This is it - the last featured article but BMA's own
orthotist and prosthetist Chelsea Luttrall.
Newsletter Articles:
Problem 1: Over-pronation (February)
Problem 2: Plantar Fasciitis (March)
Problem 3: High Pressure Points Resultant of
High Arches (May)
Problem 4: Chronic Forefoot Striker vs. Heel
Striker (June)
As an orthotist, I see a lot of
folks with foot problems. Some can be helped with foot orthoses (FOs),
and some can’t. However, I also see tons of people spending
$300-$400 on custom foot orthoses that may or may not help
their condition. And, no, most insurances do not help with costs of
foot orthoses.
With cars, shoes, clothes--almost everything,
you get to test drive before you shell out the cash. But with
custom FOs, you have to pay and trust that you’re in the 50% of
people who can be helped by custom FOs.
Endurance athletes are interesting. If, we put
in as much daily mileage as the average American, we’d likely have
very healthy feet. But because of the repetition and duration of
endurance sports, subtle problems can surface, magnify, and wreak
havoc on our training and racing. .
I’m of a different camp than most. I believe,
first, that many of these conditions prescribed custom FOs can be
helped by non-custom, over-the-counter FOs if used correctly. And
second, that many patients (excluding diabetics and folks with true
foot deformity), should first pursue cheaper, non-custom options to
see if they see marked improvement in their condition. Then, once
you know your feet can be helped by FOs, you can either stay with
the over-the-counter option, or invest in the custom, slightly more
durable FOs.
SOLE FOs are some of the best over-the-counter options on the
market today. They are heat-moldable to accommodate the needs of
the wearer. They are affordable relative to custom FOs --usually
around $45. And, they are still flexible enough to allow healthy
amounts of pronation, which is necessary for runners and endurance
athletes to avoid stress fractures and unnecessary joint trauma.
What’s more, SOLE stands behind their product, and has a money-back
guarantee if you don’t see results within 90 days.
Problem 4: Chronic Forefoot Striker vs. Heel
Striker
When experts say, forefoot striking is ideal, they typically
mean mid-to-forefoot striking. There are some who run on the
extreme forefoot and develop metatarsal pain. Others put all of
their force into their heel with each step, and develop heel pain.
Besides chronic pain, both can result in stress fractures over
time.
Possible Cheap Solutions to these issues:
Ultimately, to reduce the risk of further injury and pain, the
runner should meticulously and consciously try to retrain him or
herself to land more mid-to-forefoot while running. This is not an
easy process and will probably take years. However, SOLE FOs can
sometimes help reduce these pains in the meantime.
For the forefoot pain, you may want to get a
SOLE FO that offers more cushion. Then, add a metatarsal pad as
listed previously to reduce peak pressures over the “landing zone.”
If you are the heel striker, having a good heel cup as provided by
the SOLE FOs can help distribute pressures over the entire heel as
opposed to the impact spot, until retraining of your stride is
complete.
Beware of Something Under the Surfacee
Now, these are problems I often see in athletes, but if you’re
having foot pain, I definitely do recommend seeing a doctor first to
get a diagnosis using an XRay or MRI to ensure that nothing else
more complicated is going on under the surface. But if your problem
fits into one of these categories, and you’re not into the idea of
possibly being out of $400 if it doesn’t work for you, give these
ideas a try and see if they work for you. Good luck! And I hope
you get to enjoy a foot-pain-free race season!