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Lateral heel pain/swelling

post #1 of 4
Thread Starter 

I am having some serious heel pain issues with my new, custom-fitted boots (including custom orthotic inserts).  After skiing for a few hours the outsides of both heels start to burn and throb like a blister is starting to form.  It gets to where I am frantic to get the boots off because of the severe pain.  Once I get them off, I can see that the heel is very swollen and numb to the touch.  I am then bruised/swollen in that area for several days.  I got custom fitted boots primarily because I have a very low volume foot and rental boots always felt too big and sloppy no matter what size I wore or how tight I made them.  While these are a better fit, they still feel loose to me, but since I am a fairly new skier, I am not sure how tight boots are really supposed to feel, especially in the heel. I know that I will need to have them adjusted but is this a too tight issue (they do NOT feel tight, until the swelling starts) or a too loose issue (my heels move a lot and I assume the friction of the movement is causing the problem)?  BTW, I am 5'9" average weight, 44 year old female.  Thanks!!

post #2 of 4
Quote:
Originally Posted by NWIski View Post
 

I am having some serious heel pain issues with my new, custom-fitted boots (including custom orthotic inserts).  After skiing for a few hours the outsides of both heels start to burn and throb like a blister is starting to form.  It gets to where I am frantic to get the boots off because of the severe pain.  Once I get them off, I can see that the heel is very swollen and numb to the touch.  I am then bruised/swollen in that area for several days.  I got custom fitted boots primarily because I have a very low volume foot and rental boots always felt too big and sloppy no matter what size I wore or how tight I made them.  While these are a better fit, they still feel loose to me, but since I am a fairly new skier, I am not sure how tight boots are really supposed to feel, especially in the heel. I know that I will need to have them adjusted but is this a too tight issue (they do NOT feel tight, until the swelling starts) or a too loose issue (my heels move a lot and I assume the friction of the movement is causing the problem)?  BTW, I am 5'9" average weight, 44 year old female.  Thanks!!

Pull the foot beds out and take a pic of each one (bottom and side) and another with each foot on each foot bed (lateral side please).  Post them here please.

 

What model boots?

 

What size feet in centimeters?

 

What size boots?

 

Mike

post #3 of 4
Thread Starter 

They are this boot, http://www.evo.com/alpine-ski-boots/k2-minaret-100-womens.aspx from Boot Doctors in Telluride.  The boots are 24.5.  My left foot is 24.5 and my right foot is 24.3.  

 

 

 

 

 

 

 

post #4 of 4

http://www.epicski.com/a/boot-fitting-which-boot-will-work-for-me

 

You mentioned your boots felt loose???

 

Read through the above article and perform a "shell check" on the boots you now have.

 

It will mention that you should have no more than 15mm of open space between your heel and the inside of the boot shell. 

 

A piece of 1/2 inch CPVC pipe is exactly 15mm out side diameter---you can pick up  a short piece (you need about a foot long piece) at the local builder supply,  slip this in behind your heel at an angle to avoid your calf muscle to accurately measure the distance.

 

It may be possible that your foot beds are not correctly interfaced with the liners of your boots, and are sitting at an angle (high on the medial side) this could stress your peronius muscle/tendon where it courses behind the lateral (outside) ankle bone, causing the swelling. 

 

The bottom of the foot bed around the heel area, should be no wider than the inside bottom of the liner (the stitch line around the inside bottom)---if it is wider, it will climb the inside of the liner to some degree.

 

mike

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