Dr. Lee Cohen

Dr. Lee CohenDr. Lee Cohen

Podiatric Consultant Podiatric Consultant to:to:

The Philadelphia EaglesThe Philadelphia EaglesThe Philadelphia 76ersThe Philadelphia 76ersThe Philadelphia WingsThe Philadelphia Wings

CheckCheckYourself Yourself

Out!Out!

Check Yourself OutCheck Yourself Out

Discover why you have low back or joint Discover why you have low back or joint painpain

Learn basic information on how your body Learn basic information on how your body worksworks

Master a self-evaluationMaster a self-evaluation

Self-Evaluation Check ListSelf-Evaluation Check List

EyesEyes

MouthMouth

Head & NeckHead & Neck

ShouldersShoulders

BackBack

HipsHips

Thigh/KneeThigh/Knee

Foot & AnkleFoot & Ankle

PreparationPreparation

Access to a full-length Access to a full-length mirrormirror

Attire: Attire:

women—sports bra & women—sports bra &

running shorts/tightsrunning shorts/tights

men—running men—running

shorts/tights shorts/tights

**Pen and paper—draw a **Pen and paper—draw a stick figure of yourselfstick figure of yourself

EyesEyes

Your eyes should Your eyes should always be level with always be level with the ground or horizon.the ground or horizon.Your eyes will always Your eyes will always seek a level horizon.seek a level horizon.Note your findings on Note your findings on your drawing.your drawing.

****This picture reveals a lower right This picture reveals a lower right eye.eye.

MouthMouth

With a neutral facial With a neutral facial expression, your mouth expression, your mouth should be parallel with should be parallel with your eyes.your eyes.

These two observations These two observations will form a reference will form a reference point.point.

Note your findings on Note your findings on your drawing.your drawing.

****This picture reveals a lower right This picture reveals a lower right mouth, but the eyes and mouth mouth, but the eyes and mouth are parallel.are parallel.

Head & NeckHead & Neck

Observe if your head Observe if your head tilts to the right or left.tilts to the right or left.If you have long hair, If you have long hair, be sure to pull it up.be sure to pull it up.Note your findings on Note your findings on your drawing.your drawing.

****This picture reveals a head tilt to This picture reveals a head tilt to the right.the right.

ShouldersShoulders

Observe the height of Observe the height of your shoulders. your shoulders. Does one shoulder Does one shoulder look lower then the look lower then the other?other?Note your findings on Note your findings on your drawing.your drawing.

****This picture reveals that the right This picture reveals that the right shoulder is lower.shoulder is lower.

Putting It All TogetherPutting It All Together

Possible scenario: Head tilt to the right, Possible scenario: Head tilt to the right, lower right shoulder could indicate a lower right shoulder could indicate a longer right leg.longer right leg.

Remember…the body will compensate to Remember…the body will compensate to keep the eyes parallel with the ground or keep the eyes parallel with the ground or horizon.horizon.

Shoulders/BackShoulders/Back

Turn to the side.Turn to the side.

A “normal” back has a A “normal” back has a slight kyphosis curve slight kyphosis curve in the upper back and in the upper back and a slight lordotic curve a slight lordotic curve in you lower back.in you lower back.


Observe the shape of Observe the shape of your upper back. Is your upper back. Is there an excessive there an excessive curve (Kyphosis) or curve (Kyphosis) or hunch back?hunch back?



Observe the curve in your Observe the curve in your lower back. Is there an lower back. Is there an excessive lordotic curve? excessive lordotic curve?

Often times an increased Often times an increased lordotic curve will cause lordotic curve will cause your pelvis to rotate your pelvis to rotate forward and create tight forward and create tight thigh muscles.thigh muscles.


HipsHips

Face the mirror.Face the mirror.Place your hands on your hips.Place your hands on your hips.Take your fingers and locate Take your fingers and locate the bony portion of your hips the bony portion of your hips that face forward. This is that face forward. This is going to be your reference going to be your reference point.point.Are these points level, or is Are these points level, or is one side higher then the one side higher then the other?other?Note your findings on your Note your findings on your drawing.drawing.

****This picture reveals that the right hip is higher This picture reveals that the right hip is higher then the left.then the left.

HipsHips


Use the same reference Use the same reference points.points.

Do these points appear to Do these points appear to be level, or is one hip be level, or is one hip rotated forward?rotated forward?

Hips can be tilted side-to-Hips can be tilted side-to-side or front-to-back, side or front-to-back, which is called pelvic tilt.which is called pelvic tilt.


KneesKnees

Face the mirror.Face the mirror.Is your thigh bone Is your thigh bone angled out and the angled out and the bone below your knee bone below your knee angled in?angled in?This condition is This condition is known as bow-known as bow-legged.legged.Note your findings on Note your findings on your drawing.your drawing.

KneesKnees

Does your thigh bone Does your thigh bone angle in and the bone angle in and the bone below your knee below your knee angle out?angle out?

This condition is This condition is known as knock knee.known as knock knee.


KneesKnees

Observe your knee cap.Observe your knee cap.

Is your knee cap pointing Is your knee cap pointing straight ahead or is it straight ahead or is it tilted in/out?tilted in/out?

Are your knee caps level Are your knee caps level or is one higher then the or is one higher then the other?other?


KneesKnees


Observe the Observe the alignment of your hip, alignment of your hip, knee and ankle.knee and ankle.

**This picture demonstrates normal **This picture demonstrates normal alignment.alignment.

KneesKnees

If your knee and leg If your knee and leg are curved to the are curved to the back, this is referred back, this is referred to as Genu to as Genu Recurvatum or Recurvatum or commonly known as commonly known as “Back Knee”.“Back Knee”.Note your findings on Note your findings on your drawing.your drawing.

**Genu Recurvatum/Back Knee.**Genu Recurvatum/Back Knee.

Ankle/FootAnkle/Foot

Face the mirror.Face the mirror.

Observe the Observe the alignment of your alignment of your lower leg, ankle and lower leg, ankle and foot.foot.

If your foot and ankle If your foot and ankle roll inward, you have roll inward, you have a pronated or flat foot.a pronated or flat foot.


Turn so that your Turn so that your back is to the mirror.back is to the mirror.

Observe your Achilles Observe your Achilles Tendons.Tendons.

Do they tilt inward?Do they tilt inward?


**Pronated Foot.**Pronated Foot.


Turn so that you are Turn so that you are facing the mirror.facing the mirror.Observe the Observe the alignment of your alignment of your lower leg, ankle and lower leg, ankle and foot.foot.If your foot and ankle If your foot and ankle roll outward, you have roll outward, you have a Pes Cavus or High a Pes Cavus or High Arch foot.Arch foot.


Turn so that your Turn so that your back is to the mirror.back is to the mirror.

Observe your Achilles Observe your Achilles Tendons.Tendons.

Do they tilt outward?Do they tilt outward?


**Pes Cavus/High Arch Foot.**Pes Cavus/High Arch Foot.


Face the mirror.Face the mirror.

Observe the Observe the positioning of your positioning of your toes.toes.

Do they toe in?Do they toe in?


**Toe In.**Toe In.


Observe the Observe the positioning of your positioning of your toes.toes.

Do you toe out?Do you toe out?


**Toe Out.**Toe Out.

Medical HistoryMedical History

Chief complaintChief complaint --When did the pain start?--When did the pain start? --How long have you had the pain?--How long have you had the pain? --When do you have pain?--When do you have pain? --Have you done any treatment?--Have you done any treatment? --Have you seen a professional medical --Have you seen a professional medical care provider?care provider? --Are you experiencing any other pain?--Are you experiencing any other pain?


Other informationOther information --Has your activity status changed?--Has your activity status changed? --Has your workout schedule changed (i.e.--Has your workout schedule changed (i.e. duration, intensity, terrain)?duration, intensity, terrain)? --Have you changed your foot gear?--Have you changed your foot gear? --Has there been a significant --Has there been a significant increase/decrease in body weight?increase/decrease in body weight? --Do you routinely stretch?--Do you routinely stretch?


Your Next Step…Your Next Step…

Complete assessment.Complete assessment.Complete Medical History.Complete Medical History.

**Printable forms on www.drleecohen.com**Printable forms on www.drleecohen.comSeek out Medical Help. Take your Seek out Medical Help. Take your assessment and medical history form.assessment and medical history form.

**Primary Care Physician.**Primary Care Physician. **Podiatrist—specializes in foot and **Podiatrist—specializes in foot and ankle problems.ankle problems.


Look for the next in this series of self-help Look for the next in this series of self-help presentations.presentations.

It will focus on partner guided It will focus on partner guided observations.observations.


Dr. Lee CohenDr. Lee Cohen

642 East Chester Pike642 East Chester Pike

Ridley Park, PA Ridley Park, PA

1907819078

(610) 522-9200(610) 522-9200

www.drleecohen.comwww.drleecohen.com

Documents

Dr. Lee Cohen