Orthotics are not for all, and not the end all in injury treatment and prevention. The reason for your over pronation would be treated with custom orthotics of adequate prescription. But not alleviated. They can take sever symptoms from people instantly, or not work at all.
There are many considerations, but in my experience they can be demonstrated to make a physical difference and cure symptoms. But along with a complete treatment plan, which is complex, requires cross referal and so time/money. further more there is a consideration that compliance of the patient is required.
given this and many other facts relating to the 'science' of biomechanics it is no suprise that it doesent always work, or at least as much as EXPECTATION.
you would be paying for a very good service if considering paying that level of fee--- I hope.
i think you need to find out what it is! sorry chaos but several physios havent sorted the complaint out.
a pod is a specialist of the foot and ankle, but it is difficult finding a good musculo skeletal podiatrist. The advice from kathryn would also be something that i would consider, although there are one or two other considerations that pass into mind. My advice is to go to the GP and ask for a referal to a musculo skeletal clinic with a pod and physio team. A MULTIDICIPLINARY TEAM is essential to treating the sports person.
If that fails visit a consultant podiatric surgeon, not for surgery specifically but a diagnosis. this should be possible on the NHS if the correct buttons are pressed. Not always possible though i know.
some of the conditions afflicting the ankle can be long term and chronic, take it step by step.
Good advice from graeme, i certainly agree. a lot of up hill/down hill running, incline on treadmill etc will also tend to cause this complaint. As has been pointed out, tight calf muscles or simple over use. Of course biomechanical dysfunction plays an important role.It seems the person you sought advice from was less than adequate, very expensive and not a sports person. The post graduate training is not that important in my opinion, you can pass the course and be rubbish. Ask the local running shop to recomend a tried and tested specialist podiatrist, one that runs! and has SRCh after his name.
the answer to your question of Do orthotics work? yes they do, this is a fact. But an orthotic is custom made for you and your complaint, or biomechanical fault and pain. They are not the end all, but can be a significant aspect in a treatment plan. You do not always require casted orthotics. ask the podiatrist about taping/strapping and more simple devices as an interim to determin if you will benefit from the prescription and control that is being considered. As always, thorough warm ups/downs with stretching of all major groups and strengthening exercises for the inside thigh muscles etc are invaluable.