Question 1

How does foot balance lead to knee and lower back pain?

Accepted Answer

The foot is the first place the body touches the ground. When that first point tilts, the knees and pelvis above it tilt along to keep balance, and walking in that tilted state is repeated thousands of times a day.

Question 2

If my back hurts more when standing, why do you look at the feet as well?

Accepted Answer

Patients tell us they thought their back hurt from sitting too long, but it's actually worse when they walk or stand. That detail is the clue.

Question 3

If foot fatigue stays the same even after changing shoes, what do you check?

Accepted Answer

Patients tell us their soles feel heavy after walking only a little. They thought the shoes were the problem and tried several pairs, but nothing changed.

Question 4

When a child's posture looks tilted, why do you check the feet first?

Accepted Answer

Parents tell us that in photos, one shoulder looks higher and the back looks rounded. They come in about posture, but when we ask, the feet come up.

Question 5

How do you break the cycle of knee pain reducing your activity?

Accepted Answer

Patients tell us their knee is swollen and painful, every walk is hard, and going down stairs makes them nervous. Often the lower back is uncomfortable too.

Feet, knees and lower back