Feb. 18, 2026
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,
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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
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the toes, which improves our biomechanics.
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It reduces pressure on things like the
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nerves that run in between those
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metatarsals.
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allows your muscles in between the bones
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to have better function.
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They can hypertrophy over time,
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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?
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Shoes?
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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
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practices.
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Like those are ridiculous.
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I can't believe people did that while
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we're sitting there in shoes that are
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maybe not as extreme as binding,
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but kind of doing the same thing over
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time and over a longer period of time.
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And we voluntarily do that.
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I wore tuxedo shoes yesterday because I
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thought it'd be funny to wear a tuxedo.
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And those shoes,
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Did not do a whole lot for my
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feet and my calves and my back,
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and I'm feeling that today.
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Yes, the dogs are barking.
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The dogs are barking.
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I will say these are sneaker bottoms,
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so they do look like dress shoes from
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the top,
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but on the bottom and on the inside,
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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.
00:05:48.374 --> 00:05:49.295
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
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a running shoe,
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as these are typically billed to be.
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Right.
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If we look at that toe box,
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that is a narrow toe box.
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That's based out of fashion.
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Right.
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It's very fashionable.
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What is normal.
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Right.
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Hang on to that thing.
00:06:06.250 --> 00:06:06.829
Go ahead.
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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.
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So this shoe is shaped like a foot.
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Right.
00:06:16.992 --> 00:06:18.031
So see how my toe box is a
00:06:18.052 --> 00:06:18.752
little bit wider.
00:06:18.771 --> 00:06:19.692
Yours is more tapered.
00:06:21.238 --> 00:06:22.478
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.
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It's one of their sneakers.
00:06:26.879 --> 00:06:27.720
So when we look at it from the
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top as well,
00:06:28.880 --> 00:06:30.081
you can see that that would allow my
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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
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you and be like, oh,
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those are clown shoes.
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Like, I wouldn't have noticed.
00:06:36.822 --> 00:06:37.482
Even when you said that,
00:06:37.521 --> 00:06:39.463
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.
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Yes, exactly.
00:06:46.603 --> 00:06:46.803
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...
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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.
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So you're spending some time barefoot,
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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.
00:00:00.679 --> 00:00:01.248
Come on, there we go.
00:00:03.322 --> 00:00:05.224
The best conversations happen at happy
00:00:05.243 --> 00:00:05.484
hour.
00:00:06.405 --> 00:00:07.686
Welcome to ours.
00:00:07.886 --> 00:00:08.526
Welcome aboard.
00:00:08.647 --> 00:00:10.348
This is the PT podcast.
00:00:10.487 --> 00:00:12.730
Here's your host, physical therapist,
00:00:13.029 --> 00:00:14.010
Jimmy McKay.
00:00:14.051 --> 00:00:14.952
Thanks, voice person.
00:00:14.971 --> 00:00:15.692
I appreciate that.
00:00:15.753 --> 00:00:15.872
Yeah,
00:00:15.893 --> 00:00:18.774
we're live at APT's CSM for two days.
00:00:18.795 --> 00:00:20.135
If it sounds like my voice is slowly
00:00:20.175 --> 00:00:20.615
degrading,
00:00:20.657 --> 00:00:23.478
it's because my voice is slowly degrading.
00:00:23.739 --> 00:00:24.399
Melissa's here.
00:00:25.760 --> 00:00:27.242
How's your conference?
00:00:27.282 --> 00:00:29.943
Is the nicety we say to each other
00:00:29.963 --> 00:00:31.745
while we're in the middle of chaos and
00:00:31.765 --> 00:00:31.925
noise?
00:00:31.946 --> 00:00:32.386
But how's it going?
00:00:32.526 --> 00:00:33.106
It's going great.
00:00:33.447 --> 00:00:34.228
I work at U.S.
00:00:34.268 --> 00:00:34.968
Physical Therapy,
00:00:34.987 --> 00:00:37.390
so we are here meeting tons of students
00:00:38.191 --> 00:00:39.893
who we provide clinical rotations to.
00:00:40.133 --> 00:00:41.875
What's your superhero backstory?
00:00:43.076 --> 00:00:44.756
How did you get to here in the
00:00:44.777 --> 00:00:45.298
profession?
00:00:45.338 --> 00:00:47.600
What's your superhero origin story in the
00:00:47.619 --> 00:00:47.880
profession?
00:00:48.200 --> 00:00:49.642
I'm a sports and orthopedic PT.
00:00:49.722 --> 00:00:50.982
I'm a Rock Tape alumni.
00:00:51.003 --> 00:00:53.225
I spent almost ten years with that brand.
00:00:53.344 --> 00:00:53.545
Good.
00:00:53.886 --> 00:00:54.887
University faculty,
00:00:54.947 --> 00:00:57.348
and so I run education at USPH.
00:00:58.034 --> 00:00:58.936
Do you think that's what you were going
00:00:58.956 --> 00:01:00.737
to be doing when you started?
00:01:01.017 --> 00:01:01.317
No.
00:01:01.856 --> 00:01:02.898
Isn't that fun though?
00:01:03.177 --> 00:01:03.478
It is.
00:01:03.537 --> 00:01:04.399
I thought I was going to own an
00:01:04.478 --> 00:01:06.420
orthopedic clinic and, you know,
00:01:06.480 --> 00:01:08.740
grind and which I did,
00:01:08.781 --> 00:01:10.302
but then I turned into a faculty and
00:01:10.322 --> 00:01:11.403
then I turned into an education
00:01:11.423 --> 00:01:11.962
professional.
00:01:12.102 --> 00:01:13.424
It's not one lane.
00:01:13.644 --> 00:01:14.364
It is not one lane.
00:01:14.403 --> 00:01:15.344
It's a lot of paths.
00:01:15.504 --> 00:01:15.625
Yeah.
00:01:15.885 --> 00:01:17.766
All right, so before we started, I said,
00:01:17.786 --> 00:01:18.807
hey, what are we talking about?
00:01:19.706 --> 00:01:22.009
You said the word spicy, like spicy takes,
00:01:22.028 --> 00:01:23.009
and I like spicy takes.
00:01:23.049 --> 00:01:25.090
So what's a spicy take or two that
00:01:25.111 --> 00:01:25.531
you've got,
00:01:26.251 --> 00:01:27.531
things that shouldn't be and they should
00:01:27.572 --> 00:01:27.971
be this way?
00:01:27.992 --> 00:01:31.414
Yeah, so I'm launching a book in May,
00:01:31.493 --> 00:01:32.834
and one of the primary things we're
00:01:32.855 --> 00:01:35.436
talking about is footwear and what shoes
00:01:35.496 --> 00:01:36.897
we should be wearing and what shoes we
00:01:36.956 --> 00:01:39.338
perhaps should be avoiding and how our
00:01:39.418 --> 00:01:42.600
foot health completely impacts our overall
00:01:42.641 --> 00:01:42.900
health.
00:01:43.081 --> 00:01:44.281
I feel like if you're going to own
00:01:44.340 --> 00:01:46.141
a term, foot health would be pretty good.
00:01:46.322 --> 00:01:46.561
Yeah.
00:01:46.802 --> 00:01:48.602
So how do you look at it?
00:01:48.621 --> 00:01:50.882
How should people be looking at it from
00:01:50.923 --> 00:01:51.362
your point of view?
00:01:51.882 --> 00:01:53.743
So one in three adults in America has
00:01:53.804 --> 00:01:54.463
foot pain.
00:01:55.043 --> 00:01:56.864
Over sixty percent of adults are wearing
00:01:56.885 --> 00:01:58.564
the wrong sized shoe.
00:01:58.784 --> 00:01:59.504
Wrong size.
00:01:59.564 --> 00:02:01.525
Wrong size.
00:02:01.605 --> 00:02:02.325
Is that our fault?
00:02:02.346 --> 00:02:04.007
Because you know what?
00:02:04.027 --> 00:02:04.826
I was in a store the other day
00:02:04.846 --> 00:02:07.608
and I'm looking for the little shoe sizey
00:02:07.628 --> 00:02:08.527
thing and it wasn't there.
00:02:08.548 --> 00:02:09.407
It wasn't even there anymore.
00:02:09.533 --> 00:02:10.754
You know what those things are called?
00:02:10.835 --> 00:02:10.974
No.
00:02:11.014 --> 00:02:12.216
That's a Brannock device.
00:02:12.376 --> 00:02:13.937
It's its hundredth anniversary.
00:02:13.957 --> 00:02:15.859
It has not been changed since it was
00:02:15.879 --> 00:02:16.259
innovated.
00:02:16.300 --> 00:02:18.061
It's American made.
00:02:18.282 --> 00:02:19.763
And I remember kids,
00:02:19.802 --> 00:02:22.485
somebody at the shoe store used to do
00:02:22.525 --> 00:02:23.045
it for you,
00:02:23.165 --> 00:02:24.326
whether they knew how to do it right
00:02:24.347 --> 00:02:24.667
or not.
00:02:25.086 --> 00:02:27.650
And then I remember as I aged,
00:02:27.689 --> 00:02:28.389
they were just, oh, yeah,
00:02:28.409 --> 00:02:29.390
it's over there in the corner.
00:02:29.872 --> 00:02:31.173
And now it's not even really there
00:02:31.193 --> 00:02:31.453
anymore.
00:02:32.491 --> 00:02:34.332
Why are we wearing the wrong shoe size?
00:02:34.372 --> 00:02:34.513
I mean,
00:02:34.552 --> 00:02:36.574
I just named like nine possible points of
00:02:36.614 --> 00:02:38.215
failure in the proper size,
00:02:38.254 --> 00:02:39.594
but why aren't we?
00:02:39.854 --> 00:02:40.975
And what does that do?
00:02:41.235 --> 00:02:41.496
Yeah.
00:02:41.596 --> 00:02:43.097
So if you're not wearing the right size
00:02:43.157 --> 00:02:45.117
of shoe, generally speaking,
00:02:45.157 --> 00:02:47.278
it's creating orthopedic problems and
00:02:47.318 --> 00:02:49.340
biomechanical propulsion problems.
00:02:49.780 --> 00:02:51.741
So if you've got corns, calluses, bunions,
00:02:51.800 --> 00:02:53.741
heel pain, Achilles pain, I could go on.
00:02:54.042 --> 00:02:55.663
A lot of times it's related to wearing
00:02:55.682 --> 00:02:57.783
the wrong size, length of shoe.
00:02:58.765 --> 00:02:59.669
Beyond size,
00:02:59.769 --> 00:03:00.872
I'm going to take a wild guess and
00:03:00.913 --> 00:03:03.561
say type probably is also a thing.
00:03:03.760 --> 00:03:04.002
Yes.
00:03:05.270 --> 00:03:07.372
How are we doing it?
00:03:07.391 --> 00:03:08.491
Back in the day before PT,
00:03:08.532 --> 00:03:10.112
I would choose my shoes very
00:03:10.153 --> 00:03:13.056
scientifically, color, texture,
00:03:14.135 --> 00:03:15.697
if it was in my brand,
00:03:16.098 --> 00:03:18.019
if I had running shirts or shorts that
00:03:18.058 --> 00:03:18.560
matched that.
00:03:19.740 --> 00:03:21.061
Probably not the best way to do it.
00:03:21.502 --> 00:03:22.682
What is a simple approach?
00:03:22.703 --> 00:03:23.643
You've got a book coming out.
00:03:23.663 --> 00:03:25.343
We'll have to get deeper into that.
00:03:25.705 --> 00:03:29.347
But the fifteen second rapid fire view,
00:03:29.807 --> 00:03:30.668
why are we doing it wrong and how
00:03:30.747 --> 00:03:31.528
do we do it better?
00:03:31.848 --> 00:03:33.289
The reason we're doing it wrong is the
00:03:33.370 --> 00:03:35.431
marketing budgets of shoes that are not
00:03:35.771 --> 00:03:37.793
shaped like feet are much greater than the
00:03:37.812 --> 00:03:39.594
marketing budgets of shoes that are shaped
00:03:39.615 --> 00:03:39.974
like feet.
00:03:39.995 --> 00:03:41.596
So there's your spicy hot take number one.
00:03:42.096 --> 00:03:44.457
Yeah, buy based on the foot,
00:03:44.918 --> 00:03:46.479
not the fashion.
00:03:46.780 --> 00:03:47.000
Yeah,
00:03:47.120 --> 00:03:51.362
so my non-negotiable foot-shaped shoe.
00:03:52.143 --> 00:03:52.903
Meaning what?
00:03:52.924 --> 00:03:54.365
Meaning it should not be tapered.
00:03:55.066 --> 00:03:55.186
Yeah.
00:03:55.506 --> 00:03:56.526
That's a big place to start.
00:03:57.008 --> 00:03:58.109
I forget who it was,
00:03:58.169 --> 00:04:00.592
but had some great photos on Instagram of
00:04:00.632 --> 00:04:02.253
like the toe box cut out.
00:04:03.254 --> 00:04:04.015
Oh, there's a van.
00:04:04.075 --> 00:04:04.656
There it is.
00:04:04.675 --> 00:04:05.317
But yeah,
00:04:05.336 --> 00:04:07.179
there's that's a great X-ray picture right
00:04:07.199 --> 00:04:07.338
there.
00:04:07.359 --> 00:04:07.539
Right.
00:04:08.039 --> 00:04:08.980
Is from ultra running.
00:04:09.140 --> 00:04:10.522
You're looking at one on the left.
00:04:10.742 --> 00:04:11.043
Sorry.
00:04:11.062 --> 00:04:11.204
Yeah.
00:04:11.264 --> 00:04:12.185
My my left.
00:04:12.405 --> 00:04:14.146
You're left there saying that looks like
00:04:14.227 --> 00:04:14.546
it's a little.
00:04:15.574 --> 00:04:16.095
Like my shoe,
00:04:16.615 --> 00:04:17.935
my feet are kind of cramped in there
00:04:18.016 --> 00:04:18.975
versus the one on the right,
00:04:18.995 --> 00:04:20.677
which there's a little more space for
00:04:20.697 --> 00:04:21.857
those little toesies in there to spread
00:04:21.877 --> 00:04:21.937
out.
00:04:21.956 --> 00:04:22.757
Yep, space for toes.
00:04:22.797 --> 00:04:24.918
So space for toes allows us to splay
00:04:24.937 --> 00:04:26.858
the toes, which improves our biomechanics.
00:04:27.119 --> 00:04:29.178
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.
00:04:37.543 --> 00:04:39.665
Your interossei is a big player there.
00:04:40.384 --> 00:04:43.067
And babies aren't born with bunions.
00:04:43.146 --> 00:04:45.048
And so another unpopular opinion,
00:04:45.088 --> 00:04:46.148
hot take that I'll be sharing with
00:04:46.187 --> 00:04:46.908
everyone today,
00:04:47.369 --> 00:04:49.170
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.
00:04:50.290 --> 00:04:51.050
One of the contributors.
00:04:51.091 --> 00:04:51.531
Yeah.
00:04:51.591 --> 00:04:51.872
I mean...
00:04:53.122 --> 00:04:55.625
We look at, somebody had taught this,
00:04:55.644 --> 00:04:56.625
mentioned this in PT school,
00:04:56.646 --> 00:04:57.987
but we look at like foot binding
00:04:58.026 --> 00:04:58.507
practices.
00:04:58.547 --> 00:04:59.827
Like those are ridiculous.
00:05:00.228 --> 00:05:01.988
I can't believe people did that while
00:05:02.009 --> 00:05:03.149
we're sitting there in shoes that are
00:05:04.130 --> 00:05:05.451
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.
00:05:09.334 --> 00:05:10.456
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.
00:05:14.218 --> 00:05:14.999
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
00:05:28.235 --> 00:05:28.656
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.
00:05:31.538 --> 00:05:31.738
Nice.
00:05:31.858 --> 00:05:33.781
We could maybe do a shoe reveal while
00:05:33.800 --> 00:05:34.682
we're chatting today.
00:05:34.841 --> 00:05:35.322
What is a shoe reveal?
00:05:35.341 --> 00:05:36.083
If you're so inclined.
00:05:36.122 --> 00:05:36.362
Well,
00:05:36.442 --> 00:05:38.125
I would have you pop that shoe off
00:05:38.165 --> 00:05:39.565
and we could decide if it's shaped like
00:05:39.586 --> 00:05:39.865
a foot.
00:05:39.906 --> 00:05:40.867
Let's do it.
00:05:40.887 --> 00:05:41.608
So what am I looking at?
00:05:41.887 --> 00:05:43.970
Where do you begin your foot?
00:05:43.990 --> 00:05:44.430
The journey?
00:05:44.529 --> 00:05:44.651
Well,
00:05:44.670 --> 00:05:45.951
let's take the shoe off to start with.
00:05:45.971 --> 00:05:46.252
Got it.
00:05:46.312 --> 00:05:46.732
There it is.
00:05:46.812 --> 00:05:46.913
Okay.
00:05:46.992 --> 00:05:47.853
All right.
00:05:47.892 --> 00:05:48.233
Yep.
00:05:48.374 --> 00:05:49.295
And so when we look at this...
00:05:50.966 --> 00:05:51.987
That's a tapered toe box.
00:05:52.266 --> 00:05:54.487
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.
00:05:58.288 --> 00:05:59.548
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.
00:06:05.649 --> 00:06:06.230
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.
00:06:08.129 --> 00:06:09.250
See how my single leg balances.
00:06:09.470 --> 00:06:09.949
Thanks, Jimmy.
00:06:09.970 --> 00:06:11.430
All right.
00:06:11.490 --> 00:06:15.990
So this shoe is shaped like a foot.
00:06:16.550 --> 00:06:16.971
Right.
00:06:16.992 --> 00:06:18.031
So see how my toe box is a
00:06:18.052 --> 00:06:18.752
little bit wider.
00:06:18.771 --> 00:06:19.692
Yours is more tapered.
00:06:21.238 --> 00:06:22.478
And those Mickey Mouse for a second there
00:06:22.499 --> 00:06:22.798
on the bottom.
00:06:22.838 --> 00:06:23.158
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.
00:06:31.461 --> 00:06:32.940
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,
00:06:34.961 --> 00:06:35.682
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,
00:06:37.521 --> 00:06:39.463
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.
00:06:44.244 --> 00:06:45.584
They don't have to look as extreme.
00:06:45.723 --> 00:06:46.584
Yes, exactly.
00:06:46.603 --> 00:06:46.803
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.