Oh, yeah! I'd much rather see an effective crank length/dropped pedal adjustment than a side-tilting saddle.
A lot of times what we start with is correcting 1/2 the LLD. So for a 1 inch LLD we put in a 1/2 inch lift or lift-and-shim combo (cuz your bod has been compensating for that 1 inch your whole life and we don't want to push it all the way to the other side and cause a new problem!)
If your orthotics and cleat shims don't make the world a better place, I'd suggest seeing either Michael Sylvester, Chris Robinson, or someone they recommend. Someone like me, with more PT training than bike-stuff training, might not know about the nifty stuff you can do at the crank/pedal.
(interesting aside: did you know that Bill Nye the Science Guy designed a bike pedal lift for LLD?)
Edit: has anyone talked to you about putting lifts in the outsole of your shoes, as opposed to inside the shoe? This kind of trick works peachy-keen with regular shoes, is a lot cheaper, and you never have that "OMG, my orthotics are in my other shoes!" moment. You usually want to have experimented with lift sizes before you go make structural changes to the shoes.
Last edited by KnottedYet; 03-07-2008 at 08:09 PM.
"If Americans want to live the American Dream, they should go to Denmark." - Richard Wilkinson