The tibialis posterior muscle comes from behind the shin bone (tibia) and runs into a tendon that passes behind the bony bit on the inside of the ankle (medial malleolus). Inflammation can occur around the medial malleolus and further down under the foot where the tendon attaches. If you over pronate you are more likely to suffer from this injury.
Athletes that are involved in sports where the foot rolls in a lot such as speed skating or running on tight bends are also more prone to this injury.
Symptoms of tibialis posterior syndrome
Pain over the attachment of the tendon to the navicular bone in the foot.
Pain when the tendon slides in the sheath during exercise.
Swelling around the medial malleolus (bony bit on the inside of the ankle). (in my case)
Treatment of tibialis posterior syndrome
Rest the foot for a couple of weeks.
Apply ice for the first 3 days.
After this apply heat and use a heat retainer or support.
See a sports injury specialist for advice on rehabilitation and orthotic devices if necessary.
What can a sports injury specialist or doctor do?
Prescribe anti-inflammatory medication e.g. ibuprofen.
Apply a plaster cast for 3 weeks if it is bad enough.
Give a steroid injection into the tendon sheath but never into the tendon. Then rest.
Operate - especially if the tendon is completely ruptured as it is a very important tendon for supporting the arch of the foot.
So, the main question is, "SHOULD I RUN THE 21KM @ PD HALF MARATHON THIS SUNDAY???"
Answer : My spirit says "YES" but my shin bone & ankle say "NO". But I have to consider the above too!!
Mind over matter again???
:)
5 comments:
Nezz, my dear fren, same here, my spirit says yes but my legs say they have to rest. My prob is now I can't run straight after 5 km, my body and lungs are still strong but quads are screaming in pain. At least you can still run through the pain. You completed the tunnel run and klim in style. My case, too painful to even take another step. Gotta walk and limp. Cinya depressing!
nezz, if you are carrying an injury now, and you will know for sure u dun achieve much in PD, then my answer for you is a NO.
but if you have no injury and want some fun over a Sunday, then go ahead.
dun run for the sake of running especially when your body is sending a NO message. sometimes we must draw a clear line between running all the time and REST well.
Haza, when i do my warm-ups & stretching & during d start, i don't even feel it, but only after 20km.. d pain is like playing hide&seek..
Ccube, thx for ur meaningful advice. I'll be in PD to collect my stuff, maybe run or maybe to cheer up all runners only.
But seriously, the psychological pain of not being able to run is worse than the pain from the injury, yes? He he he...I guess that's why some runners just run thru it.
Haza,
In my case; run 1st, suffer later.. hehehe..
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