Here is what Dr Brad Hochstein has to say about the National Shoe Fit Certification Program.
“Taking the National Shoe Fit Certification course has introduced me to many things that I didn’t take into consideration when working with my patients. The depth of information introduced is very helpful and presented more clearly than other courses I have taken in the past. I have studied a lot of the concepts that are introduced through the program in the past but struggled to put everything together. This certification did just that for me. It has helped me to link things together and look “outside the box” more than I had in the past.
I am a chiropractor with an extensive functional/biomechanics background and this has added another level of depth to my practice assessment and treatment. I am excited to incorporate the knowledge I have gained through this certification into my practice to give my patients an even better experience!”
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Congrats to Coach Cameron!Our 1st Certification in Germany!
Here is what this coach has to say about the IFGEC Certification program:
“I found the National Shoe Fit Program very informative. So much information was presented in a short amount of time, and I have learned a huge amount. Without being able to stop to write and go back to check I had the information clear in my head I would have only taken away a very small amount of the detail required to start to get my head around this subject.
I am a coach, personal trainer and an athlete and will be using this within my coaching here in Germany. After buying so many shoes and seeing Doctors in the past about problems had with running I am amazed that not one person had gone into the detail and really looked at my feet in the way they should have been. I now believe I have been given a short cut to all the basic information and now have a solid platform on with to build more biomechanical information.
Thank you for the course.
Regards Cameron Lamont”
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“The National Shoe Fit Program is beneficial to many fields/disciplines including, but not limited to, coaches, personal trainers, athletic trainers, physical therapists, podiatrists, and chiropractors (I would say MD’s, but it doesn’t come in a pill), as well as those who sell shoes. The program offers tools to help us understand individual differences and their effects on gait and performance. Some of the material includes: • Foot anatomy • Anatomical Landmarks • Foot types • Pathologies • Basic biomechanics • Shoe fit functional testing ⁃ Static and dynamic tests to assist fitting • Finally shoe selection ⁃ Picking the best shoe for your client/athlete/patient
Some of these topics may be a good review for some of the advanced disciplines listed above. What the program is able to do, even for them, is to link everything together in a methodical, step by step, detailed approach, that applies what we have learned into something predictable and usable. We are often looking for ways to increase performance, decrease pain and get people to move better. I, for one, believe that much of bad movement, pain and dysfunction have to do with inappropriate footwear, this course is a starting place to help correct that problem. I am looking forward to Level 2 & 3 certification programs, but more importantly, I am looking forward to applying what I am learning with the people I serve. I’m not a Gait Guy… more like a gleam in the gait daddy’s eye, but I’m working on it.”
This gentleman has a large Q angle (need to know more about Q angles? click here). The second photo is taken from above looking down at his knee.
If he has medial (inside) knee pain (possibly from shear forces), you would want to unload the medial knee, so a more flexible shoe that would allow more pronation of the foot and INCREASE the amount of valgus would open the medial joint space and probably be more appropriate.
If he had lateral (outside) knee pain (possibly from compressive forces), then a shoe with more support (like a motion control shoe) would help to unload the lateral knee and create more space may be appropriate. And that just covers the local knee issue. What if he has a pes planus and needs more than a “more stable” shoe ? And, what if that pes planus is rigid and won’t accept a more rigid arch supporting device ? What are you gonna do then ?
There are no hard and fast rules AND there is no substitute for examining the person and asking LOTS of questions BEFORE putting them in a shoe. You must approach each case on a case-by-case basis with all factors brought into the fold to make the best clinical decision. Simply watching them walk, as you have heard it over and over again here on The Gait Guys, will lead you into wrong assumptions much of the time. Sometimes the obvious fix is not possible or won’t be tolerated by the person’s foot, knee, hip or body. So, sometimes you have to settle with something in-between.
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Take a good look at these shoes. Notice the wear at the heel counter. Did you notice the varus cantof the rear foot. Good! Did you carefully inspect where the upper was attached to the midsole? Now did you notice that upper is canted in varus as well? This person DID NOT have a rear (or forefoot) varus.
Hmmm. Maybe the varus canting of the upper caused the wear on the outsole? We doubt it; most likely it was the other way around.
What sort of symptoms so you think they had?
Do you think medial or lateral knee pain?
Could be either.
Lateral; knee pain from stretch on the lateral side of the knee at the lateral collateral ligament or
medial from compression of the medial condle of the femur and medial tiibial plateau.
How about pain on the outside of the hip? Canting the foot laterally has a tendency to externally rotate the lower leg and thigh. This may cause shortening of the gluteals (max and post fibers of the min); difficulty accessing the gluteus minimus (its a medial rotator), shortening of the deep 6 external rotators, difficulty accessing the vastus medialis (external rotator when foot is on the ground), and the list goes on.
What’s the fix?
New shoes. Pay attention when you buy shoes. Put them up on a counter at eye level and inspet them closely. We can’t tell you how many defects we see on a daily basis; too many to count. One time at a shop, we needed to go through 10 pair before we had a good right and left.
The Gait Guys. Bald. Good looking. Smart. Increasing your “Shoe IQ” every day.
Want to know more? Take our National Shoe Fit Certification Program. It’s the only one of its type and the only one certified by the International Footwear and Gait Education Council. Drop us an email at: email@example.com for more details or go to our payloadz store (click here) and download it today.
All material copyright 2013 The Gait Guys/ The Homunculus Group.