Tuesday, June 25, 2013

Kinesiology Taping for Crossfit Athletes

If you do crossfit, you'll know what all of this means.
If you don't then this conversation will seem a little strange and you might want to read the primer at "What the Heck are Those Crazy People Doing?" or you can check out my personal experience.
There are 2 broad sections that we will cover on this page:
  1. Kinesiology Taping for Protection
  2. Kinesiology Taping for Performance
For the entire PowerTaping for Crossfit Manual and Rock Tape's Power Tape for Crossfit Poster hit the links.

kinesiology taping for protection

Knurled olympic bars, kipping pull-ups while hanging onto a rod of iron, carrying stones between your forearms and ropes between your legs. This is crossfit and it ravages the palms of hands as well as the tender flesh on the insides of forearms and shins.
Here are several really useful, really effective kinesiology taping techniques to minimize skin damage.
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Hands
Hand callusing is the norm amongst crossfit athletes but to purposely allow ripping of calluses seems to be some strange right of passage.
I, for one, do not think it’s cool to have shards of thick skin dangling from my palm (patients already think I’m strange enough) and keeping the skin supple just requires regular attention from a pumice stone and a good
quality moisturizer ie. Bag Balm, Udder Cream.
If you do rip a piece of callus and it’s a bleeder, just put some anti-bacterial ointment on and leave it. No trimming, no ripping it off, no bandage. Just keep a light film of ointment on it and let the air dry it. If it gets dirty, clean it well, put the ointment back on and stay out of the dirt!
Also chill on the pull-ups and any high friction activities for the week. If you really have a problem beyond a week, then use a good set of gloves until it has healed.  
To protect and prevent problematic callusing try this kinesiology taping technique.
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Shins and Forearms
Scrambling up and braking down a 15' natural fibre (very bristly) rope is brutal on the shins because most of the work is done by the legs.
Because there are different techniques for climbing, each person may develop rope burn along different areas of the shin, calf and/or thigh.
So go up and down the rope a few times. You'll know where to place the kinesiology tape.
Then try again...voila...no burn!
The Atlas stone carry is classic strongman and may not be part of the average crossfit routine. Nonetheless, it does present an example where taping can make the task more comfortable through protection and the friction of the tape makes the stone easier to grip.

kinesiology taping for performance

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Box Jumps
If your knees are already a little mangled from squats or there's a knee cap tracking issue, kinesiology taping the knees can make box jumping feel more stable.
1. Place knee in 90° angle. Anchor stabilization tape at top of knee.
2. Create basket by wrapping tape around each side of knee. Use a gentle curve to the tape. Apply little to no stretch to tape.
3. Apply piece across and below knee cap. Stretch tape 50% in middle, no stretch in ends.
4. Jump like a lemur!
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Push Ups
This is described here but the same kinesiology taping technique works for most exercises where there is high shoulder demand.
Place hand in back pocket. (1) Anchor front tape from top of shoulder to lower arm with no stretch.
Place hand in lap. (2) Anchor tape from top back of shoulder to lower arm with no stretch.
3. Apply tape over top of shoulder. Stretch tape 50% in middle, with no stretch in ends.
Pressing - Strict and Push Press
This technique will give you a little boast. Apply the tape in fully stretched position and it will provide great positional enhancement.
1. Cut 2 strips of tape that will reach from the traps to the wrist. Anchor on top of trap and apply half way along the arm. At elbow, bring hand toward chest and apply remainder along forearm. No stretch.
2. Repeat application on opposite shoulder and arm.
3 & 4. Correctly applied application shown. Additional support can be gained with posterior chain (back) application to stabilize, ensure proper form and enable explosive power when lifting.
Visit www.RockTapeCanada.com for more information about kinesiology taping in Ancaster, Ontario, Canada.
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Thursday, June 20, 2013

Ontario, Canada | Golden Rules for Applying Rocktape - How to Tape Like a Pro!



Everything You Need to Know About Kinesiology Tape and Taping

Kinesiology tape, elastic therapeutic tape, sports tape … different names for the same brightly colored tape that athletes in every sports seem to be donning like a piece equipment these days.

Kinesiology tape seemed to make its debut during the 2008 Olympics but in reality, it had been in use long before then … 35 years to be more precise, when Dr. Keno Kaze designed the original version for use with his own patients.

Almost everyone is familiar with the standard white athletic tape that trainers use to bind a sprained ankle or immobilize a broken toe. Its purpose is clear as the tight cotton bandage all but casts that ankle into a particular posture.

But what about this crazy coloured and/or patterned tape cradling knees and shoulders? It doesn’t seem to immobilize anything because the tennis star can still fire a 100km/hr serve at her opponent and the pro cyclist can still bound up a steep incline – blue argyle tape moving like a piston on his knee.

Like many people I thought it was a fad… perhaps even a bit of a fashion statement to catch the media’s attention. It wasn’t until the urging of a colleague that I did some research and then began using it on my own patients.

Visit www.RockTapeCanada.com for more information about kinesiology taping in Ancaster, Ontario, Canada.

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Wednesday, June 12, 2013

Course Review: Rocktape's Fascial Movement Taping 1 and 2 | RockTape Canada

I had the opportunity to attend Rocktape's Fascial Movement Taping 1 and 2 over the weekend at the Inaugural launch of Rocktape Canada. It was only a short drive to the Hamilton area from Buffalo. With a tagline of taping movement, not muscles, I cautiously hoped for somewhat updated theory and mechanisms.
My one sentence review: Even if you left the course with no intention of ever using any form of kinesiotaping, these courses are worth it because they are current with modern mechanisms of manual therapy and rehab.
Here are some of my take home points
  • we make changes in the brain through taping
  • neuroscience is always changing
  • it's just "tape on skin"
    • which leads to sensory-motor stimulation on skin
  • the different receptors of superficial tissues
    • Merkel discs
    • Meisner and Pacinian corpuscles
    • root hair plexus - don't fully shave
    • Rufini endings
  • skin drag effects the nervous system
  • reviewed the tensegrity concept and mechanotransduction
  • tape is not a compressive force, it creates a lifting effect
    • diagnostic US was shown in quadriceps during knee flexion/extension with an without tape
    • the taped region had increased space between the superficial layers of fascia during the sliding motion
  • over time, the tape creates "ripples" under the skin, useful for sending more information to the brain
  • he then referenced Moseley!
    • the tape may send information to the brain to decrease the perceived threat
    • education + movement = increased physical capacity
  • there is a reflexive activation
    • if we can position the body appropriately, the CNS will make adjustments
  • one of my favorite concepts
    • taping is simple, direction does not matter!
  • taping also acts like preload (eccentric phase prior to movement) - pretension
  • studies have been showing little to no effects of KTape
    • they changed the parameters
    • for postural sway, they fatigued the particpants first
    • the taping group had significantly improved postural sway than the non taped group
    • fatigue was the key for the tape to make the neurophysiologic changes
  • Kinesthetic guidance can be 30 times faster for pattern retraining
  • Key to neuroplasticity is low threshold repeated stimulus
    • tape can provide this with the correct movement/education to the patient to keep the transient effects of our treatments between visits
  • “The skin is the skin of  the superficial fascia”
  • An example for patients using a submarine
    • The helmsman in our brain example
    • tape can be like sonar to figure out where sub/the body is in space
    • the brain needs input to help movement
  • FMT is not protocol based
  • You can tape along
taped along the median line, HOLY CRAP it's painful to take off the tape after having it on for hours along the pec, thankfully, Steve's italian mother had the solution in olive oil, I practically bathed in it
  • anatomical based lines/patterns
  • neural lines (sciatic, femoral, radial, median - my second favorite)
  • smaller patches of 1-3" tape "tweak taping" does this just as well or better than taping along long patterns or lines - my favorite
                 ---think of it as Mulligan taping with small manual corrections with a test-retest then a small patch of tape to continue feeding that info to the brain
All in all, I cannot recommend both FMT 1 and 2 highly enough! I went in thinking that the line of taping movement not muscles was merely a slogan to differentiate themselves from other taping methods. I love to be proven incorrect! You learn everything from the neurophysiologic effects of taping (which they also apply to all manual therapy), pain science, test-retest models, as well as different movement screens; Dr. Steven Capobianco put it best when he said the course was "open source." There were several other experts from different fields in the course and we learned some postural screening from Brad Norris of powertekfitness.com, a little DNS from Kate Hood, some different taping applications from Darryl Yardley and Connor Collins, and a little IASTM and modern STM theory from yours truly!
Steven Capobianco is an all around dynamic speaker, well read and researched and very open to many different forms of assessment and treatment. We've only been speaking via facebook and email for a few short weeks, but we could tell early on that our approach was extremely similar. I can't say enough good things about Steve.. my only mild disappointment was that I thought I'd have another American in the class, but it turns out he was excited to launch Rocktape Canada because he is originally Canadian! And here I thought I would be able to introduce him to Tim Hortons! He only lives/practices in California, but it's been long enough that he called hockey, "ice hockey." You've been away too long buddy!
I will definitely be integrating Rocktape into many of my treatments and you'll be updated on future Cases of the Week and with vids on omptchannel.com on my tweak taping experiments! If FMT 1/2 is in your area and you've been curious about kinesiotaping as an adjunct, I can't recommend it enough. It really has been one of the best courses I've taken in years!
Here are some pics
Here I am with Dr. Ranil Sonnadara, PhD from McMaster University. I saw him taping a fencer, and I said, my wife used to fence. He said, "I'm a fencing coach." I said she fenced for Mac, and it turns out he was her former coach! She told me as a student prior to being a physio, she didn't listen to him, didn't cross train and ended up with a right quad that was so hypertrophied, it no longer fit in her pants.
A couple of blog readers, Connor and Tom, great to meet you guys!
My chiro brother from another mother, Dr. Steve Capobianco
Visit www.RockTapeCanada.com for more information about kinesiology taping in Ancaster, Ontario, Canada.
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Thursday, June 6, 2013

Kinesiology Taping for Shin Splints

I wish kinesiology taping had been around when I was playing soccer in my teens. The pain was very debilitating at times and the coaching lore of the day was to use heat, do shin strengthening exercises and keep on running – completely the opposite of today’s medical best practises!
Shin Splints (bad, but common term) or what many prefer to call Tibial Stress Syndrome (TSS), is a common condition in people who play weight bearing sports or those who walk a lot at their job.
The muscles that attach to the shin bone (tibia) have long shallow attachment. Under excessive or prolonged stress the shin muscles develop little tears where they attach to the bone. In severe cases, inflammation collects between the muscle and the bone covering, leaving a visible line (that shouldn’t be there!) on x-rays. That’s why TSS pain seems so broad rather than specific like many other injuries.
This condition is not limited to mild discomfort. TSS can very quickly morph into tibial stress fractures and stress fractures mean no walking for many weeks – something that almost nobody would find agreeable to their lifestyle.
Seek medical advice if the pain is persistent or severe. Excruciating pain in the area of the shin can be a more serious issue such as a compartment syndrome. Don’t mess around with pain that feels beyond a strain and/or doesn’t go away with rest.
Causes
1. Placing too much demand on the shin muscles from unfamiliar volume or type of activity, most often a running sport.
2. Poor foot biomechanics causing the shin muscles to become overworked.
Treatment
1. Start with a proper gait and foot assessment to determine if there’s a biomechanical problem of your feet. No amount of rest or exercising or kinesiology taping will be able to overcome a significant biomechanical problem of the feet.
Very often people who suffer from TSS have pes planus (literally “foot flat” in latin) when they stand and walk. For all of the details on foot biomechanics check out Biomechanical Control of the Flat Foot.
2. Stretch the calf muscles! The calf muscles are tight on most people so a good stretching programme is almost always part of the solution.
3. Cut back on any activities where there is a lot of uphill or downhill running. It places excessive demand on the “braking” role of the shin muscles.
4. Cut back on any sports that are on hard surfaces and run on trails instead of asphalt/concrete for a while.
I see an inordinate number of soccer players in my clinic towards the end of the soccer season and one of the factors is that the fields become drier and harder as the summer progresses -from yielding grass in May to pitted concrete by August.
5. Ice after activity. 10 minutes on, 10 minutes off, then 10 more on.
6. Kinesiology taping in the early and/or preventive stages…which leads us to…
If you haven’t already, please refer to the Kinesiology Taping Basics section for proper application techniques.
Kinesiology Taping for the Tibialis Posterior Muscle (pain on the outside of the shin)
  1. Begin by preloading the tissue by pointing the toe and turning your foot towards the other foot. Apply a strip from just above the outside ankle bone to the outside of your knee with little to no stretch.
  2. Apply a decompression strip with stretch over area of pain or ʻhot spotʼ. Stretch tape 50-75% in middle, with no stretch at ends.
  3. While maintaining stretched position, apply decompression strip right across the area of pain.
Kinesiology Taping for the Tibialis Anterior Muscle (pain on the inside of the shin)
  1. Point the toes up. Anchor stabilization tape below ankle on inside. Run tape up along shin crossing over area of pain. Apply no stretch.
  2. Apply a decompression strip with stretch over area of pain or ʻhot spotʼ. Stretch tape 50-75% in middle, with no stretch at ends.
Visit www.RockTapeCanada.com for more information about kinesiology taping in Ancaster, Ontario, Canada.
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Thursday, May 30, 2013

Kinesiology Taping an Ankle Sprain

ImageAnkle sprains are traditionally associated with thick white strips of rigid athletic tape but no more…kinesiology taping works wonders!
We’ve all done it. That quick twist of the ankle from stepping into rut or landing slightly off balance. It often seems like the most benign of situations.
An ankle sprain can happen very unexpectedly and become an incredible challenge to manage. Proper rehabilitation of a moderate to severe sprain can take many months and creates a susceptibility to doing it again quite easily in the future.
The foot is attached to the leg by a series of ligaments that go from the lower leg bones of the foot bones – a set on the inside ankle bone and another on the outside ankle bone. It’s our flexibility around that ankle joint that makes a sprain – or a tearing of the ligaments- quite easy to do.
While it’s possible to sprain the inside ankle, the outside ankle accounts for more than 80% of ankle sprains.
Even with mild injury, the swelling around the ankle joint can be quite impressive so icing, elevation and decompression are very important.
Kinesiology taping for decompression is a comfortable and effective way to assist with swelling in the early stages of recovery. During rehabilitation kinesiology tape provides much needed proprioceptive feedback -similar to a brace but much more comfortable.
There are 2 methods illustrated here. Try both and see if one seems to work better. There are no hard rules about using kinesiology tape.
If you haven’t reviewed the Kinesiology Taping Basics Section, please do so before getting tangled in tape. Both of these methods require good “tape handling skills”
ImageMethod #1
Begin with your ankle in a relaxed position off the end of a chair. You will be using one long sling of tape.
Start the tape on the belly of your inside calf muscle. Direct the tape across the top of the ankle and around your outside ankle bone. Keep the tape coming under the arch of your foot as you point your toes towards the ceiling within comfort levels.
The tape comes through the arch, crosses in front of the ankle and ends on the outside calf muscle. Apply little to no stretch.
Method #2
  1. Begin by pointing your toes towards the ceiling (within comfort levels).  Start the tape at the baby toe bone and pull tape across the bottom of the foot and up the through the arch.  Pull the tape tighter through the arch.
  2. Now let the foot relax so that the toes drop back down and apply the tape across the top of the foot (aiming for the outside ankle bone) without much stretch to the tape.
  3. Wrap the tape towards the Achilles and end on the front of the shin. Start with another piece of tape next to the first one and repeat.
Visit www.RockTapeCanada.com for more information about kinesiology taping in Ancaster, Ontario, Canada.
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Sunday, May 26, 2013

Kinesiology Taping the Achilles Tendon and Calf

Close to Home
This is one of my personal favorites, having experienced a nasty calf tear while playing badminton about 4 years ago! I wish I had known about kinesiology taping then!
Walking around my own sports medicine clinic, dragging my leg behind me like Kwasimoto, was certainly a humbling experience.
Without the ability to “toe-off” (or rise up to push off with each step), the only choice for forward movement is dragging the afflicted leg along the floor. After a week of leg-dragging and a month of pain, I was able to do most things “normally”.
But the saga of my calf tear holds a much more significant role for this website. It was the reason I tried kinesiology tape on myself. Even years after the original injury, I still had discomfort when I ran more than 3 kilometers. The spring my colleague sent me some kinesiology tape was precisely when I was having doubts about ever doing more than a brief jog again (and this is a hard pill to swallow for a once competent triathlete).
You can guess the results of the experiment on my calf – significant improvement in muscular endurance and comfort! Don’t misunderstand, one trial on myself was hardly enough proof to start mummifying my own patients with tape but it did start the ball rolling…or in this case, the aging doctor/athlete running!
Anatomy
The Achilles tendon is the thickest, strongest tendon of the human body and attaches the calf muscles to the heel bone. The Achilles and calf muscles also play a vital role in upright posture due to the many vibration-sensing spindles within the tissue.
Unfortunately the Achilles tendon does not have a very good blood supply, making it slow to heal once injured. And speaking of injuries…
Injuries
  • Achilles tendonitis is local inflammation of the tendon that feels stiff and sore but may also result in a lump within the tendon in longstanding cases
  • A tear may affect both the calf muscle and/or the Achilles tendon and is a partial separation of the tissue
  • An Achilles rupture is a complete separation of the tendon from the bone
Why?
The most common causes of Achilles and/or calf muscle injuries are overuse during athletic pursuits, like running, or unfamiliar strenuous activities such as painting on a ladder all weekend. Tears and ruptures are most often due to a sudden stop or change in direction (sound like anyone we know?)
Treatment
Rest, ice, compression, wearing running shoes and in the case of rupture, surgical repair (ouch!)
Achilles Tendon Kinesiology Taping
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*It is essential to undergo a proper medical examination prior applying tape. There are serious conditions such as blood clots that can mimic Achilles tendonitis/calf cramping!
Refer to the Kinesiology Taping Basics section for details on how to apply tape properly. For some taping applications you may need assistance from another person…this being one of them!
Technique
Measure and pre-cut the 2 pieces of tape.
1. Lie face down on a bed or couch with your foot hanging off the edge. Point your toes directly towards the floor or until you feel a comfortable stretch in the Achilles and/or calf muscle. Anchor a “stabilization” piece of tape well under your heel at mid arch. Run the tape over your heel and along your Achilles tendon ending above the belly of the calf muscle. Apply little to no stretch to tape. Relax your foot and rub down to activate tape adhesive.
2. Find the area of the most pain. Apply a “decompression” piece of tape using stretch, over the area of pain. Stretch the tape 50-75% in middle, laying down the ends with no stretch.
Calf Muscle Kinesiology Taping
Image1. Anchor the “stabilization” strip at lower calf and run it towards the back of the knee. Apply little to no stretch to tape.
2. Apply decompression tape using middle stretch, right over the area that is fatigued/painful. Stretch tape 50-75% in middle, with no stretch at ends.
Visit www.RockTapeCanada.com for more information about kinesiology taping in Ancaster, Ontario, Canada.
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Monday, May 20, 2013

Kinesiology Taping for Low Back Pain


Low back pain is a common affliction in our society affecting 80% of people at some point in their lives. 
Kinesiology taping is a superb way to improve low back problems, in particular, postural issues but also in those who are susceptible to low back muscular strain and fatigue from work and sports. 
The vast majority (95%) of low back pain is non-specific in nature and usually due to lifestyle issues that strain muscles and other soft tissues of the back. 
It is always wise to seek medical advice for persistent pain of any kind in order to rule out less common but serious conditions of the back. Several days of severe pain or worsening pain necessitates an appointment with your family doctor. 
For mechanical low back pain the prescription is quite simple:
  1. Ice any acute symptoms, especially if you recall a stressful incident that “pulled” a muscle in your back.
  2. Continue normal physical activity within the limits of comfort. Lying around is not good for the back as the lore of yesteryear might dictate.
  3. An assessment by a therapist to discover any underlying postural issues is sound advice.
  4. Regular stretching and strengthening is helpful.
Back pain is one of the areas where I have found that kinesiology taping is extremely useful – much more so than any rigid bracing- especially in those who have postural issues. 
The key is getting the patient into the corrected posture before applying the kinesiology tape. The tape acts as a gentle, tugging reminder on the skin when the patient starts to revert back to poor postural habits. 
There are several standard taping methods for low back pain but do not be afraid to experiment and start withKinesiology Taping Basics if you haven’t already done so. 
For backs, especially with larger people, the 4″ tape may be a better option than the standard 2″ tape. 
Method #1: Low back pain across the back
  1. Bend at waist. Anchor the tape just below the pant line and run two strips up to the mid-back on each side of spine. No stretch.
  2. Apply decompression tape using middle stretch, across the area of pain in lower back. Stretch tape 50%-75% in middle, no stretch in ends.
lowback1
Method #2: Low back pain along the spine
  1. Bend at the waist. Anchor the tape just below the pant line and run two stabilization strips on each side of spine. Apply little to no stretch.
  2. Resume normal standing. The tape should have wrinkles in it.
This technique may be good for general low back pain whether acute or chronic. 
lowback2
Method #3: Low back pain across the sacroiliac area
  1. Bend at waist. Apply decompression tape with middle stretch, across the area of pain in lower back. Stretch tape 50-75% in middle, with no stretch at ends.
lowbackdecompress
Visit www.RockTapeCanada.com for more information about kinesiology taping in Ancaster, Ontario, Canada.
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Monday, May 13, 2013

Kinesiology Taping for Plantar Fasciitis


Those first few excruciating steps upon getting out of bed in the morning are hallmark plantar fasciitis!
I’ve got that T-shirt! And so have 10% of the adult population. This is such a common condition that a foot specialist could run a practice just for this condition alone.
Anatomy
The plantar (sole of the foot) fascia (tissue) is a strong connective band that starts on the inside of the heel bone and spread through the arch towards the tendons of the toes. It is an important component of the arch of the foot and gives humans the spring to their step.
Any body part with an “itis” added to the end means inflammation of that part – plantar fasciitis. Often the traction of the fascia where it attaches to the heel causes calcium to be deposited, formed a “heel spur”…which sounds like an awful affliction but in reality, a spur just means the condition was coming on for quite a while before the pain.
The pain of plantar fasciitis is due to the inflammation of the tissues.
But let’s keep everything in perspective. Yes, it a startling reminder every time you go from resting to standing, and yes, it will be months and months before it goes away.
But plantar fasciitis is not life threatening and there are things you can do about it – some easy, some not so much. And the “not so much” things are mainly because people have developed lifestyle habits that are very hard to change.
The Risk Factors
Age
Well there’s not much anyone can do about aging and plantar fasciitis usually doesn’t show up until well after 30.
Gender
Women seem to be more susceptible. Shoe choices perhaps?
Types of exercise
Yes, exercise is a risk factor, in particular too much weight bearing exercise like running.
How much is too much?
Not to be glib but when you have pain, you've run too much.
I have never been one of those doctors who looks over my starchy white lab coat, stating, “you need to stop running”. Firstly, I hate those coats and ditched mine the first month of practice and secondly, runners have selective hearing. They don’t recognize the words “stop” and “running” in the same sentence.
But… all good running addicts (and I've been one) will compromise with some cross-training.
Obesity
Those with a BMI (or body mass index) over 30. Quite bluntly, those with too much weight for their height.
Occupation
Those who stand on their feet for most of the day on hard surfaces.
Biomechanical issue of the foot
Those with foot type extremes (really flat or really high arches).
A recent study concluded that the #1 risk factor for plantar fasciitis is tight calf muscles.
Treatment
  • stretching the calf muscles
  • some rest but this largely applies to the runners
  • cross training if you are a weight bearing athlete (runners, soccer, rugby, basketball player)
  • ice after long periods of standing/walking
  • comfortable, stable shoes with a slight heel (less than 2″)
  • foot orthoses if you have an extreme foot type (pancake or stork foot)
  • more stretching of the calf (did I mention that calf tightness is the #1 risk factor?)
  • kinesiology taping (review Kinesiology Taping Basics if you haven’t already done so)
Image1. Lightly stretch your arch (toe to shin). Anchor the stabilization strip at the heel and gently stretch the tape towards the ball of the foot.
2. Anchor a decompression strip on top of foot and wrap tape from outside to inside to support the arch. Some tension may be applied upwardly on inside arch, then releasing tension at the ends to limit skin irritation/adherence issues.
Visit www.RockTapeCanada.com for more information about kinesiology taping in Ancaster, Ontario, Canada.
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