Have you come across similar cases, where problems with the biomechanics of the foot are causing this sort of problem? If so, have orthotics been used to help solve this problem and have they helped? Also, do you know of any long term side-effects of orthotics, e.g. hip or knees problems and would they be obvious early on?
In another thread relating to orthotics, I believe Pantman mentioned that they used to have orthotics, but no longer use them and feel they only made the condition worse / let the weakness get weaker. Do you agree with this? Also, are there exercises / procedures that can help to correct the biomechanical problem, e.g. in my case, by strengthening the ankle or calf muscles etc?
Pantman - did you have a similar problem to mine? Are there exercises / procedures that you have come across that may help my particular problem?
Thanks for all the replies and comments. Apologies for not replying sooner (have been away on holiday), and apologies if my explanation is inaccurate / misleading. Let me take another stab at explaining my predicament.
Since running the London Marathon earlier this year, I have had a soreness in the lower right shin (on the inside of the leg and mid-way between the ankle and the knee), which was subsequently also aching at rest. This area also felt bruised and there was a 'lumpy-like' feel, for lack of a more medically sound term. These symptoms were made worse with speed work and a lot of this seemed to improve gradually, as I cut my running right back after the marathon. However, the symptoms never cleared up completely and returned as I increased the amount of running again.
I have had an ultrasound scan and a bone isotope scan and both came back clear. The consultant did say, however, that if I kept hitting a speed / distance ceiling, I should consider orthotics. As the condition did not clear up completely, I saw a physiotherapist for a second opinion. That person looked at my feet and legs and concluded the lower leg problem was probably scar tissue that had built up in the fascia as a result of a problem with my feet (and continuing to run was just aggravating this problem). Looking at my feet, in particular the heels and the achilles tendons, as I understand it, the tendons should be perpendicular to the ground, however, neither of mine are. I forget the exact degrees of deviation, but the right tendon was substantially more deviated than the amount at which associated problems are likely to occur (when standing with my legs together, the tendons slant inwards). The feeling was this deviation was probably causing the shins, in particular the inner lower shins, to be under more stress than they should be when my feet land, as the feet are having to pronate more (?), which in turn has caused the problem with the fascia (running predominantly on concrete probably did not help either!).
Ultra sound treatment was suggested to break up some of the scar tissue (and seems to be helping), and orthotics to correct the problem and prevent the lower shin problem returning. On seeing the podiatrist I was referred to, he confirmed as much from the examination and also told me my right foot was twisted which was also causing a forefoot pronation.
Do you think a gait analysis will highlight anything further? As an aside, I have done a couple of foot scans and purchased the Asics and also a pair of Adidas as a result of the outcome of the foot scans. If I do get orthotics, it does seem to make sense to get semi-permanent orthotics and go from there. I would be interested to hear people's thoughts on any possible side effects of permanent orthotics.
Sorry to ramble on and any further advice would be gratefully received.
I have seen a podiatrist, and he has told me I have rear foot variance in both heels(more so in the right foot, and it is the right lower leg that has been giving me the problem), and also forefoot pronation in my right foot. I have been wearing Asics trainers (1070 and 1080), which I believe have structured cushioning. Assuming I need orthotics to correct this feet problem, do you have any experience as to which type is the better option or what factors (cost aside), should be considered when making the decision on which orthotic to go for.
I have recently been advised to invest in some orthotics after persistent lower leg problems. As I understand it, there are a number of ones to choose from, for instance, permanent or semi-permanent etc. Does anyone have any experience as to which might be the best option. For example, I have been advised that permanent orthotics, as they are more inflexible than semi-permanent, long term, may be offsetting the problem to another part of the lower body (e.g. Knee or Hip)? Whilst semi-permanent orthotics won't last as long, they may offer more shock absorbancy. Any thoughts would be greatfully received.