Hi Everyone, I was diagnosed years ago with over pronation and was in terrible pain. I had orthotics made and they fixed my pain which was great! Now approx 8 years later I had to do a lot of walking around for my job and found the pain is now back and severely. I was put on alternate duties at work so I was not standing/walking all day and also was sent to a specialist and had a new set of orthotics made up. I gradually wore in my orthotics over a period of 4 or so weeks. The podiatrist told me I would not feel the full benifits until I was wearing them all day every day. Well I have been and I am still in agony!
The whole bottoms of my feet are very painful to walk on and I'm really upsett the orthotics have not seemed to help. I also have sesamoiditis in one of my big toes which is still giving me problems 6 months later.
I just don't know what I'm going to do now since I have no relief from the orthotics. My job requires me to be standing all day. Does anyone know of any other treatments which could help my problem? It can be very debilitating and I'd like to know if there is anything that will be me a little hope of over coming this.
Please can anyone help? I can't get into see my specialist for another month and am very eager to know if there is possibly anything he may be able to do for me. I'm hoping to hold out a little hope that there is other treatment options besides the orthotics which I have had no sucess with.
Hi - I'm so sorry to hear about the time you've been having. I too have been through everything with severe over pronation and instability. Orthotics didn't help me either. In fact my problem got worse after I started using them and I couldn't live without them either. I finally had triple arthrodesis on both feet and achilles tendon lengthening. This is a HUGE - MAJOR reconstructive surgery but was really my only option. I am so glad I did it though. It was very difficult and a long recovery. Learning how to walk again was difficult and painful but so much worth it. My second one is coming along and the first one is so close to normal it still amazes me. There is something else that can be used in SOME people. It is called the MBA implant but generally isn't used as much with success in adults with more severe deformities. It is a less complicated surgery and involves putting a small screw in the Subtalar joint to create an arch and is reversible if unsuccessful. Careful evaluation before surgery is important though because not everyone is a good candidate. I wasn't and am glad I didn't have it done when it was first suggested. It saved me a lot of pain, money and heartache. I'm very happy with what I had done although I would have loved the less complicated implant surgery !
Let me know if there's anything else I can help you with.
Thanks so much for your reply! I'm glad to hear you've had some sucess after all you went through with the surgery. I am hoping I won't need any surgery as I only get pain if I stand or walk around for long periods. This does effect me though as I am limited in work I can do as well as leisure activites. Do you know why orthotics work for some and not others? My specialist and podiatrist were both thought they would give me relief. After all they are supposed to correct over pronation so I don't understand why they haven't worked? With your foot probs did you have pain in your feet all the time or just when you were active?
Foot mechanics can be very complicated. I guess it depends on how bad the deformity is. Orthotics work for most people. Sometimes even with them the deformity gets worse over time. They are a must try because they can help and all conservative measures need to be attempted before surgery is considered. My pain at first was only with strenuous exercise and then I would stop and give my feet a rest. Over a span of about 3 years I was able to do less and less activity to the point where a trip to the store or walking even a block caused such severe pain I couldn't even stand anymore. This was all going on with orthotics and adjusting the orthotics every couple months. You name it - I tried it. It also didn't help that the Dr I was seeing at the time failed to recognize the severity of the problem - he worked me up for every disease in the book but never really looked at my feet as the cause. I finally got at least 6 more opinions after I left that Dr and each one said Woah - this is one of the worst cases I've seen in a long time - how are you even walking at all ? ! Lesson learned - second opinions are a good thing ! Surgery is a last resort and in my case the only option otherwise I would have ended up unable to walk at all and that wasn't an option. So my advice - do your homework - ask questions - listen to your body.
Some of my other posts may have info that is helpful to you - keep me posted !
I went through a half dozen prescription custom made arch support orthotics before finding one that helped me. The hardest ones made it worst. A plastic/cork combination ended up helping me. It gave a little while still giving me plenty of support.
I also saw a half dozen different doctors, including podiatrists, orthopedists and even a chiropractor.
The key is to keep seeking medical help and trying things that might work.
If you try non-prescription arch supports, the better ones can be found at shoe repair or sports stores. The ones in the pharmacy isles of discount stores are usually too flimsy to be of any help.