Posterior Tibialis Tendinitis

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  • SumoSue: You were so lucky. I told my speacialist the same thing, but got a totally different response: I too have a tear - caused by a cycling accident when I already had some weakness in the PTT (had nursed it through five 50-mile runs and was about to rest it). Scan at that time showed a partial tear, but the surgeon just went for conservative treatment. Now it's five months on, MRI confirms degeneration and (still) a partial tear, I'm just out of the PTT brace, have been told at least a year from now to returning to running properly, that I need to wear orthotics for life (not helpful when I run minimalist) and that if he operates (FDL transfer) there's only a 30% chance of returning to long-distance running post-op! What did your surgeon do? Sew up the tendon and remove the degenerated bit? Do a FDL transfer? What? Who did you go to?

  • SumoSue wrote (see)

    Megzie, the symptoms sound familiar, but like you say the scan will show that.  I was fortunate in that the specialist I went to understood that I wanted to get back into sport as quickly as possible but needed a long-term solution.

    I got the results of the scan in the morning and he operated in the afternoon!

    I'm back in full Ironman training with no issues - just slow, but that's nothing to do with the post tib. image

     

    Did you have problems with weakness when you tore it? I had the MRI this morning...I know something is just not right. Seems every so often I take a step "wrong" and it sets off something in my leg..like major pain but just for a few seconds, then back to normal.

  • Hi Debra, I can't tell you exactly what he did, he knows I'm not very good when he goes into gory details (I pass out as soon as I see a hospital sign).

    I would assume he did as you suggest i.e. sew up the tendon, remove the degenerate bit. He hasn't enforced me into wearing orthotics as the last time I tried I finished up with blisters on blisters, although he did recommend a night split, but that was to try to stop the calf being so tight.

    I went to Mr Hennessy at Spire Murrayfield Hospital on the Wirral, initially as a self-payer and then as part of BUPA.  No harm in getting a second opinion from any other specialist, especially since you've been out longer than I was with surgery and having to wait another year.

    Good luck with it.

    I'm away over the weekend so any further information you need, I'll let you know on Monday.

  • Megzie - I had a weakness in that every now and again the foot would just give way and it felt very unstable, I also got a "burning" sensation for a few seconds then that would go.

    Good luck with the results from the scan.

  • SumoSue: well, I don't have insurance so I guess I'll just wait and see at the moment - felt okay for a 39-minute walk/jog parkrun. I'll just work up from here slowly and see what happens.

  • Thank you! I get my results back Wednesday!

  • Hope everything goes well for you both - I'm on holiday for the next couple of weeks but let me know how you get on Megzie.

    Debra - it may be worth asking your doctor to refer you to a different specialist if things don't work out well.

  • i will for sure! I'll post back Wednesday! image

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