Nmarman,

''Yeah NHS is unlikely to pay, results i have got over 1.5years have beengreat in people who had chronic conditions but no one has done any studies onthis as yet as therapy is so new. fficeffice" />>>''

If this is so new, and there are no studies to support it's use with chronic conditions how do you justify using it and not using an evidence-based approrach to your clients?

pinkpussycat, I work for the military and see an awful lot of these symptoms in soldiers who do weighted, booted runs and fast marching. It sounds like no-one has ever really got a handle on your symptoms.

I would recommend seeing a podiatrist who specialises in biomechanics. If your feet are pronated (flat, but this nothing to do with arch height!!) and need correcting with some kind insole, it is unlikely that your symptoms will improve without this being addressed. You say that you wear your comfy insoles in your running shoes only - you should aim to be wearing them all the time if your symptoms are that severe. Otherwise you will be re-irritating and stressing structures during the times that you do not wear them. MTSS and tightness of the ITB on your lateral thigh are closely linked with pronated feet.

Once this is sorted, it's worth going back to a physio to ensure that the muscular balance of the lower limb gets corrected. Look at tightness in the gastroc and soleus muscles and also if there is an ankle equinus - sometimes a Grade V manip of this can ease posterior calf tightness and stiffness at the Superior Tib-Fib joint. Techniques such as periostial pecking with an acupuncture meedle can also help in some cases.

I hope this helps. Keep us updated.

Laura