Posterior Tibial Tendonitis...Please help!

I have been dealing with foot pain for the past 6 weeks and was diagnosed with posterior tibial tendonitis which caused me to alter my training strategy for IM Florida by moving my runs to the pool. The pain did not seem to subside so I had an MRI to rule out a stress fracture. The results showed no stress fracture, just a severely inflamed tendon. My doctor recommended that I do not return to running and should not do Florida.

Has anyone dealt with this situation? If so, what did you do?

My fitness is good and I feel that the aqua running is a good alternative. My concern is the potential of rupturing the tendon by racing Florida, but of course, I want to do the race.

Any thoughts?

Thanks for your input! Stay classy.

You’ve got time to salvage IMFL - might not be your best race, but getting to the line uninjured is not often easy.

Aquarunning is a great idea. Rest is best right now with the PT tendon in an acute/inflamed state. Ice the area - I’d even wear a CAM boot as just walking around, up/down stairs is pretty hard on it. Then, figure out what caused it. Simple overuse training injury (common running injury) or something else (excessive rate of pronation, etc.). Recent shoe switch? Could be as obscure as a recent infection and placed on a quinolone antibiotic (i.e. Cipro, Tequin, Levaquin, etc.).

The help of a good PT who understands your wishes will help a lot as well. You don’t want this progressing along the lines to PTTD that you have likely read about - career ending there in most cases.