Lower limbs not right for months, getting wors... - Couch to 5K

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Lower limbs not right for months, getting worse. Any MSK experts out there?

Nicksy profile image
5 Replies

Hi everyone, feeling great that I seem to be on track for a 30 min 5k at the end of this, but I have developed blisters under the arches of my feet on every run of week 7. Didn't get them on the same run on wk6r3. Seems the latest in a long saga of pronation issues.

My journey... Had been doing doggy c25k (super slow version) last winter and at Easter started pushing myself hard trying hiit. Needless to say wasn't fit enough and tore my quads. Stopped exercising, started eating, by June I was slightly overweight.

Came back from hol and decided to start a daily yoga challenge and nhs c25k in Aug, despite a new pain in my lateral foot. I wear orthotics and they were rubbing on this foot slightly under the medial heel for about a year, and I finally realised my arch had almost collapsed (I have very high arches and over pronation) so saw gp about new orthotics. Probably collapsed as I swapped custom orthotics for off the shelf ones to fit into trendy trainers for what turned into 200 miles of walking on a 15 day sightseeing holiday the year before. These trainers only lasted half way then ended up in flip flops. Ended up with bottom of feet feeling tight when flexed for next 6 months.

Wk1r3 was distracted and stepped on a long flat, slightly inclined, wet rock while running, leg went sideways away from me then turned my ankle when it hit the grass and strained leg muscle, which I then repeated walking 3 weeks later. End of September with leg healed, ankle starting to regain inversion range of motion but lateral foot still hurting I started a beginner fitness programme with non weight bearing exercises. Slowly I added back in 20 min runs/intervals. Did this for 2 months and was seeing results but my foot and ankle still hurt. Took a month off, didn't get better.

Saw the orthotist, wouldn't give me exercises for collapsed arch but got new insoles, now lower on the collapsed foot (so not supporting me fully). Was told to break myself into them slowly. Running shoes were only things they fitted into so wore those all the time, then noticed they were falling apart so I couldn't start running in them, had to wait a few days for Xmas for new trainers. Also got a physio referral for sustained ankle + foot pain.

Started c25k in new year. As time built up I started to notice increased foot pain after run, and also feeling like my ankle was mildly sprained. Then, the day I was to do 3wk6r1 I had intense SI pain out of nowhere on the same side as foot and ankle problem and couldn't walk for 5 days, so took 2 weeks off running. Saw the physio who told me to go back to running unless I experienced excruciating pain - running is okay, walking can hurt, SI feels tender evening and day after a run. Physio also prescribed lots of squats to help with the collapsed arch.

Am noticing that am starting to get knee pain on same side when walking in orthotics. This was my original symptom that got me orthotics aged 12. If I wear heels at work then put on boots with orthotics to come home I can't feel the low orthotic under my foot at all but can feel the higher one.

Now I'm getting blisters under my arches, even on the orthotic that is lower than my old one. I was thinking the orthotic was too low hence all the pain, but why would it rub me when running?

Orthotics are 3 months old, boots and running trainers are 2 months old. I have the trainers at the very end of the laces to get orthotics inside.

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Nicksy
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5 Replies
Jell6 profile image
Jell6Graduate

Nicksy, I am afraid I can't advise you, it seems that you are already seeing an assortment of professionals.

I am aware that some sports physios work in tandem with orthotists.

They would be able to both input about your rather complex sounding issues at the same time. Rather than one say this, and one suggests that.

Is this an option for you?

Personally I was a bit concerned about your comment that you are able to run unless the pain is excruciating!.

Is it a specialist sports physio that you are seeing, or a general physio?

Nicksy profile image
Nicksy in reply to Jell6

I think he is a general physio

Jell6 profile image
Jell6Graduate in reply to Nicksy

See if you can get a sports physio, they are so knowledgeable, you clearly want to run, so its worth paying for an initial assessment if you can. Usually around £60, for the first appointment, then £40 or do for any follow ups. Good luck 😊

IannodaTruffe profile image
IannodaTruffeMentor

You obviously know a lot more about your specific issues than anyone else.

You don't mention having had a gait analysis done, which, in my book, is a prerequisite before buying running shoes, although in your case a specialist sports physio would be preferable to a running shop, to carry this out.

Nicksy profile image
Nicksy in reply to IannodaTruffe

I think I had a gait analysis 10 years ago and try to buy trainers or shoes that fit my orthotics and where I feel like I have support in the shoe to prevent pronation

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