Jan 23 2015

cjw1

Orthotics

Posted at 8:55 pm under Uncategorized

I was wondering about others’ experience and their thoughts regarding orthotics for shoes in relation to part of management post ATR? I have flat feet and different podiatrists have said to me that I need orthotics every time I consulted one for different reasons over the last 20 odd years. I never bothered to get fitted for orthotics and thought I would put it off to the next time I would go and see one again (which would be every five years or so).

The MRI report following my ATR said "The rest of the tendon demonstrates abnormal signal in keeping with
tendinopathy."
The assistant at the imaging centre told me ‘the whole tendon looks stuffed’ after I asked her how it looked and where the tear was, etc.

So I am kind of convinced that my injured achilles (probably both Achilles’) has tendonosis (I think this is where there are many tiny tears in the tendon - possibly from overuse, where I think tendonitis is inflammation of the tendon) due to many years of running with flat feet without orthotics, and that this was a major contributing factor to the injury. I freely admit that I’m possibly way off and there is no scientific method or research I have used for this conclusion, but it makes sense to me (but I will discuss this further with my treating practitioners).  I did a lot of running in the 12 months prior to my atr and did my first half marathon a few months before it snapped. I cant say that I had any symptoms or soreness leading up to the injury.

So I will definitely be getting orthotics after I have healed enough to be able to be fitted for them. Hopefully that will also help with my lower back pain which I have had, and continue to have, my entire life. I have largely managed it with exercise as it is worse if I don’t exercise, but have also seen chiropractors and osteopaths at different times for maintenance.

I’m just curious what others might think about this as a possible contributing factor to the injury occurring (i.e. not having orthotics despite recommendations) and also as part of post injury management (getting orthotics)?

4 responses so far

4 Responses to “Orthotics”

  1. squashedaton 24 Jan 2015 at 1:08 pm 1

    cjw, I too had come to a similar opinion based on my personal experience or at least feel their was some causal link. I too have flat feet and for the last 15-20 years have contemplated getting custom orthotics, initially because I had back ache that was attributed to it, but was managed by exercises and strengthening the core. Then I had a severe case of plantar fascitis (when I was running a lot to train for a half-marathon) but managed it by sleeping with a splint, followed by management via stretches and strengthening and reduced running. I then picked up elliptical and squash which then resulted in tendonitis (I had inflamation at the back of the heel near the attachment point) for about 6-12 months before my ATR. I did add an off-the-shelf arch support after my plantar fascitis and that helped. Not sure how a custom orthotics will compare, but my plans are to finally go get some made this time around…..

  2. ckotroon 24 Jan 2015 at 2:42 pm 2

    I’m with squashedat in that I tried a custom insert for running with my flat feet. However, mine only gave me blisters. I ran about 6 miles in them (two 3 mile runs). I hated them and eventually just found a Nike shoe that catered to “pronators”. The inserts were for running and fitted at a running store, not a doctor, so that could be a reason?? They watched me run on a treadmill at the store, video recorded the feet and we discussed my foot plant, etc. It seemed “legit” but didn’t work for me. Anyway, if you have pain in that heel, something isn’t right. Listen to your bones! :)

  3. normofthenorthon 24 Jan 2015 at 8:47 pm 3

    If anybody can find footbeds or inserts that improve their feet, or their legs, or thie back, or their sports performance, they’ll be a bargain even at top prices. Around here (Toronto), some fancy footbeds are made by foot doctors, some by not-quite-doctors, and some by ski-store bootfitters or people who work for other footwear stores or sports stores. I’ve seen and heard about (and my wife has experienced) hits and misses, from all kinds of professionals, without any obvious correlation. If it helps, it’s money well spent. If not, not.

    While you’re still recovering from an ATR or Haglund’s surgery, just be careful that you’re not changing your ankle angle randomly by adding a footbed that (e.g. raises the front of your foot more than your heel).

  4. cjw1on 26 Jan 2015 at 3:21 am 4

    Thanks all for your replies. Very good advice, especially not tinkering too much while recovering from an ATR. I will wait until healed before I get assessed/fitted for them. Cheers.

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