Early posterior tibial tendonitis?

Training Advice/Discussion

12 years ago 08/24/2011 2:33pm EDT

I think I might be in the very early stages of some posterior tibial tendonitis. Last week I ran a fartlek and the next day I had some discomfort in the muscle behind my knee / on the side of my calf. After a few days it went away, but now I am feeling a small amount of pain on the inside of my shin.

The thing is, I have absolutely zero pain running or walking around. However, when I wake up in the morning or after a nap, I can feel a dull ache in that area. I've been icing and taking ibuprofen...is this something to be worried about or will it resolve itself in a couple days? I don't have any actual pain, but can feel something a little off on the inside of my leg about 3-5 inches above the ankle. (tendonitis, not a stress fracture)

Any thoughts / experience?

12 years ago 08/24/2011 2:47pm EDT

re: concerned..

Posterior Tibial Tendinitis

The posterior tibial tendon runs down the inside of the leg, passes under the medial malleolus, and attaches to the navicular bone. Its job is to support the arch of the foot. When subjected to excessive stress, the tendon becomes inflamed. Most runners who incur this injury overpronate or have flat feet. Treatment includes ice, stretching the calf, anti-inflammatory medications, sticking to level surfaces when running, and wearing rigid, supportive shoes rather than soft, flexible models. Orthotics to help support the arch are useful in many cases.

http://www.livestrong.com/article/514607-running-injuries-inside-of-the-ankle/#ixzz1Vyg7Sbqg

12 years ago 08/24/2011 3:01pm EDT

re: Lint Davidson

Thank you. I've been icing, taking anti-inflammatory meds, and stretching. Also run in the Nimbus which is a pretty cushioned and rigid shoe...just wondering if this is something to be worried about that could snowball into something serious, or if it's just another ache?

12 years ago 08/24/2011 3:17pm EDT

re: concerned..

"The posterior tibial tendon runs down the inside of the leg, passes under the medial malleolus, and attaches to the navicular bone"

Are you sure this is your problem? You mentioned the pain was on the outside of your calf, which doesn't sound like the posterior tibial tendon to me.

12 years ago 08/24/2011 3:42pm EDT

re: Grammar Gestapo

No, initially that muscle flared up which might be the cause (fast running / fartlek?). The discomfort is on the inside of my leg along the shinbone

12 years ago 08/24/2011 4:09pm EDT

re: concerned..

5 inches from the top of your ankle? That might be a little high for PTT. Although initially it does sound like it.

I've struggled with it over the past year or so. Got it over Thanksgiving break, and didn't kick it until March. Had good training up until early July and it flared up again. Been out since. You don't feel it when you are walking around, unless you aggravated it recently, so it's hard to determine when it healed. It generally takes 15-20 minutes for the pain to kick in on a run, and feels worse after the run, and really achy the next morning when you wake up.

I eventually gave up icing it, and started to massage it and do strengthening drills.(lower leg/hips/glutes) I also switched shoes and went to a flat, which seemed to make a difference when I started to train in them. My 2nd occurrence happened in the flats, so not sure it is the solution. I bought some inserts, which seem to delay the pain during the run, but it still aches some afterwards. I have read on here some are able to clear it up in a week or two, but many others with months injured. Pretty disheartening. Best of luck.

12 years ago 08/24/2011 4:33pm EDT

re: concerned..

Oh I get it . . . misread your post, sorry.

10 years ago 07/03/2013 12:26pm EDT

re: I hate PTT

Did you manage to heal yourself?

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