Brrr! It's been chilly here in Connecticut, time to put away the sandals and get out the sneakers and socks. It's a good time to check your athletic shoes for wear and tear - look at the heels from the back and make sure they aren't worn off at an angle. Make sure you have a thumb's width between your big toe and the end of your shoe. Make sure you aren't hanging over to one side or the other. If you see any of these signs of wear, it's time for new shoes!

It's also time to check your foot orthotics for wear, check the heel to see if it is getting worn off on the bottom, see if the topcover is getting worn off in some areas. It might be time for a new pair, or a new topcover. Call your practitioner to have them checked or to order a new pair for those new shoes

If you don't have QUADRASTEPS yet but would like some, try our FIND A PRACTITIONER tool to find an area practitioner that sells them.

For more information EMAIL US

Twitter: @LSteps @QuadraSTEPS

FB: @quadrasteps

nolaro24.com

BACK TO SCHOOL CHECKLIST

Have everything you need to send the kids back to school?

You probably bought new shoes for them, be sure you have had your kids' orthotics checked for proper sizing, if they needed a new size shoe, they will need a new size orthotic.

Getting the next size larger littleSTEPS® will ensure that your kids are comfortable at school, in sports, and at home just having fun. If you need to find a practitioner, please check our website's database of dispensing practitioners in your area HERE.

For more information EMAIL US

Twitter: @LSteps @QuadraSTEPS

FB: @quadrasteps

nolaro24.com

Are your kids ready for FALL SPORTS?

Fall is almost here and kids everywhere are gearing up for fall sports programs including soccer and football, track and volleyball. over 30 Million kids are involved in at least one interscholastic sports program; 21.5 Million kids are playing on one or more organized sports teams! More than 2.6 million children are treated in the emergency department each year for sports and recreational-related injuries

According to statistics, nearly 35.8% of injuries in kids 5-17 relate to sports and recreation. Why are Kids more susceptible to sports related injuries? 

• Active bone growth precedes muscle and tendon lengthening creating limited flexibility and risk of overuse injuries.
• Kids have an actively growing musculoskeletal system. Motor strength imbalances can lead to muscle strains.
• Open physeal growth plates in kids can lead to a higher incidence of tearing injuries.
• Kids have limited skill levels and level of conditioning (coordination issues).
• Consider gender: Male-female ratio of injury 1.8:1, but some girls are more susceptible to particular injuries.
• Kids have greater ligamentous laxity.

Kids are not just small adults! Adults whose bones have finished growing might simply pull a muscle or a tendon after a fall. But in a child, that same fall could injure the growth plate. One of the most commonly injured parts of the body in adolescents is the foot and ankle, particularly those involved in sports. Here are some of the more common injuries by age group:

AGES 6-12

• Flat Feet
• Growing Pains
• Knee or Shin Pain
• Osgood Schlatters disease or syndrome
• Calcaneal apophysitis (Sever's disease)
• Poor Posture and Postural Weakness
• including Genu Valgus (Knock Knees)

AGES 13-17

• Patellofemoral Pain Syndrome (Runner's Knee)
• Plantarfasciitis
• Shin Splints
• Stress Fractures
• Ankle Pain
• Ankle Instability

littleSTEPS® foot orthotics for kids can help protect kids during sports activities. They can be worn in cleats or athletic shoes. littleSTEPS® products are specifically designed for kids to deliver a prescription based correction, closest you will find to matching custom UCBL devices! littleSTEPS® come in 11 sizes to fit toddlers to teens. For larger teens, a QUADRASTEP® orthotic may be more appropriate. Ask your practitioner about littleSTEPS® and QUADRASTEP® orthotics today! If you need to find a practitioner, visit our website nolaro24.com. Like us on Facebook @quadrasteps

#LSteps #QuadraSTEPS

3 Exercises That May Reduce Pes Planus

By Dr. Scott Gray

Are you suffering from flat feet?

Hi, I’m Dr. Scott Gray. I’m the owner of Back in Motion in Ft. Myers, Florida, a doctor of physical therapy, published author, and inventor of the Gray Method™.

In this article I’m going to show you three ways that may help reduce pes planus, or flat feet.

What is Pes Planus?

Pes planus also known as flat foot is the loss of the medial longitudinal arch of the foot, heel valgus deformity, and medial talar prominence.

Flat feet may be causing  plantar fasciitis, knee pain, back pain, or even hip pain.

Strengthen the Tibialis Posterior Muscle & Tendon With a Calf Raise

One of the best ways to reduce pes planus and mitigate it is to strengthen the posterior tibialis muscle and tendon complex. So as we walk and gait in a terminal stance, that foot should supinate where it’s not flat

What we can do to help develop this is to do a simple calf raise.

By going up on your toes you can see whether or not the heel goes into supination and that’s really what we’re looking for.

That’s going to help pull on the midfoot and even some of the rear foot there as the tendons come through to provide stability into the opposite of flat feet.

So we would typically like to do this in three sets of 10 to 15 reps a couple times a week to help just get some strength and stability of that complex.

Improve Your Hip Extension

The second way to help mitigate flat feet or pes planus is to actually work the hip in getting the hip to extend.So what happens commonly is we walk, if you don’t have hip extension mobility, then the foot can’t resupinate.

The foot will go into pes planus or flat feet. We really want to make sure that we give the ankle joint enough time to dorsiflex. Which then allows that windlass mechanism to kick in, where the foot can start to supinate at the rear foot.

How we do this is having the patient go into a lunge like position, having a stretch cage is helpful, and the patient will  drive back and forth and really work on getting motion in the hip.

If you don’t have mobility at the ankle joint, then what happens is the subtalar joint will revert and it causes motion at the midtarsal joint to give false dorsal flexion.

So we really want to make sure we’re getting true, authentic dorsiflexion so that the midtarsal joint doesn’t have to unlock which then will allow the foot to get rigid and become a stiff lever in the gate. So that’s just an easy way to get dorsiflexion.

Hip Strengthening

So the last way we can mitigate pes planus is actually working the strength of the hip.

If I’m standing and I have weak hips, it’s going to potentially make my knees cave in which down the chain is going to make my feet go into pronation as a compensation.

If I work on strengthening some of my butt muscles and deep hip rotators, I can potentially help mitigate those forces of my flat feet.

One exercise that we really like to do here at Back in Motion is a hip airplane, and so we have the patient hold onto something because it’s not a balance exercise.

Then from here, they are going to rotate their hip into what we call external rotation and extension. And that’s going to get these deep hip rotator muscles working, which is going to help prevent ultimately from being in this knock-knee position, which can make her feet flat.

Conclusion

So there you have it. Those are three simple ways to mitigate pes planus or flat feet. We talked about the calf raise to work the posterior tibial tendon, and working the hip indirectly by mobilizing into extension, so that the midtarsal joint doesn’t have to unlock.

And lastly we talked about strengthening the glutes to help prevent some of that femoral internal rotation so that doesn’t happen at the feet.

Incorporating these tips above could help with everything from knee pain, back pain, hip pain, plantar fasciitis, and so much more.

About The Author: Dr. Scott Gray

Dr. Scott Gray is an internationally recognized and expert physical therapist & sports performance coach specializing in sport, athletic, and back and neck injuries. He is the inventor of a revolutionary form of treatment called the GRAY METHOD™. This type of treatment unlike others, addresses the CAUSE rather than just your SYMPTOMS with a full body approach. Learn more about what Back In Motion in Ft. Myers, FL has to offer other than physical therapy including sports performance training, personal training.

Find Us:
For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS
FB: @quadrasteps
nolaro24.com

 INTRODUCING OUR ALL NEW

Parent Video Series

As parents, we want to do as much as we can for our little ones. To help make it a little easier, Nolaro24 now offers a series of educational and informative videos designed for the parent. The Parent Video series includes topics ranging from newborn through adolescence. Each speaker is an established and respected medical professional with extensive experience in their field of expertise. 

The shape of the human foot is constantly evolving, and every foot is unique. Many factors influence foot development. Common pediatric foot concerns are in-toeing, flat feet, toe walking, and growing pains. Early intervention, including structural support and exercise, can successfully treat these common pediatric symptoms. Treatment in the early years can have a meaningful impact on health, comfort, and wellbeing throughout child development and adult years. However, if left untreated, these mild foot concerns or abnormalities can lead to long-term issues in adulthood. When treating the pediatric foot, the optimal goal is to ease discomfort and improve mobility, strength, and balance. 

Nolaro24 has been a long-time provider of foot treatment products for children and adults. We are also the provider of educational lectures, webinars, and Master Classes for medical professionals. We are now extending our educational expertise to parents in the Parent Series videos.

As a parent seeking to learn more about the growing foot and ways to help with your child's comfort and proper development, these videos may be a useful resource. 

Our NEWEST Parent Video is now available

The Parent’s Guide to Your Child’s Foot Development: The Sole of the Matter (Conception to Pre-Walker)

by Tara Liddle, PT, MA, DPT, PCS "Expecting and new parents often have many questions regarding the care and development of their baby. In this presentation, I review everything you need to know about the infant's foot and why and how the foot plays a big part in motor development, including ways to achieve best foot practices and care for optimum benefits for your baby." Happy listening! -Tara     Who Should Purchase this Video Any parent who wants to learn more about child foot development in the newborn-2 age range. LEARN MORE Parents of Ages 3-12 might like The Parent’s Guide to Your Child’s Foot Development: Toddlers on Up! by Liesa M Ritchie, PT, DPT, PCS, CKTP Parents and caregivers have lots of questions for pediatric physical therapists! In this webinar, Liesa explains flat feet, growing pains & toe walking. “Poor balance, clumsiness, inactivity, weakness, stiffness & pain are very often caused by poor foot & ankle alignment. But, to improve alignment, we have to act sooner than you think! In this webinar, I’ll explain why flat feet are a problem, when it isn’t ‘just growing pains’ and how to know if toe walking is a problem. Plus, I’ll describe recommended characteristics for shoes at various ages, as well as the purpose and benefits of orthotics.” - Liesa LEARN MORE

Do you know the right shoe for your foot type?

It's 2021 and January is always a time where we reassess, reevaluate, and determine to get healthier and get moving. We clean out the old, pare down, and organize.

As we get out the old athletic shoes and vow to start a fitness program this winter, why not treat yourself to a new pair with a better fit for your goals - and most importantly, your orthotics!

Here is a chart of our recommendations for athletic shoes by your foot type. If you don't know your foot type yet, go to one of our trained practitioners and find out! You might not know that genetics predetermines the shape of your foot and the way you walk, leading to many of the aches and pains you experience throughout your lifetime.There is help out there - you don't have to suffer!

Check out our list of trained practitioners, and you can download the shoe list below HERE.

Here's to a happy, healthy, and pain free 2021!

For more information EMAIL US

Twitter: @LSteps @QuadraSTEPS

FB: @quadrasteps

nolaro24.com