
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:
|
|
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
|