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Mr. Howard Dananberg

Rethinking the Pronation Paradigm

This talk explores the idea that pathologic pronation occurs when raising and advancing body weight during the second half of single support phase. This is contrary to the concept of pronation at heel strike as the primary event associated with pathologic pronation.  Details for the power of human walking and how sagittal plane restrictions adversely affect gait style will be provided. Via this same logic, symptoms such as chronic lower back pain are described.  

Conservative Management of Hallux Limitus

The popular notion that relief of pain in the 1st MTP joint should be managed by restricting its movement is challenged. Rather than being painful because it moves, it instead will be presented as a problem related to an absence of motion when demand is greatest. The primary pathology will be described as a neuromuscular inhibition of the peroneus longus. Treatment involving manipulation of the actual 1st MTP joint as well as sites remote to it will be presented along with appropriate orthotic prescribing techniques.




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Howard Dananberg, DPM is a renowned podiatrist residing in the United States. His description of the sagittal plane influence on biomechanics of human gait propelled him to prominence around the globe. He has spoken to various medical audiences across the US and around the world regarding gait style, its influence on symptoms of lower back pain, and the use of lower extremity manipulation as a method of care. He is the recipient of the Scholl's Award for the Outstanding Clinical Paper of the Year published in the Journal of the American Podiatric Medical Association. He remains a contributing editor for this journal. He has also received the MIT-Lemmelson Inventor of the Week Award for his work on Insolia, the weight shift solution to making women's high heeled shoes far more comfortable.  He additionally consults to Tekscan, the makers of F-scan in-shoe pressure analysis equipment. He retired from clinical practice in 2012 and now resides in Stowe, Vermont in the Northeast of the US.