Overload of the foot when skating - #10486

Hello. I'd like to consult about foot pain that occurs exclusively when skating with hockey skates. My main complaint is a burning sensation along the outer side of the medial part of both feet, approximately 5-10 minutes after beginning intense skating. The pain occurs when working on the edges, making sharp turns, crossing over, in a hockey stance, and when dribbling. The pain subsides fairly quickly after removing the skates. I don't experience any significant pain in everyday shoes or while running. According to my examination, I have grade 1 transverse flatfoot on both feet, grade 1 hallux valgus on the right, and grade 2 longitudinal flatfoot on both feet. There are no radiographic signs of osteoarthritis. I've already tried several different pairs of skates, varying in firmness and last shape, as well as numerous insoles and orthotics. Overall, I've noticed a consistent pattern: the stiffer the shoe and the more the insole or insert tries to raise or correct the arch, the faster and more intense the burning sensation appears. High arch support and aggressive corrections make the situation worse. Softer, neutral, and flatter support is usually better tolerated. (This may not be related to the underlying problem, but a consequence.) I also tried to independently change the pressure distribution under the foot—using insole pads and adjustable corrective elements, changing the position of the arch in different places: in the center of the foot, closer to the painful area, next to it, closer to the arch. Sometimes it improved a little, sometimes worse, but I never found a stable and understandable position that reliably solved the problem. I also noticed that if the support is shifted closer to the inner part of the foot, the burning sensation appears faster and more intensely. I recently visited an orthopedist. He said he didn't see any obvious structural pathology and believed the problem was most likely related to the biomechanics of the foot. The primary diagnosis was myofascial pain syndrome in both feet and a twisted pelvis. He also recommended a consultation with a rehabilitation specialist, gentle manual therapy techniques, massage, and possibly shockwave therapy. However, the doctor himself also noted that worsening pain from raising the arch was atypical, and he didn't offer a clear solution. Another important observation: in everyday life, when I sit, I often unconsciously draw my toes toward the center, as if "collecting" my foot, and I tend to lean on the outer edge of my foot—the very part that later becomes overloaded and causes pain in my skates. This led me to hypothesize that during my push-off, I might also unconsciously shift to the outer edge of my foot, overloading that area instead of pushing off more evenly. I'd like to understand whether the problem is truly related to the biomechanics of my movement, lateral overload of the foot, the work of the peroneal muscles, the position of the pelvis, or some disruption in the foot-shin-pelvis chain. I'd also like to understand whether further experimentation with insoles and localized unloading is worthwhile, or whether a movement analysis and consultation with a rehabilitation specialist are needed. I'd be grateful for a more detailed assessment of the cause of the pain and a clear plan of action.