Transcript
A (0:06)
The big question is, how does someone with Ms. Actually improve their mobility, strength, energy independence? The list goes on. My name is Dr. Gretchen Holley, physical therapist and multiple sclerosis specialist. Welcome to the MissingLink Podcast. Tune in as I share the top strategies and exercises to help you gain control over your life with Ms. Using research driven insights and advice from top industry experts. Whether you're newly diagnosed or have had Ms. For over 30 years, whether you have relapsing Ms. Or progressive MS, this podcast is for you. You're sure to feel empowered and inspired after each episode. Ready? Let's dive in.
B (0:57)
Foreign. Hello. Hello. Thank you so much for joining us again today. I have a weird question for you and possibly a question that no one has ever asked you before, and that is how well do your toes move? Can you wiggle your toes independently from one another? And the reason that I ask you this is because back when I was a student physical therapist, so this was, gosh, back in maybe 2012, 2013, possibly, I was working with a physical therapist during one of my clinical rotations and I was watching him work with his patients who were trying to improve their balance. Now, these were not patients who had multiple sclerosis. They just had balance issues for other reasons and wanted to improve, improve their balance for safety reasons. And I witnessed 99% of these patients who had difficulty balancing struggle to wiggle their toes independently from one another. And then as time went on, I became a licensed physical therapist myself, started working with people with ms, now have my online program, the Missing Link. And over the years, it's occurred to me that I've had this revelation that even people without Ms. Couldn't isolate toe movement independently from one another. All toes moved together like a unit. So when this physical therapist said, wiggle your toes, sometimes the toes wouldn't move at all. Sometimes they would move, but they'd all move together, not wiggling, just one at a time or independent from the other. And why this matters if you have multiple sclerosis is because if neurotypical people, we'll call them, if people without Ms. Struggle with moving their toes, then imagine the challenge with multiple sclerosis, which tends to affect those muscles anyways, but also the opportunity for improvement. If you have multiple sclerosis, you likely know that toe movement and ankle movement can be one really challenging. Those tend to be two of the muscle groups that Ms. Seems to attack most, in addition to our knees and our hips. So you have two things going against you. You have the possibility of Ms. Going against you. Where Ms. Is Making the nerves weaker that go to your toes and go to your ankle. And that can be what's causing difficulty wiggling your toes. But, but also if you haven't been practicing wiggling your toes, which the majority of us don't practice, that that too can make it challenging to move your feet. So why am I harping on wiggling your toes? And why do we have a full podcast episode dedicated to this? It's because our toe movement is so, so, so important for a lot of our movements that we do throughout the day. Of course, it matters for, for balance. If your toes, which are the foundation of our stance when we are in standing, if they don't have good control or mobility, then it can drastically affect our balance when we're standing and when we're walking and moving in general. So having better toe mobility and toe control can improve our balance. It can also improve foot drop. If you have multiple sclerosis, it a huge symptom that I see in the majority of people that I work with is foot drop or drop. Foot, foot drag, toe drag. There's lots of different names for it, but it's weakness in the ankle and foot and toe muscles. And you might know that you have this, or you might not know, but you might notice that you have scuffed shoes in the toe box area or, or if you have really, really tight calf muscles or you can hear your feet slapping the ground when you're walking. There's lots of different ways that foot drop can present, but better toe control and toe mobility can actually improve foot drop. It can also help improve spasticity if you have toe curling, which again, is another pretty common symptom that I run into when working with my clients with ms, where your toes just curl, curl under, and it's really hard to get them to uncurl. Toe mobility can help with that. It can also help with circulation and blood flow. It can help with proprioception, which is our awareness of where our feet are in space as we're moving around. So that's quite a bit of things that's a lot that moving our toes can help with. Yet we don't often think about moving our toes and there are actual exercises that you can do for, for this. So I'm going to review a bunch of these for you right now. Just a note before we get into that, if you want to see these. I know that we're recording a podcast episode right now, but I am recording this for YouTube as well so that you can see in video if you're a visual person like me, what these exercises are. Also, if you are a member inside the Missing Link online program, then we have a full toe yoga class for you. It's about 25 or 30 minutes long where we go through these exercises as well as other ones. In an actual exercise class where we're doing a certain number of repetitions, certain amount of holds time, we do two rounds. So if you're in the Missing Link, go to the search bar and type toe yoga and do that class right along with us.
