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knee pain and canting (alignment)

post #1 of 13
Thread Starter 
Have any of you had boots that are so out of alignment that you get knee pain. I'm bowlegged and out of alignment about 2 degrees. The inside of my knees are getting sore.
Boot alignment or something else?
post #2 of 13
1) You can try adjusting the cuffs
*2) Take a look at the support underneath
the ball of your big toe.
Earlier in the week...visited a bootfitter
up @SundayRiver...he deemed the arch as mostly *filler* with the true support areas
being the heel and the balls of the feet.
The ball of my big toe was collapsing...thus the knee, when flexing forward...was collapsing inward with it.
BOTH lateral and fore/aft problems....GONE BABY!!! I is also lighting the way towards
my problem when fatigue sets in...lazy knees
simply tipping...and not moving laterally in
the very initial stage of ankle rolling.
post #3 of 13
Thread Starter 
I have already tried boot cuff adjustment. My boots have recently been partially planed (cant grind), Now, I'm going to be doing the tape cant thing to see if I can fine tune it before the final grind.
My footbed is a full length contour, unlike the many foot beds which are arch and heel only. Were your old footbeds supercorks?
I have been using the footbeds for a couple of years now with no problems. The only equipment variable is new skis. I have been trying to get my new boots set up but it's taking a lot of time. So I'm skiing in my old boots mostly. The ski bindings are lifted to just less than 55mm, so that may make alignment more important than it has been in the past. The new boots pushed my knee so far outward that I get a knee wobble when carving. However I didn't have that in the old boots or maybe I had it but wasn't aware of it.

<FONT COLOR="#800080" SIZE="1">[ March 22, 2002 04:44 PM: Message edited 1 time, by NordtheBarbarian ]</font>
post #4 of 13
Sounds like the boot alignment. Harold Harb has good info about that in his book "Anyone Can Be an Expert Skier". Your body is trying to overcome the cant problem resulting in knee pain. My experience with Sure Foot in Whistler has been excellent and they have cheerfully adjusted my boots 4 times due to pains and pinch spots, free of charge! (Though I tip the guys for their help) ski doc
post #5 of 13
Sounds like serious forward lean/delta/ ramp issues. I have to deal with that crap all the time. What a pain.
post #6 of 13
Try a little bit of heel lift inside the boot under the boot liner. Have someone look at how your knees drive forward when you flex. You may find your knees don't track straight. My buddy had the same problem and by adding 3/16 wedge under his heel and then 1/16 wedge under the big toe side of his foot, we pretty much eliminated the pain in his knees. His sole alignment seemed to be good (stood flat on his boots) but when he flexed forward (dorsiflex) his knees tracked to the inside and was causing the pain.

(thanks GMOLFOOT for the hints)

We are still playing with the alignment but it seems the knee pain was not so much a boot alignment problem but more a way as a severly bowlegged person the way his knees were tracking has he pressed forward.
post #7 of 13
I have had this problem recently when I switched boots. Also have had a couple of customers with the same reaction.
What brand and model are your old and new boots? How old or how many ski days on the old boots? I'll see if any of this info matces some of my research.
post #8 of 13
Thread Starter 
Both my boot setups are probably pretty unique, but here they are.
My old boots are Nordica Grand Prix RT Pro
(Pro means Nordiflex liners like Raichle thermo heat moldeable liner) Yellow, Green, Purple 1996? pre Exopower model. About 2 seasons on them.
My new boots Head World Cup TiN97 with the previous years (thick) liner and a thick foam tongue shim.
post #9 of 13
Thread Starter 
Thanks for the info, I'll look into knee tracking.

"Sounds like serious forward lean/delta/ ramp issues. I have to deal with that crap all the time. What a pain."
Do you care to elaborate on how you fix this?
post #10 of 13
Nord - As a supervisor trainer, I usually end up working on quite a few instructors boots. The most common problem lately has been too much forward lean, and too much ramp angle. We straighten lots of cuffs, remove tons of heel lifts, grind the heels of zeppas, Etc... The problem is every boot hits everyone in a different way, and you have to evaluate people case by case. The only time I have put a heel lift in a boot, was a new instructor who was born with club feet, that were operated on, but she has very limited ankle flex.
post #11 of 13
Thread Starter 
Well, Good ideas from people, here's the results of my visit with the bootfitter last night.

The bootfitter suggested a heel lift and valgus (foot rotational) correcting footbeds. He thought the footbeds could be done at a later time. Too much forward lean seems to be part of the problem. We added a heel lift to get my calf out of the boot and give my ankles some more possible range of motion. Tight ankles. One was broken and doesn't move like it used to. We may straighten the boot cuff later. I probably will cut the boot cuff height down some, but that's more of a personal preference thing than a boot fitting thing.

The inside the knee pain, may be a Popliteal muscle strain. This may just be a muscle strain or it could be a symptom of a partially torn ACL (yuck).

The pain is a lot like that from a Baker's (Popliteal) cyst, but a little more to the inside of the knee(s).
post #12 of 13
Sounds good Nord,
Sounds like he did a dorsiflexion test and maybe a windlass test (where they have you sit and they pull up on your toes to see how lax the ligaments are under the arch. I can never remember which side vargus and valas is. the wedge he is recommending is under the big toe, Correct?

Sounds just like my friend whom I was working on.
post #13 of 13

You might also want to consider custom insoles for your new boots.

Also go to a truly competent boot fitter, and pay a few dollars to get, your new boots refitted properly with the custom made insoles, and then have the alignment done at the same time. When compared to the cost of skis, bindings and boots, it is a small amount.

And finally, you do undestand that the fitting and alignment processes may do nothing in solving your knee problems, but I think you are correct in your thinking that this is the right place to start.

<FONT COLOR="#800080" SIZE="1">[ March 28, 2002 04:33 PM: Message edited 1 time, by wink ]</font>
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