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328: Expert Edition. Thomas Do Canto-Podiatrist & AUS Distance Running Rep. Tricky Conditions: Sesamoiditis

The Physical Performance Show

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The Importance of the Big Toe in Endurance Sports

There's two main ways people can propel off their foot. We call it high gear and low gear. High gear is when people push off through a big toe second toe, and so they're pushing off through that medial forefoot. Some people have always loaded a little bit more laterally than others. And this whole thing called like the windlass mechanism, which is where the flexor tendons and the planter fascia wrap around where the big toe joint extends. It kind of creates an arch raising position of the foot.

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