Orthotics and Podietry

Just had a sports-physician refer me to their Podiatrist.

Cost:
Casting 140
Orthotics 184
Follow up 37

This seems pretty steep, and more than some of the places advertising on here.-
Anyone got a view of whether it's worth shopping around or whether its a "you get what you pay for" kind of a thing?
«1

Comments

  • I paid £100 for orthotics from Profeet. They don't do casts, they use use a kind of hot moulding technique.
  • I paid £250 all in and chucked them after 12 months, got more probs with than without, so got some more, somewhere else, with same result. Check out gait, use POSE or Alexander Techniques first is my advise.
  • loner.= I've been wondering about this: No-one seems to care why I over pronate, just that I do.- It's hard to go against medical advise when you're so desperate to run again though :-(

  • Lp, I should have added that the Profeet stuff has work for me and I over pronate badly.

    Not sure anyone can do a lot for you once your feet have fallen arches etc
  • I too am definitely against orthotics. I struggled with them for about 8 months getting more problems than I had without them. I have taken the advice of a very successful and experienced runner who told me to buy a comfortable neutral shoe and take things very steady to give my body a chance to adapt. I think a lot of us push our bodies too quickly to do too much. I am by no means running without niggles but I have learned patience and when my body starts to complain I hold back. My legs are starting to feel as though they are mine again. I never felt quite right with orthotics especially when I was told to wear them all the time. I now try to spend as much time bare foot as possible to re educate my feet. Lots of people love orthotics but not me!!!
  • I am firmly in the loving orthotics camp! I am finally running totally pain-free. Somthing that I haven't done since last summer. I run in a totally neutral shoe, and only wera my orthotics for running. Do a lot of walking barefoot around the house and garden.

    My orthotics came in a little cheaper than the price you are listing, but I work for a charity so I wheedled a discount because of this!

    Personally, I think you have to try things before you dismiss them, so my advice would be to give orthotics a go and see how you get on with them. Re finding a good podiatrist in your area, I think that specialist running shops are a good place to find out stuff like this.

    Tree
  • lp- I know how you feel, all runners do, injury is a real issue for all, but a natural/developed gait with the right shoe type will benefit more in the long term. Technique is the point I think.

    TT - why use Orthotics only for running, if they work I thought the idea was they fixed a permanent problem, not just a running issue. Feet land the same regardless of action.
  • Still very confused on the whole Orthotics vs. Technique thing.

    I was talking to my Physio Sister at the weekend.- Her opinion is that most/all pronation disfunctions starts at the feet, and that any imbalances in muscles come from here rather than the other way round.-
    If you follow this reasoning, orthotics make perfect sense.-But it still doesn't feel like the whole answer to me.

    I think I'll be going ahead with it- I'm that desperate to be up and running again- But I'd love to find a "specialist" who works to help you run neutrally-naturally.
  • My understanding of this whole issue is that some people simply cannot develop an 'ideal' gait because of biomechanical issues, not all of which can be fixed with stretching, strength training or re-education of the way they move. For instance a lot of my problems stem from my chronic back condition. This has caused a slightly slewed pelvis, which put additional strain on my musculo-skeletal system.

    The reason for wearing the orthotics only when running is that until I stepped up my training to over 50 miles per week, I didn't manifest any problems. After having my gait analysed, it was found that for normal walking and daily moving about, my gait is not too bad, it's when I get fatigued when training that I have the problems, hence wearing the orthotics for running.

    I'm not saying this is necessarily right, only that this is what I have been advised, and so far, after 3 months, it seems to be working well.

    Tree
  • Tree. good to hear you got benefit I guess I am negative because I did not. I am also genuinely curious to find out more.
    Why did the problem only manifest after 50 miles? more a muscle fatigue issue? did they say - I also struggle with injury above 50 miles from shin spilnt type pains and have to take care and focus harder on my style to avoid this.
  • What a relief to find it isn't just me!

    I've been armchaired for too long waiting for NHS to take a look at my feet. My overpronation caused my whole hip to seized up - piriformis, ITB and hip flexor all constricted. It got to the point where it became unbearable after only a mile and a half of running. Six weeks of physio and intructions not to run for six months. No fair!

    It is definitely something that got gradually worse as I upped my mileage, same as you Tree (although I didn't make it to 50 miles per week, so I guess I am very poorly assembled). I put it down to simple numbers: more steps that you would take just walking around in normal life, and a cumulative effect on the muscles.

    I should be having my gait analysed soon: can't wait to see if orthotics will help. I am chomping at the bit to get back out!

    Lucy

  • Well, I had my trip to the recommended pod- And left her feeling quite threatened by all the horror stories on here I think.- So hopefully she will make an extra special effort with me.-

    Her opinion is that I have a weak glute on my most affected side, and that my ankles have too much flexibility side to side ( which is so strange, because they have almost none up and down).
    If I wasn't planning to do marathon mileage, then just building up the glute would probably be enough, but for extreme mileages she recommended the orthotic( The cynical part of me says "no surprise there").

    She says that none of her customers have come back complaining of blisters, and that (contrary to popular opinion), the orthotics are intended to work in a moderate stability shoe not a neutral one.

  • Best of luck with it - I hope you get back on your feet!

    How long till you get your soles?

    Lucy
  • Ip - I have had exactly the same advice and am now waiting to receive my new orthotics - can't wait. I have suffered on an off with shin splints, calf strain, piriformis syndrome, ITBS & a stress fracture (yes, I am injury woman!!). I too have been advised only to wear the orthotics for running, as I walk OK but overpronate on one side and am a forefoot runner.
    I would stress to everyone though that it is worth the investment to get a professional opinion - Profeet, for example, are not fully qualified podiatrists or physios - I believe they call themselves "foot technicians" - I know that they work for some people but they misdiagnosed my gait and sold me the wrong shoes - if you are a serious runner and put the miles in, in my opinion it is worth the extra bucks to get your shoes and orthotics right.

    Good luck!
    Hegs x
  • Hi, found this thread by accident whilst flicking through. My local specialist running shop actually declined to sell me anymore trainers and suggested I see a podiatrist - they have one who's into running and has a clinic there once I week. I went to see him and was horrified when I saw my gait from the rear. I knew I ran strangely - it looked odd enough from the front and felt lopsided but the videotaped view from the rear made it obvious (even to me) that I could not stay sound running as I did. I have one leg longer than the other, over pronate very badly on the right and not so badly on the left. Once my mileage got to about 20 a week the Bowen Practitioner I was seeing was struggling to keep me on the road (I gave up on Drs years ago). I have had my feet cast and am collecting my orthotics next week. £120 all in. Spare pair £50. He says I'll need to wear them all the time which makes sense as I get aches and pains in normal life and develop a limp when tired. Will let you know how it goes.

    I'd agree with Hegs - don't just get a professional opinion but try to find a podiatrist who is either a runner themselves or pro-running.

    Must say, I'm not looking forward to wearing the things in as changing your bio-mechanics is bound to cause aches of its own initially. I hope to be racing, pain and injury free (or at least with less) by the GNR.
    If you think you can or you think you can't you're probably right.
  • Hope the orthotics wear in OK.

    I'm getting so frustrated with not running, I have been inspired by your story to go for a gentle jog and see how it feels.

    I figure I know how to stretch the parts that tighten up, so i canprobably start working my fitness back, if nothing else, before I get any orthotics.

  • It takes a while to get used to orthotics, I had a few problems for the first couple of weeks. I have a biomechanical problem which causes a tear in my right achilles. I had an assessment from Orthosport in Henley-on-Thames. This was a few years back. After 3 yrs of problems and much physio (and a plaster-cast) They solved my problem after one visit!
  • Barry, that's pretty good going. I guess you weren't running through that injury...



    Lucy
  • I got my orthotics a month ago; been having gradually worsening achilles pain in both legs.

    I have not noticed any improvement/ difference and have even had to cut a couple of sessions this week, coz the pain is really bad.

  • lp - Let us know how you get on, I have concerns about the shoes - I was always advised neutral, otherwise they can counterbalance the effect.
    From your description of ankle movement you are complete opposite to me , my feet will not move side ways but freely up and down, maybe thats the difference.
    Blisters should not be an issue but you have to build time on them.
  • Dear fastest fat man, thanks *so much* for the pointer to Profeet.

    I had my insoles made yesterday and as soon as I got home I took them for a spin. It was my first painless jog in nine months.

    Hurrah!

    Turns out dodgy ankles, not arches, was my problem.

    Cheers,

    Lucy
  • One word (well actually 2) Golf Balls!!!

    Got my orthotics yesterday, and it feels like i've got golf balls stuck under my arches.- Yuck, yuck and double yuck.- (oh, and a slightly sore knee walking in this morning)... I really hope this gets better :0(
  • lp- if it helps they do recommend Golf balls rolling under the arches to ease shin splint type pains. Use judgement and take care!
  • Thanks.- I'm not allowed to run anyway at the moment, so I've got lots of time to get used to them... I'm to go back if I just cant get comfortable on them so fingers crossed.
  • Just an update for anyone about to go through this...

    After a couple of days, the "golf balls" stopped being an offence to my very sole every time I stood up.- I sometimes don't even notice them when I start walking though.-

    No blisters yet, but I recon I would have some on my arches if I was running.-

    Sometimes it feels like my feet are "balancing" on the arch support and my heels barely touching the "ground"- Don't know whether this means anything or whether it's just my feet trying to adjust.

    But so far, no real aches and pains.-
    Hard to imagine that they'll eventually be more comfortable than without though!
  • lp - when is the first run planned?, do you have high arches anyway?

    when is your follow up with the pod?


  • I'm not allowed to run at all at the moment.- (We'll be reviewing this when I go back to the pod - A month after having them fitted.)

    They say I've got quite flat feet, so don't really understand the high support.-
    Perhaps I have high arches that collapse a lot when I stand on them?
  • Thats pretty normal Ip. You are lucky to even lose the golf ball effect after 5 days.

    I had exactly the same thoughts as you when I got mine, and they seemed to take ages to get used to. I posted a thread about the fact that they seemed to be so difficult - "Orthotics heaven or hell" - with some pretty interesting responses. About 15 months on I feel uncomfortable doing anything without my orthotics.




  • Garry T. Thanks.- Yes, saw that thread when trying to decide whether to go down this route.- It's very strange how some people swear by them and some at.- I wonder whether it's mis-diagnosis or not sticking with them for long enough that causes the difference in opinion.
  • I think its probably a mxiture of those two. Its probably more to do with not sticking it out, sticking with the stretches and stength building programs, and not giving feedback to the podi when the orthoses may need some adjustments.

    I have discussed the point of wearing orthoses with a variety of healthcare professionals and I haven't heard any arguments against the wearing of orthoses.


Sign In or Register to comment.