do cardio exercises because of my feet I don’t know what to do I NEED HELP!!
You should have made custom orthopedic insoles and put it in your training shoes insted of the insoles that come with the shoes. At least for me, it was a game changer, because I was convinced all my life that I was unable to do sports, because of the pain in my flat feet. Now, with 45 my feet feel better than ever.
This person obviously doesn't work 12-hour shifts in a hospital. I've had flat feet my entire life. I have to wear very expensive shoes and put hard insoles in them just to tolerate going to work. Even at home I cannot walk around barefoot because of the pain. It didn't bother me when I was younger but once I started working in the hospital and standing on my feet were 12 hours at a time It became very painful and sometimes intolerable.
I truly hope you find relief soon. I have been experiencing severe pain and have reached out to a podiatrist with no relief. I have to use Icy Hot with lidocaine cream and it helps to alleviate the pain. Hope that helps
I have yet to find a shoe that is comfortable at work. I too am on my feet all day and no matter how much I spend on the shoe it still is not comfortable if there is any arch support in the shoe at all. Any recommendations for a shoe?
He mentioned that endurance is a big factor in the arch of your foot. I'm in a healthcare setting where I'm on my feet much more than I'm used to however, I've been doing a lot of jump rope over the last year so being on my feet for work doesn't have much of an effect on my arch through the day. Your soft tissues (muscles, tendons, fascia, and ligaments) likely didn't get the proper conditioning and rest to keep you from experiencing pain. Despite having orthotics, the time you spent on your feet over shadows how much it can help. You'd need to modify the time spent on your feet, improve rest and recover, and do some conditioning to improve endurance. It's like he said, you can't run a marathon everyday 3:44
Dealing with posterior tibialis tendon pain right now. My pt said I have a flat and flexible foot and should use insoles if I want to be a runner. I’ve run 20+ years without them. Trying to give rest and rehab the pain with strengthening but it’s taking a while to heal.
Get an AFO. Along with physiotherapy, the AFO will give your attendance a much-needed break, and it will heal quicker. After that, I would wear custom insoles, even though they hurt my arches. I’m sure it’s some people can get used to them and you might be one of those people. I just find them extremely uncomfortable as they’re pushing my arch up as my foot wants to push down and it is a war that ends up, causing and burning sensation in my arches. But at the same time, I know that I am saving my posterior tibial tendons. It’s a double edged sword.
Its nit juat abt pain. Youe shoes collapse when yiue arches are painful. There is more wear on the shoe which has the collapsed arch. Heels wear off on one side and hips and leags ache. Yeh foot actually twists into a differnt shape
I have a flat left foot...it causes my left adductors to weaken and my right abductors to tighten...pushing me into a right pelvic tilt...my right hip hikes and left ribcage flares as a result...causing back pain issues that have persisted for years until i started addressing my left flat foot. so, naturally, i shall dismiss this video as hot garbage.
My opinion may not matter to you cause I am just a normal RUclips user however, I feel barefoot shoes are only good for walking in nature and walking in a world that is completely flat and hard on our joints, tendons and muscles.
This was amazing! I worked for New Balance in Santa Monica for months and they tried to tell me since my feet pronate I need insoles with arch support or my feet will hurt badly by the time I’m older. Now I know there’s no evidence for that BUT does this mean I shouldn’t use support or should I just incase? My feet aren’t flat but they definitely pronate unfortunately. Will using arch support help or cause harm? Should I leave my feet alone?
Hi Dr. Surdyka, have you found any shoe brands that fit your feet comfortably? I too have wide, slightly flat feet and unfortunately it seems the only sneakers that fit are those chunky stability walkers that accommodate orthotics. It's been a struggle trying to find ones that have neutral cushioning or are remotely fashionable
I purchased the minimalist shoes by Merrell about 8 years ago. I really liked them and eventually bought a second pair. Stumbled upon Vivo 3-4 years ago and liked them even more so it's pretty much all I wear now. I will disclose that we are an affiliate for them (Vivo), but I'd wear them even if we weren't. I think my dad likes the wide shoes by New Balance.
I'm obvs not the doc, but I've been in a similar situation as I also have wide (2E in most brands, sometimes 3) flat feet and sometimes use insole orthoses. The brands that have worked best for me that aren't true 'minimalist' shoes are New Balance and Altra. Altra are 'zero drop' but have cushioning and most are neutral. Most also look pretty 'normal' for trainers.
I have a mid to high arch. Standing for more then 20 min, my feet start to hurt. My ankles roll in. My right is worse them my left... i have alwats had more pain on my right.... and my right ankle rolls more also... my feet are also narrow and long .
What exactly are people disagreeing with here? Do you think this guy is saying that foot structure isn't a problem? He acknowledges that flat feet can be problematic. Nobody is invalidating or denying that. Some of these commenters seem offended as if their identity has been attacked or their experience negated.
How did the human foot evolve in time? How did it evolve in a milion years? Did most humans also have soupinated or pronated feet? I truly believe that was not the case until modern times with stupidly bad footwear that forced our feet to be weak. We have studies only dating 100 years, we should not make a standard out of what is recently seen in most people. Strengthening the muscles of the foot and of all the muscles in the body is not questionable, and proper alignment is important to be pain free and efficient.
Hi is there some correlation between flat foot and acl injury, I have flat foot but never had any issues or injuries but recently suffered an acl injury?
I disagree with this, but there are certainly some red flags that people need to know in my experience. I have flat, wide feet. got into running and loved it, lost a lot of weight and went to get better trainers. I ended up buying trainers that made me supernate so much that I had knee pain for years! I only started to recover (and later fully recover) because I bought medial stability trainers (New balance 860) I attribute my recovery to these trainers. They gave my legs the relief they needed to recover (just using day to day, no running) I do believe that everyone is different though, and my solution won't work for everyone (even with the same foot type)
I've heard using to spacers + barefoot shoes to spread your toes back to their natural alignment helps with flat feet. It makes sense on theory. Any thoughts on this?
Could it be that flat feet is becoming more common as a form of evolution or adaptation to flatter surfaces we walk on more today, that when we used to back in the day? And we used to do a lot more climbing just 100 years ago then we do today too. Because that first excersise is basically what you do when you claim a branch or a ladder. OR it could be simply be the result of our overall bodyweight going up while muscle mass is diminishing, and this is just the evolutionary result of those deficiencies.
Yes our overall bodyweight is going up while holding same or even less muscle mass, that's fact not a theory. This is devolution and adaption for the worst, given few generations all our children would exclusively need extremely padded soft comfy shoes just to stand and walk, not to mention they wouldn't be able to take high impact activities even in those shoes, talking about Wall-E becoming reality.
I have a patient with chronic pain medial foot side, dorsal and caudal to the malleolus. For 1,5 yrs, MRI and X ray a year ago showed nothing. Pain only when directly palpated and after a long day, but she can't stand well on the foot during more straining conditions. Been trying to figure out if it's tib post tendonitis, ligaments or (highly unlikely) stress fracture. Calf treatment did nothing. Any ideas?
Post him would show up in an MRI. The inflammation would also show up in an ultrasound. if the person does have posterior tibial tendinitis, then they could benefit from a AFO well as physiotherapy
1 year olds have perfect biomechanics. You shouldn't depend on those articles that you showed on your video, they really do not tell much, not enough to say that pronated or flat feet doesn't matter.
Put a big rock in your shoe and thats what insoles feel like for my feet. Doctors said give it time and my feet will get used to it. After a year of wearing insoles my feet hurt so bad that chopping off my feet felt like an option. I will never try insoles ever again. Doctors also try to say that you are not born with flat feet , but my foot prints on my birth certificate say otherwise. From the day was born my feet look the same besides size. Right foot has a slight arch compared to my left that is completely flat.
Actually, babies do have flat feet. Arches develop as we age so I don’t think that’s a good comparison. I have flexible flat feet. It sucks because like you are just hurt badly and cause burning when I’m standing in one position which means I can’t do a waitressing job or any job that requires standing. I don’t want another posterior tibial tendon injury from my overpronation.
Not true about babies all having flat feet . A clear difference between my 3 brothers and 1 sister feet prints at birth and mine. Also My left foot is flatter then my right foot and it shows this same pattern on my feet prints at birth. Babies may not have noticeable arches at birth , but the feet prints will show the difference. @@fallblossom5
I’ve wondered about this, whether or not flat feet/collapsed arch, will eventually lead to stage 1,2&3 PTTD. This video touches on this but doesn’t really address this issue. Africans tend to have flat feet. Like all the world’s fastest sprinters tend to have flat feet, or the appearance of flat feet. So it seems like their is a set of ppl that have feet that appear to have collapsed arches, but they actually have arches, it’s just hidden. Then there is the majority of flat feet, where there was once an arch, but it has collapsed as the person has gotten older(I’m guessing due to effects of modern footwear). I feel like so little is really understand about this topic.
It does for some people. I had stage one PTTD and had to wear an AFO and go to physiotherapy. Thankfully my posterior tibial tendon healed and my MRI came back normal. Now I wear custom orthotics that hurt so much but I don’t wear them in the house cause I can’t handle the burn. But I do wear them when I walk my dog or go out in the community so that I’m not stressing out my posterior tibial tendon again. PTTD is a very scary condition and very real and the fix for this is extremely painful when someone ruptures their tendon and the arch completely collapses. I’m trying what I can to avoid this and wearing custom orthotics hurts my arches, but at least I know I’m protecting my tendon, but again I don’t wear them in the house cause I can’t handle it
@@fallblossom5 I don’t have pttd but I’m fascinated by the condition. My sense is that it is progressive and once the ankle goes into eversion/collapses towards the midline of the body, you can’t really stop it. This happens either through injury or a dysfunctional gait that comes from wearing a modern shoe. Orthotics are usually prescribed, but the down side of the orthotic is that it reduces the foot’s ROM/range of motion, which atrophies the muscles in the foot. Modern shoes also do this as well, but orthotics compound this affect. My approach, if I had PTTD, would be to find a middle ground between not doing anything and going with a static orthotic. In essence, how does one provide the support to the arch, yet retain as much ROM as possible? I would tape the arch so that you’d get support but still be able to get some movement in the arch. I’d wear a compression sock as well. This would also provide arch support, yet give flexibility. I’d transition to a minimalist shoe with a wide toe box and start wearing toe spacers all day. I do this currently. I’d also go to a “barefoot” PT/physical therapist, and relearn how to walk properly. You can’t “cure” pttd, but the goal would be to slow the progression down as much as possible before you resort to surgery.
I have flat feet that have resulted in plantar fasciitis, chondromalacia patella, and early onset osteoarthritic changes (I'm 30). The pain in my heels is so severe that I fall when I wake up from bed in morning. My knee pain makes it impossible for me to climb stairs or do squats, etc. I'm looking for answers and solutions that can help me with pain and manage my symptoms. I'd be grateful for any piece of advice or suggestions that can help me ease my journey. Thank you for your videos and assistance.
@@sionyans4262 many people who overpronate and have flat feet, have tight calves and a tiggt psoas. my right foot overpronate more due to pelvic torsion which causes more internal tibial rotation of my right leg. So yes, this is the leg that was affected with posterior tibial tendinitis. Working on stretching my seas and calf muscles but my dorsiflexiin flexion is still poor.
Thank you so much for watching! Be sure to check out the blog for references: e3rehab.com/blog/you-dont-need-to-fix-your-flat-or-pronated-feet/
My son's feet are flat and pronated; doctors told us not to worry. When he began running track, the pain in his feet, buttocks and hip made him stop. Arch supports should be worn, but only when you participate in the activity that gives you the pain.
Could be dysfunction in the kinetic chain, your son should try strengthening his posterior chain muscles
Omg!! This man is so beautiful!! I want to put my face next to his foot!!!
I doubt his feet were as flat as mine - I became a very good athlete in my late teens but I do remember the years before this in which I experienced pain in both feet and had to manually "unstiffen" by aching feet at the end of each day. Now I don't get any pain. I crushed every orthotic ever given to me from the age of 8 years to 45 years before I just threw them all out. I have noticed that training the glutes (crab walking with resistance bands) causes the knees to rotate outwards (after approx 4 weeks training you can feel it working) and the pelvis to correct anterior pelvic tilt - the result being that my feet became less flat. Your son can try this himself - just stand up with feet pointing forwards and clench buttocks very hard causing pelvis to tuck under and kness to rotate outwards - the weight automatically moves to the outside of the feet. The longer term aim is to train the glutes and correct anterior pelvic tilt so this becomes the resting position. Flat feet are a top down issue - not a bottom up. I disagree with this video because it is only our sedantry "sitting" lifestyle that causes glute atrophy, tight psoas/hip flexors and anterior pelvic tilt - therefore this is why so many people these days have pronating feet. It isn't a good sign because there are other postural issues that these anomalies create.
My understanding is if you are born with flat feet everything is fine.
Flat feet problems only occur when arches collapse (people with arched feet).
That’s good to know because I was born with flat feet.
I have flexible flat feet. Although my arches haven’t completely collapsed they are low due to overpronation. And yes, it has caused problems in my posterior tibial tendon. I wear painful custom orthotics to avoid collapse of my arches due to over pronation.
I'm born with flat feet. Safe to nothing is ok. I shouldn't be having to worry about taking paracetamol and ibuprofen every day
Unfortunately for me then cause my arch collapsed when my tendon blew. I have to have surgery
Ya i have this problem and it needs to be fixed ,, this guy has no idea how it affect ur keen and back
Ridiculously encouraging information. Thanks for this
I disagree with this. I have a flat arch on one side and a nice arch on the other. I’ve had nothing but knee problems after knee problems on the side with the flat arch
And I stopped having pain with the right shoes
Same here the best thing that has happened to my feet are walkfit orthotics without them i cannot walk properly and I get a host of aches and pains after a day of wlaking without them.
@@bigbagwilly1108I had insoles made for “flat feet” now I feel my arches on both sides are burning and tender after jog or even good walk. Not sure what to do now. Felt better with my old normal running shoes .
I think it’s my calves tho. Even skipping makes it burning hot and tender.
I love me a man with flat feet!!! They're so beautiful!!
Thank you for this! I recently learned I am flat footed when my feet ached after walking 25k steps for 3 straight days during a holiday. I felt doomed to an incurable condition (except for surgery) and was frantically researching about arch supports, orthotics, and stability shoes. Your video made me realize it was all a matter of load and capacity - I simply walked more than my feet can handle, and this caused me pain. Looking back, my feet never bothered me in the past, even in more active days. I guess I don't really need any drastic changes - I very rarely reach 25k steps anyway.
Before my next holiday, I guess I can just strengthen my feet a bit, maybe lose a little weight - and of course, some supportive shoes won't hurt.
This has been my experience over 60 years. I had a box of expensive orthotics and threw them out a long time ago. Now I modify all my shoes to maximize comfort and it works great. I routinely walk 10 miles and play tons of tennis, all pain free. There is no need for anyone to have "arch support" unless it feels better immediately. Thank you for making this!
Did you fix your flat feet?
@@iCookSlipDid you watch the video my friend? There is no need to fix flat feet, there is nothing to FIX. Most people have flat feet and they didn’t have any pain. If you have pain start doing movements that don’t bring out pain and progress from there gradually.
I want to fix it because my ankles over pronate because of my flat feet@@yeetsin560
How do you modify your shoes? I find that a medial wedge helps the arches stay up because we’re not pronating as much to cause our arches to fall. When we are allowed to prune, our arches will naturally fall onto art support, which feels like we’re walking on tennis balls and burns and hurts.
I've had flat feet my whole life and they never hurt--UNTIL AGE 40. The next seven years my feet have hurt more and more and now my feet knees are aching. I'm in pain 24/7 in both feet and both knees. I am not overweight. I am an art teacher who has to be on my feet most of the day. I play softball 1/week and go to the gym 3-4 x a week. No exercise I have tried has helped at all. 6 weeks of PT and no reduction of inflammation in my feet. What the hell do I do? Should I take a week or two off and stay in bed? Then start PT again? I have seen 5 podiatrist over 5 years. No progress. Please HELP!
What specific exercises have you done? Did you strengthen the posterior tibialis? Strengthen that muscle. Stretch the peroneal muscles of the outer lower leg. There is so much more I could tell you.
@@cindyhayslette306could you name exercise to stretch peroneal muscle?
@@yessransari85 I sit with my legs outstretched. I have a long soft cotton belt that I use for stretching, around my feet, and I turn my foot inward, until I feel the stretch along the outside, lower leg from the knee down.
@@cindyhayslette306 exercise name?
I just found this video. I don't have solutions, but maybe a few tips.
When I'm going to work, I put on shoes that are at least a full size larger, usually a size and a half. Depending on the style, I've worn shoes that are two sizes larger. On break times, I elevate my legs. For bed, I put pillows under my feet and knees.
I tried going to physical therapists but it caused too much pain in new areas. The above tips, however, help me get through my 12-hour shifts. They might help others. Regardless, I hope you find whatever works best for you.
I've had flat feet with the worst hyper-mobile ankles you can imagine. As I started to strengthen the muscles those weakness contributed to this I realized how much better doing sports and everyday activities feels now.
Thank you so much for this valuable education. I think it helps with people with their body image and reduce the barrier to exercise or any activity that require to use body. I think this is really great and underrated body positivity content.
Positivity at the expense of logical sense 😂 why not eh? 😂😂😂😂
I was almost rejected for the military for flat feet in 1985. I never had any issues running or anything else. I'm 58 now and doing fine
Only thing for me is my big toes go numb from nerve compression
As a general sentiment: Great video!
Regardless of any systemic dysfunctions, increasing load bearing capacity will almost always be a surefire way to start addressing an issue.
My friend has very flat feet but there is nothing abnormal about his capacity to performance.
I don't have flat feet naturally, but I used to have a bias towards pronation. Presented with said flat feet, knee valgus, hyperextending knees, forward pelvis, weak core and inactive glutes.
Started walking more, became more active. Half a year of consciousness around my posture and activity, and I no longer had flat feet. Was that because I was trying to fix my flat feet? Yes. Did I do anything particular other than just exercise regularly? No.
It didn't matter that I knew how my weakness was presenting itself in my body. What mattered was the exercise. Don't overthink it, don't be quick to hyperfixate on "THE ISSUE" you think is causing everything.
Just putting this here cause it's not entirely clear in your comment.
None of the above 'postural imbalances' are problems.
Flat feet, pronation, forward pelvis are postural variations with no more relation to pain and injury then any other.
Weak core and inactive glutes are both made-up nonsense. You cannot squat/sit, or walk up a hill/stairs if those muscles aren't working.
Some of the issues you mentioned such as Gluth weakness, and core weakness are things that were targeted during physiotherapy for me. However, no matter what exercises or what strengthening I do I cannot control which angle my subtly joint wants to move. It obviously isn’t neutral or I wouldn’t be in the situation im in. Walking was my main exercise and this is what ended up, causing me to have posterior tibial tendinitis, which was insidious.
@@fallblossom5 I assume you mean subtalar joint?
Non the less I don't know anything about you. But it's worth noting that lifestyles do leave traces, even if we try to change. People who lose weight get loose skin. People who get in shape once, can more easily do it again. If someone does like me and stays mostly sedentary for their early life, you get the body that corresponds.
Even though I no longer present with flat feet, my knees still slightly bow in, and my knees will still hyperextend, if i let them. I mean to say that if your joints aren't aligning as they optimally should, that might be expected depending on your history.
You also say that walking caused posterior tibial tendonitis. Probably a factor of how much / too much walking you did, and how fast. In theory you always get tendonitis because you do too much to quickly, and maybe expedited by muscles not working as they should, inceasing load on tendons.
For that I'd anecdotally recommend arched shoes and walking. It's not the support we're after, it's the feedback that foot feels from the arch. The arch is supposd to collapse while walking, like a spring. Putting an arch under it gives the foot feetback for how and where to go for proper gait cycle.
Again, I know nothing about you. I wish you the best, and the best I can do is bounce some ideas with you if you want.
Always appreciate your work E3 Team!
Shoes-brooks adrenaline GTS 23
Slipper- vionic rs 6000
Insole - PCS sole or( rigid sole if problem is greater)
This is the best video I've seen from I realize my overpronation flatfeet.
thank you so much.
Hey I have the same condition and I wanted to ask if you feel any pain while running
Thank you! This is absolute gold. One less made up problem in my life 😊
Videos like this are why I didn't get diagnosed during PT. And why I've have to lead my own healing. Yes, you can change your posture, and yes it does matter
Are you saying this video is helpful or are you saying the guy doesn't take seriously what you consider to be actual problems?
Excellent video guys, thank you for the wonderfully accurate information on a hot topic that has so much misinformation.
I love this!!! You are the foot master!
I have flat feet and that was never addressed and now at the age of 30 I have huge problems with my spine, disks and joints.
Thank you so much for this!! I have flat feet which cause me no pain whatsoever and don't affect my body structure or anything, but my mum hasn't been listening to me and has been saying that I have to be doing over 30 minutes of exercises every single day for who knows how long. I want to send this to her the next time the conversation is brought up, so that she will finally listen to me.
Flat fleets do hurt in long term, it's not like suddenly you develop flat fleet in your 20's and their start hurting. Give it 10-20 years and you will be either forced to go Barefoot or strengthen your ankles & feets and throw out all the narrow shoes our of your house.
His dad with flat feet is literally 30 years older than him and he hasn’t had to do anything you said would happen in 10-20 years
@@rimarruhis dad's feet look like troll feet. Just because the guy's dad doesn't experience pain, he decides to make a whole video saying flat feet are fake. Meanwhile there are a lot of people with severe pain diagnosed with flat feet.
@@Biake22 whole video says that flat feet are normal. Pain experiences with flat feet are valid and real, but if you only look to change the structure of the foot to relieve pain then you likely won’t find complete relief with that because other factors also influence pain in the foot.
well I have knee and hip problems from my flat feet.
Same
This is a very comprehensive explanation. These exercises make my feet feel great afterward. And wow Marc has such nice bare feet it seems the exercises have worked for his arch.
Yeah this is pretty much 100% my experience. I used to run a lot and suddenly I started having pain in my arch. So I went to the orthopedist and he said I have flat feet and prescribed custom orthotics. They actually did help, but after a while I switched shoes and didn't bother to use them anymore, and I didn't have any issues for years.
Flat feet is not the problem. Soft tissue quality is. How thick and strong your fascia,tendons and muscles are
Skills, not posture! Loved this video, thank you so much! 🙏
What about my posture? My feet are flat and pronated, My hips are more anterior, and I have thoracic hyperkyphosis, I don’t like the appearece of it. What should I do if my feet are the cause of bad posture?
Same thing for me, i also seem to have pelvic floor issue like when i get up i feel like everything is falling down. Sucks
@@trebledsoe2481try kegel exercises
okey so i should just not try to fix muscle weaknesses in my feet that make working my calves and by extension my entire locomotive system impossible because my feet are perfect just the way they are? I am seriously confused
this video is such a relief. I have NEVER been able to run more than 5K because of my ankles, which are my limiting factor. After a run they hurt for all the week. I am going to try loading very slowly and lets see.
I have flat feet. I over pronate a good bit. I feel that all my balance training is highly effected by the over pronation. When I push my big toe down creating a strong arch I can then balance better.
THANKS A LOT!! U just slay my worries .
Interesting - will have to take it up with my chiropodist on my next visit.
My feet went flat, and I didn’t realize I was also developing bunionettes. I just wish there were more functional podiatrists who could help prevent and remedy problems rather than suggest orthotics surgery.
when running for more than a few miles, i get pain in my arch where it is practically flat from over pronation. my shoes get deformed from the pressure of my weight going into the inside. i believe it has something to do with my shoes wearing down faster than they should be and on the bottom, it is always wore down more on the inside where my weight goes. my coach recommended i get shoes or inserts that better support my feet, but i'm not sure if that is the fix i should be looking for. thanks for this video, i will definitely work on strengthening my feet and posture
Thank you sooo much sir for the best ever and most informative content regarding this topic .. Am a 18 year old girl having flat feet.. I use the specialized shoes and i have even undergone physiotherapy 10 years ago and it was under control too but since past 2 to 3 years it have increased much.. We consulted doctors but they just said to do few exercises and to use shoes.. I use shoes but ignored the exercises for which I will have a life long regret coz now sometimes after I wake up or suddenly at anytime during the entire day my feet start hurting me near the knees or hips.. So am really stressed out and couldn't even share it as it's all because of my negligence.. But today after watching ur video am still having a hope that i can bring it under my control as it just needs little efforts.. Thanks a lot❤
Respect from India
Thank you - the Podiatrist wanted me to wear ankle boots all the time for my flat feet & very raised inner soles causing so much pain.
Just could not do it.
Thanks for your video.
Our support hurts so much! If a person like us is going to wear art support, they need to have them wedged immediately. This controls the pronation, but just wedged a little bit and not too much.
I was born with bowed legs and therefore flat feet, and a r leg slightly shorter than the left.
My parents were constantly trying to 'fix' it with MD advice, lots of ankle support and arch supported shoes growing up. But I'd always have pain off and on in my right knee and ankle.
As an adult I tried wearing shoeless and zero heel drop shoes. No more pain. No loss in mobility or strength. Now they're all I wear. Totally the opposite of conventional wisdom.
I wish the regulatory bodies and schools in this industry would do their job better so patients could get better outcomes.
So glad you guys keep making these reality based videos calling out the snake oil in your industry!
Did you do any "flat feet" exercises?
Great stuff 👌
Thank you for the video!
Thank you so much for this information
I've flat feet, i'm an athlete for the last 20 yrs, i do basketball, badminton & several variance of martial arts, not to mention running, weightlifting & so on, i guess it will be better if a flat feet athlete using good cushion sports shoes, which i don't understand because lack of informations about flat feet healthiness, back when in my days..hope this help😊
How you deal with pain
Thanks for your wisdom 🙌🏽
Love the dancing skeleton 😅
This is an actual good video
As always on RUclips. Some will tell you flat feet is a huge problem that needs to be fixed while others will claim it is not a problem at all. 🙄
My doctor said that my flat feet are the problem of my ankle pain.
Please make the same video for high arches or supinated feet and great video as always!
This video changed my mind on my flat feet, thank you so much, I have a question, since I'm trying to fix my toes, can I use toe spacers during running?
This video is brilliant
I have a duck foot and i tried to correct it when i walk, like make it kinda straight when i walk. But it hurt my knee. Should i stop and walke like my anatomy is?
Sorry english is not my mother language and i cant understand all the meaning in the vid
Thank you so much !! Liked and sub
I have flat feet and painful knees.my one knee just gives way sometimes when I,m walking! I was told by a physiotherapist that I had to sort my flat feet out first before any relief would come in my knees.And I was told i could have severe arthritis later on .I am now 69 yrs. Was told to wear two pairs of insoles in my shoes. Any advice PLEASE!!
This is a great video~
Two points:
1. Argument against this video: Compare our feet with cultures that don’t typically wear shoes. Much different. Our messed up feet are normalized nowadays.
2. Argument supporting this video: Usain Bolt has flat feet…
Thank you for your effort
I hope you make video about how to choose the right shoes for Flat foot
Tell this to someone who’s feet hurt excruciatingly because of low arches
I have one flat foot because my arch collapsed when my tendon snapped. I have to have the surgery. I am in so much pain
My feet qre fine as long as I have good footwear. The problem is finding shoes and boots that don't rub on my heel or ankle, arent too tight on my toes and have rome arch support.
Thank you for this Video!
It would be interesting for me to see the topic of flat feet in context of proper squatting technique. Like foot and knee alignment etc..
You read and see a lot of content regarding this topic and it can become really stressful for an individual.
Maybe something for you to handle in a future video?
Anyways great work from all of you!
I am a big fan of your calm and evidence based information you deliver.
The wrong way to squat is the way that hurts you.
I have trouble squatting barefoot, so as someone with flat feet I find that wearing shoes with insoles helps me have a more stable squat. Which is funny because most people, who don’t have flat feet, recommend squatting barefoot lol.
Amazing facts ... never knew it... thanks sir
I have always had flat feet and overpronation on my right foot, eventually this led to Hallux Ridgidus of my right big toe, so now I tend to force my foot to supinate to spare my toe joint that can't bend. I was doing well walking 2 hours a day at a fast pace but recently something caused too much strain on my arch and ankle. I have never found any orthotic to help.
ok so what if you have pain everyday?
I have been jogging about 15 min every day for 4 month and during those four month my knee hurt and in someday it even hurt to walk. I thought it is because of a runner knee. but the problem is that my right feet is a little overpronated and I didn't aware. and then I stop jogging and only walk with the correct posture. it hurt my feet a little bit during walking but after 5 days when I can tolerate my feet pain, I start jogging again and my knee doesn't hurt anymore like use to be. And also, I change my shoes to a minimalist shoe and now my jogging is completely pain free now.
I’m 17 and I have always had flat feet and whenever I would walk or run with shoes my feet would hurt it has enabled me from being able to do many sports.
I was the fastest kid but after I’d run my feet would hurt so bad I would need to sit on the field or the benches till they would stop hurting.
Then when I got into working out it was painful for me to do cardio exercises because of my feet
I don’t know what to do I NEED HELP!!
You should have made custom orthopedic insoles and put it in your training shoes insted of the insoles that come with the shoes. At least for me, it was a game changer, because I was convinced all my life that I was unable to do sports, because of the pain in my flat feet. Now, with 45 my feet feel better than ever.
This person obviously doesn't work 12-hour shifts in a hospital. I've had flat feet my entire life. I have to wear very expensive shoes and put hard insoles in them just to tolerate going to work. Even at home I cannot walk around barefoot because of the pain. It didn't bother me when I was younger but once I started working in the hospital and standing on my feet were 12 hours at a time It became very painful and sometimes intolerable.
I truly hope you find relief soon. I have been experiencing severe pain and have reached out to a podiatrist with no relief. I have to use Icy Hot with lidocaine cream and it helps to alleviate the pain. Hope that helps
I have yet to find a shoe that is comfortable at work. I too am on my feet all day and no matter how much I spend on the shoe it still is not comfortable if there is any arch support in the shoe at all. Any recommendations for a shoe?
He mentioned that endurance is a big factor in the arch of your foot. I'm in a healthcare setting where I'm on my feet much more than I'm used to however, I've been doing a lot of jump rope over the last year so being on my feet for work doesn't have much of an effect on my arch through the day. Your soft tissues (muscles, tendons, fascia, and ligaments) likely didn't get the proper conditioning and rest to keep you from experiencing pain. Despite having orthotics, the time you spent on your feet over shadows how much it can help. You'd need to modify the time spent on your feet, improve rest and recover, and do some conditioning to improve endurance. It's like he said, you can't run a marathon everyday 3:44
What shoes we should take for this problem
Dealing with posterior tibialis tendon pain right now. My pt said I have a flat and flexible foot and should use insoles if I want to be a runner. I’ve run 20+ years without them. Trying to give rest and rehab the pain with strengthening but it’s taking a while to heal.
Get an AFO. Along with physiotherapy, the AFO will give your attendance a much-needed break, and it will heal quicker. After that, I would wear custom insoles, even though they hurt my arches. I’m sure it’s some people can get used to them and you might be one of those people. I just find them extremely uncomfortable as they’re pushing my arch up as my foot wants to push down and it is a war that ends up, causing and burning sensation in my arches. But at the same time, I know that I am saving my posterior tibial tendons. It’s a double edged sword.
Its nit juat abt pain. Youe shoes collapse when yiue arches are painful. There is more wear on the shoe which has the collapsed arch. Heels wear off on one side and hips and leags ache. Yeh foot actually twists into a differnt shape
I have a flat left foot...it causes my left adductors to weaken and my right abductors to tighten...pushing me into a right pelvic tilt...my right hip hikes and left ribcage flares as a result...causing back pain issues that have persisted for years until i started addressing my left flat foot. so, naturally, i shall dismiss this video as hot garbage.
Thank you for this truth
Thank you for this. Question: what do you think about barefoot shoes for really wide flat feet?
My opinion may not matter to you cause I am just a normal RUclips user however, I feel barefoot shoes are only good for walking in nature and walking in a world that is completely flat and hard on our joints, tendons and muscles.
@@fallblossom5 thanks for your reply :)
Sorry!I didn't get my answer. i am very very sorry!
What kind of shoes are the white ones that you have on?
This was amazing! I worked for New Balance in Santa Monica for months and they tried to tell me since my feet pronate I need insoles with arch support or my feet will hurt badly by the time I’m older. Now I know there’s no evidence for that BUT does this mean I shouldn’t use support or should I just incase? My feet aren’t flat but they definitely pronate unfortunately. Will using arch support help or cause harm? Should I leave my feet alone?
Hi Dr. Surdyka, have you found any shoe brands that fit your feet comfortably? I too have wide, slightly flat feet and unfortunately it seems the only sneakers that fit are those chunky stability walkers that accommodate orthotics. It's been a struggle trying to find ones that have neutral cushioning or are remotely fashionable
I purchased the minimalist shoes by Merrell about 8 years ago. I really liked them and eventually bought a second pair. Stumbled upon Vivo 3-4 years ago and liked them even more so it's pretty much all I wear now. I will disclose that we are an affiliate for them (Vivo), but I'd wear them even if we weren't.
I think my dad likes the wide shoes by New Balance.
I'm obvs not the doc, but I've been in a similar situation as I also have wide (2E in most brands, sometimes 3) flat feet and sometimes use insole orthoses. The brands that have worked best for me that aren't true 'minimalist' shoes are New Balance and Altra. Altra are 'zero drop' but have cushioning and most are neutral. Most also look pretty 'normal' for trainers.
I have a mid to high arch. Standing for more then 20 min, my feet start to hurt. My ankles roll in. My right is worse them my left... i have alwats had more pain on my right.... and my right ankle rolls more also... my feet are also narrow and long .
Thanks very informative
What exactly are people disagreeing with here? Do you think this guy is saying that foot structure isn't a problem? He acknowledges that flat feet can be problematic. Nobody is invalidating or denying that. Some of these commenters seem offended as if their identity has been attacked or their experience negated.
How did the human foot evolve in time? How did it evolve in a milion years? Did most humans also have soupinated or pronated feet? I truly believe that was not the case until modern times with stupidly bad footwear that forced our feet to be weak. We have studies only dating 100 years, we should not make a standard out of what is recently seen in most people.
Strengthening the muscles of the foot and of all the muscles in the body is not questionable, and proper alignment is important to be pain free and efficient.
Hi is there some correlation between flat foot and acl injury, I have flat foot but never had any issues or injuries but recently suffered an acl injury?
No. Once again, during your rehabilitation I’d focus more on your overall preparation as opposed to trying to “fix” the appearance of your feet.
@@E3Rehab Yes Thankyou, will focus on overall preparation
Thank you the video.
I disagree with this, but there are certainly some red flags that people need to know in my experience. I have flat, wide feet. got into running and loved it, lost a lot of weight and went to get better trainers. I ended up buying trainers that made me supernate so much that I had knee pain for years! I only started to recover (and later fully recover) because I bought medial stability trainers (New balance 860)
I attribute my recovery to these trainers. They gave my legs the relief they needed to recover (just using day to day, no running) I do believe that everyone is different though, and my solution won't work for everyone (even with the same foot type)
what shoes are those???
I've heard using to spacers + barefoot shoes to spread your toes back to their natural alignment helps with flat feet. It makes sense on theory. Any thoughts on this?
if look at the video, I think those are barefoot shoes he's wearing
Thanks. I nneses this info
And this is how Dr. Scholls became a nefarious villain.
Could it be that flat feet is becoming more common as a form of evolution or adaptation to flatter surfaces we walk on more today, that when we used to back in the day? And we used to do a lot more climbing just 100 years ago then we do today too. Because that first excersise is basically what you do when you claim a branch or a ladder.
OR it could be simply be the result of our overall bodyweight going up while muscle mass is diminishing, and this is just the evolutionary result of those deficiencies.
Yes our overall bodyweight is going up while holding same or even less muscle mass, that's fact not a theory. This is devolution and adaption for the worst, given few generations all our children would exclusively need extremely padded soft comfy shoes just to stand and walk, not to mention they wouldn't be able to take high impact activities even in those shoes, talking about Wall-E becoming reality.
I have a patient with chronic pain medial foot side, dorsal and caudal to the malleolus. For 1,5 yrs, MRI and X ray a year ago showed nothing. Pain only when directly palpated and after a long day, but she can't stand well on the foot during more straining conditions. Been trying to figure out if it's tib post tendonitis, ligaments or (highly unlikely) stress fracture. Calf treatment did nothing. Any ideas?
Post him would show up in an MRI. The inflammation would also show up in an ultrasound. if the person does have posterior tibial tendinitis, then they could benefit from a AFO well as physiotherapy
appreciate you bro
1 year olds have perfect biomechanics. You shouldn't depend on those articles that you showed on your video, they really do not tell much, not enough to say that pronated or flat feet doesn't matter.
Put a big rock in your shoe and thats what insoles feel like for my feet. Doctors said give it time and my feet will get used to it. After a year of wearing insoles my feet hurt so bad that chopping off my feet felt like an option. I will never try insoles ever again. Doctors also try to say that you are not born with flat feet , but my foot prints on my birth certificate say otherwise. From the day was born my feet look the same besides size. Right foot has a slight arch compared to my left that is completely flat.
Actually, babies do have flat feet. Arches develop as we age so I don’t think that’s a good comparison. I have flexible flat feet. It sucks because like you are just hurt badly and cause burning when I’m standing in one position which means I can’t do a waitressing job or any job that requires standing. I don’t want another posterior tibial tendon injury from my overpronation.
Not true about babies all having flat feet . A clear difference between my 3 brothers and 1 sister feet prints at birth and mine. Also My left foot is flatter then my right foot and it shows this same pattern on my feet prints at birth. Babies may not have noticeable arches at birth , but the feet prints will show the difference. @@fallblossom5
thank you!
How long have you been training, do you still have this problem? Or did you just start rehab not too long ago? 🤔
Years. I don’t classify it as a problem. I don’t have pain and have never had any limitations.
Does this apply to supinated/high arch foot?
Pretty much
I’ve wondered about this, whether or not flat feet/collapsed arch, will eventually lead to stage 1,2&3 PTTD. This video touches on this but doesn’t really address this issue.
Africans tend to have flat feet. Like all the world’s fastest sprinters tend to have flat feet, or the appearance of flat feet.
So it seems like their is a set of ppl that have feet that appear to have collapsed arches, but they actually have arches, it’s just hidden.
Then there is the majority of flat feet, where there was once an arch, but it has collapsed as the person has gotten older(I’m guessing due to effects of modern footwear).
I feel like so little is really understand about this topic.
It does for some people. I had stage one PTTD and had to wear an AFO and go to physiotherapy. Thankfully my posterior tibial tendon healed and my MRI came back normal. Now I wear custom orthotics that hurt so much but I don’t wear them in the house cause I can’t handle the burn. But I do wear them when I walk my dog or go out in the community so that I’m not stressing out my posterior tibial tendon again. PTTD is a very scary condition and very real and the fix for this is extremely painful when someone ruptures their tendon and the arch completely collapses. I’m trying what I can to avoid this and wearing custom orthotics hurts my arches, but at least I know I’m protecting my tendon, but again I don’t wear them in the house cause I can’t handle it
@@fallblossom5 I don’t have pttd but I’m fascinated by the condition. My sense is that it is progressive and once the ankle goes into eversion/collapses towards the midline of the body, you can’t really stop it. This happens either through injury or a dysfunctional gait that comes from wearing a modern shoe.
Orthotics are usually prescribed, but the down side of the orthotic is that it reduces the foot’s ROM/range of motion, which atrophies the muscles in the foot. Modern shoes also do this as well, but orthotics compound this affect.
My approach, if I had PTTD, would be to find a middle ground between not doing anything and going with a static orthotic. In essence, how does one provide the support to the arch, yet retain as much ROM as possible?
I would tape the arch so that you’d get support but still be able to get some movement in the arch. I’d wear a compression sock as well. This would also provide arch support, yet give flexibility.
I’d transition to a minimalist shoe with a wide toe box and start wearing toe spacers all day. I do this currently.
I’d also go to a “barefoot” PT/physical therapist, and relearn how to walk properly.
You can’t “cure” pttd, but the goal would be to slow the progression down as much as possible before you resort to surgery.
As you get older, they WILL hurt.
I like your content very much.
Btw ,do you have any video about tibialis anterior?
I have flat feet that have resulted in plantar fasciitis, chondromalacia patella, and early onset osteoarthritic changes (I'm 30). The pain in my heels is so severe that I fall when I wake up from bed in morning. My knee pain makes it impossible for me to climb stairs or do squats, etc. I'm looking for answers and solutions that can help me with pain and manage my symptoms. I'd be grateful for any piece of advice or suggestions that can help me ease my journey. Thank you for your videos and assistance.
You might have tight calves and psoas (hips)
Bro you have neuroplastic pain, look at the book The way out and you gonna understand a lot about what is going on with you
@@sionyans4262 many people who overpronate and have flat feet, have tight calves and a tiggt psoas. my right foot overpronate more due to pelvic torsion which causes more internal tibial rotation of my right leg. So yes, this is the leg that was affected with posterior tibial tendinitis. Working on stretching my seas and calf muscles but my dorsiflexiin flexion is still poor.
. mj ali n bolt all flat footd. only ths lft ft is a bit’ hm-
If that is true then why are there surgeries that fix flat feet?
Exactly because it is painful and a problem for majority of people who have it.
TIL fixing your feet =/= using exercises to fix the issues that pertain to your feet