Just Say No to Orthotics


The role of an orthotic is essentially to change the nature of the contact your foot has with the ground. When your foot has lost the ability to properly adapt to the landscape, an orthotic changes the landscape to accommodate your foot. I do tell my clients there is a time and place for orthotics: namely, when they provide a dramatic decrease in pain that allows a person to return to normal daily activity, eliminate pain medications, etc. Sadly, the vast majority of orthotics do not fall into that category.

Rather, orthotics tend to be blindly implemented as a panacea for a variety of symptoms, before even attempting to improve the function of the foot. Again, orthotics can alleviate pain. And when you sprain your ankle, you alleviate the pain by walking on crutches. But you don’t walk on crutches for the rest of your life. If you did, you’d be trading ankle pain for shoulder and neck pain, and you’d be sacrificing a lot on the performance front.  Instead, you work hard to rehabilitate your ankle, restoring it to full function and strength. So, if orthotics seem to provide some benefit, shouldn’t you consider that as an indication that your foot isn’t functioning properly and would benefit from rehabilitation?

Often, proper foot rehabilitation can take a lot of time and effort. But it’s always worth it. Not a day goes by when I fail to make a direct connection between a client’s pain pattern and some type of foot dysfunction. But just as often, dramatic improvements in foot function can come rapidly. The above client’s primary complaint was pain under the ball of the big toe that was progressively getting worse. In both photos, the hip and ankle are held in neutral to ensure the visual changes are in fact stemming from changes in the foot. In the first photo, you can see the base of the big toe is significantly lower than the rest of the foot. When that foot strikes the ground, which joint do you think is taking the brunt of the impact? In the second photo, you see a much more even forefoot, with the big toe and little toe at the same level. The best part? The below photos were taken 30 minutes apart, after therapy combining PDTR®, ART®, and AiM™.

The client’s pain disappeared, and she reported feeling like her foot was working properly for the first time in years.

How Foot Dysfunction Affects Your Entire Body

The Transverse Metatarsal Ligament

transverse met

When was the last time someone assessed you for pain or a drop in performance and concluded that your primary issue was dysfunction of the transverse metatarsal ligament? If you answered, “never,” you’re probably in good company. Far too often when looking for root causes of pain and dysfunction, we are drawn only to symptomatic areas. If the knee hurts, we call it a knee problem; if the hip hurts, we call it a hip problem. And of course, most doctors and therapists will treat it as such. So what is missing?

In this case, what is often overlooked is the neurological connection between ligaments and muscles. Specifically, every fiber in a ligament corresponds neurologically to a fiber in a muscle. Thus, when a ligament has neurological dysfunction, it will always cause weakness in one or more muscles.

The transverse metatarsal ligament in the foot just so happens to correspond with a number of “anti-gravitational” muscles in the legs and hips. In a healthy functioning ligament, this serves an important purpose: when you bear weight into the foot, the ligament is stretched, and it tells the brain to fire the muscles of the leg necessary to keep you upright. However, when neurological dysfunction exists in the transverse metatarsal ligament, the opposite happens: you transfer weight into the foot and stretch the ligament, and key muscles in the leg and hip go weak.

Now imagine what happens when you run, jump, change directions, or lift weights in this scenario. Just when you need your most powerful hip and leg muscles, they are shutting down, leaving you prone to injury and pain.

I saw two cases last week that fit this description. In both cases, we made numerous corrections to the areas of pain and beyond, and the clients saw immediate improvement. But the problems came back within a few days. It wasn’t until we corrected the dysfunction in the transverse metatarsal ligament that the problems resolved for good.

Complete resolution of pain and dysfunction often requires a lot of detective work. As always, I encourage people not to give up hope if conventional methods of treatment have failed. The body often has the right answers when you know where to look.

Pain, Performance, Sexual Function, and Leakage

Pelvic Floor: Pain, Performance, Sexual Function, and Leakage!

pelvic floor

I’ve been seeing a great deal of pelvic floor dysfunction this week. One middle-aged woman had been dealing with urinary incontinence for years, on occasion leading to embarrassing accidents in public. We treated her pelvic floor dysfunction in 5 minutes, and she hasn’t had a single issue since.

One young adult male who competes in Olympic lifting came in for hip pain and tension. After two treatments, his symptoms improved only slightly. Finally, we treated his pelvic floor for 5 minutes, and it proved to be the key that unlocked his hips.

An adult male came in for low back pain. Sure enough, his pelvic floor had significant dysfunction. We corrected it in 5 minutes.

A recently married woman had lost interest in sex because of the pain it created. After 5 minutes of pelvic floor correction, she later reported, “My husband is now your biggest fan.”

Finally, a mother brought in her eight-year-old daughter who had been dealing with the embarrassment of “leaking” on a daily basis. We worked on her pelvic floor for 5 minutes, and she’s been “leak free” since. From her mother:

“I brought my 8 yr old gymnast daughter to Noah after realizing her pelvic floor needed some attention. (She) was leaking a bit when she urinated and it was becoming a real problem each time she exerted herself. I brought her to Noah and he was able to ‘fix’ her within minutes. His bedside manner with children is every mother’s dream. He relaxed her with essential oils and made her feel comfortable as he took us verbally step by step through the process. Noah produces healing results!”

Pelvic floor dysfunction comes in all shapes and sizes. It can lead to back pain, hip pain, loss of athletic performance, sexual dysfunction, and incontinence. These are all big issues that affect people’s daily lives. And, as you’ve figured out by now, it usually takes 5 minutes to fix. Some problems are complex. This isn’t one of them. Get evaluated by a P-DTR practitioner!