How Bunions Form - Loss of Relative Movement - BillHartmanPT.com Q&A for The 16%

[@consistentme22]

I said it before and I'll say it again: love the new thumbnails Bill. You've made navigation of your videos clear and succinct. Massive Hulk leap - or bat 🦇 swing - from your earlier videos. My brain says thanks

[@BillHartmanPT]

Your welcome to your brain. :)

[@beautifulmotherlove]

Bill, how can we restore the relative movement in the stj? By the way, great explanation. I love the clarity

[@BillHartmanPT]

try bowler's lunge and cross over step up.

[@exphys6513]

Great talk. When Alec talked about bringing the ground up that made sense and is consistent with other things I have heard. Bill could you talk more about your response regarding an orthotic and shoe with certain capabilities to clarify your more detailed response? For those who aren't fused but limited in this movement what are the best mobilizations and exrx?

[@BillHartmanPT]

That is a very long conversation. :)

[@exphys6513]

@@BillHartmanPT thought it might be. As always I am all ears for anything you have to say. :)

[@exphys6513]

would you say a shoe with a rounded heel with a slight front medial heel post to bring ground up would be a starting point?

[@BillHartmanPT]

@@exphys6513 rounded heel (if our terms mean the same thing) may push COG forward too fast.

[@fitality]

So when someone can’t internally rotate at the calcaneus and miss IR A bunion is formed at the big toe in a way to create internal rotation. But does this mean the foot can’t go through full pronation What representation of gait would this be also - toe off ?

[@BillHartmanPT]

There would not be relative movement in the foot which would be required for traditional pronation. Apologies, I'm not sure what you're asking in your last question?