To Post (an orthotic) or not to post. That is the question

We have been tinkering with medial and lateral rearfoot and forefoot wedges for decades now collectively.
I would have to say that some of my greatest learning came from taking orthotics and foot beds and modifying them with various wedges (cork postings) and then asking the client how the changes impacted their gait and their pain somewhere in the kinetic chain. It was a huge learning curve, but without question, an invaluable one. I would do it all over again. It is also what allowed me to mostly get away from orthotic solutions for most clients. Because, armed with the knowledge at the foot-ground interface and then understanding how the muscles drive, slow, protect, co-contract etc I was able to melt the information into a package that much of the time, and hopefully, drives the client towards a solution, or at least more sound, stable and pain free function. If you are having someone make your orthotics and placing posts on them for you, there is a huge learning curve missing here for you. And, you are likely gonna get the prescription wrong, often. Trust me, often. We feel you should be playing these games yourself, one on one with the client, immediate feedback, immediate changes and teamwork. But, what do we know.

https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-017-0201-x

Podcast 107: Unilateral Training: Warping the Nervous System

Plus: Changing an existing orthotic to make it work, Meniscal tear truths, Shoe Insole truths, Plantar Pressures

Show Sponsors:

softscience.com
Altrarunning.com

Other Gait Guys stuff

A. Podcast links:

http://traffic.libsyn.com/thegaitguys/pod_107f.mp3

http://thegaitguys.libsyn.com/episode-107-0

B. iTunes link:
https://itunes.apple.com/us/podcast/the-gait-guys-podcast/id559864138

C. Gait Guys online /download store (National Shoe Fit Certification & more !)
http://store.payloadz.com/results/results.aspx?m=80204

D. other web based Gait Guys lectures:
Monthly lectures at : www.onlinece.com type in Dr. Waerlop or Dr. Allen, ”Biomechanics”

-Our Book: Pedographs and Gait Analysis and Clinical Case Studies
Electronic copies available here:

-Amazon/Kindle:
http://www.amazon.com/Pedographs-Gait-Analysis-Clinical-Studies-ebook/dp/B00AC18M3E

-Barnes and Noble / Nook Reader:
http://www.barnesandnoble.com/w/pedographs-and-gait-analysis-ivo-waerlop-and-shawn-allen/1112754833?ean=9781466953895

https://itunes.apple.com/us/book/pedographs-and-gait-analysis/id554516085?mt=11

-Hardcopy available from our publisher:
http://bookstore.trafford.com/Products/SKU-000155825/Pedographs-and-Gait-Analysis.aspx

________________________

Show Notes:

Running helps mice slow cancer growth
https://www.sciencedaily.com/releases/2016/02/160216142825.htm

The future of Wearables
http://readwrite.com/2016/02/19/future-of-wearables

mensicus surgery is dead ?
http://www.regenexx.com/should-i-have-meniscus-surgery/#

Why you should be training your CNS
http://www.outsideonline.com/2055066/cross-educate-your-body#article-2055066

The business of insoles
http://www.outsideonline.com/2057156/business-insoles-support-system-or-super-rip

Altered plantar pressures
http://link.springer.com/article/10.1007%2Fs00167-016-4015-3

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Sometimes you need to run that valgus post clear back to the heel!

A valgus post assists in pronation. Some fols have modereate to severe internal tibial torsion and need to be able to pronate more to get the knee into the saggital plane for patello femoral conflicts. They usually run from the tail of the 5th metatarsal forward, but sometimes need to run it clear back to the heel to get enough pronation to occur.