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Treatment for posterior tibial tendonitis

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Created by eppo > 9 months ago, 12 Dec 2012
eppo
WA, 9793 posts
12 Dec 2012 5:50PM
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Okay knowledged dudes out there. Self diagnosed myself ( seeing a podiatrist on Monday), think I have the above conditions, although I feel it may be moving towards tendonisis as it has become chronic.

The tendon is inflamed, (have had problems for years) and with all the icing, anti inflammations, jim kids orthotics in shoe, after two weeks hasn't settled down like it normally does. Spent most of this time of it due to an intercostal strain to.

Quite flat footed, I think the collapse of my arch is putting pressure on my tassel tunnel, pinching my lateral Plantae nerve, which in turn is effecting the Sural nerve on the outside of foot. I know this as after the initial ins and needles what has been left is numbing down the outside of the foot all the way up to the little toe. If I press on the where the tassel tunnel is ( on inside of left ankle) it sends a little pain up the left side to the little toe.

Basically I'm afraid after all these years tendonisis or degradation of the posterior tibial tendon is now in place.

Normally my routines which are quite thorough drop the inflammation but no improvement!

Any advice guys, especially what I can do in the next few days to get the damn inflammation down.

I will do just about anything.

Help!

dingojack
WA, 56 posts
12 Dec 2012 5:55PM
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amputation above the knee ???

eppo
WA, 9793 posts
12 Dec 2012 5:56PM
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Lol. Here we go!

Luther
84 posts
12 Dec 2012 6:04PM
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Overnite delivery of your shinn monk to me so it still feels loved

Slack
WA, 685 posts
12 Dec 2012 6:08PM
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I think you have the internet equivalent of verbal diarrhoea and my advice is to unplug the laptop from the wall and within a couple of hours the battery will have died and you'll be on your way to a full recovery.

eppo
WA, 9793 posts
12 Dec 2012 6:09PM
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Nah man it is a serious injury man I really do need advice slack. Any physio, podiatrists out there?

pearl
NSW, 984 posts
12 Dec 2012 9:32PM
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I have similar. Apart from surgery there was no cure. i have found the best relief is hot/cold therapy. Footbath etc. i have a TENS machine that helps as well as taking fish oil, multivitamins, and magnesium. If you have footstraps they are going to add to your pain.
The following is similar to the info I was given from 2 doctors. plantar fibromatosis is know as Ledderhose's disease.
In this condition, the plantar fascia (a layer of firm fibers under the skin in the bottom of the foot) forms hard, irregular lumps that can be very painful. They are not cancerous.

The exact cause of plantar fibromatosis is unknown, but people with this disorder can have a similar problem in the palm of the hand called palmar fibromatosis, or Dupuytren's contracture. Some people develop this because of a genetic predisposition. In others, it may be secondary to plantar fasciitis (inflammation of the plantar fascia), small tears in the plantar fascia with exaggerated scarring as the fascia heals, or a response to repetitive trauma to the bottom of the foot.

**edit. Sorry eppo. I just reread your post and sounds like I'm more affected under the arch than you. Disregard! **

Dave Whettingsteel
WA, 1397 posts
12 Dec 2012 6:38PM
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That's sucks Eppo...
As I'm sure you know it's an overuse injury... You are going to get told to stop kiting and do stretching blah blah, but basically stop irritating it. Classic causes are "walking or running (especially uphill, on uneven surfaces or in poor footwear), jumping, hopping or change of direction activities. "

So you only mow the grass on flat water. No transitions, jumping or hopping!

Good luck, but I reckon that is what the Physio or podiatrist will tell you....

Cheers

JonnyFreer
QLD, 71 posts
12 Dec 2012 8:44PM
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rub it.......really fast

eppo
WA, 9793 posts
12 Dec 2012 6:53PM
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pearl said...
I have similar. Apart from surgery there was no cure. i have found the best relief is hot/cold therapy. Footbath etc. i have a TENS machine that helps as well as taking fish oil, multivitamins, and magnesium. If you have footstraps they are going to add to your pain.
The following is similar to the info I was given from 2 doctors. plantar fibromatosis is know as Ledderhose's disease.
In this condition, the plantar fascia (a layer of firm fibers under the skin in the bottom of the foot) forms hard, irregular lumps that can be very painful. They are not cancerous.

The exact cause of plantar fibromatosis is unknown, but people with this disorder can have a similar problem in the palm of the hand called palmar fibromatosis, or Dupuytren's contracture. Some people develop this because of a genetic predisposition. In others, it may be secondary to plantar fasciitis (inflammation of the plantar fascia), small tears in the plantar fascia with exaggerated scarring as the fascia heals, or a response to repetitive trauma to the bottom of the foot.

**edit. Sorry eppo. I just reread your post and sounds like I'm more affected under the arch than you. Disregard! **




Yeh but it was still good info. Will crank into the fish oil and other gear as well. Cheers.

eppo
WA, 9793 posts
12 Dec 2012 6:57PM
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Dave Whettingsteel said...
That's sucks Eppo...
As I'm sure you know it's an overuse injury... You are going to get told to stop kiting and do stretching blah blah, but basically stop irritating it. Classic causes are "walking or running (especially uphill, on uneven surfaces or in poor footwear), jumping, hopping or change of direction activities. "

So you only mow the grass on flat water. No transitions, jumping or hopping!

Good luck, but I reckon that is what the Physio or podiatrist will tell you....

Cheers



Yep true but thing is that would solve the problem in the past. This is a recurring problem for teenage years on. but this time all my remedial work has had no effect and the numbness down the opposite due to nerve pinching says to me my arches have really collapsed this time.

Already scaling back the type of aggressive kiting I normally do. Maybe I should add to surfing boys age and skill post! And to the other bit of advice yes a friction rub is definitely on the cards.

Just thought someone out there may have had the same thing and hoping for a miracle cure! Amputation as recommended of course would fix the problem lol.

Mich Sol
NSW, 13 posts
12 Dec 2012 10:07PM
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Are you riding a strapless surfboard? U probably need to strap your arches when kiting. Try pod, physio and some dry needling/ acupuncture. If not you might need a cortisone or PRP injection. Is most of your pain on the inside or outside of foot?

lovelife
SA, 160 posts
12 Dec 2012 9:40PM
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Hey eppo,

What really worked well for me with my last case of tendonitis is a natural ingredient called bromelain. It's derived from pineapples but u can get it from any health store. It is meant to help with the repair of tears, It's naturally anti inflammatory and pain relieving, and as a result will speed up the healing of the muscle tissue as it gets reduces the inflammation quicker than without.
A similar natural agent is turmeric if ur into that sort I stuff. It worked for me is all I can say. I had tendonitis in the shoulder and took 2 months to feel improvement, and with my latest injury I felt improvement after 5 days. Fish oil is good as a preventative treatment but works slow an will not relieve your pain straight away.

Hope this may work for ya too, but most likely they will tell you to rest and do some stretches etc. good luck!!

Hope ur back out soon
Elise

Mask
WA, 293 posts
12 Dec 2012 7:38PM
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Get rid of thoise crappy kites of yours and get some BWSs and all your problems will disappear.

eppo
WA, 9793 posts
12 Dec 2012 7:49PM
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[email protected] said...
Are you riding a strapless surfboard? U probably need to strap your arches when kiting. Try pod, physio and some dry needling/ acupuncture. If not you might need a cortisone or PRP injection. Is most of your pain on the inside or outside of foot?




Yes I will suggest that to the podiatrist. Needs all the help it can get.

The pain is on the inside where the tendon meets the navicle bone ( is that the right name, already forgot? Der). Press on it and it is inflamed but it is the impulse that runs up the left side to the little toe, which is the numb side ( and where the initial pins and needles started, actually it was quite painful). Symptoms seem to fit a nerve pinch as my description above. Thought I'd look at some anatomy before I went to the pod. I'm a physics, maths man, human biol is not my forte at all. But Im learning.

eppo
WA, 9793 posts
12 Dec 2012 7:51PM
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lovelife said...
Hey eppo,

What really worked well for me with my last case of tendonitis is a natural ingredient called bromelain. It's derived from pineapples but u can get it from any health store. It is meant to help with the repair of tears, It's naturally anti inflammatory and pain relieving, and as a result will speed up the healing of the muscle tissue as it gets reduces the inflammation quicker than without.
A similar natural agent is turmeric if ur into that sort I stuff. It worked for me is all I can say. I had tendonitis in the shoulder and took 2 months to feel improvement, and with my latest injury I felt improvement after 5 days. Fish oil is good as a preventative treatment but works slow an will not relieve your pain straight away.

Hope this may work for ya too, but most likely they will tell you to rest and do some stretches etc. good luck!!

Hope ur back out soon
Elise





Okay bromelain. Devils claw is another isn't it ?'will go down tomoz and get some cheers. I've is just not doing it.

eppo
WA, 9793 posts
12 Dec 2012 7:52PM
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Mask said...
Get rid of thoise crappy kites of yours and get some BWSs and all your problems will disappear.




Lol, mask you'll keep. Ha ha

Ugly
WA, 209 posts
12 Dec 2012 8:33PM
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Eppo welcome to old age.
Give you $200 for you new Ocean Rodeo board.
Always wanted one.

eppo
WA, 9793 posts
12 Dec 2012 8:39PM
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Hey hasn't even arrived yet and you are jumping in me grave,l steady on ugly.

Hey who said I was stopping kiting anyhow!

Will be managed pain for the next few months!

Maybe I should just take up drinking again, that seems to solve most immediate problems. Lol.

Hunter S
WA, 516 posts
12 Dec 2012 8:55PM
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eppo said...

Self diagnosed myself

Blah Blah Blah

I will do just about anything.

Help!


I suggest a Highly questionable diagnosis. I don't care how smart you are eppo - don't self diagnose. Get a professional diagnosis, and hopefully from a variety of professionals - not just one.

The body is complex and joints and muscles etc are all interconnected.

Not sure how old you but Welcome to the age ongoing rehabilitation

Ugly
WA, 209 posts
12 Dec 2012 9:18PM
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Mate just thought i could save you the storage issue [ hiding from the wife]
just in case it comes to amputation above the knee.
Got to love an unused toy.

RPM
WA, 1549 posts
12 Dec 2012 9:32PM
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Don't give him sh.it.. He may do a London nurse and top himself!

eppo
WA, 9793 posts
12 Dec 2012 9:41PM
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Hunter S said...
eppo said...

Self diagnosed myself

Blah Blah Blah

I will do just about anything.

Help!


I suggest a Highly questionable diagnosis. I don't care how smart you are eppo - don't self diagnose. Get a professional diagnosis, and hopefully from a variety of professionals - not just one.

The body is complex and joints and muscles etc are all interconnected.

Not sure how old you but Welcome to the age ongoing rehabilitation




You may have read I'm seeing a podiatrist on Monday. But yes I agree with your sentiment. But the symptoms do match the anatomy diagrams and descriptions of symptoms and treatment.

eppo
WA, 9793 posts
12 Dec 2012 9:42PM
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RPM said...
Don't give him sh.it.. He may do a London nurse and top himself!





...and it would be the nurses fault apparently. What a load of blameless ****e that is.

shi thouse
WA, 1159 posts
12 Dec 2012 9:54PM
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Eppo, apparently there is a close link between your injury and too much "quiet time" at home by yourself watching adult entertainment. Must be all those holidays you get. Just think, if you had an office job doing 12 hours a day you wouldn't have to worry about this issue as you wouldn't have time tondo anything else.

eppo
WA, 9793 posts
12 Dec 2012 10:06PM
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Maybe you are right man, bloody hard work trying to hide the iTunes electronic receipts I can tell you! Heard your collection isn't to bad, not long to go buddy and you to will have ankle Tendonitis. Lol

richswing
WA, 724 posts
12 Dec 2012 11:10PM
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Don't know what you are talking about exactly but I find these things help.

1. MSM - an acronym for a type of sulphur, amazing stuff but it taste like sh!t. Look it up, better than any fish oil or stuff ( quickest acting but offers other attributes)
2. Velbex 17 - a WA guy developed it, its all natural rub that gets you up and running pronto.

Change your mindset, your brain is a powerful thing, have you ever noticed you feel better before you go to the doc and feel crap when your moms about or you talk about it.

Cheers
Rich

KezzaK
28 posts
20 Dec 2012 5:30AM
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Hey mate, I am a sports physio. If it is tendinopathy of the tib post, or plantar fasciitis, then orthotics from the podiatrist will help to start with. Have you tried taping your foot for kiting? Taping the arch of your foot is a good functional test to see if it will benefit from the mechanical support of an orthotic, your pod should do this.

There is no cure as such (or magic potion!), tendons are prone to overload when activity levels change, often it comes on several weeks after getting back into activity after a break. The best management is strengthening of your foot (arch) and calf muscles, and correction of any dysfunction further up the chain, like hip and glute strength. If it is tendinopathy, it will often feel worst the next morning after kiting.

Very manageable condition. Slight pain up to 3/10 is okay - wont cause any damage. Doing no activity is actually worse for it.

Good luck

ceej
QLD, 30 posts
22 Dec 2012 3:32AM
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Shot in the dark from your description but maybe

Plantar Facisitits/ flattening of the foot - Take 50 mg Oral Diclofenac three times a day with food/ make sure no history of asthma aggravated by NSAID. also ice the injury and take it easy for a few days.

Also - figure 8 tape the foot to pull the fore foot back to the heal to support the arch.


Then orthotics to suport the arch.

It is often caused by a new motion of the foot e.g. running on sand/uneven surfaces.

Tibialis anterior- the anti inflames/ ice and gentle stretching should do the trick with rest.
Unless yo have started some vigorous exercise regime then hope its not faciiitis .
shot in the dark
or wearing thongs when coming into summer which dont provide much support.


eppo
WA, 9793 posts
22 Dec 2012 8:53AM
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Thanks for that fellas, yeh taping to see what happens when my arch is supported is a good idea. I do find when I wear my ankle brace, the inflammation is less prone to happen as much. Dichlorfenac you say...okay.

Will look on the net to how to tape as you have described. Thing is it doesn't hurt when I kite ( I wear the ankle brace), it is after. Infact just walking on ground seems to aggravate it more!

I missed my pod appointment would you believe, was putting new straps and pads on my mako king and the time elapsed, how ironic is that! Got another booked in on the 9th of jan.

Yeh it is an injury I need to manage until the season ends. Thanks again.



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"Treatment for posterior tibial tendonitis" started by eppo