Quick question regarding shoes / insoles for medial tibial sress syndrome (Full Version)

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Justin -> Quick question regarding shoes / insoles for medial tibial sress syndrome (March 31, 2008 10:50:17 PM)

Had a young girl in today with referral secondary to "shin splints" - presented mainly with medial / distal tibial pain.  Just started track season (mid distance runner) with obvious training errors.  Feet slightly cavus, though demonstrate some very late phase pronation (no running eval, came in in flip flops, despite the snow and ~32 degree weather :), otherwise seemed okay from a mechanics standpoint.
Started the usual RICE, some soleus stretching, AI modalities, etc.
Anybody with great recommendations for a shoe with a bit more cushion (and or appropriate insoles)?  I usually recommend Mizunu or Asics cushion shoes, just wondering what everyone else uses, and embarrassed to say I'm not really familiar with what is out there (off the shelf) for this issue in terms of inserts.
Also, anybody with any great taping techniques for this (asking this more out of curiosity)?
Thanks in advance.



Tom Reeves DPT ATC -> RE: Quick question regarding shoes / insoles for medial tibial sress syndrome (April 1, 2008 8:21:20 AM)

Asics tend to run wide, not terribly familiar with Mizuno shoes.  Nike and Reebok tend to run narrow. Saucony and Ryka tend to have a wider forefoot and narrower heel.

For cushioning, look for a shoe that makes a more curved footprint, and has a slip last.

Taping:  take some leuko tape and measure from the side of the big toe, around the back of the heel and back to the 1st metatarsal head.  apply that tape then do the same on the lateral side of the foot (side of little toe to ball of little toe) it is a sort of modified Low-Dye taping that requires only two strips of tape and often will last through a couple of showers. 

Good luck



jma -> RE: Quick question regarding shoes / insoles for medial tibial sress syndrome (April 1, 2008 12:18:30 PM)

Merrell sneakers at http://www.merrell.com are good. Bought them a few years ago and have worn nothing else since then.



Tom Reeves DPT ATC -> RE: Quick question regarding shoes / insoles for medial tibial sress syndrome (April 1, 2008 2:27:58 PM)

I just discovered Merrell this year. I had heard of them but when I tried them on, wow.  I was a Rockport dressy shoe guy but now Merrell is on my short list of dressy shoes.  I still think that running shoes offer more to the runner.



alodato -> RE: Quick question regarding shoes / insoles for medial tibial sress syndrome (April 8, 2008 11:04:09 PM)

Do not recommend cushion shoes.  You need a motion control shoe.  Companies like Brooks, Mizuno, Asics and New Balance have a good motion control shoe.  Nike and Adidas have good marketing depts and good cushion shoes, but nothing good in the motion control arena.



Justin -> RE: Quick question regarding shoes / insoles for medial tibial sress syndrome (April 10, 2008 10:09:00 PM)

Thanks for the responses.  Alodato - she really does need cushioning shoes.  She has cavus feet and her pronation, though somewhat delayed, is certainly not excessive.  I had her run for me when she came back in and she is a forefoot striker (almost bouncing rather than running).  Certainly not a bad thing, but I think really hard on her as she is a distance runner (doesn't bother her during cross country, just when she starts running on harder surfaces).  Got her into new shoes, had her rest for week and resumed training on a modified program (and some ionto though I know many here will disagree), and trying to get her into a bit more at least mid-foot strike as I think this will be more efficient for the distances she runs - she is doing quite a bit better and willl slowly return to full training.



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