How do they get under the medial malleolus when doing ART?
How do they get under the medial malleolus when doing ART?
My daughter's problems started with arch pain. She always had low arches, but around 9th grade her right arch started bothering her and flaring up. She took time off, but next track season her right arch was worse after each race and very swollen after a regional meet (when she had the #1 time in the state). Doctors couldn't find anything wrong, no stress fractures and told her she could run. She felt otherwise, scratched from the state meet and we went looking for better orthodics. That process took us over two years. She ended up with a hard orthodic that really stabilizes her arch and it has a flange that is about three inches high. After she rested her arch and got used to the hard orthodic, she could run without her arch hurting, and it hasn't bothered her since. However, she'd had arch pain off and on for several years and that's when the PTT problem developed (which was resolved this year with ART). She has a lot of scar tissue from the prior arch pain and swelling.
I believe that the arch pain she had came from the tendon as it was being overstreched. It turns out she has a very loose right tendon, a genetic defect. As for the chiropractor, i'm not sure exactly what all he did, but he spent about 30-45 minutes each session pressing deeply into tissue. She would be face down and face up during the sessions.
I've been a lifetime suffer as well, and I've just had to accept that I can't run more than 50 miles/week without some degree of PTT.
Lately though, after years of wearing orthotics and motion control shoes, I switched to a cushy, neutral shoe (Nike Vomero 4), and I've been surprisingly pain free for a couple of months.
In 2005, I had post-tib tendonitis in my left arch. The day after doing 200s (progressions), I felt pain getting out of bed. In my case, I was wearing a pair of Nike Waffle racers (which were dead), and in my trainers, I wear custom made orthodics. After PT (using the instrument that looks like a butter knife), w/ cross-training; then time off; w/ new orthodics made, I still had pain. My podiatrist suggested a cortizone shot. Pain free since.
-road dog
I've been dealing with it for 6 months now. I have pretty much stopped running altogether. I can feel pain above my ankle just lying down. I'm only 25; this totally sucks.
IDK, I've been pretty much off running for four months. I agree.
It sucks.
And the running doc still swears that the orthotics coming in will cure everthing eventually. Sigh. You've probably seen every medicine man possible.
I really hope you wake up cured one day soon.
Maybe some holy water from Lourdes will help; I just heard about a PF/PTT cure with that!!!
Where was the shot: medial arch, back of arch, heel?
How long since you got shot?
Are the new orthotics semi-rigid(like cork and leather?)
My pain is mostly at inner heel, but also into medial arch.
Isaac Newton, did you put the orthotics in the new shoes, or ditch them?
Those first questions are for Road Dog
i had chronic shin problems that ruined my career and occasionally it would run into my inner ankle area and my foot would give out randomly. does that sound like PTT?
I've been dealing with a pretty annoying case of posterior tibial tendinosis since mid June and I've tried pretty much everything. Recently I started getting ART with Graston. That has been the most effective treatment for me. After only two appointments, my ankle and foot are moving much better and the discomfort/inflammation is minimal. I would second trying ART with Graston.
I also had some kinesio taping done to help get the swelling out of the ankle. I think it was helpful to a point, but didn't completely resolve the issue. I think it at least expedited the recovery process. Could be something else to consider.
shuffling wrote:
Hey, struggling, if you are stil there after two mos, can you do ANY runing? After months of hassle trying to figure out how I woke up disabled one day, I've been able to pretty surely diagnose this as PTT. Months of PF treatment till they told me it wasn't PF and "we don't know what it is"
Anyway, do you--any of you--recomend trying to run thru the pain, or are you likely to tear? Can you just shuffle a little? Fast light steps, wearing a brace? Anything?This is hell. It hurts all day long and all might, like a throbing toothache and giant canker sore on both feet.
Hey, just came back to lrc.com for the first time in a long time. Yes, i can run - i actually started to feel this back in 02, (i've always had really flat feet) but only after a really hard 80 mile week or so. by 2006, it had gradually progressed to not being able to run more than about 15mpw, which is about what i run now.
Strengthening has helped slightly, but to be honest, my competitive career is over now and i couldnt be bothered sitting in the living room an hour a day doing exercises so i can run 50 miles a week. hope you find some relief, this thing is a b***.
Hey everyone I just started having problems with what I think is PTT. I am hoping to run Chicago in two weeks but after doing a track workout in flats without my orthotics I had extremely tight calves the next few days. I tried to run easy the next day and my achilles got really tight and sore. Now the pain seems is between my ankle bone and the achilles tendon on the inside of my leg. I can put my thumb perfectly in the area. I've been icing with ice and also in an ice bucket but the pain hasn't gone away. It's not to the point where I feel excruciating pain but I do notice it's affecting my stride. I took today off and want to run this weekend to test it. I want to race chicago and then I'd be fine with taking 6-8 weeks off. From others experience do you think I could make it to the marathon and then on race day (i.e. adrenaline, grit etc) or do you think that I would do some serious damage?
Thanks in advance
Thanks for reply, as sobering as it is. Agree with the stupid strengthening exercises.
Am awaiting custom cork/leather orthotics, the "cure" according to the doc. I guess there is a biomechanical issue with ankle dorsiflexion.
where are you weighing in on orthotics?
I had the same problem and in most cases it stems from your back and core weakness. You need to see a physical therapist.
foot injuries are caused by BAD SHOES
figure it out wrote:
foot injuries are caused by BAD SHOES
if it were only that easy!
shuffling wrote:
Thanks for reply, as sobering as it is. Agree with the stupid strengthening exercises.
Am awaiting custom cork/leather orthotics, the "cure" according to the doc. I guess there is a biomechanical issue with ankle dorsiflexion.
where are you weighing in on orthotics?
I had orhtotics for a few years, and i hate to jump on the minimalism bandwagon, but i think they do make the problem worse in the long run by weakening the ankle and foot muscles.
The only time ive felt any relief over the last few years was when strengthening and running in flats. i couldn't believe it myself at first - just put the flats on one day since i had left my regular shoes out of town and it felt a lot better - my feet could move and respond to the ground a lot better than in my bulky running shoes with orthotics.
Anyway, by no means do i consider miniamism a 'cure'. more of a treatment i would say, as my limited experince has shown me that if i back off on the exercises at all, the PTT comes back very quickly. (hence the previous comment about strengthening 1hr a day).
Anyway, thats my humble opinion on orthotics, take it for what it's worth. best of luck in finding a solution.
It is not that difficult.
I'd love it to be that easy! Until now I never saw a doc for innjuries--just changed shoes. What do I do with this burning, straining, tightening, strangling pain I feel wrapped from my inner heel to my arch? For four months?
Doc says orthotics are needed to control ankle which doesn't dorsiflex properly, causing the problem.
I'm all set to eventually get on the minimalist list; I wonder if I'll set myself up for failure because of this permanent biomechanical anomaly which supposedly needs orthotics.
PTT sucks and I NEVER NEVER want to be this injured again. On crutches a lot this spring and summer. Just got cork/leather orthotics and have a heck of a lot of migrating pain all over the PT area and inner heel. What's up with this??
I think you have plantar fasciitis, not PTT.