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Sunday, September 23, 2018

Stage ll Posterior Tibial Tendon Dysfunction: Give Conservative Care a Try

Dr. Blake, 
 This is the original post back in March 2018 when the patient contacted me. I referred her eventually to Dr. Matt Werd in Florida. 
I wanted to share with you a follow up on my progress with physical therapy. 

I am seeing Dr. Werd and he was very helpful in prescribing PT. Not only that but of all the doctors I have seen for this condition (4 so far), he has by far spent the most time with me analyzing my symptoms and going over the diagnostics and various alternatives. 

I had 5 months of PT. I was very blessed in finding an experienced therapist. I can tell you that it was not easy. It was sometimes painful and discouraging. However, I stuck with it daily, sometimes an hour or more of exercises every day. I had a couple of setbacks but am so thrilled with the results now. I am walking without pain, have full range of motion and full strength. I can easily do 50 single foot heel rises! Although it wasn't easy, I can also say that it was much easier for me to do PT than the alternative of surgery (with the post-op of being non-weight bearing, on painkillers all while trying to take care of my children.) I would have done surgery if absolutely needed but was so glad to have an alternative. 

I'm so thankful to God to lead me to this path. Thank you so much for your help along the way!


P.S. Do you have any advice for me how to keep my foot healthy (exercises to do? any to avoid?) Dr. Blake's comment: This is your weak spot, but over the next year you will get it stronger and stronger. I pray that you are doing the posterior tibial theraband work level 6 2 sets of 25. Did you go through them? If you did, you need to do twice weekly to maintain the strength and make sure the tendon stays strong. Focus on activities until April that you can do with orthotics like hiking. I would wait another year before starting a walk-run program. Modified Yoga with orthotics on would be wonderful. I hope this gives some direction. You want to keep it strong forever so it will have minimal effects on your overall life.

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.