Your post certainly brings home the complexity of the problem. I really made it was simple by only mentioning a couple simple irregularities as if they were isolated, rather than interconnected, symptoms.
But if I’m not mistaken, my question still stands: Do you think that shoes are the best way to prevent joint problems, or do you think that this complex of gait and postural anomalies ostensibly caused by irregularities would best be treated by just teaching people better running form?
I am leery of ALWAYS ascribing deficiencies to individual anatomical anomalies, because it is often the case that people who succesfully perform an activity are not examined to see if they have anatomical anomalies, and so it never becomes clear whether or not anatomical anomalies are indeed the cause of a problem.
For example, according to one Dr. Sarno, low back pain is often diagnosed as having been caused by degenerated vertebral discs or subtle vertebral anomalies, but all people over the age of 20 have degenerated discs, and many people have subtle anomalies but do not experience back pain.
[quote]the MaxX wrote:
This is actually somewhat of a complicated issue.
First, arches have to be considered and whether or not they are impacting anything along the rest of the chain (all the joingts of the foot, ankle, knee, hip, lower back. One needs to inspect the heel (calcaneal varus/valgus), navicular height, tibial alignment, wear patterns on the shoe, as well as normal gait deviations. These are all considered when people present to a medical professional with pain.
Now the tough part is deciding whether or not these deviations cause a problem, whether it is simply one thing causing the other problems, or there is a problem caused by all of the aforementioned varibales. Even harder is having to decide how to appropriately decide the tendencies an individual may have towards one of many conditions or structural abnormalities when they are symptom free (especially if the condition the person is presenting with is and has always been their normal structural variance).
So, I guess with all the stuff that has spilled out of my “mouth” the take home point should be that when one engages in a running activity on a regular basis, the individual should have the shoes measured to prevent joint issues, as well as checking to see if the individual is headed down that path already.
Is that clear, or did I stray from your question too much?[/quote]