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cover of episode #296 ‒ Foot health: preventing and treating common injuries, enhancing strength and mobility, picking footwear, and more | Courtney Conley, D.C.

#296 ‒ Foot health: preventing and treating common injuries, enhancing strength and mobility, picking footwear, and more | Courtney Conley, D.C.

2024/4/1
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The Peter Attia Drive

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Courtney Conley: 本期节目深入探讨了足部解剖结构和功能,涵盖了足部常见损伤、治疗方法和预防策略,以及鞋履选择对足部健康的影响。她强调了足部力量在预防损伤和跌倒中的重要性,并详细解释了足部肌肉、韧带和骨骼在步态中的作用。她还介绍了多种诊断测试和康复训练方法,帮助人们改善足部健康状况。 Courtney Conley: 足部是人体与地面接触的第一个部位,其健康状况直接影响着人体整体的运动和平衡能力。足部力量不足是许多足部问题,甚至包括膝盖、髋关节和背部疼痛的根本原因。因此,加强足部力量训练至关重要。 Courtney Conley: 选择合适的鞋履对足部健康至关重要。鞋履应具有宽大的鞋头空间,以允许足趾自然张开,并应尽量选择零落差鞋底,以促进自然步态。此外,鞋底的厚度也应根据个人需求和活动类型进行选择。 Peter Attia: 本期节目中,我与足部和步态专家Courtney Conley讨论了足部健康的方方面面,包括足部解剖结构、常见损伤、治疗方法、预防策略以及鞋履选择。我们深入探讨了足部力量的重要性,以及如何通过增强足部力量来预防损伤和跌倒。我们还讨论了鞋履选择对足部健康的影响,以及如何选择适合自己足部健康的鞋履。

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Courtney's journey into foot specialization began with her ballet background and the persistent foot pain she experienced. This led her to explore the complexities of the foot and its vital role in human movement and overall well-being. Foot strength is often overlooked in rehabilitation, despite being the first point of contact with the ground.
  • Foot strength is crucial for human movement and well-being.
  • The foot has many sensory receptors that communicate with the vestibular system for balance and upright posture.
  • Rehabilitation often neglects foot strength despite its importance.
  • The foot is the first interface with the ground and impacts overall movement efficiency.

Shownotes Transcript

View the Show Notes Page for This Episode)

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Courtney Conley is an internationally renowned foot and gait specialist. In this episode, Courtney delves into the intricate world of foot anatomy and functionality. She explores the complexities of the foot, discussing its anatomy, common injuries, and the importance of understanding its structure in preventing issues. She covers a range of foot ailments, factors contributing to them, treatment options, and prevention strategies. She delves into the significance of loading, balance, range of motion, and posture, emphasizing the crucial role of strength in preventing both injuries and falls. Additionally, she sheds light on the interconnectedness of the kinetic chain, from the leg muscles down to the foot, and how issues within this chain can cascade downstream, leading to various injuries and pathologies. Additionally, she provides a comprehensive overview of footwear, discussing suitable options for both adults and children to promote foot health and mitigate potential problems.

In addition to this interview, Courtney also recorded a series of videos to better explain a number of the concepts discussed such as diagnostic tests that are used to determine mobility and strength and the exercises one should perform to improve the outcomes based on the diagnostics. The interview will be available to everyone while the videos from the gym will only be available to paid subscribers (found at the end of the show notes page).

We discuss:

  • Why Courtney chose to specialize in the foot [3:30];
  • The vital role of foot strength, function, and health in human movement and well-being [6:15];
  • Anatomy of the rear foot and midfoot [10:15];
  • The development of flat feet, the impact of footwear, and the benefits of going barefoot [19:45];
  • Anatomy of the forefoot, common injuries, and why most injuries occur in the forefoot [23:15];
  • Foot musculature and its role in maintaining foot stability and preventing deformities like bunions and hammer toes [30:15];
  • The intrinsic musculature of the foot, plantar fasciitis, footwear, and more [39:00];
  • Plantar fasciitis: diagnosis, causes, and treatment [51:30];
  • Posterior leg muscles: strength assessment methods, role in ACL injuries, and more [59:15];
  • Lateral and medial muscles: ankle stability, arch support, big toe stabilization, and exercises to strengthen and prevent injuries [1:04:15];
  • Importance of strength of lower leg muscles for gait and preventing shin splints, stress injuries, and more [1:08:15];
  • Tendinopathies and other common pathologies related to the anterior and lateral compartments of the foot [1:13:00];
  • The importance of midfoot integrity, ankle dorsiflexion, and a discussion of gait alterations [1:19:45];
  • Proximal stability and its implications for posture and movement patterns [1:27:00];
  • The age-related decline in foot sensation and strength [1:32:45];
  • Common toe injuries, treatment, and how to prevent further progression of the injury [1:36:30];
  • Preventing falls and managing arthritis with proactive foot care and exercises [1:46:45];
  • Footwear: advice for picking shoes that promote foot health [1:54:45];
  • Footwear for runners [2:05:30];
  • The importance of prioritizing footwear that promotes natural foot movement and strength while considering individual comfort and foot health needs [2:09:30]; and
  • More.

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