Hi fabulous PTs on the board!

[KnottedYet]

Tell your PT you'd like some intrinsic foot muscle exercises (those are for the little muscles that are in the foot itself) and some extrinsic foot muscle exercises (muscles that are in your lower leg, but have tendons going into the foot.)

Ask her to teach you closed-chain lower extremity (including pelvis in there) posture exercises. (closed-chain will work balance and proprioception, too, so you get more bang for your buck!)

I wouldn't ask her to post your Superfeet until you have broken them in/strengthened your feet to the point that you can wear them all the time. If she hasn't been trained in posting, don't worry. She probably knows someone who can do it. At the very least she can check your foot/ankle posture and functional positions when you wear the Superfeet and she should be able to tell you if you even need to have them posted.

[sundial]

This is a really interesting thread and I'm fascinated with the treatment options.

My problem with shoe inserts is.......I don't know which side to put one in. I lack joint space in my right knee, so I'm 4-5 mm shorter there, but my left side is shorter than my right according to a fitting I had recently at a bike shop.

Since I wear mtb shoes with Frog pedals, I'm not able to shim the right cleat. If I wear a shoe insert, do I wear it in both shoes, the left, or the right?

[KnottedYet]

This is a really interesting thread and I'm fascinated with the treatment options.

My problem with shoe inserts is.......I don't know which side to put one in. I lack joint space in my right knee, so I'm 4-5 mm shorter there, but my left side is shorter than my right according to a fitting I had recently at a bike shop.

Since I wear mtb shoes with Frog pedals, I'm not able to shim the right cleat. If I wear a shoe insert, do I wear it in both shoes, the left, or the right?

Insoles you wear one in each shoe. They come in pairs, and you should wear the entire pair even if your foot problems are only one sided. You can post/ship/lift one side to deal with asymmetry.

BTW: everyone is lopsided. You only need to shim the length difference if it is very large (like 1/2 inch or more) and/or if it is causing you pain.