Questions based on description below:
-What do you think about Posterior Tibialiis Tendonitis diagnosis based on my symptoms?
-What is the best way to treat this, while still trying to be competitive at half-distance racing
-Are there any products, shoes, insoles, etc. worth trying?
-Any particular stretching or stimulation worth trying?
-Should I see a pediatrist or other specialist to deal with this?
-What's the "reality" with my injury. What's it actually going to take to get better
Background: I'm 6' roughly 170-175 pounds. Been a soccer/basketball/tennis player all my life. My main events are 70.3 races. I am sub 5 hours and recently finished top 25% age group at IM 70.3 Virginia. About 24 months ago when I started triathlon I was running 10-12 miles aweek. About 20 months ago went from running about 10-12 miles a week to closer to 20. Then went for a long run of 16 miles (I know now that was stupid) and afterwards could barely place weight on my right foot for two weeks (I don't recall doing anything weird during the run itself). I saw an orthopedic physician and they ran x-rays, which were negative for any kind of fracture. He recommended PT.
Two physical therapists that I've seen over the past 14 months think I have posterior tibialis tendonitis in my right foot/calf. I don't know if they are right. My symptoms began on the sudden long run. Over time, the symptoms have stabilized to running induced pain on medial (inner) portion of right foot. I can stimulate the pain by dorsiflexion plus arching. The pain is in an area about two inches below the ankle bone protrusion and about half inch above the arch. I have medium to high arches. If I lay off running for a week, I have little to no pain. But it will come back if I run for 30 minutes or longer. It's not a strong pain, so I can and do tough it out if I have to run longer distances.
To address the problem I took 6 weeks off from running and did PT 2-3x per week when the problem first arose. It came back after a few weeks of running, but I just toughed it out to finish last season. Then I took 8 weeks off running in the fall, seemed like I had it under control, only for it to come back again around April. Seems if I run more than 15 miles per week outdoors, it gets aggravated. Runs of more than 5 miles outdoors definitely aggravate it. Each experience with PT was more or less the same: some dry needling plus various strength/balance exercises targeting arch in right foot and posterior chain.
I wear superfeet orange inserts in my running shoes (Nike Zoom Structure 22) and have Specialized +++ high-arch insoles for my cycling shoes. I think they help, but I definitely still overpronate in my right foot while running.
Does anyone have advice from dealing with this type of injury? I really do not want to stop running altogether. I can manage my work load, take days off between runs, etc. but I'd rather be able to run 25+ miles a week, and preferably do at least 15+ outdoors.
Thanks in advance for your thoughts!
CG
-What do you think about Posterior Tibialiis Tendonitis diagnosis based on my symptoms?
-What is the best way to treat this, while still trying to be competitive at half-distance racing
-Are there any products, shoes, insoles, etc. worth trying?
-Any particular stretching or stimulation worth trying?
-Should I see a pediatrist or other specialist to deal with this?
-What's the "reality" with my injury. What's it actually going to take to get better
Background: I'm 6' roughly 170-175 pounds. Been a soccer/basketball/tennis player all my life. My main events are 70.3 races. I am sub 5 hours and recently finished top 25% age group at IM 70.3 Virginia. About 24 months ago when I started triathlon I was running 10-12 miles aweek. About 20 months ago went from running about 10-12 miles a week to closer to 20. Then went for a long run of 16 miles (I know now that was stupid) and afterwards could barely place weight on my right foot for two weeks (I don't recall doing anything weird during the run itself). I saw an orthopedic physician and they ran x-rays, which were negative for any kind of fracture. He recommended PT.
Two physical therapists that I've seen over the past 14 months think I have posterior tibialis tendonitis in my right foot/calf. I don't know if they are right. My symptoms began on the sudden long run. Over time, the symptoms have stabilized to running induced pain on medial (inner) portion of right foot. I can stimulate the pain by dorsiflexion plus arching. The pain is in an area about two inches below the ankle bone protrusion and about half inch above the arch. I have medium to high arches. If I lay off running for a week, I have little to no pain. But it will come back if I run for 30 minutes or longer. It's not a strong pain, so I can and do tough it out if I have to run longer distances.
To address the problem I took 6 weeks off from running and did PT 2-3x per week when the problem first arose. It came back after a few weeks of running, but I just toughed it out to finish last season. Then I took 8 weeks off running in the fall, seemed like I had it under control, only for it to come back again around April. Seems if I run more than 15 miles per week outdoors, it gets aggravated. Runs of more than 5 miles outdoors definitely aggravate it. Each experience with PT was more or less the same: some dry needling plus various strength/balance exercises targeting arch in right foot and posterior chain.
I wear superfeet orange inserts in my running shoes (Nike Zoom Structure 22) and have Specialized +++ high-arch insoles for my cycling shoes. I think they help, but I definitely still overpronate in my right foot while running.
Does anyone have advice from dealing with this type of injury? I really do not want to stop running altogether. I can manage my work load, take days off between runs, etc. but I'd rather be able to run 25+ miles a week, and preferably do at least 15+ outdoors.
Thanks in advance for your thoughts!
CG