Sorry you're feeling so bad. I just went through a bout with my knee, just when I thought I was doing so well so I totally understand your pain. I think certain muscles aren't strong enough after an injury so when you stress the joint other muscles have to take over for the injured muscle and its easy to cause the pain to flair up again.

Did you pt give you directions for wearing the orthotics? First day 1 hr? 2nd day 2hrs, etc. My pt also said not to exercise in them, ie hiking, long walks etc. Even though I've worn orthotics for years he still had me follow these guidelines when I got my new ones.

Also, are you icing? Advil and ice have been the best therapy for me. I was just about to call my Dr. but the knee is settling down again so I'm sure yours will too.

If you continue to have problems with the orthotics have the therapist recheck them. One pair that I had made by a therapist they were made wrong. My foot was killing me! She couldn't figure out why. I went to a podiatrist and he couldn't figure out why my foot was killing me. Finally, I saw to an orthopedic foot specialist and it turns our the first metatarsal drops lower than the other metatarsals so my foot doesn't strike the ground properly. He wanted to take a section of the bone out and splice the bone together, but fortunately, he recommended different orthodotics to help accomodate the metatarsal. Well, that did the trick thank goodness. However, I had new ones made several years ago and last year started having foot problems again! It turns out that there wasn't enough arch support, whew! I thought I was facing surgery but I had new ones made with a better arch support and no longer have foot pain.