Chronic Pain, Fascia and Feldenkrais Foot Board Lesson Client is supine on table. Bolster knees and ankles if needed. Client observation Are legs externally or internally rotated? Does the pattern of the legs match that of the feet? Are there calluses on feet? What does position of feet suggest about the client’s standing/walking pattern? Gently place foot board against bottom of foot, without influencing position Apply slow and steady pressure against the foot’s “familiar” pattern Apply slow and steady pressure to suggest options for contact: Heel Forefoot Lateral side Medial side Full foot Apply slow and steady pressure to suggest options for ankle movement: Flexion Extension Inversion Eversion Apply slow and steady pressure through foot with foot board Notice transition of movement through body Apply slow and steady pressure through foot with hand at ankle Notice transition of movement through body Apply slow and steady pressure through knees with hands Notice transition of movement through body Remove the bolster (if applicable) and lie flat Prepare for standing Ask the client to slowly come to standing and notice contact with floor.

Pre and Post Assessment Provide the Health Report measurement tool to the patient to complete

VAS for pain, VAS for function/ADLs, figure: draw pain/numbness/stiffness per instructions Awareness assessment

Bring awareness to body and movement for comparison, without judgment

Standing: notice feet on floor - is weight in front/back/middle of stance? More on one foot or another? Which way are toes pointing? What else do you notice? Walking: notice feet contacting the floor - what part of foot contacts the floor first/middle/last? Are both feet the same/different? How do the ankles respond to the contact? What else do you notice? Walking: notice the knees - where are they in relation to the feet? To the hips? Walking: notice the hips - how do they move? Front-to-back/side-to-side/a little or a lot? More on the right or left? What else do you notice? Where do you feel the pain when walking? When standing? What makes it better/worse? Ask the patient to record a summary of what they noticed during standing and walking assessment in the comment section of the Health Report form

Repeat the VAS and the awareness assessment after the foot board lesson Homework: Awareness Through Movement Pelvic Clock can be done lying supine with feet on floor and knees bent, or sitting Movements are done slowly, repeatedly, with slight variations, resting often Instruct patient to apply slow and steady pressure through feet (invite awareness) Notice transition of movement through body Instruct patient to move hips slowly and gently, as though marking the hours on a clock Notice if there are numbers where movement is more/less clear Repeat awareness—apply slow and steady pressure through feet/notice transition of movement

through body—for comparison and notice changes