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Torn Meniscus – Cross Training help needed

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Question:

Well, I should add that I have also customized my insoles, adding a second layer along the inside 1/3 or so. I have a complex kind of flat foot problem.   My podiatrist has never seen such "bad" feet in a runner.   He still shakes his head when he sees my feet — but I got my revenge when he saw me beat a couple of Athletics West sponsored guys in a race.  I had to experiment.  The orthotic wasn’t strong enough, and podiatriasts are conservative. I’ve found that if my foot turns inward more than a tiny amount when I put weight on it, it needs more support.  (no warranties implied, ymmv, etc) When I finally gave my feet enough support, all kinds of aches and pains went away, and my downhill running improved markedly. As far as shoe type is concerned, I found that a soft shoe was needed to heal my knee, and I’ve stuck with them ever since.  I train and race ultras in my Nike Air Pegasus shoes.  I figure that the orthotic gives me a pretty stable base;  it works for me, anyway. I’ve stuck with this model for about 4 years, and am not one of those runners with 8 different types of shoes.  No one but you can figure what you run and feel best with. —  Dan

– Hide quoted text — Show quoted text – Dan- Interesting post… I have had orthotics for 2 years, and they appear to have helped me get over plantar fasciitis (slowly), but a slight knee complaint keeps persisting. I have always had trouble getting a straight answer regarding what kind of running shoes are suitable for use with orthotics.  I had heard that a motion control shoe is required to provide a stable base for the orthotic. However, it appears that the shoe companies are going more toward a motion control shoe that acts as an orthotic.  In that case, wouldn’t the correction be additive? Have you found that a  straight cushioning shoe works well  w/ the orthotics?  Does it feel as stable as a MC shoe? Thanks, Harry Don’t sell yourself short… I was diagnosed with a small tear about 10 yrs ago.  It hurt just running 200 yards on pavement, but only a little on trails and soft sand. I went very slow, found cushy shoes, got my feet aligned with orthotics, and now 8 yrs later I have *no* symptoms.  I run 70-85 mpw (mostly on dirt), and race 30k to 50mile races without any problems.  I just ran a downhill section at 5:10/mile this morning, and not a peep from Mr. Knee. It took about 2 years to get back to normal.  It would have been faster if I’d gotten softer shoes and orthotics sooner, I think.  I was 44 at the time. If your feet aren’t properly supported, your arch collapses with each stride, causing the tibia to twist inward more than the 2 degrees allowed in the design spec.  This can cause lots of problems, and most likely caused my injury. Don’t give up!  Avoid pavement when possible.  etc, etc. —  Dan I have received the unfortunate news that I have a slight tear in my medial meniscus – too small for surgery big enough to affect my running for the rest of my life.  I can continue to run; however, have to keep my marathon running to a minimum.  I can do all the running I want in 10 mile increments – anything over that needs to be done minimally.  Anyone have any cross training suggestions that would help me train for marathons without 3 hour training runs.  Thanks!

Response:

I have received the unfortunate news that I have a slight tear in my medial meniscus – too small for surgery big enough to affect my running for the rest of my life.  I can continue to run; however, have to keep my marathon running to a minimum.  I can do all the running I want in 10 mile increments – anything over that needs to be done minimally.  Anyone have any cross training suggestions that would help me train for marathons without 3 hour training runs.  Thanks!

Response:

Dan- Interesting post… I have had orthotics for 2 years, and they appear to have helped me get over plantar fasciitis (slowly), but a slight knee complaint keeps persisting. I have always had trouble getting a straight answer regarding what kind of running shoes are suitable for use with orthotics.  I had heard that a motion control shoe is required to provide a stable base for the orthotic. However, it appears that the shoe companies are going more toward a motion control shoe that acts as an orthotic.  In that case, wouldn’t the correction be additive? Have you found that a  straight cushioning shoe works well  w/ the orthotics?  Does it feel as stable as a MC shoe? Thanks, Harry

– Hide quoted text — Show quoted text – Don’t sell yourself short… I was diagnosed with a small tear about 10 yrs ago.  It hurt just running 200 yards on pavement, but only a little on trails and soft sand. I went very slow, found cushy shoes, got my feet aligned with orthotics, and now 8 yrs later I have *no* symptoms.  I run 70-85 mpw (mostly on dirt), and race 30k to 50mile races without any problems.  I just ran a downhill section at 5:10/mile this morning, and not a peep from Mr. Knee. It took about 2 years to get back to normal.  It would have been faster if I’d gotten softer shoes and orthotics sooner, I think.  I was 44 at the time. If your feet aren’t properly supported, your arch collapses with each stride, causing the tibia to twist inward more than the 2 degrees allowed in the design spec.  This can cause lots of problems, and most likely caused my injury. Don’t give up!  Avoid pavement when possible.  etc, etc. —  Dan I have received the unfortunate news that I have a slight tear in my medial meniscus – too small for surgery big enough to affect my running for the rest of my life.  I can continue to run; however, have to keep my marathon running to a minimum.  I can do all the running I want in 10 mile increments – anything over that needs to be done minimally.  Anyone have any cross training suggestions that would help me train for marathons without 3 hour training runs.  Thanks!

Response:

Don’t sell yourself short… I was diagnosed with a small tear about 10 yrs ago.  It hurt just running 200 yards on pavement, but only a little on trails and soft sand. I went very slow, found cushy shoes, got my feet aligned with orthotics, and now 8 yrs later I have *no* symptoms.  I run 70-85 mpw (mostly on dirt), and race 30k to 50mile races without any problems.  I just ran a downhill section at 5:10/mile this morning, and not a peep from Mr. Knee. It took about 2 years to get back to normal.  It would have been faster if I’d gotten softer shoes and orthotics sooner, I think.  I was 44 at the time. If your feet aren’t properly supported, your arch collapses with each stride, causing the tibia to twist inward more than the 2 degrees allowed in the design spec.  This can cause lots of problems, and most likely caused my injury. Don’t give up!  Avoid pavement when possible.  etc, etc. —  Dan

– Hide quoted text — Show quoted text – I have received the unfortunate news that I have a slight tear in my medial meniscus – too small for surgery big enough to affect my running for the rest of my life.  I can continue to run; however, have to keep my marathon running to a minimum.  I can do all the running I want in 10 mile increments – anything over that needs to be done minimally.  Anyone have any cross training suggestions that would help me train for marathons without 3 hour training runs.  Thanks!

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