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I¡¯d say from the info Nike Dunk SB Mens UK sale you provide, a lot of your problem is from the footwear and past injuries, and maybe even toss in a bit of overtraining. Past injuries cause major adaptations in the body and even though the pain may be gone, gait imbalances and muscle imbalances are still present. I¡¯ve got a Sock Doc post and video on Achilles Tendonitis ¨C retrocalcaneal bursitis ¨C pump bump; call it what you like, they¡¯re all names given from a similar problem. link to sock-doc.com¡­. From my experience ¨C stretching and orthotics are two of the worst things you can do for that, as well as most injuries.

In this case, the problem is being caused by a big hunk of pointy bone that shouldn¡¯t be there. Personally, I don¡¯t think this is a case where being dogmatic about minimalism or barefoot, or even necessarily running form, is all that helpful. The issue is that a pointy hunk of bone is digging into the bursa and Nike Dunk SB Womens uk online tendon when the tendon is angled a certain way relative to the bone. The solutions are either to remove the bone spur, or find a way to avoid the digging. It seems that in this case, a heel lift angles the tendon relative to the bone in a way that alleviates the pain. If that allows you to run, why not go with it? The issue though is the past hip injury, so determining if that might be related to form/footwear could be of interest.

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Sorry, no video. But I was a heel striker in my old running shoes and I know that there were definitely weird things going on in my gait that I suspect contributed to the hip injury that kept me sidelined for most of 2010. I¡¯m definitely forefoot striking now, not heel striking, and being a big guy it required a very slow and deliberate transition. I started out walking very short distances and ramped up the distances very, very slowly. I did it barefoot and the soles of my feet did a very good job limiting the distances for me and giving me feedback.

I recently went to another orthopedic surgeon who specializes in foot and ankle surgery and he didn¡¯t recommend surgery to remove the Haglund structure (he didn¡¯t call it a defect). He said that lots of people had it and that it shouldn¡¯t be a problem. He noted tightness of m uk Nike Free 5.0 Mens sale y calves and Achilles tendon and recommended continued stretching. I was already working on this but even doing this irritates the bursitis and tendonitis. I again suspect that it is the Haglund structure digging into the inflamed tendon and bursa.

Thanks for chiming in! Does the impingement of the spur against the bursa tend to occur more in dorsiflexion, or during plantarflexion as a result of the heel counter pushing the tendon toward the spur from behind? Also, is this mainly a sagittal plan e issue, or does ankle inversion/eversion play a role as well?

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