plaster casted orthotics are better fitted than foam impression ones. a medial flange would help take weight off the inner portion of the foot better than a lateral post. typically, a lateral post shifts more weight to the inner foot area. if you pronate a lot and have tibialis pain, a ritchie brace or arizona brace would hold the medial ankle more upright, whereas an orthotic has limits for doing so. it would be difficult for me to assess your orthotics w/o seeing them. if they continue to hurt, i would get it re-evaluated. again, orthotics shouldn't hurt after a few weeks.
Hi Yena, thanks for your reply. I wasn't plaster casted for these, she did a foam impression while I sat. The purpose of the lateral post was to try and shift my weight towards the outside of my foot, because I had the sensation of landing with more of my weight on the inside of the foot as I walked. Do you think this means the arch is not high enough, or too high?
orthotics should not hurt...especiallly if you have worn them before.
i would give it another week. if you continue to have pain, speak to the clinician again.
if she refuses to help you, get a second opinion from a podiatrist who is experienced in biomechanics and orthotic casting.
typically for tibiallis pain, a patient should be casted with plaster for orthotics. there should be a deep heel cup with a medial and lateral flange. a lateral post would make you put more strain on the inner ankle and tibialis tendon. i am not sure if this is a good modification for you. if you were plaster casted with the foot at neutral, it would capture your natural arch b/f you put weight on the foot. so, it really wouldn't be too high for you.