Spinecare Topics
Walking and the Back
Jogging and running can magnify the impact a foot disorder has on the back. Running places a great deal of stress upon the lower extremities. In fact, as much as 250-300% of a runner’s weight is absorbed by the musculoskeletal system at heel strike. During the course of running a mile this process may occur between 1,200 and 2,000 times dependent on an individuals stride length.
Gait and Spinecare
There are a number of signs a back specialist may look for when assessing the role of the feet to low back pain or a low back condition. These signs include an outward pronation, foot flare, a high arch, a toe out stance, a bowed Achilles tendon, and excessive knee rotation.
Brisk walking requires coordinated muscle activity. The demand for rhythmic swing of the arms and the legs helps to stretch and strengthens the lateral (side) trunk muscles. The lateral trunk muscles are often weak in more sedentary individuals. Gait evaluation helps the physician evaluate the mechanics of walking and the role of the foot during the different phases of gait.
All individuals who have chronic low back pain should have an evaluation of their gait as well as regional assessment of the legs and feet. The evaluation should include neurological and orthopedic physical assessment as well as evaluation of walking (gait). In some settings, gait may be assessed using a treadmill.
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