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?
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Not sure anyone can do a lot for you once your feet have fallen arches etc
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
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.
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.
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
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.
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
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.
How long till you get your soles?
Lucy
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
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.
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.
Lucy
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.
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.
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
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(
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!
when is your follow up with the pod?
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?
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.
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.