Dynamic Chiropractic

Dynamic Chiropractic Facebook Twitter
Dynamic Chiropractic
Advanced Search
Wellness Blog
Dynamic Chiropractic PracticeINSIGHTS
Current Graphic
Dynamic Chiropractic – December 14, 2000, Vol. 18, Issue 26
Dynamic Chiropractic
Printer Friendly Email a Friend PDF RSS Feed
Share |
Dynamic Chiropractic

Extremity Adjusting Techniques

Part I of III: Excessive Foot Pronation

By Mark Charrette, DC

What It Is

One of the most common conditions of the human frame is excessive foot pronation. This is a condition where the foot rolls inward, creating a longer, wider, and flatter foot.

A very predictable subluxation pattern occurs.

Indicators include:

  1. posterior/lateral heel wear;
  2. foot flare/external foot rotation
  3. patellar rotation;
  4. Achilles tendon bending;5. dropped medial longitudinal arch/dropped navicular;6. callous pattern - 2nd, 3rd, 4th metatarsal heads; and7. positive navicular drop test.

Excessive foot pronation causes the tibia to rotate internally, the femur to rotate internally, and the pelvis to anteriorly translate. A variety of knee, hip, and spinal complaints are caused or aggravated by this condition that affects four out of five adults age forty or older. Custom-made, flexible orthotics play a critical role in properly supporting the pedal foundation after the adjustments have been given.

How To Adjust

I adjust in the following order:

#1. Navicular - Inferior and Medial Subluxation: The doctor will find point tenderness near the height of the medial longitudinal arch (plantar surface). This is the contact point. The medial longitudinal arch is related to the navicular and psoas muscle.

Adjustment: The doctor stabilizes with "outside" hand on lateral malleolus; doctor contacts the contact point with thenar of "inside" hand; the foot is brought to its inversion tension; the doctor then thrusts in a superior and lateral direction (toward lateral malleolus) with thenar of "inside" hand.

Psoas Muscle Test: This is done with the patient supine and the doctor standing on opposite side of leg tested (Fig. 3). The headward hand of the doctor contacts ASIS, while footward hand contacts medial aspect of ankle as shown. Patient initiates muscle test, i.e., "OK, Mrs. Jones, push up and against my hand when I say 'push.'"

#2. Cuboid - Inferior and Lateral Subluxation: The doctor will find point tenderness posterior to the 5th metatarsal base on the plantar/lateral surface. This is the contact point. The lateral longitudinal arch is related to the cuboid and the hip abductors (gluteus medius and gluteus minimus).

Adjustment: The doctor will contact the contact point with the thenar of the "outside" hand and stabilize along the medial malleolus with the "inside" hand. The foot is brought to its eversion tension. Doctor then thrusts in a superior medial direction (toward medial malleolus) with thenar of "outside" hand.

Hip Abductor Muscle Test: Done with patient supine, the doctor stands at the feet of the patient with the "outside" hand contracting lateral aspect of abducted hand contacting lateral aspect of abducted leg as shown. The patient initiates the muscle test, i.e., "OK, Mrs. Jones, push out against my hand when I say 'push.'"

#3. Cuneiforms 1-2-3 - Inferior Subluxation: Think of cuneiforms misaligning/subluxating as a unit.

Adjustment: The doctor stands on the involved foot side facing the opposite leg; the headward hand makes a "U" pattern and stabilizes hind foot with the doctor's finger pads contacting the medial aspect of the calcaneus. The medial/anterior border of the footward hand contacts the plantar surface of the foot under cuneiforms.

It is important to keep both forearms parallel to the patient's tibia. The doctor tractions inferior with the headward hand, as the footward hand thrusts superior. A characteristic "sloppy/squishy" audible.

#4. Metatarsals 1-5 - 2-3-4 Inferior Subluxation, 1 and 5 Superior and Lateral.

Adjustment: The doctor contacts the plantar surface of the foot with the thumb pads under the 2nd, 3rd, and 4th metatarsal heads. Finger pads contact the dorsum of foot over the metatarsal shafts. Thumb pads push superior as finger pads pull lateral and inferior. This "squeeze" is repeated 4-5 times.

(Part II of III will look at adjusting the talus, calcaneus, fibula, and superior lateral cuboid.)

Mark Charrette, DC
Waukon, Iowa

Click here for more information about Mark Charrette, DC.

Dynamic Chiropractic

Dynamic Chiropractic
Printer Friendly Email a Friend PDF RSS Feed
Share |
Dynamic Chiropractic
Dynamic Chiropractic
Join the conversation
Comments are encouraged, but you must follow our User Agreement
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.
comments powered by Disqus
Dynamic Chiropractic
Have you ever contacted a local employer about the possibility of directing their corporate wellness program?
Yes, contacted
Yes, directing
Thinking about it

Sign Up for Our Webinars
Receive Advanced Notice of Future Webinars


Generic Viagra Lowest Prices Pfizer Drugs Viagra No Prescription Order Viagra Online Viagra Non Prescription Deal Sale Prescription Viagra Uk Online Levitra Reviews Viagra Oysters In Australia Viagra Price Australia Cialis Pill Color Generic Viagra Canada Buy Cheap Viagra Viagra Katelaris P Viagra Australia Cheap Levitra Prescription Or Not Viagra Levitra Usual Dosage Buy Tadalafil Cialis Online Viagra And Daibetes Viagra Tablets Uk Viagra Online From Us Pharmacys Generic Money Viagra Cialis And Priligy Next Dat Delivery Generic Viagra Vigora 5000 Effect Viagra Drug Interactions Online Levitra Tablet Viagra Buy Online Levitra Drug Interaction Walgreen Viagra Per Pill Viagra Online Gr 4.26 Buy Cialis Lowest Price Viagra Online Cheap Mexico Viagra Buying Free Sale Viagra Cheap Kamagra Viagra Buy Generic Online Viagra Viagra Online Sales Brand Viagra For Get Viagra Without Prescription Viagra Side Effects Blood Pressure Cialis For Sale In Us Australia Viagra Online Cialis Cheap Visa Auk Cialis Sales Bravejournal Buy Levitra Member Levitra Buy Online Find Cheap Cialis Vardenafil 20 Mg Hcl