One of the most overlooked joints in the lower quarter is the first MTP joint unless that is the primary complaint of the client. 

How does the stiffness of the 1st MTP joint affect gait and lower quarter movement of all kinds?

We spend some great time with discussions of differential diagnosis, and practical interventions and share some new discoveries. 

Hint: the exam and intervention do not always center around the stiff 1st MTP – there is likely a primary driver elsewhere.

A glance at this episode:

• [5:05] Compensate and adjust your feet
• [11:23] Maintaining the pyramid of the foot
• [13:54] How to assess the foot position
• [17:17] Assessing the big toe
• [20:17] How to treat plantar flexion inversion
• [24:37] How to get started with the squat
• [27:46] What shoes to wear for diabetic feet

Related links:

• Tough To Treat Website
• Erica’s Course: Decoding the Complex Patient
• Susan’s Pelvic Health Education Subscription
• Access the Transcript