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Pronate supinate inserts, orthotics or arch support shoes

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Pronate supinate inserts, orthotics or arch support shoes

Old 05-22-2020, 09:18 PM
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Default Pronate supinate inserts, orthotics or arch support shoes

I have always supinated. The outside edge of shoes (usually sneakers) wears fast, especially the heel. A long time ago, I tried hard plastic orthotics and found them extremely uncomfortable. I usually wear sneakers at work and at home. I am thinking about trying real shoes/boots with a proper arch.

Has anyone had success dealing with ankle/foot issues with just arch support? Should I try supinate or arch support insoles?
Old 05-22-2020, 10:33 PM
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I was a runner for years and was a pronater. I tried lots of shoes, but the only ones that really worked were New Balance. I used to wear engineer boots a lot until I was about 40. I think they really messed up my feet. I have never found a boot that has decent support or fits properly for my EEE wide feet. If you can't find a boot with adequate support I would advise staying with sneakers. I never had much luck with orthotics either. But the NB shoes were great and I still wear them (I'm 75, but don't run anymore because of nerve damage in my legs)
Old 05-22-2020, 10:44 PM
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I'm always happy to give free advice but as a specialist I'll tell you there are way too many variables to give you an intelligible answer. You really need a thorough mechanical evaluation and xrays from a podiatrist or foot and ankle orthopedist to answer your question properly.
Old 05-23-2020, 03:18 PM
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The following is my opinion, not necessarily fact or in agreement with management and industry, or medical professionals. I am also not a podiatrist or orthopedist.

Most over the counter orthotics aren’t much more than cushioning. There are different types with cushioning in different areas, and may work for some folks, but for most, they will not help if you have serious issues with your gait or concerns like plantar fasciitis. Those issues require an evaluation by a medical professional to correct, and the resulting orthotics will be on the expensive side. I suffer from plantar fasciitis in both feet, and if I recall corectly, my insoles were ~ $400 for the pair, with no offset from my health insurance, other than covering a portion of the podiatrist visit.

If you are truly concerned about the issue, see a professional rather than experimenting with over the counter inserts. It might cost you some money, but you will have a much better chance to solve the issue.
Old 05-23-2020, 03:29 PM
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I don't have any pain on a daily basis. Only after a long day on the concrete. My poor experience with a podiatrist/orthotics before has made me a bit reluctant to go down that route. I am going to try more supportive shoes till I can get into a doctor.

I guess hoping for a quick/easy fix isn't the best idea.
Old 05-23-2020, 03:34 PM
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"Retiredearly"....Is spot on. Really the ONLY way to do it correctly IMO.
Old 05-23-2020, 07:43 PM
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I’m a 40+ year runner. About two years ago I tripped on a rock and tore most of the ligaments in my right ankle. I toughed it out for 6 months, but I couldn’t run or really walk without pain — I had no lateral support and severely supinated. I went to the orthopedist. He told me I could either undergo surgery to rebuild my ankle or I could wear a soft cast and then undergo physical therapy. I elected to try the cast and PT. At best my days of lateral movement sports like tennis were over. The exercises really helped, I can run pain free, and I don’t supinate as severely. I recommend going to an orthopedist.
Old 05-24-2020, 05:20 AM
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I get "custom" insoles at my local running store, New Balance has been my shoe of choice for years. The insoles help but are far from any kind of panacea . They make a difference for me. I was a runner for around 30 years, it was something I loved but I found it better for me to walk for my cardio now . I'm 66 and want to do this as long as I possibly can.

These "custom"insoles are heated and molded to the bottom of my foot.
I supinate also
Old 05-24-2020, 07:27 AM
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Been where u are for 40 yrs.had plenty of professional help and custom orthotics they were all I had to keep me going.i wore the best red wing boots money could by and like you worked on hard concrete.after 25 yrs I couldn't wear any boot with a heal any more.red wings most supportive orthotic is what I wear now it is identical to what my podiatrist has made for me at a fraction of the cost.thr best shoe I have found in the last yrs is the Merrell moab.8 hrs on concrete is hard on the feet unless u have some real good ones.good luck sorry to tell you this but you need a large arsenal of quality foot wear and don't let them wear out on you.sad to say I have bought many pairs of footwear that felt good for a bit only to end up on my massive shoe/boot shelf for occasional use only.i have an very high arch but can manage it thank God I don't have to do 40 hrs on concrete anymore.NB are nice but on concrete u need all the stiff support u can get not softness.

Old 05-24-2020, 08:34 PM
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Originally Posted by fishstretchy View Post
Been where u are for 40 yrs.had plenty of professional help and custom orthotics they were all I had to keep me going.i wore the best red wing boots money could by and like you worked on hard concrete.after 25 yrs I couldn't wear any boot with a heal any more.red wings most supportive orthotic is what I wear now it is identical to what my podiatrist has made for me at a fraction of the cost.thr best shoe I have found in the last yrs is the Merrell moab.8 hrs on concrete is hard on the feet unless u have some real good ones.good luck sorry to tell you this but you need a large arsenal of quality foot wear and don't let them wear out on you.sad to say I have bought many pairs of footwear that felt good for a bit only to end up on my massive shoe/boot shelf for occasional use only.i have an very high arch but can manage it thank God I don't have to do 40 hrs on concrete anymore.NB are nice but on concrete u need all the stiff support u can get not softness.
I wear the Merrel Moabs too. I just ordered a new pair today. I'm 54 and suffered a lot in my younger years with pain in my feet. I used orthodics for about 20 years. I ended up going to Cabela's years ago and tried on at least 10 different kinds of hiking boots. The Moabs fit me well and are worth every penny to me.

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