02/13/2014 at 6:17 pm #74137
1. Diagnosis – X-ray is the best method (I had one done myself)
2. Orthotics – Not recommended. I even spoke to a prominent clinical bio-mechanics who does extensive research on orthotics, gait analysis and foot mechanics. He says its only recommended for more severe problems. Then he used this analogy: If you wear a brace in your arm for the rest of your life. Your muscle will eventually atrophy and you will get more problems. Its the same with your arches and feet.
3. Heel/foot raises – Read my thread on this: http://www.mobilitywod.com/community/#/discussion/465/chronic-it-bandquad-tightness-and-knee-pain-chondromalacia-patella-for-6-years
Basically I am stuck in a dilemma as well. Their is controversy of whether or not to wear a heel wedge. Its generally accepted that if you have an anatomical leg length discrepancy of greater than 2cm than it is advised to wear a heel wedge. If its less than 0.5cm than it is not advised to wear a heel wedge (a large portion of the population has a leg length discrepency of less than 0.5 cm). Theirs some controversy tho on what to do if a person has a length discrepency between 0.6cm and 2cm. On the lower end of this spectrum you might not be adviced to wear a heel wedge, However on the higher end, it might be advised to wear one. My dilemma is that I have an anatomical leg length discrepency of 1.1 cm, so it lies right in the middle of this spectrum.
Honoustly, I think you shouldn’t worry about orthotics. It will just lead to more problems and injuries. You seem to be doing fine without them.