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Boot Fitter/Alignment Specialist in Crested Butte

post #1 of 4
Thread Starter 
I have a colleague (orthopaedic surgeon who lives in Atlanta) who is a good skier and in the past has made 1 or 2 ski trips out west per year. He has a very bad ankle (from a bad break many years ago) that has caused increasing pain over the years. At this point he is close to being unable to ski any longer due to ankle pain (especially when his ankle is forced into forward flexion and his shin into the tongue).

He is planning a trip Crested Butte this year and I am wondering if anyone knows of a top notch boot fitter/alignment specialist who could work with him there? I believe he is amenable to a comprehensive approach, including new boots if they can make a difference. I have explained to him how proper fit and alignment (boot ramp angle, forward lean, heel lifts, cuff canting, stiffness, boot sole canting, etc.) might be able to improve things enough to allow him to ski with much less pain and he is very interested in exploring a comprehensive approach to his issues.

As he does live in Atlanta, a boot fitter/alignment specialist there might be a possibility but I thought there'd probably be better opportunity in Crested Butte.

Thanks, Si
post #2 of 4

If he has a significant intra-articular probem (significant post-traumatic arthritis, talar osteonecrosis, etc) then he may simply be nearing the end of his skiing career.

Short of major pathology, I always get an x-ray on guys like this to make sure they don't have something treatable like a talar spur (which would cause a bony block to dorsiflexion) or loose body. I'm sure your colleague knows this , but consider getting an ankle film if one hasn't been done recently.

If all checks out, then often a stiffer boot is the way to go, with careful attention to optmizing ramp/foreword lean/delta and lateral alignment.

Lastly, with a history of any significant lower extremity fracture, it's always a good idea to measure leg lengths (use 2 different clinical techniques, measure 3 times each for a data set of 6 and take the average) and correct for 1/2 the difference.

Hope that helps.
post #3 of 4
Thread Starter 
Thanks jdistefa, I think that is all excellent advice. As a nationally recognized joint replacement surgeon I am sure he is well aware of the issues surrounding degenerative arthritis of the sub-talar or tibial joint. From talking to him (or seeing him walk), I didn't get the impression that he was necessarily at the end of his skiing career although there is appreciable pain with dorsi-flexion beyond a certain limit. I think your comments on leg-length are also an important factor to consider (although one I didn't explain to him).

My hope is that I can find him a person with the kind of awareness you show in Crested Butte!!!

Thanks Again, Si
post #4 of 4
I don't know the name of any bootfitts in CB but you could start with the list at the top of this section.
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