Bill Hartman 33:44–36:11
You don't want to do that because you're going to gain the wrong shape and you're going to perpetuate the external rotation orientation. A much better strategy is first to determine why you're not getting the foot contact. You might have somebody that is significantly oriented into external rotation, and that needs to be addressed first. If it's a proximal to distal superimposition of the external rotation, very much like we talked about with the mandible, we'll see the same representation in the hip. You need to address that shape first, which might require something done in sideline, perhaps that's going to give you some lateral compression to gain the anterior-posterior expansion back, allowing you to capture those medial foot contacts without compensation. Having said that, there are other strategies that can reduce the concentric orientation in the foot itself that are interfering with capturing medial foot contacts. This would be associated with concentric muscle activity on the bottom of the foot. If you don't use hands-on treatments, then you can use something like a lacrosse ball or something you're rolling with your foot to help reduce some of the concentric orientation on the bottom of the foot. That may allow you to access those medial foot contacts. If that doesn't work, there are some banded mobilizations that you can utilize that will help promote the bony influence you're looking for. But that's a little beyond the scope of this call because it's very difficult to visualize. The key is that there are strategies to access those foot contacts, but the first thing you need to identify is why you're not getting them in the first place. If you try to accommodate the foot to the wall, all you're going to do is promote the wrong shape in the foot, because that's the idea behind the exercise.
foot mechanicship external rotationproximal-distal relationshipsexercise adaptationsoft tissue mobilization