Hi Neal! Thanks so much for this video. And all the ones you have shared! I am a massage therapist, personal trainer, and scolio-Pilates practitioner… I had to close my business after 18 years because of a reaction to the Covid shot… long story short, I am finally recovered this year from much of the inflammation I had from my injury… I was bedridden for many months… I tried to tell Physical therapists and others I “cannot feel my whole left side” Or get into get to my left side… no one listened… This video completely explains what has happened to my ability to sense and walk!!! As a massage therapist and personal trainer in the past I had much success with “turning off” faulty patterns… my work was hands on and neuro-retraining… I have found several of your videos extremely helpful. Especially since none of the practitioners I have worked with the last three years are clueless on how to re-educate and turn off neurological over activity and stimulate weakness at the same time! Genius! Thanks! G
Man the fact that i found this channel is crazy. My exact problem i have been seeing and trying to explain to chiros, phys. therapists, osteopaths,... one time i explained how my right foot is supinated and the physic. Ther. Just laughed at me and said that that was just a habit of mine. Im like, nooo, i was so frustrated because i KNEW these things in my body like tight left lat, long right leg, high right shoulder, neck pointing to the right, all of this was my body trying to find balance. Glad i found this
Yours is not an uncommon pattern. My most recent video is also about right foot pronation. You can also check my website for more info. pritrainer.com/pri-left-aic-right-bc-beginner-example-program/
Hi Neal, Do I have to keep this paper or what it is in the end, 4 ever as a correction? or lets ask this way, if I remove it again will it stops pronating on the right side?
Didnt want this to be true because i love wearing minimalist shoes but after 2 years of pain I've made arch inserts from a folded flannel and think its making a difference. Thx
Thank you! That's exactly the problem I have. I tried rolling the arch of right foot with the roller before and noticed that it relaxes my right side up to the pelvis which is always tight, but couldn't make a connection why it happens.
I cannot thank you enough for making these incredible videos. I’ve been having issues for the last 5 years and it started with shoulder, then my lower back, then neck, knees, and finally ankles. I’ve tried several types of therapies and nothing seemed to work. I could “feel” that my left hip was further in front than my right hip while walking, but all the medical professionals I met said that was impossible! I’ve watched all of your videos and shared them with friends who have also expressed back pain. I would like to make one quick request. Watching through your videos makes me understand the cause of the issues many of us are facing, however, it is not as straight forward to find exercises, lifestyle changes we should adopt to fix a left AIC issue. I understand that each persons diagnosis is different, however, I believe there are core exercises / lifestyle changes / maybe products we can purchase (hip belt?) that can help prevent the left AIC from getting worse as we seek PRI professional help. Would love if you could organize those videos in a playlist. Thank you for your incredible effort towards this community and towards humanity in general! I can’t imagine how many people who have this issue and have yet to stumble on your videos.
Hi @omullick I am experiencing the same as you since past 5 years it started with migraines (with fever), after this it was the lower back, 2 years later it was the right groin and genitals and pelvic floor pain, and now it's the knees! How are you feeling now, did you find a solution...?
Great video. In my case, I noticed my right foot was always slightly externally rotated. By consciously putting my foot more neutral, I can now feel my arch more while standing and my right side magically let go!
Wowwwww, I’ve been tweaked from always leaning right all my life. I’ve been trying to understand your videos cause it seems like a puzzle, but damn this one WAS a game changer. I feel a big weight lifted off. I just remembered how it feels to go left. And even better, I remember how it feels to have a relaxed right!!!! Thank you 🙏🏽🙏🏽🙏🏽 You’re findings and value is amazing. Keep on being a life saver.
Awesome Neal!! Always noticed my left shoe was wider on the left once well broken in! guess that side has been used to pronation, I always thought I just had a collapsing arch. I am also super surprised as i thought custom orthotics were always to increase the arch in the left side (side that can effectively pronate and relax). When I have my orthotics in my work boots I can always feel the right foot sensing the ground more, this used to discourage me cause I thought that feeling that on the right as opposed to the left meant they Orthotics weren’t doing their job of ELEVATING my “collapsing” left arch! It’s all making sense!!!! Thank you x100000!!!!
I just tuned into your channel and WOW I can't believe how much this has helped me understand what is going on with my body. I had a doctor dx me with a rotated pelvic back when I was 25 years old. Years later I did see a chiropractors and advised wearing a l/4 in. heel lift. I wore it for several years and was told by a PT to stop wearing it. Now I am experiencing pain in my hip/groin and shin as well as ankle.Thank you for your valuable info and I will definitely give the exercises a try.
I put a paper towel in my shoe and now I am biting more even where I was biting on my left before. Painful tmj left side. I have cervical instability and now my skull feels more balanced at the occiput atlas area. It’s wild
INhibition! YES! The missing piece of knowledge I was looking for! I will be trying this in the near future to see how they improve my current efforts, THANK YOU. (Being hyper-mobile I've had all of the issues you've described my whole life and never has anyone explained on this level!!!) Recently I'd learned the terms 'abduction/adduction', which I thought provided missing language for what kind of movements I'd been doing instinctively, but I think 'inhibition' and 'deactivation' actually better suit their end goal. ___ For me, Stretching painful muscles has always been ineffective due to the severity of tension build up, and sometimes the sheer force needed to make any noticeable change, made me feel even more unbalanced elsewhere. (realizing the painful muscle wasn't always the 'real' starting point did help me trace down to more workable starting points though! Which is how I finally even began to feel some progress... and quite frankly even to start to 'feel' my muscles again) ___ Instead, I've been trying to "center"/balance my body: - I make subtle adjustments to my body's positioning, to where I feel a stretch and then scan my focus around to find where I feel the opposite feeling. Then using my breath as an aid, I begin inching my movements back and forth, to get to the point where I feel more aligned/balanced. - Focusing my 'minds eye' on spots where I need the muscle to release ("melting"), which in turn causes a pull/stretch in the opposite side. Then putting my focus on expanding/lengthening that side to allow it to reach the center axis point between them. ***I never made a connection that this might be connected to a neurological response, instead of just a mechanical one, and this feels like it unlocks a whole new avenue of knowledge for me-- thank you!! ****
I rested back of my left hand on my left hip while standing and felt slight hip leaning toward the left. Going to walk around bearing that gait for a feel days to see if it affects my balance in any way. Will try to keep update on this experiment of mine. Thanks for your videos.
I will try this. My chiropractor said my 2nd toe of my right foot had fallen and that's why it throbbed and was hard to walk. I just started using a metatarsal arch in that foot and it seems to help. BUT I KNOW I have the left AIC, right BC, neck too bur the exercises seem to hurt.. Wish I could visit your office!
where exactly in the shoe would you put the papertowel? at the MCT joint? big toe? youve also discussed putting something on the lateral edge in order to force pronation? which method would you recommend?
I have injured my left foot and over time the pain and the tightness expanded from the foot through the back all the way up to my neck. Only then I realized that focus just on the left leg was useless, the right leg became also weak, even weaker than my left 😭
Hi there, I have problems with my left calf muscles and my left food. I guess all comes because of irritation of the sciatic nerve. And this comes from the primiformis left muscle . In the end my whole left leg has issues but special calf and food. And the left food feels like flat. I guess it's exactly what you are describing. But is it a good idea to put something under my right food? doesn't get the right food lazy because of that? can I remove it again? I already started with your different exercises and feel some differences. I have this now since 3 years. Hopefully your "therapy" is finally the last one I have to do...lot of money and time spent in different doctors and stuff... Thanks for your feedback
Dear Neal, When I stand bare footed on a carpet or wood floor I find my left foot pulls to the left and downwards, pressure is towards the smallest 3 toes of my left foot. I have to turn my left foot inwards towards the centre of my body to allow me to stand. What's the likely cause? What's the solution? Thank you for all your helpful work. With sincere best wishes, Afzaal
The same problem I experienced in my childhood, especially during standing on prayer and later that leftward pull developed on my jaw area and afterwards I developed a facial asymmetry. At my secondary school level I perceived the mid-line of my head to be shifted to right. I had dental/occlusal issue too.
@@ahadmdabdul Peace be upon you Eid mubarak I just saw your message. I am sorry to hear of your issue. God willing you are better now. My issues are transient and related to stress and muscular imbalances. May God Almighty Most Compassionate removes all our issues, Ameen Thank you for sharing With sincere best wishes Afzaal
So do we need to use the paper towel for rest of our lives or just for some time? Btw it works for me or at least changes something. Thanks for your help.
Hi Neil. Do you know of anyone in Melbourne Australia doing this work? I’d like to understand more about the patterns. I now have so many problems with my right side including a chronically tight right QL despite ongoing phisio and stretching every morning, right shoulder discomfort with tension down my whole arm. I’ve worn orthotics for over 20 years. Thanks Andrew
These videos are absolutely invaluable thank you. Are you able to do a video on right scapula/shoulder/right low trap dysfunction caused by dysfunctional breathing patterns. I have noticed that whenever I chest breathe my right shoulder becomes incredibly stiff and does not move well. It then quickly loosens up once proper breathing is resumed.
Yes, I can do that. I actually made one last week, but I didn't like how it came out so I scrapped it. I had so many different scenarios in my mind that it would be incoherent for the average person. I'll make one specifically addressing your issue (which is common)
Neal - When stuck in the left AIC pattern, is there ever a time where the body begin to lose its R arch as a strategy to create pronation in order to find the ground? Would supporting that R arch be the right thing? Thank you.
@@kimberquirky have good brooks shoes with a little pad placed under the sole under the arch. Also had a very elongated glute max so have being doing Romanian deadlift to shorten it
Neal as part of what your referring to with arch. Being there are 3 arches I'm finding that on my forefoot on right side I'm more suppinated and my rearfoot I'm more pronated. Its weird! So would you add some support under the forefoot in the medial part of foot and more support in the lateral side of the rearfoot with that in mind? During midstance I seem to wanna go into suppination whereas I believe I should be going more into pronation during that time in gait. Any help is appreciated. Thanks
That's definitely possible. Some people will require a lateral heel lift to better position them on their arch. This might be needed if someone has lots of right tibial external rotation. I think I talk about it in one of my videos from over the summer, about plantar fasciitis of the right foot. And yes, at midstance we should be pronating.
@@NealHallinan I'm getting better at understanding the biomechanics and always learning. Thanks for that. You've been very helpful thanks! I think I have some external tibial rotation to go along with left AIC. Its clear but tough to try and get all the answers the apply things.
Neal, so the idea of adding more to your arch support is not necessarily to give you more arch yet to allow more proprioception to happen within the arch to make the brain connection to force it to work better?
Hey neal. Thx for your awesome work. I had a middle food fracture on my right food 6 years ago. Since then im stuck in the pattern. So is my right food probably the cause of everything? I cant pronate him. It feels like He is supernating all the Time
Hi Il Bomba, it probably isn't the cause of the pattern, but it probably contributes to how strong the pattern is. A foot does need to pronate. If your right foot can't pronate fully, your glute can't push your bodyweight fully over to the left (pronation of the foot activates the right glute). So the right sided pattern just reinforces itself.
Neal Hallinan great info ! Thanks so Much for your work you put into your channel !! Are you aware of any studies that look at the medial arch and glute function ?? I have access to EMG and a pressure plate so I may could test glute activation with some sensory input (paper towel) in the medial arch and without
Great video! Can you offer some insight about toe gripping when standing? I can’t hold an adjustment and will either be gripping my toes for dear life or will have feet inverted and toes pointing up off the floor. Could you shed light on the cause/pattern/what muscles are on/off? And suggested exercises for this? Thx so much!
Also my legs will feel extremely weak like they could give out at any moment, it’s very hard to stand and circulatory flow is lacking. These switches in patterns when symptoms arise are often after eating and seem to have triggers of digestive, blood sugar and adrenal origin. If that helps any. Thanks!
In general it's our extensor muscles: low back, hip flexors, anterior neck, calves, that get overactive. As to the reason that's happening, I really can't say. My impression is that there is some type of autonomic issue going on.
Neal Hallinan thank you for your reply. There’s definitely a multitude of autonomic dysfunctions unfortunately. Are there any of your videos or posts you would recommend to learn more on these specific issues? Thx again!
With which exercises do you use this. How thick should it be and where do you put it exactly? Is this good if my weight is mainly in the tibias inward portion going straight in the big toe I pronate in the front portion of the medial arch on the right foot. My weight goes towards the left in that leg.
It can be used with any exercise, but in particular exercises that involve the right glute max. You might need a combination of more posterior right arch and right heel (although right heel is less common). Without knowing the specifics of your current situation, try something under the right arch with a "sidelying right glute max" exercise. It doesn't have to be big, just enough to "sense" it.
@@NealHallinan ok so you need to be wearing shoes or socks to hold it in place. Did you mean I should put it closer to big toe base and another under inner portion of heel? Also in the video you said right glute max is overactive or maybe in another video I watched before anyways. But you say to do right glute max exercises with this. Although my right glute max is inhibited contrary to the usual pri patterns if I understand correctly.
@@JazzyScat I'd put it directly under the arch. Or just experiment. People react differently to different stimuli. The right glute max is overactive in extension (sagittal plane:forward and back) but weak in the frontal plane (abduction) and transverse plane (external rotation). The left sidelying right glute max exercise works the right glute in the planes it is weak: frontal and transverse.
Yes, you could try that. It's really only used for people who can't "get off" their right side. I give the paper towel to people whose "I'm-tied-to-the-right-side-of my-body" tests don't change.
Are you referring to the concept of muscular slings? If so, I think "slings" are a label that hopes to explain human patterns of movement. This may sound philosophy-ish, but I don't think slings exist "out there" in the universe. I think they are simply a way to conceptualize how human muscles connect and drive movement. PRI does the same thing, but we identify "chains" of muscle that must work together to enable proper walking and breathing. PRI could have called them "slings" or "zones" or anything else. The label we give isn't important. It's what the label is referring to that is important. In PRI, the left AIC, Right BC, Right TMCC "chains" of muscle are simply "slings" of muscles that are active when you are on your right leg during walking (and your left leg is swinging through the air to step forward). This equates to "right stance". When we put our weight on our left leg, the patterns should switch to the right AIC, Left BC, Left TMCC "slings" or "chains" or "zones". This describes the chain of muscles that should be active when we are on our left foot (with the right foot advancing forward into the next step). This is "left stance". The problem occurs when we get so right sided (left AIC, right BC, right TMCC) that we forget how to appropriately use the left side of our body (we use it, but through compensatory muscle activity), so that it essentially becomes a right sided habit, or pattern, that we have to break out of. What makes PRI unique is the understanding of how the inherent asymmetry of the human body (the biggie being the larger and more powerful right diaphragm compared to the left) that causes us to frequently end up in this right sided pattern. This asymmetry is also what makes the patterns to be so darn predictable. Before I even lay someone down on my massage table to test them, I know that they will be at least a left AIC (because of the diaphragm's influence on pelvis position). Humans are asymmetric, and so is our muscle function. The right and left sides of our body simply aren't the same. Only PRI starts with this as the starting point. So one can train any "sling" they want, but if you aren't breaking out of a pattern of right sided dominance, the underlying issue isn't going to change. So I would say to anyone (with some exceptions), get out of the pattern, stabilize the left side of your body via PRI exercises, and then do whatever type of training you want.
i@@NealHallinan i can agree with you on that one of the concept and PRI seems to definitely go more in depth with the muscular activity when doing a movement. i was mainly talking about "oblique slings" such as "posterior oblique sling" which is mainly of your lat to opposite glute max (Example: right lat, left glute max) thrusting you forwards. then the "anterior oblique sling", mainly referring to external oblique to opposite internal oblique and ending in the same sided adductor (example: left external oblique to right adductor) its a line of muscles that go across each other to sling you froward and used in the gait cycle and especially in running i was wondering if you have heard of them since it is a relatively new concept, but seems to work if you focus on walking or running or if you train in the way to workout your oblique slings that it can significantly improve your gait cycle however i do agree first we need to learn how to put more weight on our left side in order to get in any kind of proper gait
@@TheSchnarfSchnarf The only problem I can see is this: these slings are fine to train in theory, but if the body is still in an asymmetrical pattern, what you think you are training, such as a right lat and left glute, won't be trained. For example, in the left AIC right BC, the left glute is weak and lengthened while the right lat will be overactive. This is due to the left pelvis resting in an anteriorly rotated position. So if you try to train that sling, you'll get lots of right lat but since the left glute isn't functioning normally due to the position of the left pelvis, you'll probably get lots of low back extension instead of hip extension. On the other hand, if you get the pelvis neutral, so the left glute is in a position that it can actually work properly, then training that sling would be fine. Hope that makes sense.
@@NealHallinan agreed, i am working on getting the pelvis neutral, then once i feel they are neutral and have proper TVA activation i will really start training these slings much more. Thank you for your videos
Generally they don't need to be stretched, but they need to be "inhibited". Generally they become overactive due to a dysfunctional pattern of movement, or because they have to increase their activity to make up for lack of strength or proper function of other muscles. For example, if the right glute doesn't act as the primary external rotator of the right leg, the right piriformis will try to help. If the left hip (left hamstring, left adductor) is weak, the left hip flexors and left paraspinals may increase their activity to stabilize the left side of the pelvis. In my opinion, stretching is rarely the answer.
No, it will not make it worse. My latest video addresses why. Some feet are structurally abnormal and can't achieve normal biomechanics. They need an orthotic to allow for that.
@@NealHallinanhi Neil, How do you know if the foot is supinating due to being in the pattern, or if it is structurally abnormal? In other words, how do you know if you require an orthotic? I’m am in the process of following your website exercises, thanks!
Hi Neal! Thanks so much for this video. And all the ones you have shared! I am a massage therapist, personal trainer, and scolio-Pilates practitioner…
I had to close my business after 18 years because of a reaction to the Covid shot… long story short, I am finally recovered this year from much of the inflammation I had from my injury… I was bedridden for many months…
I tried to tell Physical therapists and others I “cannot feel my whole left side” Or get into get to my left side… no one listened…
This video completely explains what has happened to my ability to sense and walk!!!
As a massage therapist and personal trainer in the past I had much success with “turning off” faulty patterns… my work was hands on and neuro-retraining…
I have found several of your videos extremely helpful. Especially since none of the practitioners I have worked with the last three years are clueless on how to re-educate and turn off neurological over activity and stimulate weakness at the same time!
Genius!
Thanks!
G
Man the fact that i found this channel is crazy. My exact problem i have been seeing and trying to explain to chiros, phys. therapists, osteopaths,... one time i explained how my right foot is supinated and the physic. Ther. Just laughed at me and said that that was just a habit of mine. Im like, nooo, i was so frustrated because i KNEW these things in my body like tight left lat, long right leg, high right shoulder, neck pointing to the right, all of this was my body trying to find balance. Glad i found this
Yours is not an uncommon pattern. My most recent video is also about right foot pronation. You can also check my website for more info.
pritrainer.com/pri-left-aic-right-bc-beginner-example-program/
your videos are Changing my life Neal. Thank you.
My pleasure, thanks for commenting! (comments increase videos "importance" in the eyes of UA-cam)
@thehawkguy1000 Couldn't agree more.
Hi Neal,
Do I have to keep this paper or what it is in the end, 4 ever as a correction? or lets ask this way, if I remove it again will it stops pronating on the right side?
@@thomaslinder2080 Hi, were you able to find the answers to these questions? I'm trying to find the answer at the moment, too
thanks for sharing this valuable information, you deserve 1 billion followers
Thanks! Maybe I'll get there someday!
Didnt want this to be true because i love wearing minimalist shoes but after 2 years of pain I've made arch inserts from a folded flannel and think its making a difference. Thx
I just can't believe how I relate to EVERY video. I can't believe this information is not out there.
Thank you! That's exactly the problem I have. I tried rolling the arch of right foot with the roller before and noticed that it relaxes my right side up to the pelvis which is always tight, but couldn't make a connection why it happens.
I cannot thank you enough for making these incredible videos. I’ve been having issues for the last 5 years and it started with shoulder, then my lower back, then neck, knees, and finally ankles. I’ve tried several types of therapies and nothing seemed to work. I could “feel” that my left hip was further in front than my right hip while walking, but all the medical professionals I met said that was impossible!
I’ve watched all of your videos and shared them with friends who have also expressed back pain. I would like to make one quick request. Watching through your videos makes me understand the cause of the issues many of us are facing, however, it is not as straight forward to find exercises, lifestyle changes we should adopt to fix a left AIC issue. I understand that each persons diagnosis is different, however, I believe there are core exercises / lifestyle changes / maybe products we can purchase (hip belt?) that can help prevent the left AIC from getting worse as we seek PRI professional help. Would love if you could organize those videos in a playlist.
Thank you for your incredible effort towards this community and towards humanity in general! I can’t imagine how many people who have this issue and have yet to stumble on your videos.
What is a hip belt?
Exactly my thought also - what are the best exercises to treat there imbalances until we can see someone?
Hi @omullick I am experiencing the same as you since past 5 years it started with migraines (with fever), after this it was the lower back, 2 years later it was the right groin and genitals and pelvic floor pain, and now it's the knees! How are you feeling now, did you find a solution...?
Great video. In my case, I noticed my right foot was always slightly externally rotated. By consciously putting my foot more neutral, I can now feel my arch more while standing and my right side magically let go!
Wowwwww, I’ve been tweaked from always leaning right all my life. I’ve been trying to understand your videos cause it seems like a puzzle, but damn this one WAS a game changer. I feel a big weight lifted off.
I just remembered how it feels to go left.
And even better, I remember how it feels to have a relaxed right!!!!
Thank you 🙏🏽🙏🏽🙏🏽
You’re findings and value is amazing. Keep on being a life saver.
You are a hero Mr. Hallinan
Awesome Neal!! Always noticed my left shoe was wider on the left once well broken in! guess that side has been used to pronation, I always thought I just had a collapsing arch. I am also super surprised as i thought custom orthotics were always to increase the arch in the left side (side that can effectively pronate and relax). When I have my orthotics in my work boots I can always feel the right foot sensing the ground more, this used to discourage me cause I thought that feeling that on the right as opposed to the left meant they Orthotics weren’t doing their job of ELEVATING my “collapsing” left arch! It’s all making sense!!!! Thank you x100000!!!!
I just tuned into your channel and WOW I can't believe how much this has helped me understand what is going on with my body. I had a doctor dx me with a rotated pelvic back when I was 25 years old. Years later I did see a chiropractors and advised wearing a l/4 in. heel lift. I wore it for several years and was told by a PT to stop wearing it.
Now I am experiencing pain in my hip/groin and shin as well as ankle.Thank you for your valuable info and I will definitely give the exercises a try.
Good luck, Nancy. You may want to consider seeing a PRI certified PT to help you.
I put a paper towel in my shoe and now I am biting more even where I was biting on my left before. Painful tmj left side. I have cervical instability and now my skull feels more balanced at the occiput atlas area. It’s wild
INhibition! YES!
The missing piece of knowledge I was looking for! I will be trying this in the near future to see how they improve my current efforts, THANK YOU. (Being hyper-mobile I've had all of the issues you've described my whole life and never has anyone explained on this level!!!)
Recently I'd learned the terms 'abduction/adduction', which I thought provided missing language for what kind of movements I'd been doing instinctively, but I think 'inhibition' and 'deactivation' actually better suit their end goal.
___
For me, Stretching painful muscles has always been ineffective due to the severity of tension build up, and sometimes the sheer force needed to make any noticeable change, made me feel even more unbalanced elsewhere. (realizing the painful muscle wasn't always the 'real' starting point did help me trace down to more workable starting points though! Which is how I finally even began to feel some progress... and quite frankly even to start to 'feel' my muscles again)
___
Instead, I've been trying to "center"/balance my body:
- I make subtle adjustments to my body's positioning, to where I feel a stretch and then scan my focus around to find where I feel the opposite feeling.
Then using my breath as an aid, I begin inching my movements back and forth, to get to the point where I feel more aligned/balanced.
- Focusing my 'minds eye' on spots where I need the muscle to release ("melting"), which in turn causes a pull/stretch in the opposite side. Then putting my focus on expanding/lengthening that side to allow it to reach the center axis point between them.
***I never made a connection that this might be connected to a neurological response, instead of just a mechanical one, and this feels like it unlocks a whole new avenue of knowledge for me-- thank you!! ****
ive watched 3 videos so far im already feeling better thanks
So true. Full inhibition is hard work and takes time to master.
I rested back of my left hand on my left hip while standing and felt slight hip leaning toward the left. Going to walk around bearing that gait for a feel days to see if it affects my balance in any way.
Will try to keep update on this experiment of mine. Thanks for your videos.
I will try this. My chiropractor said my 2nd toe of my right foot had fallen and that's why it throbbed and was hard to walk. I just started using a metatarsal arch in that foot and it seems to help. BUT I KNOW I have the left AIC, right BC, neck too bur the exercises seem to hurt.. Wish I could visit your office!
where exactly in the shoe would you put the papertowel? at the MCT joint? big toe? youve also discussed putting something on the lateral edge in order to force pronation? which method would you recommend?
Neal, do you know exactly where I would place the paper towel underneath my right foot? Any help is appreciated, thanks :)
I get most of the other issues but get over active left SCM after exercise
I have left aic position but my right foot is overpronated. Why is that happening?
Thanks Neal, thanks a lot!!! It gives a hope.
Great advice, thanks Neal!
Thanks, Tyler.
I have injured my left foot and over time the pain and the tightness expanded from the foot through the back all the way up to my neck. Only then I realized that focus just on the left leg was useless, the right leg became also weak, even weaker than my left 😭
Will the orthotics help if the issue lies in the cranium/ ir if its a dental issue?
Hi Neal. Do I get an insole into my right shoe, or both?
Generally you want both feet to have an insole.
i was wondering this too
What if you have years of foot issues?
Bunions, flat feet, soreness, walking in sides of feet
THANKS!! This really helping me
Thanks for sharing your expertise. Do you have recommendations for shoes? Also does handedness affect the tendency to be in certain patterns.
Hi there,
I have problems with my left calf muscles and my left food. I guess all comes because of irritation of the sciatic nerve. And this comes from the primiformis left muscle .
In the end my whole left leg has issues but special calf and food. And the left food feels like flat. I guess it's exactly what you are describing. But is it a good idea to put something under my right food? doesn't get the right food lazy because of that? can I remove it again?
I already started with your different exercises and feel some differences.
I have this now since 3 years. Hopefully your "therapy" is finally the last one I have to do...lot of money and time spent in different doctors and stuff...
Thanks for your feedback
Dear Neal,
When I stand bare footed on a carpet or wood floor I find my left foot pulls to the left and downwards, pressure is towards the smallest 3 toes of my left foot. I have to turn my left foot inwards towards the centre of my body to allow me to stand.
What's the likely cause? What's the solution?
Thank you for all your helpful work.
With sincere best wishes,
Afzaal
The same problem I experienced in my childhood, especially during standing on prayer and later that leftward pull developed on my jaw area and afterwards I developed a facial asymmetry. At my secondary school level I perceived the mid-line of my head to be shifted to right. I had dental/occlusal issue too.
@@ahadmdabdul Peace be upon you
Eid mubarak
I just saw your message. I am sorry to hear of your issue. God willing you are better now.
My issues are transient and related to stress and muscular imbalances. May God Almighty Most Compassionate removes all our issues, Ameen
Thank you for sharing
With sincere best wishes
Afzaal
@@afzaalkhan2010 Ameen
Thank you 🎉
So do we need to use the paper towel for rest of our lives or just for some time?
Btw it works for me or at least changes something. Thanks for your help.
Hi Neal..what if I have more supinated left feet. Think I have left aic but more supinated left foot
Hi Neil. Do you know of anyone in Melbourne Australia doing this work? I’d like to understand more about the patterns. I now have so many problems with my right side including a chronically tight right QL despite ongoing phisio and stretching every morning, right shoulder discomfort with tension down my whole arm. I’ve worn orthotics for over 20 years. Thanks Andrew
Comment! Further the knowledge!
Hey Neal, have you been able to locate a comfortable dress shoe? Insoles are not enough to save me from my current ones.
What if your pelvic is tilted to the left?
thank you!
These videos are absolutely invaluable thank you. Are you able to do a video on right scapula/shoulder/right low trap dysfunction caused by dysfunctional breathing patterns. I have noticed that whenever I chest breathe my right shoulder becomes incredibly stiff and does not move well. It then quickly loosens up once proper breathing is resumed.
Yes, I can do that. I actually made one last week, but I didn't like how it came out so I scrapped it. I had so many different scenarios in my mind that it would be incoherent for the average person. I'll make one specifically addressing your issue (which is common)
@@NealHallinan What a guy, thank you 🙏
Neal - When stuck in the left AIC pattern, is there ever a time where the body begin to lose its R arch as a strategy to create pronation in order to find the ground? Would supporting that R arch be the right thing? Thank you.
Yup happened to me it’s usually a loss of femoral internal rotation
@@LiMitZplus me too. So what did you for it?
@@kimberquirky have good brooks shoes with a little pad placed under the sole under the arch. Also had a very elongated glute max so have being doing Romanian deadlift to shorten it
Neal as part of what your referring to with arch. Being there are 3 arches I'm finding that on my forefoot on right side I'm more suppinated and my rearfoot I'm more pronated. Its weird! So would you add some support under the forefoot in the medial part of foot and more support in the lateral side of the rearfoot with that in mind? During midstance I seem to wanna go into suppination whereas I believe I should be going more into pronation during that time in gait. Any help is appreciated. Thanks
That's definitely possible. Some people will require a lateral heel lift to better position them on their arch. This might be needed if someone has lots of right tibial external rotation. I think I talk about it in one of my videos from over the summer, about plantar fasciitis of the right foot. And yes, at midstance we should be pronating.
@@NealHallinan I'm getting better at understanding the biomechanics and always learning. Thanks for that. You've been very helpful thanks! I think I have some external tibial rotation to go along with left AIC. Its clear but tough to try and get all the answers the apply things.
@@NealHallinan any videos that relate to tibial external rotation in terms of a self testing or to help self treat?
Neal, so the idea of adding more to your arch support is not necessarily to give you more arch yet to allow more proprioception to happen within the arch to make the brain connection to force it to work better?
Yes, that's the idea. It's generally not used for support (unless someone really does need support). I'm just talking about proprioception.
Hey neal. Thx for your awesome work. I had a middle food fracture on my right food 6 years ago. Since then im stuck in the pattern. So is my right food probably the cause of everything? I cant pronate him. It feels like He is supernating all the Time
Hi Il Bomba, it probably isn't the cause of the pattern, but it probably contributes to how strong the pattern is. A foot does need to pronate. If your right foot can't pronate fully, your glute can't push your bodyweight fully over to the left (pronation of the foot activates the right glute). So the right sided pattern just reinforces itself.
Neal Hallinan great info ! Thanks so
Much for your work you put into your channel !!
Are you aware of any studies that look at the medial arch and glute function ?? I have access to EMG and a pressure plate so I may could test glute activation with some sensory input (paper towel) in the medial arch and without
Did u fin out
Great video! Can you offer some insight about toe gripping when standing? I can’t hold an adjustment and will either be gripping my toes for dear life or will have feet inverted and toes pointing up off the floor. Could you shed light on the cause/pattern/what muscles are on/off? And suggested exercises for this? Thx so much!
Also my legs will feel extremely weak like they could give out at any moment, it’s very hard to stand and circulatory flow is lacking. These switches in patterns when symptoms arise are often after eating and seem to have triggers of digestive, blood sugar and adrenal origin. If that helps any. Thanks!
In general it's our extensor muscles: low back, hip flexors, anterior neck, calves, that get overactive. As to the reason that's happening, I really can't say. My impression is that there is some type of autonomic issue going on.
Neal Hallinan thank you for your reply. There’s definitely a multitude of autonomic dysfunctions unfortunately. Are there any of your videos or posts you would recommend to learn more on these specific issues? Thx again!
Where exactly should I place the folded paper?
Does it matter if you are right handed or left handed?
Leaving comment for the algorithm
Sir I only feel my left heel
With which exercises do you use this. How thick should it be and where do you put it exactly? Is this good if my weight is mainly in the tibias inward portion going straight in the big toe I pronate in the front portion of the medial arch on the right foot. My weight goes towards the left in that leg.
It can be used with any exercise, but in particular exercises that involve the right glute max. You might need a combination of more posterior right arch and right heel (although right heel is less common). Without knowing the specifics of your current situation, try something under the right arch with a "sidelying right glute max" exercise. It doesn't have to be big, just enough to "sense" it.
@@NealHallinan ok so you need to be wearing shoes or socks to hold it in place. Did you mean I should put it closer to big toe base and another under inner portion of heel? Also in the video you said right glute max is overactive or maybe in another video I watched before anyways. But you say to do right glute max exercises with this. Although my right glute max is inhibited contrary to the usual pri patterns if I understand correctly.
@@JazzyScat I'd put it directly under the arch. Or just experiment. People react differently to different stimuli. The right glute max is overactive in extension (sagittal plane:forward and back) but weak in the frontal plane (abduction) and transverse plane (external rotation). The left sidelying right glute max exercise works the right glute in the planes it is weak: frontal and transverse.
@@NealHallinan ok. Thank you very much. I'll try to find the video of the exercise think I saw it somewhere.
Hi, is this something I should try and do with Paper towel under arch of my Right foot, if my left leg is shorter due to rotated hip?
Thanks ,
Lyn
Yes, you could try that. It's really only used for people who can't "get off" their right side. I give the paper towel to people whose "I'm-tied-to-the-right-side-of my-body" tests don't change.
Neal Hallinan thank you
what do you think about oblique slings? do you think there real and should be focused on?
Are you referring to the concept of muscular slings? If so, I think "slings" are a label that hopes to explain human patterns of movement.
This may sound philosophy-ish, but I don't think slings exist "out there" in the universe.
I think they are simply a way to conceptualize how human muscles connect and drive movement.
PRI does the same thing, but we identify "chains" of muscle that must work together to enable proper walking and breathing.
PRI could have called them "slings" or "zones" or anything else. The label we give isn't important. It's what the label is referring to that is important.
In PRI, the left AIC, Right BC, Right TMCC "chains" of muscle are simply "slings" of muscles that are active when you are on your right leg during walking (and your left leg is swinging through the air to step forward). This equates to "right stance".
When we put our weight on our left leg, the patterns should switch to the right AIC, Left BC, Left TMCC "slings" or "chains" or "zones". This describes the chain of muscles that should be active when we are on our left foot (with the right foot advancing forward into the next step). This is "left stance".
The problem occurs when we get so right sided (left AIC, right BC, right TMCC) that we forget how to appropriately use the left side of our body (we use it, but through compensatory muscle activity), so that it essentially becomes a right sided habit, or pattern, that we have to break out of.
What makes PRI unique is the understanding of how the inherent asymmetry of the human body (the biggie being the larger and more powerful right diaphragm compared to the left) that causes us to frequently end up in this right sided pattern.
This asymmetry is also what makes the patterns to be so darn predictable. Before I even lay someone down on my massage table to test them, I know that they will be at least a left AIC (because of the diaphragm's influence on pelvis position).
Humans are asymmetric, and so is our muscle function. The right and left sides of our body simply aren't the same. Only PRI starts with this as the starting point.
So one can train any "sling" they want, but if you aren't breaking out of a pattern of right sided dominance, the underlying issue isn't going to change. So I would say to anyone (with some exceptions), get out of the pattern, stabilize the left side of your body via PRI exercises, and then do whatever type of training you want.
i@@NealHallinan i can agree with you on that one of the concept and PRI seems to definitely go more in depth with the muscular activity when doing a movement.
i was mainly talking about "oblique slings" such as "posterior oblique sling" which is mainly of your lat to opposite glute max (Example: right lat, left glute max) thrusting you forwards. then the
"anterior oblique sling", mainly referring to external oblique to opposite internal oblique and ending in the same sided adductor (example: left external oblique to right adductor)
its a line of muscles that go across each other to sling you froward and used in the gait cycle and especially in running
i was wondering if you have heard of them since it is a relatively new concept, but seems to work if you focus on walking or running or if you train in the way to workout your oblique slings that it can significantly improve your gait cycle
however i do agree first we need to learn how to put more weight on our left side in order to get in any kind of proper gait
@@TheSchnarfSchnarf The only problem I can see is this: these slings are fine to train in theory, but if the body is still in an asymmetrical pattern, what you think you are training, such as a right lat and left glute, won't be trained.
For example, in the left AIC right BC, the left glute is weak and lengthened while the right lat will be overactive. This is due to the left pelvis resting in an anteriorly rotated position.
So if you try to train that sling, you'll get lots of right lat but since the left glute isn't functioning normally due to the position of the left pelvis, you'll probably get lots of low back extension instead of hip extension.
On the other hand, if you get the pelvis neutral, so the left glute is in a position that it can actually work properly, then training that sling would be fine.
Hope that makes sense.
@@NealHallinan agreed, i am working on getting the pelvis neutral, then once i feel they are neutral and have proper TVA activation i will really start training these slings much more. Thank you for your videos
Have you ever worked with a person that had a stroke?
What do you think about stretching paraspianal hip flexor and pirformis ?
Generally they don't need to be stretched, but they need to be "inhibited". Generally they become overactive due to a dysfunctional pattern of movement, or because they have to increase their activity to make up for lack of strength or proper function of other muscles. For example, if the right glute doesn't act as the primary external rotator of the right leg, the right piriformis will try to help. If the left hip (left hamstring, left adductor) is weak, the left hip flexors and left paraspinals may increase their activity to stabilize the left side of the pelvis. In my opinion, stretching is rarely the answer.
@@NealHallinan thanks à lots i am hyoermobile so i Will focus on pri And strengh
@@naima99 yes, focus on building strength in your left hip (left hamstring, left adductor, left internal obliques) via PRI exercises.
@@NealHallinan thanks i applied these exercice and it works they help also with pelvis dysfonction
I understand a paper towel to feel like the earth has moved up, but a fixed orthotic would that not make such an in balance in the foot even worse?
No, it will not make it worse. My latest video addresses why. Some feet are structurally abnormal and can't achieve normal biomechanics. They need an orthotic to allow for that.
@@NealHallinanhi Neil, How do you know if the foot is supinating due to being in the pattern, or if it is structurally abnormal? In other words, how do you know if you require an orthotic? I’m am in the process of following your website exercises, thanks!
Jo