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From: Joe Jared on 30 Dec 2006 18:12
On Thu, 31 Aug 2006 13:19:29 -0400, rick wrote:

> On Wed, 30 Aug 2006 23:20:03 -0400, Joe Jared <joejared(a)osirusoft.com>
> wrote:
>
>>On Wed, 30 Aug 2006 16:50:59 -0400, rick wrote:
>>
>>> Hello,
>>>
>>> I'm experiencing nerve pain on the outside of my left ankle. When I
>>> tap right above the ankle, it tingles down to the top of my foot. When
>>> I cross my leg so as to have that ankle on top of my leg (you know,
>>> the basic way guys sit), I get shooting pains down to mainly my 3rd
>>> and 4th toes. Otherwise, it doesn't usually bother me that much.
>>>
>>> Given the above, what is the name of the nerve that's controlling
>>> this, could it be from a disk bulge (L5-S1), and if the pain isn't
>>> coming from my back, could this possibly be Morton's neuroma or tarsel
>>> tunnel syndrome?
>>>
>>> Unfortunately, I'm not finding what I need on the Internet yet, so I
>>> thought I'd ask anyone here that might help. Thanks in advance.
>>
>>
>>Given your description, the only missing ingredient is your gait. I'm
>>guessing you're walking pronated, applying most of your weight to the
>>smaller of the 2 bones above your ankle. Odds are, you'll need foot
>>orthotics with a a reasonable amount of forefoot posting to bring
>>your foot to the root position, and a metatarsal cutout, assuming of
>>course there is a callous on the outside edge of your big toe. If my
>>guess is right, you have 2 conditions, most likely. If you apply pressure
>>at the base of the first metatarsal and notice that your big toe stiffens
>>up, it will also affect the 3rd portion of your gait, pushing off to the
>>next step. Assuming you're pronated, you're forefoot strike is to your
>>first metatarsal, after which it collapses, and a good deal of force is
>>applied to the fibula. instead of the Tibia.
>>
>>http://en.wikipedia.org/wiki/Tibia
>>
>>
>>In short, find a good podiatrist to prescribe a competent pair of foot
>>orthotics.
>
>
> That's all good advice, but I should have added that I have had
> orthotics made for me for years (I'm 51). I have flat feet and
> pronate inward. These orthotics may be wearing out, judging from the
> shoes I wear to work (not noticeable in my Saucony's, since I get new
> ones every 6 months). In the past, I've also had a heel support added
> when I had an achilles tendon problem in the same foot. That problem
> still flares up from time to time.

That's okay that you have orthotics, but like glasses for the eye, often
we need to go back and report new problems. Orthotics can be used to
account for problems all the way up to the hip bone. While I don't claim
to be a doctor and actually sell systems that make orthotics, I have
learned much of my trade from Podiatrists and Chiropodists. What you're
describing as an ailment can likely be treated by changing the forefoot
posting and as suggested by one of my customers for an upgrade, a reverse
kirby skive. A reverse kirby skive is like a kirby skive except that it
is put into the lateral side of the device, instead of the medial side.
This will cause your foot to pivot and readjust the load onto the larger
of 2 bones in your leg, where it belongs.

> My left foot problems - maybe they're at least partly caused by not
> only by flat, pronating feet - but also from my right ankle, which
> suffered a bad break about 25 years ago. It is painfully arthritic at
> times, so I know I have compensated all these years by putting relying
> more on the left foot.

That sounds more like non-functional halix limitus, IOW, a first met
cutout will likely not help, but rather full support past the sulcus will.


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