Network Magazine Summer 2018 | Page 25

Overpronation, or collapsing of the feet and ankles, can cause musculoskeletal imbalances and myofascial restrictions to the structures of the lower back Bunion, calluses and swollen foot The presence of any (or all) of these visual irregularities suggest that a person habitually overpronates, and this may be an underlying cause of their lower back problems. Corrective exercise strategies Swollen ankle, abducted feet and bunion Musculoskeletal imbalances such as a forward head position and overpronation can be corrected with exercises to help alleviate discomfort in the lower back. Your corrective exercise program for addressing either imbalance should begin with a program of self- myofascial release (i.e. self-massage). These types of exercises will help improve the health and flexibility of those soft tissue structures that have become irritated and restricted, and prepare the client’s body for the stretching and strengthening exercises that follow. Sample self-myofascial release exercises Use a Theracane massage stick or tennis ball to massage the muscles on the back of the neck and upper back to help rejuvenate and recondition those structures that have been adversely affected by a forward head position (see Figure 5). A golf ball, tennis ball or cricket ball/baseball can be used for self-myofascial release techniques of the feet and calves to address tissues that are negatively impacted by overpronation (see Figure 6). 5a 5b 5c Bunions and hallux valgus Figure 5: (a) Theracane back of neck (b) Tennis ball on trapezius (c) Tennis ball upper back Abducted feet A golf ball, tennis ball or cricket ball/baseball can be used for self-myofascial release techniques of the feet and calves to address tissues that are negatively impacted by overpronation (see Figure 6). Bunions and crooked toes Figure 4: Visual assessments for overpronation Figure 6: (a) Golf ball under foot (b) Calf massage with ball NETWORK SUMMER 2018 | 25