Dear All,
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I have a triathlete patient with MTSS who I have been treating for some time, trying to get his Orthoses right and stopping him from overtraining.
I have suggested he looks into a 'walk to run' exercise program (if anybody can recommend a good one of these that would be very helpful) to build strength in the bone up rather than the periods of rest followed by throwing himself straight back into running that he seems ridiculously keen on doing and have referred him to a sports masseur.
He has asked me whether I think a more midfoot striking running style (please insert forefoot/barefoot/minimalist depending on your preference, he just means non heal to toe) would be preferable for helping his MTSS. Personally I can see the benefit of lack of rotational forces through the tibia and less frontal plane forces through the heel that this may give but wonder about the increased loading of Soleus and the potential effect this may have through its attachment to the tibia.
If anybody has any advice for me/him it would be greatly appreciated.
Thank you in anticipation.
Giles
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The effect of flexor hallucis longus harvest on hallux function
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