Sorry to hear that mate. Hopefully it clears up.
1 Like
Oh no @Symes that’s really crap, you have my empathy and I hope it heals quickly 
1 Like
I slept awkwardly on Sunday night and have a distinctly uncomfortable neck. It’s not sore as such, just aggrivating.
1 Like
Does a hangover count as an injury? I’m too old for drinking on a Monday and fear if I go to the pool at lunchtime I will be sick and/or drown.
9 Likes
Hi All, has anyone had posterior tibial tendon dysfunction?
I’ve always had a fallen arch on my right foot but this year I started to feel pain above the inside of the ankle. Ultrasound revealed inflammation of the PTT and I got a guided injection of hyaluronic acid into the sheath, and managed to get through the training for IM Kalmar by zinc oxide taping the ankle to stop it rolling. MRI has now revealed a Grade II tear in the tendon and the surgeon has given me a few options, none of which sound appealing…
- Live with it, wear orthotics and reduce running load (or risk rupture/foot deformity)
- Clean/repair tendon - minor surgery (may not last long-term?)
- Tendon transfer/osteotomy - major surgery (described by the surgeon as a “nuclear” option)
I’m 45 and would like to carry on with triathlon for a few more years yet, so I’m wondering if anyone has had a similar diagnosis and any experience of option 2/3?
I had similar, but not as bad years ago. I have, according to the physio I saw “the flattest feet he has ever seen”. I was getting the pain as you describe. It never tore though.
For me ( and I know some people hate them) but orthotics were a God send. Got custom ones, they need replacing annually, and I have never had any trouble since.
Can you maybe have the minor surgery and then use the orthotics long term to prevent reoccurrence?
The physio said I would never be able to run more than 10k. The podiatrist who made them said that’s bollocks and he was right and I comfortably ran many runs of 20-30k and never had an issue
1 Like
Why isn’t option 1 more positive?
Tendons only respond to heavy load, but most can be improved even if a long journey requiring mental effort to keep doing the rehab. You don’t mention if/how much strengthening work you’ve done yet to improve the capacity of the tendon to cope?
I’d want a second opinion from a sports doc or good physio/podiatrist etc used to working with active rather than passive treatments.
I’m less clued up on PTT specifics, but again can’t see why a good orthotic wouldn’t help to shift some load off the tendon to continue running, so that you can apply controlled load as part of your rehab.
2 Likes
Thanks both for your replies. To the point about option 1 - I guess it was in the way the surgeon sold it to me, i.e. I should probably forget about distance running as a plausible long-term activity, otherwise I risk eventual full tendon rupture, even with proper rehab/orthotics etc.
Completely agree regarding 2nd opinion. I’m currently minded towards taking 2023 off, going for option 2 with the rehab/orthotics and seeing how it feels through the recovery process, but I’ll probably take until the New Year to make my mind up.
1 Like
I agree with @Chriswim and would get a 2nd opinion, IME surgeons usually give surgery as he preferred treatment option. That isn’t meant as a slight or suggesting they have anything than a bias bcause that is what they do ad know best. As Chris suggests you can do option 1, rehab and run a bit; then if needed go to option 2.
1 Like
Of course. Everyone works within their realm of expertise and comfort. To its extreme, If you go see a nutrition company I’m sure some would sell you collagen supplements, and a homoeopath would give you… something.
Yes orthopods are the specialists in bone and MSK repair, and do have a broad and deeper understanding that most other professionals. But ultimately they spend their careers learning how they can help surgically. That doesn’t leave full capacity for learning all the non-surgical ways, and some are better at knowing those options than others.
They may be completely right with their opinion that it will ultimately require surgery - I’m not in a position to say. But like a good surgeon will say case X doesn’t need surgery and refer you to a physio, a good MSK practitioner will also say case Y is unlikely to succeed with rehab and will need orthopaedic referral.
3 Likes
Don’t think I’d want an orthopaedic surgeon going to work on any of my tendons except maybe the Achilles if it was completely ruptured.
That’s just a personal reflection, not any sort of specific advice obviously!
3 Likes
My knee felt a bit funny, especially when bending and pushing weight up. Muscles felt a bit tight in the quad.
Did a bit of self massage, made it much worse. Good one
3 Likes
ever since I’ve been back from Parkrun, my nose has felt a bit sniffy and I was sneezing a fait bit (very unusual for me). Not it’s properly running and I’m getting that warm/heavy head feeling.
Suspect it will be a case of head full of cement tomorrow 
3 Likes
Mine never got really bad but the sinuses are still annoying me 
Hopefully you can sleep it off
1 Like
It’s my own fault for going to ‘that London’
3 Likes
luckily I woke up feeling a lot better today 
3 Likes
We have vinyl tiles on the downstairs floors of our gaff. I didn’t realise how slippy they were until putting on a new pair of merino walking socks this afternoon to take the dog for a walk. Foot slipped from underneath me when I put one sock on and I went down like a sack of spuds stretching my left quad in the process. Jeez - that hurt! Just like a pulled quad - uncomfy. Arse.
10 Likes
ouch!
Managed a very slow 5k jog today, no pain during and so far no flare up after. Bit of a psychological hurdle that I think. Just got to keep reminding myself to take it all very, very slowly. Going to drop back down to run/walk for the next few weeks but try and go a little quicker I think.
11 Likes
Got the first inkling of a sore throat last night then woke up with moderate sore throat and mild aching, pretty much, all over.
With all this talk of Strep A, when should I start worrying?
2 Likes