Feb. 18, 2026

The 10,000 Step Lie

The 10,000 Step Lie

Milica McDowell, DPT — clinic owner, professor, and now AVP of Education at USPH — joins Jimmy live from APTA CSM to make a bold claim:


Most PTs are recommending the wrong shoes.


In this episode:

  • Why 10,000 steps is marketing, not medicine
  • The real step counts tied to longevity and mental health
  • Why tapered toe boxes weaken feet
  • The concept of the “24-hour shoe clock”
  • Why cushioned shoes in clinic may be a clinical liability


If you're a PT who cares about mobility, longevity, and biomechanics, this conversation matters.


Milica’s Core Message

Functional footwear is not a fashion preference.

It’s a biomechanical responsibility.


Resources

???? Walk (Releases May 5, 2026)

???? milicamcdowell.com

Follow: @gaithappens | @altrarunning | @vivobarefoot

Transcript
WEBVTT

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Come on, there we go.

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The best conversations happen at happy

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hour.

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Welcome to ours.

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Welcome aboard.

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This is the PT podcast.

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Here's your host, physical therapist,

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Jimmy McKay.

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Thanks, voice person.

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I appreciate that.

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Yeah,

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we're live at APT's CSM for two days.

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If it sounds like my voice is slowly

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degrading,

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it's because my voice is slowly degrading.

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Melissa's here.

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How's your conference?

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Is the nicety we say to each other

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while we're in the middle of chaos and

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noise?

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But how's it going?

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It's going great.

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I work at U.S.

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Physical Therapy,

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so we are here meeting tons of students

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who we provide clinical rotations to.

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What's your superhero backstory?

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How did you get to here in the

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profession?

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What's your superhero origin story in the

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profession?

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I'm a sports and orthopedic PT.

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I'm a Rock Tape alumni.

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I spent almost ten years with that brand.

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Good.

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University faculty,

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and so I run education at USPH.

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Do you think that's what you were going

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to be doing when you started?

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No.

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Isn't that fun though?

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It is.

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I thought I was going to own an

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orthopedic clinic and, you know,

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grind and which I did,

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but then I turned into a faculty and

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then I turned into an education

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professional.

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It's not one lane.

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It is not one lane.

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It's a lot of paths.

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Yeah.

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All right, so before we started, I said,

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hey, what are we talking about?

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You said the word spicy, like spicy takes,

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and I like spicy takes.

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So what's a spicy take or two that

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you've got,

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things that shouldn't be and they should

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be this way?

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Yeah, so I'm launching a book in May,

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and one of the primary things we're

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talking about is footwear and what shoes

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we should be wearing and what shoes we

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perhaps should be avoiding and how our

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foot health completely impacts our overall

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health.

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I feel like if you're going to own

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a term, foot health would be pretty good.

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Yeah.

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So how do you look at it?

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How should people be looking at it from

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your point of view?

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So one in three adults in America has

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foot pain.

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Over sixty percent of adults are wearing

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the wrong sized shoe.

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Wrong size.

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Wrong size.

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Is that our fault?

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Because you know what?

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I was in a store the other day

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and I'm looking for the little shoe sizey

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thing and it wasn't there.

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It wasn't even there anymore.

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You know what those things are called?

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No.

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That's a Brannock device.

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It's its hundredth anniversary.

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It has not been changed since it was

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innovated.

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It's American made.

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And I remember kids,

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somebody at the shoe store used to do

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it for you,

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whether they knew how to do it right

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or not.

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And then I remember as I aged,

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they were just, oh, yeah,

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it's over there in the corner.

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And now it's not even really there

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anymore.

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Why are we wearing the wrong shoe size?

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I mean,

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I just named like nine possible points of

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failure in the proper size,

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but why aren't we?

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And what does that do?

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Yeah.

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So if you're not wearing the right size

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of shoe, generally speaking,

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it's creating orthopedic problems and

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biomechanical propulsion problems.

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So if you've got corns, calluses, bunions,

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heel pain, Achilles pain, I could go on.

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A lot of times it's related to wearing

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the wrong size, length of shoe.

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Beyond size,

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I'm going to take a wild guess and

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say type probably is also a thing.

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Yes.

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How are we doing it?

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Back in the day before PT,

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I would choose my shoes very

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scientifically, color, texture,

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if it was in my brand,

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if I had running shirts or shorts that

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matched that.

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Probably not the best way to do it.

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What is a simple approach?

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You've got a book coming out.

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We'll have to get deeper into that.

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But the fifteen second rapid fire view,

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why are we doing it wrong and how

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do we do it better?

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The reason we're doing it wrong is the

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marketing budgets of shoes that are not

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shaped like feet are much greater than the

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marketing budgets of shoes that are shaped

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like feet.

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So there's your spicy hot take number one.

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Yeah, buy based on the foot,

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not the fashion.

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Yeah,

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so my non-negotiable foot-shaped shoe.

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Meaning what?

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Meaning it should not be tapered.

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Yeah.

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That's a big place to start.

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I forget who it was,

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but had some great photos on Instagram of

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like the toe box cut out.

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Oh, there's a van.

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There it is.

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But yeah,

00:04:05.336 --> 00:04:07.179
there's that's a great X-ray picture right

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there.

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Right.

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Is from ultra running.

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You're looking at one on the left.

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Sorry.

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Yeah.

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My my left.

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You're left there saying that looks like

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it's a little.

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Like my shoe,

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my feet are kind of cramped in there

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versus the one on the right,

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which there's a little more space for

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those little toesies in there to spread

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out.

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Yep, space for toes.

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So space for toes allows us to splay

00:04:24.937 --> 00:04:26.858
the toes, which improves our biomechanics.

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It reduces pressure on things like the

00:04:29.238 --> 00:04:30.439
nerves that run in between those

00:04:30.459 --> 00:04:31.120
metatarsals.

00:04:31.639 --> 00:04:34.201
allows your muscles in between the bones

00:04:34.221 --> 00:04:35.641
to have better function.

00:04:35.802 --> 00:04:37.043
They can hypertrophy over time,

00:04:37.083 --> 00:04:37.524
get bigger.

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Your interossei is a big player there.

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And babies aren't born with bunions.

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And so another unpopular opinion,

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hot take that I'll be sharing with

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everyone today,

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where do you think bunions come from?

00:04:49.209 --> 00:04:49.509
Shoes?

00:04:50.071 --> 00:04:50.230
Yeah.

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One of the contributors.

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Yeah.

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I mean...

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We look at, somebody had taught this,

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mentioned this in PT school,

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but we look at like foot binding

00:04:58.026 --> 00:04:58.507
practices.

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Like those are ridiculous.

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I can't believe people did that while

00:05:02.009 --> 00:05:03.149
we're sitting there in shoes that are

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maybe not as extreme as binding,

00:05:05.471 --> 00:05:06.853
but kind of doing the same thing over

00:05:06.913 --> 00:05:09.055
time and over a longer period of time.

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And we voluntarily do that.

00:05:11.055 --> 00:05:12.476
I wore tuxedo shoes yesterday because I

00:05:12.497 --> 00:05:13.697
thought it'd be funny to wear a tuxedo.

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And those shoes,

00:05:16.343 --> 00:05:18.564
Did not do a whole lot for my

00:05:18.605 --> 00:05:20.867
feet and my calves and my back,

00:05:20.887 --> 00:05:21.829
and I'm feeling that today.

00:05:22.689 --> 00:05:24.151
Yes, the dogs are barking.

00:05:24.170 --> 00:05:24.791
The dogs are barking.

00:05:24.831 --> 00:05:26.413
I will say these are sneaker bottoms,

00:05:26.434 --> 00:05:28.196
so they do look like dress shoes from

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the top,

00:05:29.016 --> 00:05:30.197
but on the bottom and on the inside,

00:05:30.317 --> 00:05:31.059
they are pretty small.

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Nice.

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We could maybe do a shoe reveal while

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we're chatting today.

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What is a shoe reveal?

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If you're so inclined.

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Well,

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I would have you pop that shoe off

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and we could decide if it's shaped like

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a foot.

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Let's do it.

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So what am I looking at?

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Where do you begin your foot?

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The journey?

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Well,

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let's take the shoe off to start with.

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Got it.

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There it is.

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Okay.

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All right.

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Yep.

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And so when we look at this...

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That's a tapered toe box.

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Whether or not it has the heart of

00:05:54.507 --> 00:05:55.148
a running shoe,

00:05:55.208 --> 00:05:57.608
as these are typically billed to be.

00:05:57.728 --> 00:05:57.947
Right.

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If we look at that toe box,

00:05:59.588 --> 00:06:01.509
that is a narrow toe box.

00:06:01.528 --> 00:06:02.769
That's based out of fashion.

00:06:03.028 --> 00:06:03.269
Right.

00:06:03.369 --> 00:06:04.189
It's very fashionable.

00:06:04.209 --> 00:06:04.889
What is normal.

00:06:05.088 --> 00:06:05.309
Right.

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Hang on to that thing.

00:06:06.250 --> 00:06:06.829
Go ahead.

00:06:06.850 --> 00:06:08.110
So I'm going to take my shoe off.

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See how my single leg balances.

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Thanks, Jimmy.

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All right.

00:06:11.490 --> 00:06:15.990
So this shoe is shaped like a foot.

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Right.

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So see how my toe box is a

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little bit wider.

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Yours is more tapered.

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And those Mickey Mouse for a second there

00:06:22.499 --> 00:06:22.798
on the bottom.

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Keep going.

00:06:23.459 --> 00:06:25.199
Yeah, this is a Vivo barefoot shoe.

00:06:26.000 --> 00:06:26.839
It's one of their sneakers.

00:06:26.879 --> 00:06:27.720
So when we look at it from the

00:06:27.759 --> 00:06:28.581
top as well,

00:06:28.880 --> 00:06:30.081
you can see that that would allow my

00:06:30.120 --> 00:06:31.161
toes to splay.

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It's not drastic, though.

00:06:32.980 --> 00:06:34.041
It's not like someone's going to look at

00:06:34.081 --> 00:06:34.942
you and be like, oh,

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those are clown shoes.

00:06:35.701 --> 00:06:36.641
Like, I wouldn't have noticed.

00:06:36.822 --> 00:06:37.482
Even when you said that,

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I didn't notice that yours were that much

00:06:39.523 --> 00:06:39.843
wider.

00:06:39.983 --> 00:06:40.142
Yeah.

00:06:40.262 --> 00:06:41.762
So the innovations have gotten a lot

00:06:41.843 --> 00:06:43.584
better as wide toe box shoes have gotten

00:06:43.644 --> 00:06:44.204
more common.

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They don't have to look as extreme.

00:06:45.723 --> 00:06:46.584
Yes, exactly.

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Yeah.

00:06:46.843 --> 00:06:48.425
Because, I mean,

00:06:48.464 --> 00:06:49.845
getting people to completely abandon...

00:06:51.374 --> 00:06:53.154
their footwear, probably not gonna happen,

00:06:53.175 --> 00:06:54.855
but asking them or giving them better

00:06:54.915 --> 00:06:58.016
options to choose between is probably a

00:06:58.057 --> 00:06:58.516
better option.

00:06:58.576 --> 00:06:58.716
Yeah,

00:06:58.817 --> 00:07:00.197
and there's a concept we talk about which

00:07:00.218 --> 00:07:01.759
is called the twenty-four hour shoe clock.

00:07:02.079 --> 00:07:03.639
So you have twenty-four hours in a day,

00:07:04.220 --> 00:07:05.319
and we think of that as a pie

00:07:05.339 --> 00:07:05.620
chart.

00:07:05.661 --> 00:07:07.120
So you're spending some time barefoot,

00:07:07.141 --> 00:07:08.682
you're spending some time sleeping,

00:07:09.302 --> 00:07:10.702
perhaps you're spending some time in a

00:07:10.762 --> 00:07:11.182
dress shoe.

00:07:11.202 --> 00:07:12.504
Maybe you work in a profession where

00:07:12.524 --> 00:07:13.363
you're a flight attendant,

00:07:14.444 --> 00:07:16.345
or you're in the military and you have

00:07:16.384 --> 00:07:19.247
to wear a narrow uniform shoe.

00:07:19.887 --> 00:07:22.110
And so you can counteract that, right?

00:07:22.149 --> 00:07:23.831
So all is not lost.

00:07:23.973 --> 00:07:26.415
Those of you who are in fashion shoes,

00:07:26.456 --> 00:07:27.516
choosing fashion shoes,

00:07:27.918 --> 00:07:28.738
going to a wedding,

00:07:28.778 --> 00:07:30.360
going to a hot date, you know,

00:07:30.841 --> 00:07:32.103
I'm probably not going to be...

00:07:32.122 --> 00:07:32.803
It's not all or nothing.

00:07:32.884 --> 00:07:33.605
It's not all or nothing.

00:07:33.644 --> 00:07:34.545
It's not a light switch.

00:07:34.747 --> 00:07:35.447
It's a volume dial.

00:07:36.208 --> 00:07:36.747
Okay.

00:07:36.767 --> 00:07:37.788
So talk more about the book.

00:07:37.829 --> 00:07:38.149
First of all,

00:07:38.189 --> 00:07:39.348
I pat myself on the back when I

00:07:39.488 --> 00:07:40.069
read a book.

00:07:40.088 --> 00:07:41.608
I'm like, I don't want to brag.

00:07:41.749 --> 00:07:42.350
You wrote a book?

00:07:42.490 --> 00:07:42.889
I wrote a book.

00:07:43.089 --> 00:07:43.250
Yeah.

00:07:43.589 --> 00:07:44.269
Walk us through it.

00:07:44.310 --> 00:07:45.009
Walk us through it.

00:07:45.050 --> 00:07:45.649
Walk us through it.

00:07:45.850 --> 00:07:47.290
So Jimmy, the book is called Walk.

00:07:47.651 --> 00:07:49.211
I have an advanced copy of it right

00:07:49.230 --> 00:07:49.391
here.

00:07:50.211 --> 00:07:50.372
Nice.

00:07:50.572 --> 00:07:51.252
She's a pretty gal.

00:07:51.932 --> 00:07:53.531
I wrote it with Dr. Courtney Conley,

00:07:53.552 --> 00:07:54.572
who's a chiropractor,

00:07:54.632 --> 00:07:55.833
foot and gait expert.

00:07:55.992 --> 00:07:57.612
Her brand is called Gait Happens.

00:07:58.153 --> 00:07:58.954
Gait Happens.

00:07:59.514 --> 00:08:01.074
She's also a Rock Tape alumni.

00:08:01.093 --> 00:08:02.355
So shout out to all those Rock Tape

00:08:02.375 --> 00:08:03.334
alumni who hopefully will

00:08:03.935 --> 00:08:04.576
Catch up with this.

00:08:04.615 --> 00:08:06.918
Shantae, Mike Stella, Joe LaVaca,

00:08:06.978 --> 00:08:08.178
Megan Helwig, all of our homies.

00:08:08.199 --> 00:08:09.060
Mike Stella was rocked.

00:08:09.079 --> 00:08:09.821
I didn't know that.

00:08:09.841 --> 00:08:10.540
Follow him like crazy.

00:08:10.560 --> 00:08:13.744
Steve Capo, Alison Evans, like the core.

00:08:13.764 --> 00:08:15.406
I love those people.

00:08:15.946 --> 00:08:16.547
They're my family.

00:08:16.627 --> 00:08:17.447
So start with this.

00:08:17.668 --> 00:08:18.028
Why?

00:08:19.007 --> 00:08:20.307
Writing a book, I've never done it,

00:08:20.348 --> 00:08:21.528
but again, can't be easy.

00:08:21.788 --> 00:08:23.028
You're gonna put blood, sweat,

00:08:23.108 --> 00:08:23.889
and tears into it.

00:08:24.329 --> 00:08:25.589
What was the big, this,

00:08:25.870 --> 00:08:27.170
we're gonna plant our flag here,

00:08:27.271 --> 00:08:28.951
and then what does someone become when

00:08:28.971 --> 00:08:29.471
they're done reading?

00:08:29.711 --> 00:08:29.911
Yeah,

00:08:30.091 --> 00:08:32.572
so we planted our flag at Mike Stella's

00:08:32.613 --> 00:08:32.952
wedding.

00:08:33.673 --> 00:08:34.052
Nice.

00:08:34.452 --> 00:08:35.594
Courtney came up to me and said, hey,

00:08:35.614 --> 00:08:36.653
I need your help with a project this

00:08:36.673 --> 00:08:36.793
year.

00:08:36.833 --> 00:08:37.374
I said, great,

00:08:37.394 --> 00:08:38.054
what do you need from me?

00:08:38.075 --> 00:08:39.774
Because I, at the time,

00:08:39.815 --> 00:08:41.456
was doing consulting work for her brand.

00:08:42.316 --> 00:08:44.197
And I was assuming what she needed for

00:08:44.216 --> 00:08:46.219
me was to help operationalize it, sell it,

00:08:46.239 --> 00:08:47.198
biz dev, that sort of thing.

00:08:47.219 --> 00:08:47.639
And she was like,

00:08:47.698 --> 00:08:49.019
I'm going to write a book about feet.

00:08:49.780 --> 00:08:50.061
And I said,

00:08:50.100 --> 00:08:52.782
ten people are going to read that.

00:08:52.822 --> 00:08:53.682
How about if we write a book about

00:08:53.722 --> 00:08:54.082
walking?

00:08:54.123 --> 00:08:55.703
So there was my helpful point number one.

00:08:55.724 --> 00:08:56.404
That is good.

00:08:57.004 --> 00:08:58.846
And so it was really a passion project

00:08:58.985 --> 00:09:01.248
of her wanting to get her messaging out,

00:09:01.427 --> 00:09:02.388
talk about foot health,

00:09:02.548 --> 00:09:03.908
how that impacts total health,

00:09:04.328 --> 00:09:06.130
teach people about self-assessment,

00:09:06.150 --> 00:09:08.471
footwear, pain, selecting time,

00:09:08.532 --> 00:09:09.832
how many steps should you take per day,

00:09:10.533 --> 00:09:12.918
and then it really just became this

00:09:13.399 --> 00:09:14.763
immersive experience.

00:09:15.423 --> 00:09:15.705
Yeah.

00:09:15.804 --> 00:09:16.547
Simple, not easy.

00:09:16.967 --> 00:09:17.389
Correct.

00:09:17.469 --> 00:09:17.990
Right.

00:09:18.049 --> 00:09:19.413
I feel like if you had written this

00:09:19.693 --> 00:09:20.475
ten years ago,

00:09:21.948 --> 00:09:23.910
okay but right now there is such a

00:09:23.951 --> 00:09:27.312
great light shine on wellness taking care

00:09:27.352 --> 00:09:30.414
of myself i need to be an active

00:09:30.475 --> 00:09:32.537
participant or you know the most active

00:09:32.576 --> 00:09:35.318
participant in my in my care so i've

00:09:35.379 --> 00:09:38.160
said pts or people in health hey this

00:09:38.240 --> 00:09:39.221
is our moment like they're paying

00:09:39.241 --> 00:09:41.644
attention yes as we know with moments they

00:09:41.663 --> 00:09:43.144
come and go they do while we've got

00:09:43.205 --> 00:09:45.245
this can we how many behaviors can we

00:09:45.306 --> 00:09:48.609
change again ten years ago even if it

00:09:48.629 --> 00:09:49.990
was the same book great i feel like

00:09:50.009 --> 00:09:51.191
this is a this is a great

00:09:51.390 --> 00:09:52.471
It's a moment.

00:09:52.652 --> 00:09:53.412
Yeah, it's a moment.

00:09:53.672 --> 00:09:55.953
We're in our taking care of ourselves era.

00:09:56.153 --> 00:09:56.653
We are.

00:09:57.095 --> 00:09:58.294
And we're talking about longevity.

00:09:58.355 --> 00:10:00.157
We're talking with experts like Dr.

00:10:00.177 --> 00:10:00.777
Vonda Wright,

00:10:00.856 --> 00:10:03.538
who is so big into muscle tone and

00:10:03.558 --> 00:10:04.479
bone health for women.

00:10:04.499 --> 00:10:06.039
We're talking about zone two loading.

00:10:06.059 --> 00:10:07.280
We're talking about power training.

00:10:07.841 --> 00:10:09.962
And all of those can be achieved.

00:10:10.243 --> 00:10:11.965
with walking as a platform.

00:10:12.926 --> 00:10:13.547
And so for us,

00:10:13.606 --> 00:10:15.869
it really just became this collision of

00:10:15.928 --> 00:10:18.412
the timing of the passion project and then

00:10:18.511 --> 00:10:20.413
us taking a very operational mindset and

00:10:20.433 --> 00:10:21.054
saying, all right, well,

00:10:21.075 --> 00:10:22.235
how do we commercialize this sucker?

00:10:22.456 --> 00:10:23.317
What do you do to get a book

00:10:23.356 --> 00:10:23.758
published?

00:10:23.918 --> 00:10:24.759
There's self-published,

00:10:24.778 --> 00:10:26.221
there's big traditional publishing.

00:10:26.380 --> 00:10:28.182
You have to get an agent,

00:10:28.222 --> 00:10:29.224
just like a real estate agent,

00:10:29.244 --> 00:10:30.826
and then that agent goes and shops you

00:10:30.885 --> 00:10:30.985
out.

00:10:31.265 --> 00:10:31.605
Wow.

00:10:32.927 --> 00:10:34.107
Who is it for?

00:10:34.227 --> 00:10:36.250
Who do you hope is holding this?

00:10:36.309 --> 00:10:37.811
And then what does that person hopefully

00:10:37.850 --> 00:10:40.293
become or feel empowered to do or be

00:10:40.352 --> 00:10:41.333
able to do when they're done?

00:10:41.494 --> 00:10:41.793
Yes.

00:10:41.894 --> 00:10:43.796
The book is for people who walk.

00:10:44.336 --> 00:10:45.657
A lot of people.

00:10:45.876 --> 00:10:46.717
We did, you know,

00:10:46.758 --> 00:10:48.820
really try to as clinicians.

00:10:48.860 --> 00:10:49.000
Right.

00:10:49.039 --> 00:10:49.580
I'm a physio.

00:10:49.600 --> 00:10:50.341
She's a chiropractor.

00:10:50.380 --> 00:10:52.022
We were really trying to struggle.

00:10:52.081 --> 00:10:53.143
We struggled with, you know,

00:10:53.202 --> 00:10:54.163
individuals who don't walk.

00:10:54.203 --> 00:10:55.924
So if someone's a wheelchair user or those

00:10:55.945 --> 00:10:56.466
sorts of things.

00:10:57.025 --> 00:10:57.726
And unfortunately,

00:10:57.767 --> 00:10:59.248
this book can only be so long.

00:10:59.528 --> 00:10:59.748
Right.

00:10:59.788 --> 00:11:01.971
So there are all sorts of wonderful,

00:11:02.171 --> 00:11:03.952
continuous mobility that individuals who

00:11:04.013 --> 00:11:06.316
don't walk are able to engage in.

00:11:06.475 --> 00:11:06.897
Unfortunately,

00:11:06.917 --> 00:11:08.357
we weren't really able to address that in

00:11:08.557 --> 00:11:09.158
this project.

00:11:09.659 --> 00:11:12.042
But so this is anybody who you could

00:11:12.062 --> 00:11:12.722
have a prosthetic.

00:11:12.783 --> 00:11:14.184
You could be walking with an assistive

00:11:14.205 --> 00:11:14.524
device.

00:11:14.544 --> 00:11:15.927
You could be returning from an injury.

00:11:15.986 --> 00:11:16.988
You could have an amputation,

00:11:17.248 --> 00:11:20.091
whatever the ideal.

00:11:20.772 --> 00:11:23.375
Reader is someone who is interested in

00:11:23.495 --> 00:11:25.817
today's wellness and tomorrow's longevity

00:11:26.619 --> 00:11:29.341
and wants a incredibly low cost,

00:11:29.581 --> 00:11:31.845
immediately accessible thing they can play

00:11:31.884 --> 00:11:32.105
with.

00:11:32.865 --> 00:11:34.047
And the great part of the book is

00:11:34.086 --> 00:11:36.129
it really just has like it has all

00:11:36.149 --> 00:11:37.270
these little snacks in it.

00:11:37.750 --> 00:11:39.130
the five-minute micro walk,

00:11:39.211 --> 00:11:41.011
how to swap an activity and do a

00:11:41.052 --> 00:11:41.312
walk,

00:11:41.331 --> 00:11:42.371
maybe how to do a walk and talk

00:11:42.412 --> 00:11:44.552
meeting, strategies you can use,

00:11:45.133 --> 00:11:46.312
all sorts of assessments.

00:11:46.352 --> 00:11:47.452
How's your big toe mobility?

00:11:47.493 --> 00:11:48.332
How's your ankle mobility?

00:11:48.373 --> 00:11:49.373
How's your foot awareness?

00:11:50.114 --> 00:11:51.474
It feels like a salad bar.

00:11:51.653 --> 00:11:51.894
To me,

00:11:51.913 --> 00:11:52.854
it feels like there's a little something

00:11:52.894 --> 00:11:53.453
for everyone.

00:11:53.874 --> 00:11:55.715
And you can pick and choose the elements

00:11:55.735 --> 00:11:58.254
that really need to be improved for you

00:11:58.274 --> 00:12:01.416
to become someone who has walking as a

00:12:01.495 --> 00:12:02.015
part of your day.

00:12:02.235 --> 00:12:03.176
Yeah.

00:12:03.216 --> 00:12:05.277
Where are you with the ten thousand steps?

00:12:05.317 --> 00:12:06.677
I think I saw something online that you

00:12:06.697 --> 00:12:08.177
had said where, hey, what?

00:12:08.278 --> 00:12:09.859
So what is your what is your spicy

00:12:09.899 --> 00:12:10.119
take?

00:12:10.178 --> 00:12:10.519
Agree.

00:12:10.558 --> 00:12:11.019
Disagree.

00:12:11.058 --> 00:12:11.698
Somewhere in the middle.

00:12:12.198 --> 00:12:14.899
Ten thousand steps is a marketing hangover

00:12:14.940 --> 00:12:15.941
from the nineteen sixties.

00:12:16.461 --> 00:12:17.640
It was never science backed.

00:12:17.740 --> 00:12:19.682
And so it is a myth we're trying

00:12:19.701 --> 00:12:21.062
to bust with our platform.

00:12:21.582 --> 00:12:22.023
Because what?

00:12:22.062 --> 00:12:23.783
We don't need that much.

00:12:23.802 --> 00:12:24.342
That's correct.

00:12:24.403 --> 00:12:24.724
Right.

00:12:24.744 --> 00:12:26.823
So, hey, don't feel shamed if you're not.

00:12:27.585 --> 00:12:28.965
Because, you know,

00:12:29.345 --> 00:12:30.785
two thousand is better than one thousand

00:12:30.806 --> 00:12:31.625
and six thousand is better.

00:12:32.062 --> 00:12:32.322
Yeah,

00:12:32.341 --> 00:12:33.942
so there's a rate of diminishing returns.

00:12:34.482 --> 00:12:36.104
The top end is around eighty-five hundred

00:12:36.203 --> 00:12:37.565
if you're under sixty years old.

00:12:37.945 --> 00:12:39.186
There's some really big randomized

00:12:39.225 --> 00:12:40.407
controlled systematic reviews with

00:12:40.767 --> 00:12:41.947
hundreds of thousands of patients in them.

00:12:42.888 --> 00:12:44.308
So eighty-five hundred if you're under

00:12:44.349 --> 00:12:44.729
sixty,

00:12:44.808 --> 00:12:46.350
seventy-five hundred if you're over sixty.

00:12:46.850 --> 00:12:47.971
If you're someone who's looking for

00:12:48.051 --> 00:12:49.812
benefits related to depression symptoms,

00:12:49.851 --> 00:12:50.673
fifty-five hundred.

00:12:51.092 --> 00:12:53.653
Lifetime risk of developing depression,

00:12:53.693 --> 00:12:54.414
seventy-five hundred.

00:12:55.134 --> 00:12:57.235
And there's really great data on dementia,

00:12:57.395 --> 00:12:58.917
where if you're at thirty nine,

00:12:58.996 --> 00:12:59.738
thirty eight hundred,

00:13:00.317 --> 00:13:01.879
you reduce your risk of dementia by about

00:13:01.918 --> 00:13:02.499
twenty percent.

00:13:02.958 --> 00:13:04.480
If you hit ninety eight hundred,

00:13:04.500 --> 00:13:06.301
which is high and close to ten K,

00:13:06.860 --> 00:13:08.922
that has almost a fifty percent reduction

00:13:08.942 --> 00:13:09.962
in lifetime dementia risk.

00:13:10.423 --> 00:13:11.524
There's also some really great data on

00:13:11.563 --> 00:13:11.943
cancer.

00:13:11.964 --> 00:13:14.384
There's great data on sleep and a ton

00:13:14.424 --> 00:13:16.725
related to mental and cognitive clarity

00:13:16.765 --> 00:13:18.267
and cognitive performance.

00:13:18.427 --> 00:13:18.687
Love it.

00:13:18.846 --> 00:13:19.307
All right.

00:13:19.346 --> 00:13:20.668
So the date on the book and where

00:13:20.687 --> 00:13:21.469
they can get it.

00:13:21.489 --> 00:13:21.568
Yes.

00:13:21.589 --> 00:13:22.308
We close the loop.

00:13:22.389 --> 00:13:22.969
Yes, absolutely.

00:13:22.989 --> 00:13:23.609
Let's close the loop.

00:13:23.629 --> 00:13:25.389
So this is available for pre-sale right

00:13:25.409 --> 00:13:26.970
now on Amazon and anywhere else you buy

00:13:26.990 --> 00:13:27.350
your books.

00:13:27.410 --> 00:13:28.530
Target, Walmart, Barnes & Noble,

00:13:28.551 --> 00:13:29.130
Book Civilian.

00:13:29.971 --> 00:13:32.591
It publishes on Cinco de Mayo this year,

00:13:32.672 --> 00:13:34.513
five, five, twenty, twenty six.

00:13:34.753 --> 00:13:35.312
Read the book,

00:13:35.393 --> 00:13:37.094
then have the margaritas because I don't

00:13:37.114 --> 00:13:38.214
know how much walking you want to do

00:13:38.313 --> 00:13:38.634
after.

00:13:38.793 --> 00:13:40.394
Yes, that could be unsafe.

00:13:40.475 --> 00:13:41.414
Might be a little bit.

00:13:41.455 --> 00:13:43.056
Big advocates of sober walking.

00:13:43.076 --> 00:13:44.535
Sober, sober walking.

00:13:44.556 --> 00:13:44.775
All right.

00:13:44.836 --> 00:13:46.216
Last thing we do on the show is

00:13:46.277 --> 00:13:47.236
call the party.

00:13:49.583 --> 00:13:50.765
This is The Parting Shot.

00:13:51.267 --> 00:13:52.687
One last mic drop moment.

00:13:53.349 --> 00:13:54.149
No pressure.

00:13:54.591 --> 00:13:56.693
Just your legacy on the line.

00:13:57.816 --> 00:14:00.398
Parting shot is your chance to like burn

00:14:00.437 --> 00:14:01.458
something into someone's brain.

00:14:01.479 --> 00:14:03.059
What's the last thing you'd want to leave

00:14:03.480 --> 00:14:04.000
with the audience?

00:14:04.020 --> 00:14:05.041
Because we know the last thing we're

00:14:05.100 --> 00:14:06.402
usually taught is the thing that sort of

00:14:06.422 --> 00:14:06.743
sticks.

00:14:06.763 --> 00:14:07.743
So what's the last thing?

00:14:08.063 --> 00:14:09.605
Everybody knows ten thousand steps is a

00:14:09.625 --> 00:14:09.825
myth.

00:14:09.845 --> 00:14:11.285
So I'm not going to spend my parting

00:14:11.306 --> 00:14:11.826
shot on that.

00:14:11.947 --> 00:14:13.347
I just kind of snuck it in there.

00:14:13.888 --> 00:14:14.788
Pick the right shoes.

00:14:14.808 --> 00:14:15.889
That's all I'm asking you for.

00:14:15.929 --> 00:14:18.270
If you have a foot shaped shoe,

00:14:18.812 --> 00:14:21.033
if you're recommending a foot shaped shoe

00:14:21.072 --> 00:14:21.714
to your patients,

00:14:22.173 --> 00:14:23.774
if you're staying away from a tapered toe

00:14:23.794 --> 00:14:24.015
box,

00:14:24.735 --> 00:14:26.778
you improve that foot health,

00:14:26.937 --> 00:14:28.599
the ability for the muscles to do their

00:14:28.639 --> 00:14:30.441
job, and your propulsion dramatically.

00:14:30.880 --> 00:14:32.602
So my advice to everyone listening,

00:14:32.663 --> 00:14:34.403
please stay away from the tapered toe box,

00:14:34.504 --> 00:14:36.225
no matter how pretty you think they are.

00:14:36.265 --> 00:14:37.527
They are not good for your overall health.

00:14:37.567 --> 00:14:39.467
Well, when you say get a foot-shaped shoe,

00:14:39.508 --> 00:14:41.129
it sounds so obvious when you say it.

00:14:41.169 --> 00:14:41.950
Of course we would.

00:14:41.970 --> 00:14:43.171
I appreciate the time.

00:14:43.191 --> 00:14:43.831
Thanks so much, Melissa.