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RE: [running-194] orthotics/flat feet/runner's knees help!

From: Jonna
Sent on: Friday, March 12, 2010 8:09 AM
My 2 cents:
I am a long time member of the group, but I haven't been to any events in about a year
I am a runner and a PT student at BU: my bias would be to go see an MD or PT who specializes in runners and gait dysfunction. It sounds to me like you may need an orthotic, in which case Ken Holt ( is THE best person to go to in Boston. He is a runner and a PT and a PhD in gait/running disorders, and all he does is fabricate orthotics for runners (he does not treat as a PT). If you do not need orthotics and will do fine with a shoe he will tell you (and not make you pay a lot of money for something you don't need).

I would suggest that since you are not used to running barefoot and you have flat feet, your intrinsic muscles in your feet are not ready to try barefoot shoes. The problem is not that they aren't likely beneficial, but that there is no in-between- no way to gradually train the muscles in your feet right now, so trying these right now may actually make your pain worse.

I myself have had problems with patellofemoral pain syndrome as well, actually after marathon sports fitted me in shoes that were completely wrong for me, and I Have had trouble with it for the past year or so. I was referred to Ken for orthotics, but I am a student and I do not have any income at all so I have not gone to see him because they are not covered under my insurance plan. The PT that I was seeing said that he would not trust anybody but Ken or one of his students for orthotics.

I hope this helps

From: [address removed]
Subject: [running-194] orthotics/flat feet/runner's knees help!
To: [address removed]
Date: Wed, 10 Mar[masked]:19:05 -0500

I randomly started getting runnner's knee this year. I rolled my left ankle last September pretty bad, so I took 3 months off to let it fully heal. I started running again in January and after running 3 miles each day for 3 days, I started getting knee pain/tightness. To be on the super safe side, I took 6 weeks and did a lot of stretching in between. I went out for a mile run two weekends ago and it is still there. The pain/tightness starts on my outside bottom left knee (the same side as my ankle roll), then it spreads to the entire outside knee. I know I over-pronate since my feet are as flat as the floor. I can barely fit a coin under my "arch", but this knee thing never happened to me before. Not even when I run 10-20miles.
I got new shoes( Brooks) and been using the foam roller thing, both of them didn't work. I can't even walk all day when I went to SF.
So now, I'm looking to buy some orthotics and was wondering if anyone has any recommendations and/or experiences with over-the-counter or custom orthotics. Any brands, online websites, or doctor I can visit for a pair. I'm looking for a good quality pair of orthotics. i don't care much about the price, as long as it is reasonable.
Thanks for your time!

Jing Mai

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