tag:blogger.com,1999:blog-673715911736059911.post4810188552542128126..comments2024-03-28T02:42:33.170-07:00Comments on Foot and Ankle Problems By Dr. Richard Blake: Posterior Tibial Tendon Dysfunction: Email CorrespondanceUnknownnoreply@blogger.comBlogger5125tag:blogger.com,1999:blog-673715911736059911.post-32451024484477245572017-04-22T17:56:05.494-07:002017-04-22T17:56:05.494-07:00Dear Dr Blake,
Thank you for all your helpful advi...Dear Dr Blake,<br />Thank you for all your helpful advice. I sustained a severe sprain 3 months ago. There was bruising around PTT but the main injury site was on the other side of my ankle. It was healing fairly well overall, but 6 weeks ago I started experiencing pain in my PTT; my arch was also collapsing inwards. I think I may have been over stretching my achilles, which aggravated the PTT. However, the pain has increased to the point where I am not able to put any weight on it at all at this point.One1 month ago I could walk around pretty easily, at least short distances. <br /><br />I am able to do a calf raise, so my podiatrist thinks this is just inflammation and needs to calm down. But it seems to be worsening, and I don't know what to do. I am immobilizing, icing, not walking on it. My ankle overall is weak and stiff, due to the main injury. <br /><br />Do you have any suggestions? I am quite desperate. Thanks so much! Anne S.noreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-25978028502027777122012-11-16T21:41:45.934-08:002012-11-16T21:41:45.934-08:00Thanks for your question. You basically need to cr...Thanks for your question. You basically need to create a pain free environment and if that means wearing the boot for 2 to 6 weeks, so be it. The program of treatment for PTTD is immobilize when necessary, restrengthen the moment you get symptoms, and anti-inflammatory (normally a car load of ice). Active Release is for the scar tissue accummulation in a chronic injury, and the ART specialist will let you know if you are a candidate. RichDr Richard Blakehttps://www.blogger.com/profile/14832893709341945125noreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-17463861350086250332012-11-15T06:58:09.873-08:002012-11-15T06:58:09.873-08:00Good morning Doctor,
This is one of the more comp...Good morning Doctor,<br /><br />This is one of the more comprehensive explanations I've seen.<br />I am dealing with a 2nd round of PTT.<br />I tried quickly jumping into the re-hab exercises, but noticed pain when going on balls of foot, so I stopped.<br />The podiatrist put me in a ankle brace.<br />I found this great self-massage that I thought I'd share with others:<br /><br />http://standingontop.com/blog/runner-communities-barefoot-running-posterior-tibial-tendonitis-1-runners-world-forums/<br /><br />The podiatrist recommends me wear the boot for 2 weeks.<br />I went for a consult in Active Release Therapy, where the guy pulled my leg and hip, and rotated ankle.<br />Should I wait the 2 weeks, then go to the ART Chiropractor for treatment?Mike_Loves_Internal_Artshttps://www.blogger.com/profile/00074461617262560638noreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-73886750233361925392012-05-22T21:54:04.187-07:002012-05-22T21:54:04.187-07:00If you do not have arch collapse, surgery is less ...If you do not have arch collapse, surgery is less imminent. Try the Brooks Ariel or Addiction for Motion Control running shoe. Spend the next year strengthening your ankle, weekly making the exercises longer, more difficult, and adding a new one. You should be able to make the ankle 3-4 times stronger if you can do the exercises I described pain free. Having an ankle that strong should make the falls much less frequent. RichDr Richard Blakehttps://www.blogger.com/profile/14832893709341945125noreply@blogger.comtag:blogger.com,1999:blog-673715911736059911.post-90267415413467294192012-05-21T05:29:39.508-07:002012-05-21T05:29:39.508-07:00Thank you so much for all of the information! The ...Thank you so much for all of the information! The pain is definitely near the accessory navicular bone. At least that is what it feels like. <br />I do not have an arch collapse, but I can see the overpronation clearly. My fear is my instability and the constant falling and rolling of the ankle. It does not take much at all, a rock or a large seam in the concrete, if I hit it just a certain way, I am down. I already have a pin in my left ankle from an injury years ago. I know there are structural issues because when I walk now, sometimes I can feel a "popping" feeling at the very top of my thigh where it joins the pelvic area. I don't know if I am doing more harm by all of the different inserts and shoes I keep trying. I read in a prior blog of yours that people with this issue need motion control shoes. Do you have an recommendations?<br />The exercises do not hurt, but I clearly need to strengthen my ankles. The single leg balance I can really feel in my muscles. I greatly appreciate all of your help!<br />MelissaMelissahttps://www.blogger.com/profile/03142403491082511969noreply@blogger.com