Anterior Tibialis Pain

Training Advice/Discussion

3 years ago 12/02/2020 8:56am EST

Howdy. So I got a pain where my ant tib tendon (the big one on the front of your ankle) meets the foot, and also just under where the tongue of your shoe would be. I thought I was just lacing too tight in a new pair of shoes so just kept running on the thing.

Surely enough it got worse before I realized that I was running through an injury and not tight laces. My tendon is pretty swollen and it hurts to dorsiflex. I took about 4 days off running and pain went down to 1/10 or 2/10, but I think running on it has made it flare up a bit. Can I keep running on this as long as pain is 3/10 or less? Would it be better to just take 2 weeks off and get it to 100%?

I feel like even if all the pain is gone it's just going to pop right back up.

3 years ago 12/02/2020 2:12pm EST

re: biginjuredboi

3 years ago 12/02/2020 4:17pm EST

re: biginjuredboi

I've had this a couple times, usually icing it in a bucket of ice water with a sock on 3x20 mins a day for 2-3 days will clear it up. Roll and massage your calves and massage your shin muscle. It was always a flare up for me, usually caused by hills/tight calves/new shoes... I wouldn't worry about it too much.

I ran through it, but be smart - if it really hurts too much then stop.

3 years ago 12/03/2020 4:16am EST

re: nordic track

I'm prone to this as well. The origin for tib ant is very, very strong so unless you are having pain well in excess of what you describe or healing curves much longer than what you've experienced, it can reasonably be handled conservatively without taking too much, if any time off running.

Your mild symptoms mean that the pain is caused by the inflammation in response to mild damage, rather than the damage itself. Conservatively controlling the inflammation is a reasonable course. I massage in a topical anti-inflammatory immediately after a run if I feel the need.

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