I am looking again at how my pinky toes have turned externally rotated so that the toenail's turned out. Remembering how I felt that the fifth metatarsal tuberosity was pushed down, compromising my balance on 1 foot and I had gone to Tom to ask him to mobilize that. He said that it was actually the head of the fifth metatarsal that needed mobilizing so he worked on that, but it did not help noticeably.
I believe it was after that that my pinky toes started turning. Also I realized that it is impossible for me to lift the pinky toe by itself. I know that it has only one muscle to lift with EDL, and has no brevis, but still! No extension whatsoever by itself. And of course no abduction, after all doesn't even know which direction it's heading in all twisted like that.
So now looking at what attaches to that area - fibularis brevis right at that tuberosity laterally and superiorly, but even more interesting how the fibularis tertius attaches a little bit distal to the tuberosity on the dorsal medial side of 5th MT (brevis to anterolateral fibula, and tertius to a small spot on the interior fibula proximal to the extensor digitorum longus).
So my thought is that maybe the fibularis tertius in particular is inhibited. As well as maybe the EDL being clumped up. ..
One thing I'm doing is palpating what seem to be both attachments of the tertius which are tender, massaging them a bit and trying to isolate engagement. Also feeling up the anterior fibula and realizing how tender the EDL attachment is and working on that.
Because the fibularis brevis tendon passes behind the lateral malleolus it would seem to pull back and down on that tuberosity, whereas the fibularis tertius would pull up on it.
So, is the picture that there is a rotation of the fifth metatarsal down (is that an internal or an external rotation?) and it is stuck in that position in relation to the cuboid bone? Or is the cuboid out of position too? Just walking on rocks barefoot is not going to put them back where they're supposed to be.
Anyway, trying various things: ball between the ankles, neutral femurs, pressing down on ball of big toe and lifting and lowering ankles… Well my guess is that that's more the peroneal's in general that act in plantarflexion. So I went to the knee detorquer and did that in deep knee flexion for more dorsiflexion. That's very interesting!
I believe it was after that that my pinky toes started turning. Also I realized that it is impossible for me to lift the pinky toe by itself. I know that it has only one muscle to lift with EDL, and has no brevis, but still! No extension whatsoever by itself. And of course no abduction, after all doesn't even know which direction it's heading in all twisted like that.
So now looking at what attaches to that area - fibularis brevis right at that tuberosity laterally and superiorly, but even more interesting how the fibularis tertius attaches a little bit distal to the tuberosity on the dorsal medial side of 5th MT (brevis to anterolateral fibula, and tertius to a small spot on the interior fibula proximal to the extensor digitorum longus).
So my thought is that maybe the fibularis tertius in particular is inhibited. As well as maybe the EDL being clumped up. ..
One thing I'm doing is palpating what seem to be both attachments of the tertius which are tender, massaging them a bit and trying to isolate engagement. Also feeling up the anterior fibula and realizing how tender the EDL attachment is and working on that.
Because the fibularis brevis tendon passes behind the lateral malleolus it would seem to pull back and down on that tuberosity, whereas the fibularis tertius would pull up on it.
So, is the picture that there is a rotation of the fifth metatarsal down (is that an internal or an external rotation?) and it is stuck in that position in relation to the cuboid bone? Or is the cuboid out of position too? Just walking on rocks barefoot is not going to put them back where they're supposed to be.
Anyway, trying various things: ball between the ankles, neutral femurs, pressing down on ball of big toe and lifting and lowering ankles… Well my guess is that that's more the peroneal's in general that act in plantarflexion. So I went to the knee detorquer and did that in deep knee flexion for more dorsiflexion. That's very interesting!
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