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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Any Suggestion For Suffering From Symptoms Of Anterior Tibialis Tendonitis?

I think I have anterior tibialis tendinitis. I am a runner and training for a marathon on May 3rd. It is an old injury I think. I didn t realize what it was before but that was years ago. I was running last week and it was getting bad at times but would go away during my runs. The odd thing is that it really only bothers me to the point of stopping is when I am wearing my running shoes. Running or just walking around the house, if I have my running shoes on or any tennis shoes really it flares up and I have to take them off. Last week I went on vacation and the first run I went on it flared up so the next day I ran barefoot on the beach and didnt feel it at all. I have been icing it on and off for days. I have tried everything from adjusting my shoe to not lacing up as tight which helped for one 20 mile run a couple days ago but I tried to just go for a walk today and put my running shoes on and could barely walk without pain. My shoes are only a week old and they are the same brand and style that I have used for 3 years and several half and full marathons. I have good support in them but it feels like it is slicing into the top of my ankle.
Tue, 3 Jan 2017
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Physical Therapist or Physiotherapist 's  Response
Hello and welcome to ‘Ask A Doctor’ service.

I have reviewed your query and here is my advice.

In anterior tibial tendinitis rehabilitation, most important is to give it rest as much as possible so that it don't get inflamed easily when you are running. Secondly, use of brace during night will help in keeping foot straight, along with that stretching exercises of calf will also help.

Contact a sports physiotherapist. There is tapping which is done for tendon for not getting inflamed. Also some eccentric loading exercises with pilates will work wonder in the condition. If you feel your shoe is slicing it, then trim the edges of the shoe or apply cotton padding at the edges. Any good shoe maker can do it I believe.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Harsh Swarup
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Any Suggestion For Suffering From Symptoms Of Anterior Tibialis Tendonitis?

Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In anterior tibial tendinitis rehabilitation, most important is to give it rest as much as possible so that it don t get inflamed easily when you are running. Secondly, use of brace during night will help in keeping foot straight, along with that stretching exercises of calf will also help. Contact a sports physiotherapist. There is tapping which is done for tendon for not getting inflamed. Also some eccentric loading exercises with pilates will work wonder in the condition. If you feel your shoe is slicing it, then trim the edges of the shoe or apply cotton padding at the edges. Any good shoe maker can do it I believe. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harsh Swarup