The Foot Clinic Ra'anana

26/02/2026

Diabetic neuropathy…. A common complaint we see often in our clinic.

23/02/2026

Current ASICS Blast Line-Up

This week on the Doctors of Running Podcast we spoke with Paul Lang, ASICS Global Footwear Senior Product Manager for Performance Running, about the brand new Superblast 3. Learn all about the shoe and how it was developed in our latest episode: https://youtu.be/AB_GQqSeiJ4

07/02/2026

05/02/2026

ANATOMY OF THE LISFRANC JOINT (TARSOMETATARSAL JOINT COMPLEX)

The Lisfranc joint complex forms the structural and functional bridge between the midfoot and forefoot. Anatomically, it is composed of the articulations between the bases of the five metatarsals and the three cuneiforms plus the cuboid. This complex arrangement provides both stability and controlled mobility, essential for efficient weight transfer during gait.

A key anatomical feature is the second metatarsal, which is recessed between the medial and lateral cuneiforms, creating a mortise-like configuration. This unique bony locking mechanism makes the Lisfranc joint inherently stable and central to maintaining the transverse and longitudinal arches of the foot.

The medial column (first metatarsal and medial cuneiform) is relatively more mobile and plays a major role in shock absorption and propulsion. In contrast, the middle and lateral columns (second to fifth metatarsals with cuneiforms and cuboid) are more rigid, providing a stable lever during push-off.

Stability of the Lisfranc joint is further reinforced by strong plantar, dorsal, and interosseous ligaments, with the plantar structures being the most robust. Notably, there is no direct ligament between the first and second metatarsals dorsally, making ligamentous integrity—especially plantarly—crucial for joint stability.

Overall, the Lisfranc joint is an anatomically intricate region designed to balance mobility and rigidity, enabling smooth transition from midfoot loading to forefoot propulsion. Even subtle disruptions in this anatomy can significantly affect foot mechanics and gait efficiency.

✨ A small joint complex with a massive role in foot stability and performance.

03/02/2026

BIOMECHANICS OF CUBOID DYSFUNCTION (CUBOID SYNDROME)

The cuboid plays a pivotal biomechanical role as the keystone of the lateral column of the foot, articulating with the calcaneus proximally and the fourth and fifth metatarsals distally. During normal gait, it functions as a rigid lever in late stance, enabling efficient transfer of ground reaction forces from the hindfoot to the forefoot.

In cuboid dysfunction, abnormal inversion–plantarflexion forces, often following a lateral ankle sprain, lead to a subtle plantar and medial displacement of the cuboid at the calcaneocuboid joint. This alters joint congruency and disrupts the normal locking mechanism of the lateral column, reducing its ability to act as a stable lever during push-off.

The peroneus longus tendon, which passes through the cuboid groove on the plantar surface, has a critical influence on cuboid mechanics. Excessive or unbalanced traction from this tendon can perpetuate cuboid malalignment, increasing compressive stress within the calcaneocuboid joint and elevating strain on adjacent ligaments and capsules.

Biomechanically, cuboid malposition compromises lateral column stability, resulting in inefficient load distribution across the midfoot. This often shifts excessive stress toward the medial column, contributing to compensatory pronation, altered subtalar joint mechanics, and early fatigue during walking or running.

During stance phase, particularly terminal stance and pre-swing, the inability of the cuboid to properly stabilize leads to pain and reduced propulsion efficiency. This may provoke secondary adaptations such as shortened stride length, reduced push-off power, and protective muscle guarding around the ankle.

Overall, cuboid dysfunction represents a small positional fault with large biomechanical consequences, influencing foot rigidity, gait efficiency, and kinetic chain alignment. Restoring normal cuboid alignment is essential to re-establish lateral column stability and optimal foot biomechanics.

01/02/2026

🦶 Pronation vs Supination – Foot & Lower-Limb Biomechanics

This image explains how foot motion at the subtalar joint influences alignment and loading all the way up the kinetic chain—from the foot to the knee, hip, pelvis, and spine.

🔹 1. Pronation (Low Arch Pattern)

What happens biomechanically:

Calcaneus everts (heel rolls inward)

Talus plantarflexes and adducts

Medial longitudinal arch lowers

Up the chain effects:

Tibia internally rotates

Femur follows into internal rotation

Knee moves toward valgus (inward collapse)

Pelvis may anteriorly tilt or rotate

📌 Functionally:
Pronation is necessary for shock absorption, but excess or prolonged pronation increases strain on:

Plantar fascia

Tibialis posterior

Medial knee structures

Hip stabilizers

🔹 2. Supination (High Arch Pattern)

What happens biomechanically:

Calcaneus inverts

Talus dorsiflexes and abducts

Arch height increases

Up the chain effects:

Tibia externally rotates

Femur externally rotates

Reduced shock absorption

Increased rigidity of the foot

📌 Functionally:
Supination is important for push-off and propulsion, but excessive supination can lead to:

Poor force attenuation

Lateral ankle instability

Stress fractures

Achilles overload

🔹 3. Neutral Subtalar Position (Optimal Zone)

Foot can pronate to absorb load

Then resupinate for propulsion

Tibia and femur rotate smoothly

Forces are evenly distributed

📌 This is the most energy-efficient and injury-resistant pattern.

🔹 4. Why the Knee & Hip Are Shown

The image highlights that foot motion drives tibial rotation, which directly influences:

Knee joint loading

Patellofemoral mechanics

Hip stability and glute activation

➡️ Many “knee” or “hip” problems originate from poor foot control, not the joint itself.

🔹 5. Key Clinical Insight

❌ Pronation and supination are not problems
✅ Problems occur when:

Motion is excessive

Timing is delayed

Control is lost

It’s a control issue, not a foot shape issue.

🧠 Take-Home Biomechanics Summary

✔ Pronation = shock absorption
✔ Supination = stability & propulsion
✔ Neutral = efficient load transfer
✔ Foot motion affects the entire lower limb
✔ Treat the movement pattern, not just the foot

📌 Rehab & Performance Tip

Instead of only using insoles:

Train foot intrinsic strength

Improve ankle mobility

Strengthen hip abductors & external rotators

Restore timing of pronation → resupination

28/01/2026

Did you know? Plantar fascia facts.

25/01/2026

How overpronation can cause knee pain!

How Flat Feet Can Lead to Knee Pain: A Biomechanical Chain Reaction 👣➡️🦵

This image clearly explains why flat feet (over-pronation) are not just a foot problem—but a whole lower-limb biomechanics issue that often ends at the knee.

On the normal foot side, the medial arch is maintained, allowing the foot to function as a stable base. Ground reaction forces are transmitted efficiently upward, and the tibia remains relatively well aligned. This supports healthy knee mechanics with minimal rotational stress.

In contrast, with a flat foot, the arch collapses excessively during weight-bearing. This causes over-pronation, which drives internal rotation of the tibia. Because the tibia and femur are mechanically linked at the knee, this internal rotation continues upward, altering knee joint alignment.

As the tibia rotates inward, the knee experiences increased valgus stress and altered patellar tracking. The femur may also internally rotate, further increasing strain on the patellofemoral joint, medial knee structures, and surrounding soft tissues. Over time, this repeated misalignment can result in anterior knee pain, medial knee pain, or even degenerative changes.

The arrows in the image highlight an important principle: force always travels upward from the ground. When foot alignment is compromised, the knee is forced to absorb abnormal rotational and shear forces that it is not designed to handle repetitively.

Key takeaway:
Flat feet don’t cause knee pain directly—but they change how forces move through the leg. Correcting foot mechanics, improving arch control, and strengthening proximal stabilizers (hips and core) can significantly reduce knee stress.

24/01/2026

Consult your podiatrist for expert advice ! www.thefootclinic.co.il

23/09/2025

High heels.

29/06/2024

"Step into better health with our expert podiatry care! Our skilled team is dedicated to providing top-notch treatment for all your foot and ankle needs. Visit us today for personalized care that keeps you moving comfortably."

www.thefootclinic.co.il

10/01/2024

Foot pain should be the last thing on the minds of our brave IDF heroes while fighting on the front lines.
We are here to support you every step of the way.👣
We extend our gratitude and commitment to providing foot care for our incredible soldiers.
Stay strong, stay focused, and know that we are with you.

Together we will win 💪🇮🇱



Together we will win . עם ישראל חי 💪🇮🇱