Subject: RE: Pain on inside ankle on long runs Sorry folks but I'm probably the gloom and doom for this post. I had pain on the inside of my ankleto the point that I would have problems getting my shoe on. Specifically located from the inside ankle bone (round ) toward the back and up into my calf. It ached and was tender to the touch. I went to my foot doc and he immediately diagnosed me withposterior tibial tendonitis. He said that it is a relatively common overtraining injury for runners.
Although I am not a long distance runner, I pushed myself way too hard training for my first sprint last summer. My symptoms did not begin to give me problems until I had backed off of my training in the fall. After several weeks of conservative treatment, the doc realized that I had a lengthwise tear in the tendon.
I could go into my story but suffice it to say that I have had surgery and am sitting here with my foot elevated and in a cast. My tear was 2cm. I have since fallen crutching after the surgery and ended up with a broken bone and second surgery which included hardware. But that's because I was a klutz.
My recommendations? RICE for sure and anti-inflammatories. lots and lots of rest. I know that sucks for runners with goals attached to dates. My doc's first recommendation was immobilization in a boot for 4-6 weeks. Yes, orthotics are typically recommended as well. I would also go to a sports-med podiatrist or ortho specializing in feet and ankles just to have them look at it.
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