posterior tibial tendon

Discussion in 'Ask the Docs' started by frozenfeet, Jul 5, 2016.

  1. frozenfeet

    frozenfeet Barefooters

    Jan 25, 2012
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    Help. I have tendonitis in my left posterior tibial tendon. I've been to a podiatrist, who made custom orthotics and showed me pictures (the x-rays) of both feet. They're a mess. Everything seems to be falling apart. In particular, the arches in both feet are falling, throwing everything out of whack. The orthotics are supposed to stabilize my feet, but what about the future? I've been running in Inov-8 F-lite 192 or 195, very minimalist shoes, but haven't been able to run in 2 months.

    What are the odds that I will be back to running one of these days? Any guess?
  2. Backfixer

    Backfixer Barefooters

    Oct 28, 2012
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    Tibialis posterior is the main muscle combined with the flexor hallicus that we spring off of. Regarding to the idea of fallen arches, unless someone has actually had a fasciotomy which is rarely done anymore, arches do not fall. If you have low arches, it is because you inherited them.

    If you developed this problem while running barefoot, it is possible that there is more to the story to meet the eye. Typically, to fully understand this type of tendonosis, you need to look at someones gait, pelvis and fascial lines in the legs and throughout the body.

    Short term, working out the calves by hand may be quite helpful, especially in the tibialis posterior muscle. If the muscle is shortened and tightened, you will get toe and foot pain. Doing things to it and using orthotics can be of some benefit, but relying solely on this is a losers game.

    Find a good sports chiropractor who works with runners and knows myofascial release methods such as ART. I am guessing that your hips are torqued and that you have problems doing a level squat. Typically a tight tib fib will inhibit the gluts resulting in the lateral fascia of the leg tightening which is likely really the reason for your pain.

    If you want to learn and understand your own body mechanics better, it may be a good idea to read my book Cheating Mother Nature, what you need to know to beat chronic pain. It is available through Amazon and can help.

    Hope that helps.

    Dr. C
    migangelo likes this.

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