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The Key to Treatment of Any Joint Pain Lies in the Foot.
Scott R. Greenberg, M.D.

I know what you are thinking-how could my neck pain be linked to damage in my foot? How could my back pain be affected by weakness in my arch?

Why won’t my knee get better after everything I have been through. The answer, my friends, may lie in the foot.

While this idea may seem so foreign to you, it’s time to get up out of your chair and feel the effect that the foot has on the rest of your body. First, take off your shoes and stand on a level floor, preferably one without carpet. Now, roll your ankle inward, and feel and look what happens. Does the inside of your knee start to ache? Do you feel pressure in your hip and lower back? Do your shoulders feel out of balance, and does your neck start to get tight? If so, now you can understand the importance in evaluating the feet for almost every pain problem in the body. IF you feel nothing, just stand a little longer, and eventually you will start to feel it!

The feet are so important to our daily functions of walking and standing. Without them, we would simply not be able to walk. We are also the only mammals that exclusively use our feet for support (others rely on hands or paws!). We also like to run, wear high heels, walk barefoot, and engage in other behaviors with our feet that might not be optimal for our other joints.

Any instability in the foot or ankle will cause an abnormality in the gait (walking cycle). Any abnormality in the gait can easily damage the knee, hip, and lower back. This happens as the bones in the lower leg may rotate to compensate for damage in the foot/ankle complex. As I mentioned in my prior article about the tilted pelvis, the connection between the foot and the hip can cause the pelvis to tilt, resulting in one of our legs acting short. I see this phenomenon in the majority of my patients who present with back pain, headache, or neck pain. Why? As the pelvis tilts, the sacrum becomes unstable. The instability is then carried up the spine, causing damage to the ligaments, muscles, and tendons that support the spine. This results in chronic neck pain, headaches, and back pain.

Furthermore, many of the tendons of the back, hip, pelvis, spine, and knee are intimately connected to the tendons of the feet.

Orthotics are not the answer-they are only supportive and may be exacerbating the condition if they were made incorrectly. We must correct the damage in foot and change the gait, and correct the pelvic tilt. This is how healing should begin with any joint problem. I am always amazed in my private practice, when patients come in limping, and after a few adjustments and injections, leave walking straight without any limp. Remember, if you are not getting better, ask your physician to evaluate your foot.

 

 


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