This practice isn't convenient for me, nor is it in network--but I gave it a shot. My original plan was to go once a week during the month of July, but now it's October and I'm still at it. One of my previous PTs stressed the fact that if a course of treatment doesn't seem to be working after a few weeks, it's time to seek a new practice.
But I did start seeing some improvements--small, though, and not necessarily lasting--so I have kept at it. During my initial assessment, Robert noticed that I had barely any mobility in my left (bad side) ankle. Think about your knee coming over your foot during a stride--without mobility in your ankle, the kinetic chain doesn't work. In addition to my foot pain, I've been having a lot of pain down the side of my leg (peroneal tendon) so it makes sense that I was torquing it somehow.
The ankle stuff has improved with targeted stretches and some seriously painful manual work. I had a decent week of running while in Cape Cod and was encouraged. But the pain returned upon my return home, and even though treatment helped each week, it wasn't keeping the issue from coming back.
I was honest with Robert and he promised to really think about what else might be going on. While he was thinking, he and I also strategized about other things that might be getting in my way--namely the hours spent on the spin bike in lieu of running. I had a bike fit in the spring, but per Robert's suggestion I actually went a bit against the bike fitter's advice and moved my cleat as far back toward my heel as possible.
Over the past couple of weeks, Robert has done some additional assessments and discovered my lack of core and hip strength. I do a ton of (what I thought was) core work, but probably not the right core work. And I'm not surprised about my hips. So I've been learning some basic, but still challenging, hip strengthening exercises (like clamshells) and am trying to be as diligent as possible.
This week, Robert watched me run on a treadmill at PT. I've been through this many times before and the comments from the observer usually range from "Well, that's different" to "I've never seen a more biomechanically incorrect stride." I didn't get any judgment this time, but here's what I learned. I normally wouldn't post pictures of my ass for the world to see, but in the name of recovery, it's important.
So now I have even more work to do. The "vaulting" thing really throws me. How do I change that? I know that Ted and others have worked on stride changing with success, but I've tried it before and I feel like it didn't stick. Good luck to me!