Possible Physiotherapy Ltd

Possible Physiotherapy Ltd Chartered Physiotherapists with many years of experience.

30/11/2025

🧠 THE FEET–BRAIN CONNECTION: THE FOUNDATION OF BALANCE, POSTURE & NEURORECOVERY

Why We Assess and Rehabilitate Your Feet at The Functional Neurology Center

When most people think about brain rehabilitation, they imagine eye movements, vestibular therapy, cognitive work, or postural training.
But one of the most powerful neurologic systems in your body starts at the ground level—your feet.

Your feet contain over 7,000 nerve endings, specialized mechanoreceptors, intrinsic stabilizing muscles, fascia, ligaments, and joints that constantly communicate with your brain. Every step, every shift in pressure, every sway of your body results in a flood of sensory information traveling from the plantar surfaces to the cerebellum, vestibular nuclei, parietal lobe, and spinal postural networks.

And when that communication breaks down—after concussion, brain injury, neurological illness, chronic dizziness, tumors, neuropathy, spinal issues, or even years of poor footwear—the brain must work harder to figure out where you are in space.

A recent study (Life, 2025) showed just how important this connection really is.

⸝

🧬 NEW RESEARCH: FOOT MOBILIZATION + INTRINSIC MUSCLE ACTIVATION DIRECTLY IMPROVES BRAIN-BASED BALANCE

The published research found that patients recovering from brain-tumor surgery demonstrated major improvements in balance and postural stability when their rehab included:

✔ Sensorimotor foot mobilization
✔ Intrinsic foot muscle strengthening
✔ Plantar sensory stimulation on varied surfaces
✔ Neuromuscular re-patterning of weight distribution

These “ground-up” interventions outperformed standard balance training.

Patients receiving foot-focused rehab showed:
🔹 100% clinically significant improvement in dynamic postural stability
🔹 Better performance on both hard and soft surfaces
🔹 Greater activation of cerebellar and sensory–motor integration pathways
🔹 Improved gait, spatial awareness, and functional control

This reinforces something we’ve seen for years at The FNC:

The feet are the foundation of the neurological system. If the feet are unstable, the brain becomes unstable.

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🦶 HOW THE FEET TALK TO THE BRAIN

Here’s what most people don’t realize:
• The soles of your feet contain high-density mechanoreceptors that detect vibration, pressure, stretch, and motion.
• These signals travel into the dorsal columns, spinal interneurons, cerebellum, and vestibular system.
• The cerebellum integrates foot pressure maps to help coordinate eye movements, balance, posture, gait—and even neck and trunk stabilization.
• Poor foot input can create “neural noise” leading to symptoms such as:
• Dizziness
• Unsteadiness
• Chronic neck tightness
• Visual strain
• Fatigue
• Clumsiness
• Poor posture
• Difficulty walking on uneven surfaces

When your feet lose sensory precision, your brain must “guess” what your body is doing. That guessing leads to compensation, instability, and increased symptoms.

At The Functional Neurology Center, we rebuild that connection.

⸝

🔧 WHAT WE DO DIFFERENTLY AT THE FNC

During your neurological evaluation, we assess:

🟦 Plantar sensory awareness
🟦 Intrinsic foot muscle activation
🟦 Arch mechanics
🟦 Proprioceptive loading
🟦 Weight-bearing symmetry
🟦 Gait cycle patterns
🟦 Foot–ankle–cerebellar connections
🟦 Balance on multiple surface types
🟦 Vestibular + foot integration
🟦 How your foot input influences your eyes, posture, and center of gravity

Our rehabilitation may include:

✨ Precision foot mobilization
✨ Toe/arch intrinsic strengthening
✨ Surface-based sensory training
✨ Visual–vestibular–foot integration
✨ Gait retraining
✨ Cervical + vestibular rehab combined with plantar loading
✨ ARPwave neuromodulation
✨ Proprioceptive sequencing with head/eye movements
✨ Stabilization drills used by elite athletes

Patients are often shocked at how quickly their balance and symptoms improve when the feet are properly re-engaged.

⸝

🌎 WHY PATIENTS TRAVEL TO MINNESOTA FOR CARE

Many of the patients who fly to The FNC have tried standard PT, OT, balance classes, or neurologist-based rehab—yet they’ve never had anyone assess the feet-to-brain pathway.

This system is critical for:
• Concussion & post-concussion syndrome
• Dizziness & vestibular disorders
• Post-brain tumor rehab
• Dysautonomia & balance intolerance
• Falls and gait instability
• Chronic neck pain
• Sensory processing issues
• Postural asymmetry
• Neuropathy
• High-level athletic performance
• Chronic symptoms that haven’t resolved anywhere else

Your brain does not live alone in your skull—
it lives in a constant conversation with your body.
The feet are often the first part of that conversation.

⸝

🔥 IF YOU’VE BEEN STRUGGLING WITH BALANCE, DIZZINESS, OR UNSTEADINESS — YOUR FEET MAY BE THE KEY

At The Functional Neurology Center, we look at the entire system—eyes, vestibular, neck, cerebellum, posture, sensory pathways, autonomics, and yes…the feet.

If you’ve been searching for answers, hope, and better solutions,
📩 Email: info@theFNC.com
📞 Call: 612-223-8590

https://www.mdpi.com/2075-4418/12/12/2945 #

29/11/2025
29/11/2025

What Murmurations Teach Us About Life

Those swirling clouds of birds? 🤯
They look planned… but there’s no leader, no script.
Just three simple rules:

1️⃣ Copy your neighbour’s move
2️⃣ Stay in the “sweet spot”, not too crowded, not too alone
3️⃣ Make mistakes, then recover

And from that, they create something beautiful. 🌀✨

Life works the same way.

💡 Know your purpose
🌍 Remember you influence everything around you
📏 Keep your principles simple
🙌 And let yourself learn from mistakes

Life isn’t predictable, and that’s OK.
How do you feel about living with uncertainty?

29/11/2025
Taking a quiet moment by the sea to calm the mind and let the body heal. 🌊At Possible Physiotherapy Ltd, we believe real...
16/11/2025

Taking a quiet moment by the sea to calm the mind and let the body heal. 🌊
At Possible Physiotherapy Ltd, we believe real recovery starts from the inside out. www.possiblephysiotherapy.com

🧠 Did you know?Some studies suggest that smoking and coffee may be linked to a lower risk of developing Parkinson’s dise...
11/11/2025

🧠 Did you know?
Some studies suggest that smoking and coffee may be linked to a lower risk of developing Parkinson’s disease (PD). Researchers think certain compounds in to***co and caffeine might protect brain cells.
☕ Important note: Smoking is not recommended due to its serious health risks — but moderate coffee may have some protective benefits.
Read the evidence below and make an informed decision about your health.

02/11/2025

Guillain–Barré Syndrome (GBS) has several variants that differ in pathophysiology, clinical features, and electrophysiology. Here’s a high-yield summary for each:

---

1. AIDP (Acute Inflammatory Demyelinating Polyneuropathy)

Most common variant in Europe and North America.

Pathology: Demyelination of peripheral nerves by autoimmune attack on Schwann cells.

Clinical:

Ascending symmetrical weakness

Areflexia

Mild sensory symptoms

Cranial nerve involvement (especially facial weakness)

Nerve conduction: Demyelinating pattern (↓ conduction velocity, prolonged distal latency, conduction block).

Prognosis: Usually good recovery.

---

2. AMAN (Acute Motor Axonal Neuropathy)

Common in Asia, Central and South America.

Pathology: Antibodies against axolemma of motor fibers (e.g. anti-GM1, GD1a).

Clinical:

Pure motor weakness

No sensory loss

Often rapid onset and severe

Reflexes often absent or decreased

Nerve conduction: Axonal pattern (↓ amplitude of CMAP, normal sensory).

Association: Campylobacter jejuni infection.

Prognosis: Slower recovery, but may be good with time.

---

3. AMSAN (Acute Motor and Sensory Axonal Neuropathy)

Severe axonal variant affecting both motor and sensory fibers.

Clinical:

Motor and sensory loss

Rapid progression to quadriplegia

Possible autonomic involvement

Nerve conduction: Markedly reduced CMAP and SNAP amplitudes.

Prognosis: Often poor, prolonged recovery.

---

4. Miller Fisher Syndrome (MFS)

Triad:

Ophthalmoplegia

Ataxia

Areflexia

Often mild or no limb weakness.

Antibody: Anti-GQ1b (highly specific).

Cranial nerve involvement: Common, especially III, IV, VI.

CSF: Albuminocytologic dissociation (like GBS).

Prognosis: Excellent recovery.

---

5. Pharyngeal–Cervical–Brachial Variant

Features:

Weakness of face, neck, and proximal upper limbs

Areflexia in upper limbs

Legs relatively spared

Antibody: Often anti-GT1a or anti-GQ1b.

May overlap with MFS.

---

6. Bickerstaff Brainstem Encephalitis (BBE)

Overlap between GBS and brainstem encephalitis.

Features:

Ophthalmoplegia

Ataxia

Hyperreflexia or extensor plantar responses (unlike MFS)

Altered consciousness

Antibody: Anti-GQ1b.

MRI: May show brainstem lesions.

---

7. Paraparetic Variant

Weakness confined to lower limbs.

Can mimic spinal cord lesion.

May precede or remain localized.

---

8. Pandysautonomic GBS

Predominant autonomic dysfunction:

Severe orthostatic hypotension

Cardiac arrhythmias

Pupillary abnormalities

Motor function may be normal or mildly affected.

---

Mnemonic for main variants:

“AIM-FPPB”
→ AIDP
→ AMAN
→ AMSAN
→ MFS
→ FCB
→ Paraparetic
→ Pandysautonomic
→ BBE

🧠 Living with Parkinson’s Disease? We Can Help!At Possible Physiotherapy Limited, we specialize in Parkinson’s Rehabilit...
31/10/2025

🧠 Living with Parkinson’s Disease? We Can Help!
At Possible Physiotherapy Limited, we specialize in Parkinson’s Rehabilitation tailored to your specific needs.
Whether it’s tremor, stiffness, or balance issues; our expert neuro-physiotherapists design personalized exercise plans to boost movement, coordination, and confidence.
💪 Experience the power of:
✅ Neuroactive & Neuroprotective Exercises
✅ Balance & Gait Training
✅ Amplitude-based Therapy (LSVT BIG / PWR!Moves)
✅ Neuroplasticity-driven Recovery
📞 Call us today and start your journey toward better mobility and independence!

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Farnborough
GU149FW

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