Spinecare Topics

  • By: ISA Content Team
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Caring for your Spine
Walking and the Back

During walking, the lower extremities form a closed kinetic chain relationship with the pelvis and the spine.  With this type of relationship the movement of one joint influences the movement of other joints.  The foot is comprised of three arches that stabilize the foot during weight bearing.  The dynamic relationship of the arches determine the degree of rotation of the lower extremity and to some degree the lower spine during walking.

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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To learn more about your spine. spinehealth, and available spinecare go to the International Spine Assocition (ISA) at www.spineinformation.org. The primary mission of the ISA is to improve spinehealth and spinecare through education. The ISA is committed to disseminating need-to-know information throught the World Wide Web in numerous languages covering many topics related to the spine, including information about spine disorders, spine heath, advances in technology and available spinecare



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All health information posted on the site is based on the latest research and national treatment standards, and have been written or reviewed and appoved by the American Acedemy of Spine Physicians and/or International Spine Association physicians or health professionals unless otherwise specified.



The information provided on this site is designed to support. not replace,
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