You probably know someone that has it. You might even be suffering with it yourself. Chances are back pain is an unfortunate, but familiar occurrence that is serious enough to interfere with your everyday life. And it is more common than you might think. The statistics are staggering. It is estimated that approximately 85% of Americans will incur an episode of back pain in their lifetime. But did you know that the most conspicuous culprit is not actually your back, but your feet?
The feet are the foundation for our entire body. With approximately 7,000 proprietors, they are the most densely innervated part of the body (the second is the spine). There are locations in the structures of the foot that "communicate" directly with segments of the spine and pelvis and vice versa. So, for every portion of the foot that does not have a healthy link to the floor, there is a corresponding weakness in the back. These shortcomings are very likely to create a compromised postural habit or improper compensation that will cause pain in the body.
The feet are the first station of our body's coordination and dance with gravity. The energy drawn up from the floor through our feet is like a recoil (think suction cup) that filters it's way through the pelvic floor, transverse abdominals, and diaphragm. When these structures are optimally aligned, stacked like building blocks, our spine and pelvis are able to achieve a natural flexibility and strength to ensure correct posture. A healthy arch in the foot enables the postural muscles of the body (pelvic floor, transverse abdominals, diaphragm, and multifidus) to work well. The kinetic energy drawn up from the floor through the feet allow the skeletal structures (pelvis and spine) to properly bear weight and create a dynamic rhythm of the bones thereby improving posture and gait.
So if our feet are so vitally important, why is it that we often overlook them? Think about your daily routine. You probably roll out of bed in the morning, take a shower, brush your teeth. You then dress for the day and get into your car. You drive to work, sit in a chair for 8 hours, drive home, eat and then collapse into a heap onto your couch. How much time out of your day was spent getting up from a position where your hips were lower than your knees? Probably very little. The body requires hundreds of muscles to perform this task. And working this way reinforces the importance of the foot's relationship to the spine. As a "civilized" society, we spend very little time on the ground or rising from the floor so we've lost our ability to strengthen the biomechanics of our feet. Our feet have become de-conditioned and weak and therefore, so has our spine.
Want to work your feet more effectively? Here are 4 easy "steps" that we can all do everyday to improve the health of our feet...
1. Get on the floor
Spend some time sitting on the floor on your knees. Practice this by either sitting on your heels, with either the toes curled underneath you or top of the arch of your foot on the floor. If you have difficulty doing this because of knee or hip issues, place a pillow or two underneath your seat on your heels. You should sit in this posture for as long as you can, increasing the amount of time everyday. This position encourages flexibility through the hips and lubricates the joints. Sitting on your toes also provides the required strength for push off in an efficient gait pattern.
2. Take off your shoes! (and socks)
For most of us, our feet are stuffed into cramped shoes for too long during the day, desensitizing us to the floor. Socks can act in the same way. Think of the socks on your feet like gloves for your hands. How difficult would it be to button your shirt with mittens on? When was the last time you really felt the floor? Walking on uneven surfaces with bare feet, such as rocks or a sandy beach, directly stimulates the firing patterns of segments of the multifidus, a major core muscle in the spine. Additionally, if adequate glide in the ankle does not exist, the hips and back have the potential to lock up as well. The gliding action of the ankle bone as it negotiates an irregular surface stimulates movement of the hip bones and the pelvis since the heels and sitz bones mirror each other. Freedom in the ankle creates the potential for a more released spine.
3. Take the stairs
The next time you're tempted to hop into an elevator, use the long way. The secret is that you need to get your whole foot on the stairs. Ascending stairs with only the forefoot engages the quads and calves. Overuse of these muscles can lock up the ankles and therefore the pelvis. Walking up stairs by pressing through the heel strengthens the whole back line of the body, primarily the hamstrings and glutes. Proper engagement of these muscles encourage the disassociation of the thigh from the pelvis and spine, so that you can move your leg without affecting the back. Often people with back problems walk by swinging their leg and pelvis together as they step forward. This faulty pattern of movement causes extraneous weight to be shifted directly onto the back when walking.
4. Have a ball
One of the most inexpensive and simple tools for strengthening and stretching your feet is a tennis ball. Work your feet by standing on the ground with one foot on the ball. Roll your foot on the ball with both feet in parallel. Focus on the inside, middle and outside of your foot. Make sure to apply adequate pressure onto the ball. For some this can be uncomfortable as you are loosening the plantar fascia, or connective tissue, underneath your foot. It also conditions the bottom of your foot. The fascia underneath the foot must be supple enough to conform to the surface off the floor, but also strong enough to negotiate and rebound from it.
As you can see, we can all take simple to dramatically improve the integrity of our spine and feet. Vitality and well being are never more than 4 "steps" away.
Guest Post by Angelique, PMA-Certified Pilates TeacherAngelique is a native of Southern California and a graduate of UC Irvine with a degree in English. She began ballet at age 5 and continued to dance and teach professionally for more than 20 years. Introduced to pilates after a hip injury while still in her teens, she became fascinated with the intricacies and complexities of movement. She pursued her first Pilates certification through The PhysicalMind Institute in New York in 2003 where she trained with Master Teacher Elizabeth Gillies. Profoundly influenced by Ms. Gillies dedication to rehabilitation and innovation, Angelique strives to instill a clarity and deep understanding of the work to her diverse clientele such as those with back pain, fibromyalgia, hip replacement, osteoporosis, ACL replacement and scoliosis. Through intuitive cueing and a meticulous eye for form and proper body mechanics, she provides a unique experience for each client and their personal needs and goals. Angelique has also trained extensively in Pilates protocols for pre and post natal clients and is certified in BalleCore BARRE Mat Pilates. She earned her second Pilates certification in 2008 by completing the BASI Comprehensive Teacher Training Program. In 2011 she graduated from Long Beach Dance Conditioning's Core Intelligence Course taught by Master Teacher, Marie Jose Blom-Lawrence. Additionally, she is certified by the Pilates Method Alliance. Angelique finds inspiration from her many amazing and devoted clients at Bella Forma.