any time I get a new pair of shoes, I buy a pair of Superfeet insoles. they're pricey, but worth it to not be in agony. a visit with a PT, the hypothesis is that my tibialis is overdeveloped. if I don't have the right type of foot support and need to make an upward climb, I'm gonna be crying by the time I get to the top. better support and simply avoiding some things that involved steep inclines were the only things that really gave me any relief