♪ - [Intro Singer] Bob and Brad ♪
♪ the two most famous physical therapists on the internet. ♪
- Hi, I'm Bob Schrupp, physical therapist
- Brad Heineck, physical therapist
- And together we are the most
famous physical therapists on the internet.
Almost didn't get that out, Brad.
- In our opinion of course, Bob.
- Wow, we got a good start here, don't we?
Okay, Brad, today, we're gonna talk
about how flat feet can damage feet, knees and hips.
All the way up the chain, basically.
- You better believe it right from there to the top.
Don't get too excited.
If you are flat footed, this may not happen to you.
Depends how severe it is, but this is a mechanics of it.
And it's very interesting. So why don't you, Bob stand?
- You want me to start up with that?
- Alright. Let's let's get right up there.
Bob's our volunteer and model for this.
There you go. Be careful Bob.
- Yep.
- Be careful.
- There you go. - Be Careful. There you go.
- I actually do not have flat feet
- Right, but we're, we'll get this.
Let's show you how to do it.
Can we zoom into the arch of the foot here?
Right there?
Bob's got a nice arch
Yeah. Now I want you to flatten out a little bit
and when you put weight on it, this gap right here
where my fingers are, this bone right here will actually
come down and some people make contact with the floor.
That's pretty severe.
- [Bob] Yeah.
- Okay. And if that's happening with you
you probably have some special shoes
if you're going that flat.
Okay. So that's what we're calling flat foot
or pronation in the therapy world.
- [Bob] Right.
- Okay. So what happens is the tissues underneath here,
the plantar, the bottom tissues
when your foot splays out, they get stretched.
And over time they can continue to stretch, stretch
stretch. And like I said, get that navicular bone
right down to the tape right down to the floor
which is not what you want.
So some supportive shoes
which I'll talk about in a little bit, the next thing
if we go up to the knee, what happens
to the mechanics of the leg when that foot pronates
and flattens out the tibia rotates this direction this way.
So look at the red tape right there.
It goes in and we got a little rotation there
and that can throw the mechanics of the knee off slightly.
Therefore you can, you know, get some arthritis
arthritic changes prematurely in the knee, Bob.
- [Bob] It's amazing how the slightest little change
there can affect this and that can affect pain
- Yep, and create problems along the way
But wait, Bob, there's more.
- [Bob] Yes, there is more
- Okay. That in turn rotates the tibia and look at the knee.
it also puts a stress on the MCL, the ligament here.
And you get that bowling
- Your collateral ligament,
- Knock knees.
- Yeah. So you can see both knees are starting to
get knock kneed because I'm flat foot.
And you see that quite often on people, Brad
they're walking along and I can see their they're
flat feet are causing them to be knock kneed.
- Right. It's going right up the chain.
And then even up into the hip, the femur will rotate in
and that can put some stress on the posterior muscles
on the back side of the hip and into the the joint itself.
Again can cause problems as we age prematurely
as if you, you know, if you didn't have.
- It's like a little hole in the dam, isn't it.
- Right. So what's a easy way to correct this.
We do have a video with some exercises that can help this.
- Sure.
- But you know, the, the probably the better way is to
get the proper pair of footwear for this.
And you can do this without getting custom footwear for five
or $600, depending on the severity of your case.
But let me get a shoe here.
And if you go and you're gonna ask for to a good shoe store
and say, I need a pair of shoe for flat footed people
or technically they called motion control shoes.
If you say the term motion control,
- I'll put the word down below Brad,
- Any good salesperson should know
exactly what you're talking about.
And this is not a motion control shoe
but on a motion control shoe
you're gonna notice a very thick, sole right through here
you're not gonna have this end in here.
It's all the way across.
It's very thick and it's, it's that way.
So support so that when your foot flattens it supports it.
- Right.
- And, and if you do this to motion control shoe
you will not have this bend.
It'll be like, almost like a board
and just a tip bend a little bit.
- Sure. Very, very stiff.
- They're gonna be about 150 bucks
or so dependent on what you get, so buy 'em on sale.
If you're like me and that's, that's it.
- Yeah. That'll help control the problems
going all the way up the.
- Yeah. But even if you get these motion control shoes
it's not gonna do anything for that broken heart, Bob.
- That's right. We can fix just about anything
but we can't fix broken heart.
Darn.
- What do you say to that Leopold?
- I sure hope we can figure, figure that out sometimes.
So thanks.