Like a lot of other topics (eg overpronation and supination resistance), I have a lot to say about the windlass mechanism of the foot. The windlass mechanism is the foot’s own natural way of supporting it self, so it is crucial that it function well and there be nothing wrong with the way that it works. Interventions used to treat foot and lower limb problems need to facilitate rather than inhibit that mechanism
Podiatry Arena has a lot of valuable information and threads on the windlass mechanism including all of the research published over many years and I wrote about our research and all of the windlass dysfunctions at my running blog. I have just been tasked with sorting the windlass mechanism page at PodiaPaedia, so looking forward to sorting that out.
Supination Resistance is another one of those topics that I find myself writing about a lot (eg here and here)and something I have been banging on about in my Clinical Biomechanics Boot Camps for years.That is how important I think that the concept is.
The concept has its origins in the concept of overpronation probably not be all that it is cranked up to be, so rather than focus on “overpronation” perhaps he focus should be on the forces that are associated with the function of the foot and pronation. It just makes a lot more intuitive sense o be focusing on the forces rather than the motions. It is the forces that actually do the damage to the tissues rather than motion. Motion is not painful.
I have certainly done a lot of research on it and unfortunately never quite got to publishing it. I did summarize most of the research done in this post.
You see peroneal tendinitis come up often as questions in forums, so a while back I wrote a lengthy post on it that a lot of people refer to, which is great as I really wanted to get the information out on this.
It is a condition that I often see from comments in forums that is frequently mismanaged. I do spend a lot of time on it at my Clinical Biomechanics Boot Camp course and like to tell the story about how I used to hate seeing it as my success rate used to be close to 100% failure; now its close to 100% success. The change was that dramatic once i realized what was going on with it; hence my reason for writing the blog post that I referred to above.
HINT: it almost always occurs in those with low supination resistance.
I have pretty much been running on and off my whole life. As of late, I have struggled a lot due to workload issues to find the time to do as much as I would like and an old injury with a bit of osteoarthritis now. I do plan on getting back and running another marathon within the next few years if I can, but let’s just wait and see.
I have had a lot to say about running (I obviously have a blog on running) and running shoes are no exception. Usually, I have run in what is the most traditional running shoe of the time. Lately, I have been mixing it up. The evidence does support having more than one different shoe in the rotation to mix things up to load different tissues differently. This does seem to have a protective effect for injury.
Recently I have tried a couple of unusual shoes and am aware of another in the mix.
I do some of my runs in the Airia One’s and have blogged about them. This is a shoe with a lateral slant in the forefoot, zero drop and a large toe spring. It certainly makes you run differently and use a different set of tissues.
I also recently got a pair of Enko’s which is spring loaded in the heel. Running in them is certainly a very different experience. I see a lot of anecdotes from people who had to give up running, now able to run because of these shoes. What I find intriguing in social media about these is the number of negative comments from those who have not tried them … go figure that one out.
The third shoe in the mix is the Ampla which has a spring loaded plate on the forefoot to help encourage you to run on the forefoot rather than heel strike. It came on to the market at a time that all the rhetoric and propaganda was that heel striking is evil and everyone should be forefoot striking. Turns out all that rhetoric and propaganda was wrong, but that has never stopped people in the past.
One thing I do find interesting about these “tech” shoes is the criticism of them in social media from those who have not even seen them, let alone tried them.
Mix it up. I do. The evidence supports that.