Healthcare and Medicine Reference
In-Depth Information
Fig. 3.6 The plantar fascia, the first track of the SBL, including the
lateral band.
Fig. 3.7 A dissection of the plantar fascia. Notice the lateral band
(A) comprising a somewhat separate but related track. (© Ralph T
Hutchings. Reproduced from McMinn et al 1993.)
Fig. 3.8 A sagittal section of the medial
longitudinal arch, showing how the plantar
fascia and other tissues deep to it form a
series of 'bowstrings' which help to hold
up and act as springs for the medial arch.
(© Ralph T Hutchings. Reproduced from
Abrahams et al 1998.)
Compare the inner and outer aspect of your client's
foot. While the outer part of the foot (base of little toe
to heel) is always shorter than the inner aspect (from
base of big toe to heel), there is a common balanced
proportion. If the inner aspect of the foot is proportion-
ally short, the foot will often be slightly lifted off the
medial surface (as if supinated or inverted) and seem-
ingly curved toward the big toe in a 'cupped hand'
pattern, as if a slightly cupped hand were placed palm
lumbar lordosis, and resistant hyperextension in the
upper cervicals. Although structural work with the
plantar surface often involves a lot of knuckles and
fairly hefty stretching of this dense fascia, any method
that aids in releasing it will communicate to the tissues
above (DVD ref: Superficial Back Line, 10:57-16:34). If
your hands are not up to the task, consider using the
'ball under the foot' technique described below in 'A
simple test'.
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