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Eversion in the boot? inside ankle bone pain

post #1 of 8
Thread Starter 

Hi all, (Richard C advised me to post in this forum instead of boot fitters. ) 


i've been having front/inside of the ankle bone (i think its called medial malleolus) and top/inside of instep bruising/pain for years and it got so bad i almost had to quit skiing.  i will give as much detail as i can and would be grateful for suggestions to address my issue.




- my problem is left foot only (ankle has been sprained a couple of times, flexibility seems reasonable)

- my shoes wear on the rear/outside of the heals.  the left shoe wears a little less than the right but when i stand it appears my left ankle pronates slightly less than the right.  sounds contradictory?   wet feet imprints on newspaper support the less wear on the left shoe (see below)

- i'm 6'2" and 170 lbs.  53 years old.  i ski bumps and crud as long as my legs carry me.  i don't hike or ski out of bounds.

- i'm on volkl ac50 170's.  

- i have bony shins/ankles so i've stuck with overly soft 80 flex boots (most recently lange fluid) all my life to protect them.  my ski technique has improved with age and i just bought atomic hawx 1.0 100x (size 27.5, less than 2 fingers of room in the shell, feel like a great/snug/comfortable fit) and have skied them once.  what a difference in ski response/carving (ie, please don't suggest i'm too old to go to stiffer boots!!)

- i've never adjusted canting on ski boots, but my boots have a "single canting adjustment"


the pain and what i've done to attempt to address it:


- the pain started about 10 years ago.  i changed boots, then had boot work done... $800 for custom footbeds and bootwork from a recommended bootfitter in nyc (about 6 years ago)....didn't help.  

- i've learned to manage the pain well by yanking the tongue up/inward toward the ankle pain spot at the top of every run.  this adjusts pressure favorably and makes the pain tolerable.

- in the new, stiffer boots the pain is back and i can't manage it with the tongue the same way (stiffer, tighter tongue).  i would hate to go back to the old boots

- it feels like bruising on the bone.  visually, i don't notice any different rubbing or redness compared to the right foot

- probably obvious, but hard carving and bumps seem to initiate and exacerbate the pain.  after the one day in the new boots, i can feel the bruise even in relatively soft hiking boots when they hit that spot.


it seems like this pain would come from over pronation, but that doesn't foot (no pun) with the left foot appearing to pronate slightly less.  any chance it is supinating or under-pronating?  i'm considering intuition luxury mv liners and would gladly pay the money if i believed they will solve my problem.  i'm hesitant to go to another boot fitter since that didn't work out well last time.


please let me know if there are details i have left out.  thanks in advance for your thoughts.


h/t richard c



post #2 of 8

It's time to post this in the boot fitters forum.

post #3 of 8
Thread Starter 

That is where i originally posted (its still there)! But nobody responded and a was advised to put it here.




post #4 of 8


post #5 of 8
Not a boot fitter, but my guess would be the boot flex is too soft and your length of leg gives you the leverage to fold the cuff so much it pinches the tongue in on your sore areas. You might try a booster strap to stiffen the cuff some.
post #6 of 8

@swilson50, I too have had consistent boot pain over the years on one ankle bone, my right outer malleolus.  The pain continues after skiing, and last summer it continued for a month after I put my skiing gear away, throbbing all day.  I've had that spot in the boot shell punched and ground, but to no avail.  I've had the area around that bone on the liner padded to shift pressure away from the "hot" spot (both donut shaped padding, and "C" shaped padding), and that has helped a little for a short while, but then the pain returns just as strong after a day or so.  I've had three boot fitters move the innards of the liner around with their fingers in that area to give me some relief, and it seems to work for a day, but that's not permanent either. 


I'm considering not Intuition Liners but Zip Fits.  Look those up and see if you think they may work as well or better.  The Atomic Hawks are wide boots; stand in your shells without the liner.  If you are using those custom footbeds, stand on those as you do this.  Look at the amount of empty air around your ankle area.  If it's HUGE, your foot may be sliding sideways in the boot and slamming into the shell on the side when you tip the skis.  That will bruise whatever bone makes contact with the side of the boot over and over during the day.  The parts of your foot that get bruised sound like good candidates for making contact first.  If your foot would fit into a narrower boot, that could reduce the sideways slamming that's going on and reduce the pain.  But I'm guessing, of course.  


Best of luck in getting this fixed.  I feel your pain (really).

post #7 of 8

IME no amount of shell punching or liner padding will correct the pressure point on the malleolus.  I think the pressure is caused by an unstable foot supinating (in my case) until the ankle bone finds something hard to lean against. The answer is to stabilize the foot by putting a wedge under the heel, with the high side of the wedge under the side of the foot that hurts.  That's cheap and easy to do, and it's completely reversible, so it's the first thing you should try. 


I have a very high, bony arch.  I find that pressure on the navicular pushes my foot laterally (outside) and exacerbates all the hot spots on the lateral side of my foot.  I punch my shells to make room over the navicular, and that relieves a pressure point on my little toe.  


I also cut the hard material from the tongue over the cuneiform bump, for the same reason.  


I have also found that some footbeds are better than others at eliminating different hot spots around the foot, but (except for the thing about the ankle described above) I don't really understand why that is, or how to tell a boot fitter to adjust the footbeds to solve particular problems. Maybe I'll go to a podiatrist for my next footbeds.



post #8 of 8
Sorry to hear conventional boots give you so much trouble. Have you tried an Apex boot? That may be your best bet. But only you can say for sure what is going to feel best on your feet.
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