|Subtalar hyperpronation on (a) medial and (b) anterior view.|
|My daughter now owns Stride Rite shoes.|
They provide the proper amount of support
for this little lady who is about to go off
exploring the world all on her own two feet.
Orthotics can be helpful to correct this. Another important thing to consider is footwear. Shoes with shock absorbing soles help reduce forces through the lower extremity and prevent repeat MTSS. Shoes should also have the proper fit and be changed every 300 miles to 6 months of wear. Runners who train in extreme climates should consider multiple pairs of shoes to keep on rotation as wet shoes lose 40% of their shock absorbing and support capabilities.
Specific strength and flexibility exercises –
These are for after an initial rest or modified training phase; do not attempt in the acute phase as this can exacerbate symptoms.
|Proper footwear is even more|
important on uneven terrain!
|Ankle ROM and strength exercises with Thera-Band.|