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WHAT IS VIRTUAL MOBILITY COACH?
The Ready State Virtual Mobility Coach is like having a virtual Kelly Starrett in your pocket.
Relieve pain, prevent injury, and increase performance. Get customized mobility coaching developed by Dr. Kelly Starrett.
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The one that looks like it will sit on a BattleStar cradle? I’m sure Kelly will tell you all about it in the near future.
I’ve been working on my ankle for about 2 1/2 years. I’m getting really close to being fixed but I’m still not quite there. Depending on how long you’ve had the problem, an ankle problem can be more than an ankle problem. I’m almost 40 and it’s possible my problems stem from a nasty sprain I had in 4th grade – exacerbated by every other sprain I had since then. I had almost no dorsiflexion in my right ankle. Doing the “knee to wall” test, I couldn’t get my knee past my toes. My right hip was just as messed up with almost no range of motion. They only way I could walk was turning my foot out with a circumducting gait. If my left leg were as bad off as my right leg I would have been completely incapable of walking down stairs. Before I started fixing everything, doing the 10-minute squat test my right foot would turn out and I would fall backward just about the point where my thighs got to parallel with my feet hip width apart. Now I can almost get into the deep ass-to-heels squat with toes and heels touching.
The heel will remain inverted in relaxed calcaneal
stance, which may predispose to inversion sprain of the
ankle and hyperkeratosis over the lateral border of the heel.
In an attempt to stabilise the foot, the first ray plantarflex-
es to make ground contact, giving the foot a high arch pro-
file. Alternatively, hallux flexus progressing later into a
hallux rigidus may develop. As a result of the lack of STJ
pronation, the foot assumes a rigid posture with the MTJ
remaining locked from the beginning of the stance phase of
gait. This diminishes the shock absorbing function of the
foot and problems affecting the knee, the hip and the lower
back may arise. The lack of STJ pronation also causes an
abductory twist to assist in the transfer of weight from the
lateral to the medial side of the foot. This may cause
hyperkeratosis over the medial aspect of the hallux and may also cause a heloma durum
over the plantar aspect of the fifth metatarsal head.
I had good success recently attacking the medial side of the lower leg. I can feel tension all the way from the calcaneous to the knee. Keep working on the ankle, but go after the hip joint also and go after the soft tissues of the upper and lower leg. Do some wide squats to open the hips and work on your splits. If, like me, your foot has been turned out for decades the soft tissues are going to be twisted around the tibia and femur. You can’t fix that overnight. One last piece of advice, do yoga. Yogis have ways of stretching you out in ways would never dream of. Different instructors have their own things they like to do so go to a variety of classes led by different instructors. Even the right cue in Warrior 2 might cause a stretch in your back foot that will improve ankle function.
You just have to keep working at it. This includes areas you don’t think are relevant. You are going to have to do all the heavy lifting yourself, but I highly recommend seeing a highly qualified physical therapist. Someone who deals more with sports injuries than occupational therapy/post-surgical type rehabilitations. There is only so much a therapist can do in a once or twice weekly 40 minute or so session.
Those pictures look familiar. Does your right leg swing to the side (circumduction gait) as you walk? Do you have problems walking down stairs? Can you keep your heel planted on the back foot as your reach down to the next step without the knee collapsing in? Any stiffness in the big toe? Those are the biggest problems I noticed with everyday activities before I started fixing my problems.
Rollerblading isn’t going to do anything for you. Do it if you enjoy it, but it isn’t going to do anything for your foot, ankle, or calves. Every rollerblading boot I’ve ever worn keeps the ankle in a fixed position.
There is definitely a connection. If you can’t get into the position you can’t activate, thus strengthen, the muscle fibers to get you out of the position. Using a TRX you can kind of work on strength and flexibility at the same time. I would prioritize on flexibility.
Wear what is comfortable. Obviously avoid shoes with crazy high heels. There is no reason to sacrifice comfort for a flat shoe. High heels can exacerbate your problem but flat shoes won’t fix it.
Sounds like my back was pretty similar to yours. I always got spasms on my right side and it felt like my traps and rhomboids were stuck together. For starters, you need to attempt to always maintain good posture. When I first found this site a year and a half ago the lacrosse ball became my best friend. I rolled around whenever I got the chance to work out the tightness in my back. Sometimes I laid on the floor and sometimes I would lean up against a wall. After a couple days of really working at it I literally felt 20 years younger. I was able to stand up straight and maintain a posture I didn’t thinkI was capable of. I obviously did more than just roll around on a ball. I also fixed my frozen shoulder on my left side.
Arron, my PT’s response wasn’t in the same context as what Kelly is talking about so it isn’t a matter of who’s right or who’s wrong. In any case, my PT was half-joking when he said it, but I did have a big toe dysfunction too. 🙂 My point was that where you start might not have anything to do with where you think the problem is.
This might be the video you are referring to, can’t remember for sure and I don’t have time to watch it again. http://www.mobilitywod.com/daily/tuesday-july-16th-2013/
First of all, thanks for bringing this video to my attention again. Pretty sure this is the exact problem with my crappy ankle ROM problem. I have so much tightness in the area between where the achilles attaches to the calcaneus and the medial malleolus that my heel is being rotated up and inward. The tightness then continues up along the tibia to just below the knee. The result is my talus is getting wedged up and my cuboid is getting pushed out.
Everything is connected. It’s entirely possible something as far down as your big toe can impact your neck. I’ve read somewhere that compensation to an injury can become permanent after two weeks. For example, you sprain your ankle. You can’t dorsiflex because of the injury so you walk like a duck. Twenty years later you still walk like a duck although it healed years ago because you didn’t do the proper rehab. Now you might have some hip dysfunction, be leaning to one side, pelvis tilted, crooked spine, etc… I’m over-simplifying this because I don’t fully understand it all myself. I just know I feel like I’m playing whack-a-mole when trying to fix all my problems. It seems like one dysfunction re-enforces another.
I wake up every morning with my right ankle basically frozen solid. I’ve been working on fixing my ankle range of motion for almost 18 months now and am just FINALLY starting to make some progress. In my case there are a whole lot of tissues stuck together that aren’t supposed to be stuck together. After working at it for months I’m finally able to get enough movement to get the connecting tissues to separate. You have to keep testing your range of motion and working through the restrictions. Repeat. My physical therapist says I should have enough dorsiflexion in my ankle to get my knee about 4 inches past my toes. It takes about 50 pistol squats (holding on to something) before I’m able to achieve that kind of range of motion. The range of motion doesn’t stick for long, but it gets slightly easier every day. Just got to keep working at it.
I have some constant tingling/numbness in my left hand which I’m pretty sure is caused by my tight pec minor on that side. (Might be tight bicep problem too) Looking at the anatomy at http://www.zygotebody.com/ it looks like the nerves run under the pec minor. You might be compressing the nerves. Try coming at it obliquely by laying on your side or leaning into a door jam with the Gemini.
Here is one video that will show that pec minor some love. It hurts so good. http://www.mobilitywod.com/2011/07/episode-286-trigger-point-world-headquarters-shoulder-mob/