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Pain in the Arch.

post #1 of 14
Thread Starter 

I have pain in a line that runs across the rear third of my right arch to the outside edge of the foot. The discomfort is more linear left to right than it is in a generalized area. After walking around a golf course with no pain I realize I may not have a foot problem, it may be an equipment problem.

20 years ago I had Surefoot insoles made for me at Whistler.  I've changed boots three times since then and had the insoles adjusted by each of the shops that sold me the boots. The right insole has always felt a little higher under my arch than necessary. I say that because I notice the support under the right foot but the left foot just feels nice and snug with an even pressure across the whole foot.

The pain issue is not an every day event and it is exacerbated by aggressive skiing and tightening the boots in more difficult terrain. I've wondered if the issue is caused by too much support or not enough. 

My current shop has cut material from the bottom of the insole on two occasions to reduce the pressure/pain. I can't say it's made much difference.

Another modification added in recent years are pads on the top of the insoles to combat a mild case of plantar fasciitis but the arch pain issues preceded the plantar fasciitis. I don't see that they are related.

Any suggestions on what direction I should go to improve my comfort for next season?

post #2 of 14

your feet WILL have changed over the past 20 years, it is time to retire these very old, tired and worn out beds and get some new ones made by the boot fitter who does your boots.  the trouble with that system is it is NOT a true mould of your feet, it is the closest of approx 30, so it may be too much support or too little support which is causing your problem.  without seeing your foot it is impossible to tell, it may just be support in the wrong places

post #3 of 14

have you skied pain free, without the insoles in the boots?

post #4 of 14
Thread Starter 

I've used a pair of Full Tilts without an insole for half a season but found them uncomfortable. Either their pointy toes or short length scrunched my toes and forefoot.  My Surefoot insoles are thicker than off the shelf insoles by design since my feet are not only narrow but skinny top to bottom.  I can not wear loafers comfortably because I need shoe laces to take up the extra vertical space in my shoes.

post #5 of 14
Thread Starter 

I realize I failed to answer your question. No I have not tried skiing without insoles in my present boot. I have tried at least two different off the shelf insoles to test the fit and everyday comfort but I did not test them long enough to see if they caused the pain on the boots of my foot when I tightened the boot for more aggressive terrain.

post #6 of 14
Quote:
Originally Posted by steveturner View Post
 

I have pain in a line that runs across the rear third of my right arch to the outside edge of the foot. The discomfort is more linear left to right than it is in a generalized area. After walking around a golf course with no pain I realize I may not have a foot problem, it may be an equipment problem.

20 years ago I had Surefoot insoles made for me at Whistler. 

What CEM mentioned about the foot bed not having the correct shaping for your foot may be the source of the problem.

 

 The Surefoot/Amfit system selects the foot bed shape/grind that is closest to your foot shape in the computer program that runs the milling machine.  This is determined/affected by how you or the technician holds your foot when it is being scanned.

 

 Run your finger along the lateral border of your foot from front to rear, at about mid foot you will/should feel a bony prominence where the Peroneus Brevis muscle/tendon attaches to your 5th metatarsal at what is called the Styloid process.  Is this area about where the pain occurs?

 

This muscle/tendon attachment point is a primary control input for edging your downhill ski.  

 

The 5th met abuts the cuboid bone just where this attachment occurs in the foot and if this area is supported to much (too high) it can push the two bones joint space out of position and cause pain across the foot (I have had this)  Because when you are skiing there are multiple forces involved (acceleration/deceleration---G forces---vibration---muscle effort) you might not feel the same thing while just standing on the footbed.  

 

mike

post #7 of 14
Thread Starter 

Thanks guys.

 

I didn't want to make Perfect the enemy of the Good by trying to fix something I've lived with for a while but I figured something 20 years old probably needed to be replaced.  I was always surprised my local shop did not suggest a replacement. Only one shop in Big Sky makes insoles and they use the Amfit system. My shop is the "Go To" boot fitter for many locals and instructors but they don't make custom insoles so I'll probably try something off the shelf for next year. 

 

I recall Phil suggesting that you fit "off the shelf" insoles to your arch and cut the length and width of the boot. Do you agree?

 

Also, all off the shelf products are one width. I use a 98 wide boot. Seems like off the shelf insoles that are primarily sold to fit into soft sided athletic shoes could have a width issue with a plastic boot and stiff Intuition liner. Anything to watch out for?

 

Steve

post #8 of 14
Hi Steve,

Where are you located?

Mike
post #9 of 14
Thread Starter 

I'm in Memphis.  I thought about you. At least we could understand each other :). How often do you need after skiing them a few days? In a perfect world I'd get custom insoles close to at my ski mountain or maybe my off mountain home. It might be a fun trip to come see you once - a second visit for a tweak might not be so much fun :o.

post #10 of 14
Quote:
Originally Posted by steveturner View Post
 

I'm in Memphis.  I thought about you. At least we could understand each other :). How often do you need after skiing them a few days? In a perfect world I'd get custom insoles close to at my ski mountain or maybe my off mountain home. It might be a fun trip to come see you once - a second visit for a tweak might not be so much fun :o.

We seldom see any issues with the footbeds we produce, so I wouldn't expect to need to see you a second time for them.

 

It's always great to meet and work with Epicskiers so come on by, bring your boots and lets solve the issues.

 

mike

post #11 of 14
Thread Starter 

OK, I'll agree that new custom insoles are in my future but would you gentlemen be willing to make an educated guess as to the most likely cause of my pain. I figure it's one of three things:

(1.) Too much support under the arch causing irritation and pain. This is evidently the problem my boot fitter tried to fix by removing some of the support from the existing insoles.

(2.) Not enough support allowing the arch to deflect under the pressure from more aggressive skiing and tighter boot buckles.

(3.) A third issue not yet identified or considered by me or the boot fitter.

 

thanks,

Steve

post #12 of 14
Quote:
Originally Posted by steveturner View Post
 

OK, I'll agree that new custom insoles are in my future but would you gentlemen be willing to make an educated guess as to the most likely cause of my pain. I figure it's one of three things:

(1.) Too much support under the arch causing irritation and pain. This is evidently the problem my boot fitter tried to fix by removing some of the support from the existing insoles.

(2.) Not enough support allowing the arch to deflect under the pressure from more aggressive skiing and tighter boot buckles.

(3.) A third issue not yet identified or considered by me or the boot fitter.

 

thanks,

Steve

Not able to determine without seeing your feet and boot set up.

 

mike

post #13 of 14
Thread Starter 

thanks

Steve

post #14 of 14

Agree with Mike and my recommendation would also be to go see him.  It isn't that common to need tweaks to footbeds so I"m betting you'd only go once.

 

After 20 years you could use new footbeds.  There is no inherent advantage to the Amfit system and with the additional limitations placed by Surefoot I'd say there are disadvantages.  The amfit system is a production system and the advantages are to the provider.  It provides a less accurate model of the foot than direct molding.

 

Off the shelf footbeds like custom ones need to be modified to fit inside the boot correctly.  This should be an automatic part of all footbed purchases.  To just assume they sit flat and fit correctly is an improper assumption.

 

Lou

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