The ankles are the first area that suffers pain when the feet are unstable or biomechanically imbalanced.
They attempt to hold the feet in equal equilibrium and the muscles and ligaments are put under unnatural strain, and pain and discomfort is the result.
If we look at the ligaments that are under both the medial and lateral malleolus, we find that upon palpation, these are tender and painful.
In the case of pronation, the medial ( inner ) ligaments become stretched and micro torn, whilst the lateral ( outer ) ligaments become somewhat crushed.
This instability also makes itself felt at the heel root of the Achilles. See my earlier article concerning the Achilles and Orthotics
It becomes obvious that the in order to stabilise the ankles, a prescription orthotic is required and this should return all but the most extreme ankles to normality.
Special attention will need to be drawn toward the rear foot postings, both for correct alignment and stability, and therefore it is vital that a practitioner who prescribes prescription orthotics is consulted.
Using off the shelf orthotics will not help at all, and their inaccuracy may well make the situation worse.
My book "the laymans guide to foot and heel pain" sold 35,000 copies to a curious public seeking information on orthotics, and the first message I gave is the importance of prescription orthotics.
Always see a practitioner who either casts the feet or uses laser scanning to create an orthotic.
Dr Les Bailey phd,DO,acopm,apta ( int part ).
Les Bailey orthotics 2012
About Dr Les Bailey phd,DO, acopm.apta(int part)
Direct phone number 07801418080
Dr Les Bailey began in physical therapies in 1981,qualifying in remedial massage,and later going on to qualify as an osteopath.
He gained his phd from OIUCM for a thesis on the treatment of plantar fasciitis.
He was awarded a teaching/lecturing diploma from the northern school of osteopaths in 1993.
He also holds a diploma in foot biomechanics .
Dr Les Bailey works from his clinic near Banstead / woodmansterne in surrey.