Wednesday, December 11, 2013

solutions for sharp knee pain and bunions due to flat feet/overpronation?

best walking shoes overpronation
 on Conditions > Over-Pronation Brian James Tracey
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brenda


I'm only 18 and I feel like these should be the worries of an elderly woman...
I don't walk very much throughout the day but I do tend to stand for long periods of time. I love to work out and do so regularly in my abeo's which are made specifically for shock absorption, arch support and body alignment. However, I must admit that I don't wear the best casual shoes throughout the day-- I assume this is the root of all the pain.
Both of my arches are almost nonexistent and my big toes seem to invert more and more every day. not only do they look bad but man, they HURT!
I have always had hyperextended knees which have messed with my posture and overall body alignment but I have never had any pain until very recently. I get really awful, sharp pains in the sides and back of my knees if i'm standing, walking or putting any pressure on my feet.

In conclusion, I'm absolutely desperate... I'm a college student with no insurance so a podiatrist is probably out of the question. I would love to get orthotics or some sort of insole(or really anything else) that might help I just have no idea how to go about finding the appropriate solution(s). Suggestions, remedies and any info on the subject would be very much appreciated!



Answer
Normally I don't answer one that has other answers, but today I'm making an exception for you.
It all comes down to your having a longer second toe. And as time goes along, you may well develop low back pain because of it. And you pronate to try to keep the big toe as the primary toe, despite the anatomy.
Follow the process. The problem is with you having a longer second toe, you have a two-point (heel and second toe) rather than a three-point base of support.
Think about it. If you were walking on ice, you would very carefully walk, in a rather stiff-legged fashion, to keep from falling. And that's what happens when women wear high heels. They are unsteady, they take shorter steps, they walk in a stiff-legged fashion.
So, if you have a longer second toe, you are likely to walk in a way that causes your hips to move a lot more than someone that simply lands on their heel and then pushes off with their big toe. That may eventually give you leg and hip pain.
I'm not able to see you, but the longer second toe is called the Greek Toe, since the man that was the model for Michelangelo's statue of David had it, along with the bunion process, etc. He certainly didn't wear sneakers or high heels.
Now, some people have the last joint of the second toe removed. But not many do it, because even if another toe is perfectly even with the big toe, the other one is longer because the big toe has more padding.
The first site I'm giving you is a collection of bunion pictures. Notice that second toe being longer.
Are there nonsurgical options? Yes, and one of them can cost only a couple of dollars. In Bonnie Prudden's book "Pain Erasure", she discusses the option of getting an old pair of tennis shoes, cutting a couple of circles out of the sole the size of a quarter, and glueing them to a pair of shoe inserts (like cheap Dr Scholl's) at exactly the spot below the ball of the foot. This causes the weight to be carried longer on the big toe where it should be, and the second toe isn't having to try to do all the work. Gorilla Glue is a good glue for such a project.
Easy enough to get the book at a library. Or Amazon has it, just to show I'm not making this up. So don't try for a particular brand of shoe. Put your foot on some thick cardboard, mark around your foot, cut it out, and use that as an initial estimate of the shoe box size you need. Your foot will be wider because your metatarsal arch will have fallen. So start out with wide shoes. And I do suggest that you make the supports I mentioned, for both feet. When you find a shoe that seems good, you can do a final fitting with the supports in place.
The third site I've given incorporates the previous details, and helps you to be sure about the diagnosis, because the issue isn't really the toe length, but the length of a different toe joint. You'll see what I mean. And you can read how an insert you use COULD make it worse.

Would appreciate it if you would give "best answer".

I got new running shoes and my feet hurt?




Sam


I think this is the first time I acutally had running shoes. They are stability shoes which is for overpronation. I took a online test so i can choose the right shoes and everything. So why does my feet hurt on the bottom. Is it becuase I havent broken into them or is it cuase its my first ever using running shoes etc.


Answer
It's because you don't need them. They're just hurting you even more. We're not born with shoes on our feet, so why do we need them? We don't. You have flat feet, I presume. Whatever age you are now, you're past the point at which your arches ossified, and they're flat. Cramming your foot into a mold of the proper foot shape will not help, and will only cause you more pain. Your bones are already set into place, and there's nothing you can do to change it. Besides, the more you wear the shoes, the more the arch support will flatten, and you'll just be buying more shoes in an endless cycle until you die.

However, if you walk barefoot as much as possible (not in public, just around your house, or inside), you will actually use the muscles in your legs and feet, and strengthen then. Combined with certain exercises, the muscles with strengthen, and the arches will raise slightly, You'll still have relatively flat feet, but the muscles in your feet and legs will be built up, and they will be able to better handle the impact of the disorder.

Conversely, if you keep wearing such ridiculous shoes, the muscles in your feet and lower legs will atrophy, they will severely weaken, the arches will lower even more, and your condition will be much worse. Lastly, wear a minimalist shoe such as Vibram Five-fingers, and stop running. Try to keep it at walking. Flat feet are a structural disorder, and the impact and shock of landing on them is distrubuted improperly, causing pain. Besides, we're not meant to run all of the time. Those with normal arches are just lucky. How do I know this? I also have flat feet.




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