Success Story

I was referred to Healing Bridge by my current physician. I was crying myself to sleep with severe hip pain. I could not stand at work for more than a couple of hours. My golf game suffered as well. Healing Bridge taught me to pay attention to my body. They gave me the tools and the mind set that I needed to recover and to maintain a healthy lifestyle. Most importantly, I can now continue to work and play golf without discomfort and if I get into trouble again, I will cross the Bridge to Healing.

- Louise Devaney -



 

 

 

 

 

 

 

 

 

 

We live in a fast-paced society. Walking slows us down.

~Robert Sweetgall

 

 

 

 

 

 

 

 

 

 

 

If you are seeking creative ideas, go out walking. Angels whisper to a man when he goes for a walk.

~Raymond Inmon

 

 

 

 

 

 

 

 

 

 

After a day's walk everything has twice its usual value.

~George Macauley Trevelyan

 

 

 

 

 

 

Above all, do not lose your desire to walk. Every day I walk myself into a state of well-being and walk away from every illness. I have walked myself into my best thoughts, and I know of no thought so burdensome that one cannot walk away from it.

~Soren Kierkegaard

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The best remedy for a short temper is a long walk.

~Jacqueline Schiff

 

 

 

 

 

 

 

 

 

 

Walking gets the feet moving, the blood moving, the mind moving. And movement is life.

~Carrie Latet

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Welcome to the newest edition of Wellness Notes!

Click here to learn more about our upcoming Walking Class and Chronic Pain Series

If it Walks like a Duck...?
by Allison Suran, BS, PT

Most people have never really thought about how they walk unless they've been told that they're "pigeon-toed or that they "walk like a duck". Most folks just walk and assume it's working because they are able to get from point A to B without any difficulty. That is, until wear and tear breakdown of poor movement patterns showing up in their adult years. For some people it can occur in their back or neck. While others may feel it in the shoulders, hips, or knees. Although some of these aches and pains may interfere with walking, one might never consider that it may be HOW they walk is influencing or causing these aches and pains, unless the pain is in their feet.

When the feet hit the ground, everything changes! This is the title of a course offered to physical therapists, and it couldn't be more accurate. The truth is that our feet were designed to be walking on a three dimensional surface (the earth), without the consistency and one-dimensionality of pavement and flooring, and uninhibited by shoes with stiff soles and increasingly supportive insoles. Our ancestors also engaged in a variety of movements which went beyond forward walking. For these early hunter-gatherers, there were more lateral, side to side movements included in their day to day activities which helped maintain balanced strength and musculature through their feet, legs and backs.

From the time you were born, you learned how to walk through the influences of your environment - which usually meant flat floors, shoes for walking outdoors, and mimicking your parent's patterns of movement. Our current environment is wrought with such opportunities for developing poor walking patterns. These patterns may contribute to your aches, pains and injuries, or may be interfering with effective recovery from an accident. These patterns may also make one more vulnerable to injury due to the weaknesses and imbalances that have developed over the years. Effective corrections can be as simple as going out for a walk - with a new awareness and ability to pay attention to old patterns while playing with new possibilities.

Although most corrections should be individualized to each person or patient, I have noticed some generalities about healthy gait (or walking) patterns.

Let me recommend that as I describe these movements, you stop, play and explore to discover each of them for yourself. Initially, each foot goes through 3 very basic phases each time they hit the ground:

1. HEEL-STRIKE: This is when your heel meets the ground after swinging through the air following the previous step.
2. FOOT-FLAT is what we call the phase as you let the rest of your foot come in contact with the floor.
3. PUSH-OFF is when your heel lifts and (hopefully) you press through the ball of your foot to send yourself forward towards the next step on the opposite foot.

Ah, if it were all just that simple, you'd be home free. Let me point out some common errors and corrections in each of these phases. As you read these, I encourage you not to try them all at once. You may be overwhelmed and will give up! Instead, pick one or two, play around with them for a while, then add in another strategy.

1. HEEL-STRIKE: Ideally is fairly central on the heel. However, if you check the bottom of your shoes, a common error for many people is to land towards the outside of their heel and you can usually identify this through the wear pattern on your shoe soles.
2. FOOT-FLAT: Many people go quickly and directly from Heel-Strike to Push-Off missing some very important and useful functions of the "Foot-Flat" phase. After placing your heel, centrally on the floor, you want the outer part of your foot to come in full contact with the floor so that you are aiming towards your 4th toe. This DOES NOT mean to walk on the "outside" of your foot, lifting the inside of your foot. If you imagine a good "hang ten" foot print, you want some emphasis on creating that outer part of your own foot print. Think of letting the floor or ground "massage" the bones towards the outer edge of your foot.
3. PUSH-OFF: This is where I see the greatest errors. Whether you have "high arches" or "flat feet", folks often go directly from heel strike to the base of the first toe, and emphasize the push off from there. Thus, missing the important outer edge of the foot during "foot flat", as well as the rest of the supporting toes. This one takes practice, and starting in slow motion can be helpful. After a thorough "foot flat" phase, your push off should start with the ball of the foot by the 4th toe and roll towards the first/great toe for the final Push-Off phase. Many people have learned to over-emphasize the push-off thought the 1st toe, so I teach my patients to aim for the 2nd or 3rd toe to push off through the middle of the ball of the foot. Although the ball of your foot before your first/great toe will ultimately be your final push-off toe, by emphasizing the 2nd and 3rd toes you will bring this inaccurate habit to balance through a more effective place with the rest of your foot. Another useful tip, is to learn to spread your toes through the Foot-Flat phase. Most people have had their feet in shoes that often inhibit full foot and toe movement. Freeing up the toes can make a significant difference in support and balance.

Finally, a common walking error is a tendency to lean a bit backwards, or hold the trunk a bit behind the pelvis. This is called, "sitting in the hips". This interrupts good back alignment and will place undo strain anywhere along the kinetic chain: Foot bone's connected to the leg bones, connected to the back bones, connected to the shoulders and neck, etc…

Below are some additional tips for correcting this which could be applied during the Push-Off phase:

1. Slight forward lean starting at the foot/ankle to the top of the head. (not to be confused with slouching through the mid-back and shoulders.)
2. Think of holding your heel down slightly longer before lifting the back leg - Or, think of keeping the back leg behind you a ½ second longer before bringing it
forward. (This does not necessarily mean taking longer steps)
3. By keeping the back leg behind you longer, you can also think of a slight stretch in the front of the hip on the same side.
4. Tilt your body slightly forward from the foot (not the hip, pelvis, or low back). Think of a laser beam coming out the top of your head up onto the ceiling. If you're
Standing straight, it would be directly above you. In walking, with your body tilted slightly forward, the laser would point on the ceiling just ahead of your body.
5. Feel into the length and strength of the toe pushing off, through the leg, through the lengthening of the spine, out the top of the head. Or, you can feel it from the top down: as if you had a string coming out the top of your head gently pulling you upward and slightly forward, sensing down through your head, neck, spine, pelvis, leg, and foot.

This is by no means a comprehensive description of all the things that go into healthy walking, but it is probably more than enough new information to get you started with your own healthy walking discoveries. (For more information, see reference at end of article).

As both a Feldenkrais Practitioner and a Physical Therapist, I wear two distinct hats. The P.T. in me gives you the parameters for healthy gait correction. The Feldenkrais practitioner in me encourages you to be playful, explore, notice how it feels when you use your feet and trunk in different ways, and come to your own conclusions through healthy explorations of what feels good, strong, and supportive for your body.

It's also useful to know that no one will ever get it "perfect", and there's always more to learn. The choice to notice, explore and play gives your muscles, tendons and tissues variety and helps keep the wear and tear breakdown at bay. Enjoy your new walk, even if, just to see what it feels like and compare different strategies, it means playfully walking like a duck.

Reference: Walk Yourself Well by Sherry Brourman, PT


Upcoming events:
(Check out the complete class schedule by clicking here.)

Walk Yourself Well! (for Adults 18+)
with Allison Suran, PT, GCFP
4-week series
When: Wednesdays April 27th - June 1st from 5:30-7:00pm
Cost
: $32/In District • $43/Outside District
Register: through Bend Park & Rec online by clicking here

Get ready for summer with our fun and healthy "walking for wellness" program. We'll get you started with a personal log book, pedometer (provided), and weekly training tips from Allison Suran, PT, GCFP, and her staff from Healing Bridge Physical Therapy.

Expect a fun experience with camaraderie and inspiration. We'll set goals together, discover how to walk well to avoid injury, learn simple stretches, and explore easy outdoor walks.

We'll start indoors with 30 minutes of training tips then head out for a 30 or 60 minute walk depending on your comfort level. All ages and levels of fitness welcome and class will be divided to accommodate group abilities.

Free "No Pain, Life Gain" Workshops
Where: Healing Bridge Physical Therapy
When:
May Series: Thursdays 5:30 - 6:30 pm, May 5th, 12th, and 19th
June Series: Wednesdays 12:00 - 1:00 pm, June 8th, 15th, and 22nd.

Cost: Participation is free (voluntary donations accepted for Healing Bridge's hippotherapy program so that underinsured children needing physical therapy can pursue the gains they experience on horseback through Healing Reins.)

Registration: Space is limited, please call us at (541) 318-7041 to register

Pain can bring life as you know it to a screeching halt. But it doesn't have to. Free workshops at Healing Bridge Physical Therapy offer strategies that help people with chronic pain.

During these one-hour sessions, you will discover how:

Week 1

To use your brain to combat pain. In this first session, the foundation of the series, you will learn how pain lives in both your body and your brain. No, your pain isn't all in your head. But the latest research proves that your brain does have the power to minimize or maximize it though the chemicals it releases into the rest of your body.

Week 2

Stress actually feeds your pain. Once you're caught in a cycle of pain, your brain will generate and exacerbate that pain experience when stress is added to the mix. You can learn to de-program that stress response and replace it with healthy habits that bring relief.

Week 3

Food choices help your body minimize pain. Research shows that your gut actually works as a second brain, releasing chemicals that influence your pain. Certain foods accelerate the release of pain-fighting endorphins. Other foods work against you.

"With the right tools, you can manage-and even diminish-your pain" says Healing Bridge Physical Therapy owner Allison Suran, who specializes in helping people with chronic pain. "But decreased pain isn't enough. We want to help you be able to play with your grandchild again, go for a hike with your dog, enjoy a vacation, even get back to active sports."

Isn't it time you reclaimed your life and stepped back into the activities you love? Studies show that when you understand how your brain impacts pain-and the fact that pain isn't just musculoskeletal-you can have more control over your pain response instead of letting your pain control you.

Russell Delman returns!

Embodied Life
Weekend workshop:

May 21-22, 2011

St. Charles Health and Learning Center
Bend, OR 97702

Embodied Life
Week-long workshop
May 23-27, 2011

Breitenbush, OR

Information about the workshops is
now available by clicking here to view the workshop page.

We appreciate your confidence and support of Healing Bridge Physical Therapy and hope you will continue to tell your friends that if they are in need of physical therapy to...

Sincerely,


Allison Suran, Owner

Healing Bridge Physical Therapy
404 NE Penn Street, Bend, OR • 541-318-7041
www.healingbridge.com