Back at It Physical Therapy

Back at It Physical Therapy | Dr. Jonathan Schutza PT, DPT. |
(9)

02/03/2026

Today, I’m going to show you how to strengthen the bottom of the foot while leveraging the windlass effect.

The Windlass effect is awesome, let’s keep training and taking advantage of it!

Share this with someone who needs to strengthen their foot.

Take Care!
God Bless!

02/03/2026

Try this mobilization with movement to fix your stuff ankles.

If you are stretching without results, an assisted joint mobilization may be the thing that you need.

Remember, don’t be forceful and don’t push through pain.

Take Care!
God Bless!

02/02/2026

This is another great exercise to strengthen the tibialis posterior.

The tibialis posterior plays a vital role in arch control and overall foot strength. The good news? You don’t have to get fancy to effectively target it.

Share this with someone dealing with weakness, pain, or who simply wants to get better.

Take care!
God bless!

For some, orthotics can be surrounded by controversy. Some hate them and others love them. This is my take.Comment below...
02/01/2026

For some, orthotics can be surrounded by controversy. Some hate them and others love them. This is my take.

Comment below your take/experience!

01/30/2026

Try out this simple foot and ankle mobility routine!

You can do this daily. If you can’t fit your fingers between your toes, you can try out toe spacers.

Having good mobility ensures you can have good function.

Share this with someone who has stiff ankles!

01/30/2026

Sometimes it’s about capitalizing on low hanging fruit. Using body weight shifts to activate the foot muscles and help build strength in the foot arch.

Often, you don’t need to be fancy, you just need to be creative.

Take Care!
God Bless!

01/29/2026

Some surgeons don’t refer to physical therapy and here’s why I think that is.

First, I think we as physical therapists have historically done a poor job of clearly explaining what we do and don’t do. Where our scope starts, where it ends, and what patients can and cannot do or wear often gets blurred. That lack of clarity creates confusion for both patients and other medical professionals. We need to do a better job educating the public and the medical field on exactly where our skillset lies.

Second, I believe some surgeons and patients have been burned by poor experiences in PT. When a therapist has a limited understanding of a specific pathology and a patient leaves worse than when they started, trust erodes. Over time, that leads to fewer referrals and more hesitation.

What do you think the primary reason is?
Any surgeons willing to sound off and share their perspective?

As always, take care and God bless.

01/28/2026

Hey! I analyzed my gait pattern.

Is it what you expected?

Comment below!

01/28/2026

Strengthening the arch is extremely important.

This movement shows how a heavy isometrics can target two of the most important muscles of the medial longitudinal arch: the flexor hallucis brevis and the abductor hallucis.

Exercises like this matter for overall foot health, but they’re especially important for the medial longitudinal arch’s ability to handle load.

One thing I want to be very clear about:
Movements like this do not create an arch if you currently have a flat foot. You can’t build an arch you never had in the first place.

What you can build is strength, capacity, and resilience.

And every foot — regardless of shape — needs that.

01/27/2026

Do you see anything that needs to change in my gait? Comment below if you see something you would like to change!

01/25/2026

Finding an exercise on the internet won’t solve your problem.
Even finding a good exercise won’t.

Exercises are a piece of the puzzle, not the solution by themselves.

The real solution is matching the right amount of stress to a tissue’s current capacity and adjusting that over time as the tissue adapts.

That’s the hard part. That’s also why so many people get frustrated after weeks of YouTube exercises with little progress.

If you’re stuck, it’s not because you’re lazy or doing the wrong exercise. It’s because dosing, timing, and progression matter more than the movement itself.

That’s where a skilled healthcare provider or rehab professional can make the difference, by matching stress to capacity well so your body can actually adapt and improve.

Posterior tibial tendon pain isn’t always “tendonitis.”Tendonitis, tendinosis, and dysfunction aren’t separate problems....
01/25/2026

Posterior tibial tendon pain isn’t always “tendonitis.”

Tendonitis, tendinosis, and dysfunction aren’t separate problems. They exist along a continuum that reflects how well the tendon tolerates load.

Early on, the tendon is irritated.
Over time, structural changes can develop.
Eventually, the tendon may struggle to do its job.

Waiting it out is a mistake.

Early intervention helps preserve tendon capacity and shortens recovery. The goal isn’t just symptom relief, it’s restoring load tolerance.

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