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Showing posts with label tibialis posterior. Show all posts
Showing posts with label tibialis posterior. Show all posts

Monday, March 03, 2014

Unexplained swelling of the inside of the ankle explained


Hi Gary, Every so often, I get some swelling on the inside of my left ankle just below the ankle bone. It can be quite debilitating and the first time it struck me, it affected me for several months, limiting my ability to walk. One time, it went away after doing some pilates for a few weeks. (Who knows if that the was the reason it went away). Another time, it went away after being predominantly barefoot for a while. (This was on the advice of my physio who is a big advocate of barefoot running). 

This most recent time, I was being barefoot as much as possible for a week and a half. Then I found your video (your most popular one), suspecting that it might have some thing to do with a weak tibialis posterior. After a couple of days of doing the exercise (as well as being barefoot), it seems to have resolved itself. 

Do you think this is an exercise I should continue to do? Or should I just keep it up my sleeve if the problem returns.

Cheers Malcolm
Video: 370,000 views and increasing by the day!

Gary:
Malcolm: What you are describing is most likely caused by a tendonitis of the tibialis posterior tendon where it wraps around the ankle bone on the inside of the foot (refer anatomy diagram above).  If the foot is excessively pronating (flattening) during exercises such as walking and running, it is possible that the tendon is being further aggravated by pinching and excessive angulation as the foot flattens.

The exercise in the video is the most effective one you can do to alter foot posture and strengthen the muscles that maintain a strong foot arch.  It works but must be practiced several times a week - constantly - even when there is no pain.

You can also support the arch and foot by fitting a pair of heat moulded Formthotics Shock Stop innersoles which are designed to support the foot while not interfering with natural biomechanics (a most common fault of orthotics inserts).

You may also find it beneficial to firmly massage the inner part of the ankle.  If you are ever in Wellington, I can show you exactly how best to do this.

Getting about barefoot may be beneficial, especially walking and jogging on grass and sand.  However; running barefoot on pavement, even with "barefoot" shoes carries with it an increased risk of injury.  Although I personally get about more often barefoot each day than in shoes, and I do have very strong feet, I would never dream of running anything more than a few hundred meters barefoot on pavement.  Its just far too harsh on the legs.  Stick to grass and sand if barefoot running.



About this website 
The advice in these articles is given freely without promise or obligation. Its all about giving you and your family the tools and information to take control of your health and fitness.
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Monday, February 28, 2011

A Football Player with Posterior Tibial Tendonitis - Cortisone Injections


Hello Gary,

I watched your video on youtube and it seems that nutrition is very important. I have been suffering for PT for the past 7 months. It started as a minor discomfort which I ignored and continued playing football. and running. It eventually got worse and I haven't been playing any football for the past 6 months. My foot was almost cured 2
weeks ago but still felt very weak.  Unfortunately, It went downwards again when I walked a lot last week using my normal shoes. I had to see some clients and could not afford walking in my running shoes.

I went to see my doctor again on friday and he injected some cortisones and said to come back in 5 weeks. I read loads of negative things about it but kinda got fed up having my ankle always inflamed. It has been 3 days now and I do feel better but my ankle seems to have lost muscle and my calf has a pulling sensation. Is that normal ?

I also ice it every couple of hours and make sure I eat well.

Should I start some basic exercises in the coming weeks? I have been resting my ankle for the past 3 days and trying not to walk too much.

Do you think this will ever cure? i am going to be 30 in 5 days and used to very active but I am getting very depressed now ....

Any ideas?

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Gary:
The best exercise to do, in addition to walking and gradually resuming running and activities like football is the exercise in the above video.  Do about 30 repetitions every 2nd day and gradually build up to about 60-100 continuous reps over a few weeks.  Keep doing them as a habit even if your ankle is 100%.  You can also take up walking on sand barefoot.  Walking and running across a grassy slope, either barefoot, or in a pair of snug running shoes will help strengthen the lateral and medial structures of the ankle.  Start very conservatively and never repeat the same exercise/activity on consecutive days - mix things up so that there is a variety of stresses on the legs and never the same the following day.

Nutrition is important.  In the case of tendons and ligaments, magnesium, copper, zinc, iodine and pyridoxine are most important.  Stress can be from multiple sources, including exercise, work, toxins (eg: smoking), relationships, financial, to name some.  Depletion of these nutrients hardens collagen which is the main constituent of tendons and other connective tissue structures.  This may be seen as conditions such as "Trigger Finger" or "Dupuytren's contracture".  While trigger finger is the most obvious manifestation, I see it often in more subtle forms, such as hard and inflexible leg tendons that are prone to chronic injury.  A lengthy period of stress is often the precursor of these injuries.

The best source of these nutrients, in as near to perfect combination is Dr Wilson's Adrenal Fatigue Formulations.  These are "Practitioner Only" products that are dispensed by prescription only.  Please complete the initial Adrenal Fatigue Assessment here and send me the results and we will go from there.

With regards to the cortisone injections you have had, it is interesting to note that the cortisone injected into the ankle by your doctor is a synthetic version of cortisol which is produced by the adrenal cortex of the adrenal glands.  It is fascinating to see how seemingly unrelated health issues (stress - tendons) may, in fact, be related!  There is a small but significant risk of future complications such as tendon rupture as long as several months from now.  Please read the articles in this search list.   Reduce the chances of suffering complications by a gradual buildup in physical capacities over the next three or so months and definitely get onto the adrenal supplements for at least three months.

There is no need to ice the ankle and do not take anti-inflammatory medication.  Read the articles in this search.


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About this website
The advice in these articles is given freely without promise or obligation.  Its all about giving you and your family the tools and information to take control of your health and fitness.  Please give me your support by subscribing to my free email updates. Please shop at my Online Store. Please encourage your family and friends to do the same. While we may not always be able to compete with the big operators on price, we aim to more than compensate through personal service!

Your email address:

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Do you have a question?  Email Gary: gary@myotec.co.nz. Include any relevant background information to your question.  Please be patient and be aware that I may not be able to answer every inquiry in detail, depending on workloads (My paying clients take precedence!). I will either reply by email or, most likely, by way of an article (Personal identifying details will be removed before publication).

Thursday, October 14, 2010

I am hoping to become an injury-free triathlete


"I'm writing you because I saw your video on how to strengthen the tibialis posterior. I have shin splints and I have suffered from ITB syndrome. I am a biker and a swimmer, and I am hoping to become an injury-free triathlete, but my shin splints are stopping me from running at this point in time. If I am currently suffering from shin splints and a moderate case tibialis posterior tendonitis will it helpful to perform this exercise. I don't want to exacerbate my condition as I am taking time off from running to try to recover.

Also, on a semi-related topic, do you think it could be preventitive to run barefoot? Not on the cement of course. I feel like running in shoes, almost always with arch supports, have weakened tibialis posterior and anterior."
Matt
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Gary:
(This video has now had over 165,000 views - wow!)

This exercise, done as described in the video, about every 3rd day will assist with maintaining strong feet and ankles.  It targets exactly the muscles and tendons that you are writing about.

Barefoot running, simulated wearing footwear such as Nike Free or Five Finger running shoes will assist with keeping injury free.  If you have been raised in shoes take care introducing barefoot running.  Start with short jogs and with 2-3 days between simulated barefoot sessions, otherwise you may actually make matters much worse!

If you have shin splints and ankle pain then you need to do a course of deep tissue massage of the feet and lower legs.  Repeat one deep tissue session per week for as long as it takes for these to be painless massages.  Significant progress will be seen by the 3rd session if the therapist is doing a good job.

You will find many other articles and training guides on this website about this injury issue and training for events like triathlon and marathon.  enjoy the reading Matt!

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About this website
The advice in these articles is given freely without promise or obligation.  Its all about giving you and your family the tools and information to take control of your health and fitness.  Please give me your support by subscribing to my free email updates. Please shop at my Online Store. Please encourage your family and friends to do the same. While we may not always be able to compete with the big operators on price, we aim to more than compensate through personal service!



Your email address:

Powered by FeedBlitz
Do you have a question?  Email Gary: gary@myotec.co.nz. Include any relevant background information to your question.  Please be patient and be aware that I may not be able to answer every inquiry in detail, depending on workloads (My paying clients take precedence!). I will either reply by email or, most likely, by way of an article (Personal identifying details will be removed before publication).

Monday, August 23, 2010

I have got pronation problems with my right foot

I have got pronation problems with my right foot.I can see with the eye that it rolls over more than the left foot.I do jogging a couple of days a week.I have got some callouses on the inside of my right foot.This whole problem has been with me for years.My foot is uncomfortable when I walk and run.Years ago it started as a pain on the ball of the right foot.





I have been through quite a few remedies with limited degrees of success.I have tried orthotics,I went to a lady in Cape Town.....who is a posture therapist. She put Yellow pages from phonebook in my running shoes and an inner sole in my left shoe because she said my left leg is shorter than my right.  After a long time only limited success.Then I went to XXXX .(She is a very well known physio who doesn't believe in orthotics .She has some famous patients) She tested me and said I had a weakness on my medial line and I did her "Bunkie"exercises.She also uses a technique which is similar to Rolphing. Moderate success. Then I went to a physio who gave me exercises to strenghen my feet and ankle. Also moderate success. I must stress that I am not being critical of these professionals but for me it didn't work.




I then saw your anti pronation exercise where you raise your feet onto the small toe. I have started doing this but have found that only my upper calfs are sore after and during the

Tuesday, March 30, 2010

Medial ankle pain following a lateral ankle inversion injury

I am from Korea and I used to be college basketball player but recently moved to U.S.  I had superior athlete body shape before I injured my ankle last November.  It was eversion sprain(deltoid ligament), I usually have multiple inversion sprain during practice or game but this one was pretty severe so I decided to use crutches. I lost noticible muscle on lower leg.

Sunday, April 27, 2008

Advice sought about shin splints caused by running

Hi Gary,
I am 17 and was wondering if you could help me. I am an athlete, i run 400m and 800m and have competed internationally twice. Over the past year i have been experiencing pain on and off on the inner side of my left shin. I have been told it is shinsplints and that it is not too serious yet i cant get rid of it permanently. I get it treated whenever it hurts which allows me to resume training for a while(few weeks or so), but it always returns eventually. I would really appreciate it if you could offer some of your expertise on treating/preventing this injury.
Thanks
Finbar

Photo: Drills like stepping and bounding up a grassy slope strengthen the legs and hone the reflexes for efficient running
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Gary Moller comments:

Finbar
what you might have is a weak tibialis posterior muscle. Please go to my website and read this.
You should also look at purchasing a pair of Formthotics Active which will give your foot the support it needs during training and competition.
I also recommend that you get a weekly deep tissue massage on all of your leg muscles.
Most sporting injuries are coaching issues: Not medical problems
Finbar, remember that you are only 17 and you must give your body time to grow and mature. You do not hit your running peak until you are 28 or so years. Excessive training and injuries suffered now will shorten and limit your athletic career. Few junior champions ever succeed as seniors for reasons of chronic injury, ill health and mental burnout.

So, cruise your way through the junior years, concentrate on skills rather than effort. Eat well and get plenty of rest. Concentrate on good grades at school with your sport second and be careful not to be pressured into short-sighted training and competition by others like over-ambitious coaches and sports officials. Once you are in your 20's you can then decide how far you want to go knowing that you have the strength, vitality, the skills and the emotional maturity to handle the punishment and the pressures.

A good running resource is the Lydiard Foundation
No injuries and concentrate on skill development. School grades come first.