Dear Paul,

Thank you for your interesting comments.
I have heard of the medial and lateral columns, and that the lateral column
is more stable than the medial column. However, I haven't heard the term
standing and walking foot. Where did this term originate?
You have me intrigued regarding the nerves following movement patterns. Can
you give more examples?  Is there anything written on the decussation of
the digital nerves.

I'd be very interested in learning what you have to say on this subject. I
think the best thing to do would be to meet informally at the next PFOLA
conference.

Sincerely,

Stanley

At 10:02 AM 11/30/04 +0000, you wrote:
>Dear Stanley et al.
>
>Thank you for making an extremely important point anatomically.
>
>Morton describes the medial and lateral plantar nerves send branches to
>the third interspace. I say this is important because I believe that
>nerves follow movement patterns and thus there is a meeting of the
>standing foot (lateral nerve) and the walking foot (medial plantar nerve.
>
>If one studies themotion of the wrist between adduction and abduction/
>flexion ane extension the same crossover occurs.
>
>I am certain it is designed to tell the other half what is going on and
>thus stop false information going to the spine and brain etc.
>
>The dysfunction. I should have made this clear. These are poersons who
>walk on their standing foot. These people wear their shoes out on the
>lateral side and when one studies their shoes they have lateral wear and
>no great toe marks and when places their fingers into the shoe there are
>heavy marking for the 5,4 (+-3) toes and very little to nil for the 1, 2
>toes.
>
>These people cannot walk on uneven ground without difficulty, have poor
>balance and have pain in their feet when they walk. Very often a 5Kg
>passive dorsiflexion pressure (when the foot is in talus neutral) has a
>plantar flexion of 10 to 20 degrees.
>
>Thus when they walk their endevours to get to their walking side is
>impossible and this the 3/4 toe (the distal foot) suffers and the nerve
>becomes squashed at every stride.
>
>Your work at mobilising/manipulating the 4th metatarsal lateral cunieform
>joint is exactly what I have been preaching for 15 years. What you are
>obtaining is a method for the patient to get from their standing foot to
>their walking foot and this there is immediate movement between the 3/4
>joints and thus there has been a form of decompression at this point where
>the neuroma is compressed and thus the pain stos then and there.
>
>I would like to meet you and show you what is occuring via a hands on tpye
>of demonstration. Maybe a sunny trip to Australia or me going over there.
>Your ideas and knowledge have made me think even more.
>
>Thanks for the discussion.
>
>Regards,
>
>PAul Conneely
>www.musmed.com.au
>
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