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Yes, Your Feet Are Affecting Your Breathing

Chronic Pain, Education, Physical Therapy

Breathing and the Feet: An Unexpected but Powerful Connection

When we think about breathing, we often focus on the diaphragm, ribcage, and lungs. But take a deeper look at the musculoskeletal system, and you’ll notice how many muscles connect to the diaphragm and ribcage—muscles that either support breathing or, in some cases, limit its mobility.

But have you ever thought about your feet in relation to your breath?

No, we don’t breathe through our feet—but the role our feet play in supporting efficient breathing is massively underestimated. These complex structures handle thousands of steps per day, absorb shock, adjust for terrain, and anchor our entire body. And yet, we rarely consider their influence on our posture, alignment, or breathing patterns.

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If you follow the work of Thomas Myers and his Anatomy Trains, many of his fascial meridians end or begin in the feet. The one most directly linked to breathing is the Superficial Front Line (ventral line)—a myofascial chain that runs from the top of the toes, up the front of the body, and into the jaw and skull.

image:https://www.flexibilityrx.com/reclaiming-the-sagittal-plane/

Yes, we could go as far as linking the way we swallow or use our jaw to our foot mechanics. But for today, let’s keep our focus on the relationship between the feet and the breath.

Think about it: Have you ever noticed one foot collapsing more than the other? Maybe one turns out, or one ankle feels stiffer?

Take a flat foot as an example. A collapsed arch often leads to a cascade of changes:

  • Overpronation
  • Internal rotation of the tibia
  • Knee dropping inward
  • Femur rotating medially
  • Anterior pelvic tilt
  • Increased lumbar lordosis
  • Increased thoracic kyphosis
over pronation, posture, pelvic alignment

All of these postural shifts alter the position of the diaphragm, flattening it and limiting its ability to expand and contract efficiently. So yes, your feet may be playing a role in how well you breathe.

The “why” behind inefficient breathing could be a bottom-up issue—starting with the feet. Or it could be top-down, with tension in the jaw, neck, or ribcage affecting the entire kinetic chain down to the feet. Either way, the body is a system. And when it comes to breathing, every link matters.

So next time you focus on breath work, don’t forget to look down. Your feet might just be the missing piece.

Tags: Chronic Pain, physical therapy for pain, identifying root cause of pain, one-on-one physical therapy

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Julie DiPaolo

Julie DiPaolo is a 2010 graduate of Drexel University's Doctorate of Physical Therapy program. Since graduating, she has pursued advanced certifications in orthopedics, concussion and vestibular therapy, and dry needling. A lifelong learner, Julie is committed to continuously growing as a clinician to ensure success in her clients' journeys

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