QUESTION: What stage YOU are? 🦶We love our FANS and thanks for SUBSCRIBING!🦶 Also let us know what topics you want to hear about! For the shoes and orthotics recommended in the video: wp.me/p9imRX-54n
Some context + questions I have been stuck with PTTD I believe of 2-3years now. I have had an orthotics for the past one year and pain has reduced a lot. It does hurt when I do small hikes/long walks/play. Questions: 1) How high should the arch be to support fallen arch? Should it cover 100% of the fallen arch? Or cover 50% and expect the arch to hold the rest 50% to regain strength? 2) Should I get an MRI to check my Posterior Tibial status? 3) Would I be dependent on an orthotics for the rest of my life? 4) Should I try bare foot walking? Would that regain the strength of the arch muscle?
I appreciate your video. As a pre-teen in Princeton, I began to experience Stage 1. I'm in my mid 40's now and I'm just learning about this after doind my own research. I'm annoyed that no doctor since then has ever addressed, nor expressed concern about my flat feet, nor referred me to any podiatrist. I'm discovering your video after learning what this sharp, temporary pain in on my inner ankle tendon is (Stage 2) and what I can try on my own and what to say to a doctor if/when I do visit one. Thank you!
I have beaten posterior tibial tendonitis in 9 months! Read closely I am writing this because I would have died for someone to tell me this information when this first started when I though there was no way out. Now through all of these steps make sure to take Moringa, turmeric ,ginger and cocoa which are highly recommended for beating the inflammation (make sure to check with your doctor first to make sure these are safe for you to take 1st) and take collagen 1 and 3 preferably from green lakes or native path as well as tendoforte collagen from salt wrap or sparkling wellness which is a little cheaper. Now I was in agonzing pain with both ankles every time I would walk it literally felt like someone was shoving a staple through my tendon so it may depend on the amount of damage done with the time lapse needed on each step but I can only personally share my experience and if I would have done this the right way I probably could have healed a lot faster so here we go. Step 1. Relax your ankle for the first month to two always walk with a brace never unsupported as well as a shoe with a good orthotic always ( orthofeet reccomended) and ice to bring down infllammation I just shoved my foot in an ice bucket but any way is possible to help bring down the inflammation when walking supported gets noticeably easier its time for step 2.Step 2. once the inflammation stage starts to get better this is when stretching, rolling your legs and foot as well as taking longer walks comes into play but still always supported by an ankle brace or something just to keep you arch supported so the tendon can heal but take on a little pressure from the walking. Step 3. this should be at the 3 to 4th month time lapse once you are a professional at walking now comes strengthening a little bit more intensily with calf raises only off the ground I started with 5 the first day 10 the next until I finally made it to one hundred with out a problem from here you should be 65% improved if on any of these steps you do feel pain stop right away and go back to the earlier step you are not ready. Healing for me was a two feet ahead one step back process so be careful keep stretching and monitoring yourself. Step 4. Now when calf raises get easy start to use lotion and give your tendon a deep massage to tear up the tissue I would recommend watching a video on this first then as soon as soon as you are done walking or calf raises need to be done because the whole idea is that you are breaking up the scar tissue with the massage and realigning it with the exercise.Also start to motion your foot in a circle 5 times each way to improve mobility. By now you should be on month six and 85% better now its time for the final step. Step 5. Now at this point you should be more able to walk with out a cast unsupported not is when I started using the theraband I would point my calf down with the band on the ball of my foot and pull it in start with the weakest band start 5 then next day ten and until you can hit twenty then fifty by now you should be at almost 100%. Things to not do do not use n said cream I did this and luckily stopped and found out later it actually weakens the tendon long run. If your foot starts breaking down like all the tendons in my foot did stretch and stick in a bucket of ice every night eventually won't have to but from steps 2 to 4 this was a nightly ritual. Subliminal and mprphic fields may help speed up the process as well I definitely recommend sapien medicine for the fields. Like I said this can be done in a good amount of time if done right. Any question feel free to ask Good luck!
This is the best video I have found. I am 60 with arthritis my podiatrist has not staged my foot yet just said " your bones are already fused" degenerative tendon diagnosis from orthopedic surgeon. I have been nursing for 30 years.have 5 more to go. The pain is real...
Wow! Described my issue and cause. Dang, 30 years late; better late than never. The surprise was the calf muscle was part of the issue. Glad I found your videos. 🙏🏼
That’s true but I’m on the other hand always had pretty good arch. 2 years ago I injured my back and suddenly a year later I can’t hold my arches to it’s normal position. More than 50% fallen of what’s it used to be (comparing with old photos). So yes people with normal aches can also develop it due to injuries in other parts of the body or simply overusing it like crazy runners or extreme sports without any prior conditioning.
What a high quality video! This Dr genuienly is interested in root causes, not bandaide solutions and has a gift for teaching and explaining. Well done. Thank you for your channel.
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What a great video! I have been to 2 different foot and ankle surgeons that have been highly recommended. They have both explained my foot situation and possible outcomes all ending up with what sounds like a pretty serious surgery. I definitely have stage 4 according to your stages. I am just very worried about going through a surgery like this and the recovery. Has anyone on here done it?
8 years ago I got this injury by twisting my foot in a hidden dog hole. I was to young at the time to go to the doctors on my own. My parents never brought me and my father didn't even believe I was in any pain. Said it was in my head. My friends would note how swollen the area was and even purple when it was aggravated by walking all day at school and work.
So I’ve had flat feet my whole life and hahahhaha when diagnosed with this my doc said this is a “fat and old person’s problem”. I’m in my 20s and 110 lbs. he pissed me off and also you are incredibly helpful. Ty for good content
I'm 27 and already on stage 4 😣 although without arthritis the tendon on the ankle is inflammated but the tendon that's connected to the pinky toe is slightly torn and wearing a customed brace just to stand for 10 min without feeling pain. by the way, I was born with no arch at all that it looks I'm walking on my inner foot and ankle bone with the pinky toe lifted up.
Saw my podiatrist 3 times in two weeks. I've been handed more handouts of what it could be and say to come back 6 wks. Like no!!!! But I'm still in pain. Scheduled another appointment. I kept going asking please help with the pain literally overnight debilitating pain. Got steroid injection in heels and a numbing cream. Told to get better stability shoes. Went to fleet feet got standing gait analyzed. Learned i have low arches & over pronate on 1 foot. Scheduled 3rd time still in pain gives me official office only sold orthotic and referred to PT. I'm literally never told what it is untill I get handed an explanation handout. Tarsal tunnel to plantar fasciitis. I'm convinced it's tibialis posterior tendonitis with the synonym described. Now i wait for my PT session.
Hmmm maybe I'm on my stage 1 to 2? Today I am diagnosed with tendonitis calcaneus talus and my doctor referred me to physiotherapist. Tomorrow is my first assessment session with my first physiotherapist. I saw the physiotherapist today just to arrange the first appointment and she asked me where exactly I'm having pain, and I showed her using my palm as referencing 3D-model to roughly where's the spot I'm in pain and she told me that medial side of ankle pain is really rare and she continued to ask me whether I sprained my ankle or not but I didn't. I know how a sprained ankle feels but usually it will take like 1 to at most 3 days total subsided and most of the time I over-angled my feet and I never feel sprained LOL (that's how clumsy I am LMAO) I decided to see doctor today because even I have changed my shoes to well-known orthotic brand shoes but the pain never subsided and most probably due to my overweight... since I have somehow ditch my 5km/10km public running events when this miserable pandemic started LOL Wish me luck Oh by the way thanks for suggesting cycling. My poor old school bicycle... is collecting tonnes of dust since the pandemic LMAO
Very helpful film, with good explanations of the condition. I have it, and have orthotics and exercises from a physio that have helped a lot. But my therapist didn’t really explain the condition, so I am happy to feel better informed now.
I’ve been scouring the web for info for what is causing my medial ankle pain. No known injury. X-ray is normal. The area that hurts is where a shoe rim comes to. Take a pen and trace a line from mid anterior to just between the 2 bones of medial ankle. I’m retired & am trying to avoid PT due to $.
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Very informative and helpful video. Believe it or not i just got this condition a couple days ago and from this video i might be on stage 2. Planning to go see the doctor soon.
I think you have just giving me a diagnostic after two hour of been standing up my foot start to get warm Tired if I twist it only make it worst.thamk you so much this video is very help ful to me.🙏☺️👍.
Thank you for this wonderful explanation and demonstration! I have pain now in both of my arches. I bought some expensive New Balance shoes to no avail. I even took the insoles out of them because they were so uncomfortable and hurt my arches more. I bought some over the counter Dr. Scholls gel insoles and they are not much better. I am miserable and home bound other than to work and back. I went to the grocery store the other day and only 10 minutes in and I had to leave. I have an appointment with a podiatrist at the end of the month. I hope he can help because this has caused me some tears. If you were any closer(Texas), I’d gladly drive to you. You give the best explanations!
Maybe this is why my ankles spasm at night when I fall asleep and they contract so hard I have to stand up quick and put weight on it, then the joint pops back in place. I have told my primary doc at every visit but she only documents "ankle sprain". Saw a podiatrist three years ago and he just shrugged his shoulders and suggested I take more minerals (??) My ankles are bruised and you can see the broken blood vessels, lots of numbness, burning, jabs, jolts.. I only use tizanidine and tylenol or occasionally motrin and none of them really help. The muscle relaxer will let me sleep for about two hours before the spasms start. I usually cry myself to sleep. Quality of life is seriously being affected now. I'm not sure how to even keep describing this to my primary, she's going to refer me to psych soon!
I don't have flat foot. I broke my ankle in 3 spots and dislocated with syndesmosis ligament rupture 14 months ago. Since then, I've had issues with multiple ligaments in the foot & ankle, with PTT being the current major issue. It's frustrating because while one issue heals up, another becomes present and so on and so forth. I never realized just how debilitating an ankle break/dislocation could be. 😢
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Hello! Thank you for this video. I went to the podiatrist , here is my dx: . 1.Equinus deformity of both feet 2. Bilateral pes planus 3.Posterior tibial tendon dysfunction (PTTD) of both lower extremities I'm so miserable with pain. I'm going to have my orthotics made tomorrow. My doctor didn't tell me what stage I have. My ankle is extremely sore and painful. My entire feet hurt, and my achilles. I would love a second opinion from you. Thank you Sandra
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We appreciate you watching and contributing, We hope your flat foot feels better! If possible, we would appreciate a quick rating (hopefully good), and it makes a HUGE difference for us! g.page/r/CaxJ9b-O6o27EAg/review We are working hard every day to make better and more meaningful content! This is what keeps us going for sure.
I'm an athlete who I think got this. I think I'm stage one since it goes away every other day. So I've been a bit stupid and running about 15-20 km / day for a couple of days, then pain and only run 10 km and then rest and then fine etc lol. But now I've decided it's time to 1. Rest. 2. Adapt the training and 3. Get some more supportive shoes and use my insoles...
Update: Got diagnosed with PTT, and with about 1 and ½ week of easy running at about 60% mileage with a lot of extra strength I've been asymptomatic for 2 runs ( 18 and 9 km respectively)! 😄😄
Dr, I am unsure if I am stage 3 or 4. My right foot looks like it’s is fully collapsed and my ancle and Tibial bone is misaligned. However I am still able to bring it back to stage 2ish shape. I do heavy loads like 150kg squats and run 5k 2-3 times a week. Have been physically active for a long time. The only thing that is bothering me at the moment when a Achilles’ tendon pain on my right foot as I started to increase my mileage. I am 23 years old.
I am a layman not a Dr but if you have tried numerous shoe types, and orthotics and tried physical therapy and it has a major effect on your life then consider surgery. Be careful there many types of surgery that they can do. Every Dr has surgeries that they prefer to do !
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i just got an ankle arthroscope and tibial tendon repair and debriment of the tendon area and ankle due to having 4 total surgeries and my range of motion and flexibility not being present as i was doing physicals therapy, i also had 90% of my hardware removed so I'm hope i can get back to some form of strength and normal as i was before breaking my ankle it happened when i was 22
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I am 87 years old, have had total knee replacement both knees and have had flat feet for 20+ years. 5 months ago, I started to have burning pain in the tendon under the right ankle bone and occasionally under the heel in the arch of the foot. X-rays show arthritis in the ankle and some deformation in the meta-tarsals. I had orthotics made that are extremely uncomfortable, so, of course, I don’t use them. I am slowly getting better by taking anti-inflammatory supplements and following an anti-inflammatory diet. Because I stayed off my feet so much, I am now very weak in leg and hip muscles and have started to do hip strengthening exercises. My podiatrist gave me a boot which is difficult to put on and uncomfortable as well. I do have an ACE ankle brace I use. Should I try getting different orthotics? And should I start any sort of exercise for the ankle?
These are great videos! After complaining of a sore ankle and some swelling I was diagnosed with Posterior Tibial Tendinosis after getting an MRI and then was put into a boot. After the boot the PT had me do . After a couple weeks of that the ball of my right foot became painful and one toe began to swell. So, I stopped the exercises. My ankle is still sore and a bit swollen after a couple months of no exercises. Any suggestions?
I was told my foot is falling off my ankle, but I was told I need a hip replacement, & I did get a richie brace, but struggling to find shoes I'm in a men's 11 WW sketchers, they're soft sides. I guess I guess I should do the foot surgery first & see if that helps the hip , . My ligament might be torn, he told me to stand on one foot & then lift the heal & my heal won't come up off the ground & I forget if he said it's over stretched or if it was torn.
I have an Dr. recommended orthotic but still get tendon pain n shin splints. Hyper mobile knees. Arthritic toe. Ankle pain too. Just ordered stretch brace for ankles.
I got into a accident June 2 and it gave me a fractured ankle. The ankle is healed, but I also got in another complication which is posterior tibial tendinitis. I was not aware that this could be posterior tibial tendinitis, so I was beginning to walk and go to the gym and also just go on kind of long walks. I started doing a research to see what could be the problem near my joint, and turns out I have been diagnosed with posterior tibial tendinitis after seeing a foot and ankle speacialist. since I was put into a cast, I lost my range of motion. I’m currently doing physical therapy, and there is this one exercise that I am supposed to do to increase my range of motion in my ankle, but I cannot perform the exercise because of my tendinitis I feel chronic pain when I try to increase my range of motion so until that chronic pain is gone, then that’s when I can get my range of motion back. My question is am I gonna get scar tissue built up since i did not know i had posterior tendonitis? im currently in a ankle brace.
Thanks, you've made me certain that I'm in stage 1. I'm going to go talk to my doctor. I thought it was a sprain for a few days, but it didn't feel right for a sprain.
We appreciate you watching and contributing! ua-cam.com/video/bkiRUlAfnZo/v-deo.html This further guide on inside of the ankle pain may help more. If possible, we would appreciate a quick rating (hopefully good), and it makes a HUGE difference for us! g.page/r/CaxJ9b-O6o27EAg/review We are working hard every day to make better and more meaningful content! This is what keeps us going for sure.
I was is unbearable pain and could hardly move .My doc told me I had a ligament injury, stage 2 flat feet and PTTD. Can you recommend some shoes which would help or some orthotics?
I’m a lifelong bike racer. Switched to running while awaiting a new bike. I’m not inexperienced running but definitely increased volume too quickly. Went on another run and have been in pain with collapsing arch ever since. This is my version of hell, not being able to exercise anymore. I hate it. Hate it.
I've had PTT for 5 months now. Even tried the DonJoy PTTD brace (I think it made it worse due to fitting). Now I'm "booted" half the day (as physical therapy tech, we put on a lot of mileage). Great video! Now I can gauge my options.
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Great videos doc!! I am a veteran with bilateral flat feet. How would you check to see if a patient has marked inward displacement and severe spasm of the tendon Achilles on manipulation??
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I partially tore my PT tendon. Was in a boot for a few weeks and stayed off it. I can walk with very little discomfort after 4 weeks. Lots of stretching was done throughout that time. Dry needling. After 5 weeks I could do some minor exercising. Frustrating injury. I can’t hop on one foot yet with the injured ankle, way too much pain on that tendon.
Hi Doctor, I am almost 100% sure that this is what I have in my left foot, I have a podiatrist appointment, but wonder what the sore spot and swelling is below the ankle itself?
I'm in stage 1 , I got this while doing a leg workout at the gym. on medication for swelling and pain. should I stop hitting the gym or can I continue my workouts
Hi Krishna, generally at the beginning I would strongly recommend my patients stop aggravating it. This might mean better shoes, insoles or a laceup ankle brace. If the aggravation can be protected to the tendon, it can be ok to continue working out, but if it is still getting worse, then cross training (Swimming, biking, weight lifting etc) might be a better option that does not irritate it until it gets better.
I’m trying to figure out if I am stage 2 or 3. I think I am stage 2 in one foot and stage 3 in the other. I am at the point I just want to get an AFO and start to live life again.
Hey Doc, first thank you so much for the super informative video. I've got a question: I'm probably at stage 2, just started physiotherapy and using orthotics. That being said, I'm unable to do calf raises with the affected foot. Will that ever come back? (I feel like I'm like this for years now). I'm surely gonna ask this to my physiotherapist on our next session, I just wanted to get a second opinion. Thanks again!
I read your response. Since it has been a year not sure if you'll see this. But what was your Physical Therapy sessions update, if I may ask. Thank you.
thank you so so much! I am at stage 2 (been there for months) but it does not seem to get any better. I have good Orthotics but it somehow wont go away
What do u do about that inside of the ankle drop? I don’t have much pain but I think it’s causing issues in my toes. Very frustrating bc shoes don’t fit. Nothing feels wide enough
Unfortunately it's like looking for a good primary care doctor, look at the bio for someone hard working and good reviews! Don't worry there are usually a lot of great ones near you!
I believe I’m getting pain at the tibial tendon, not the entire length but only at the bottom, like at the side of the foot above the arch. And this happens only when I do long hikes like 15 mile a day, not on regular walking or running. The soreness lasts a few days after such hikes. Do you think it’s a condition I should check with a doctor?
How can you recommend orthotics for some and minimalist shoes for others? sounds like you're talking out of both sides of your mouth. And why aren't there any patients who have proof that they fixed their flat feet? Thousands of doctors on UA-cam but almost zero patients. Reminds me of the gold rush of 1849.
This is just what I needed! Thank you!! Another question: I had flat foot surgery on my left foot 3 years ago and lost about 90% of feeling in my foot. Will that ever come back? Are there any exercises that will help?
Not specific to you but when we see a patient with symptoms like that the next question is that is it so due to a chronic repetitive imbalance straining nerves and tendons? Or has something permanently been damages?
In most people I would find the answer is the imbalance that led to the flat foot in the first place is still occurring, for example still a lot of compensation in the hamstring, hip, lower back and calf muscles leading constant overload of one foot vs another. unfortunately a very impossible diagnosis without a full workup. Hope you find a good doc that can help!
Not sure which stage I’m in but my podiatrist said there’s not much he can do and told me I should see ortho. My MRI says I have arthritis and tendinitis. He never took an x-ray. I’m in constant pain. Had three Cortizone shots and inserts made and nothing is helping 😩
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No, at foot doctor school nobody teaches how to draw a foot. We appreciate you watching! 😊❤🙏 If possible, we would appreciate a quick rating (hopefully good), as it makes a HUGE difference! g.page/r/CaxJ9b-O6o27EBM/review We are working hard every day to make better and more meaningful content! This is what keeps us going, for sure. All the best to you!
Hello ,i had grade 2 ankle sprained .and had physio since 3 months . I still feels little irritation in ankle during rest. Whenever i walk i still have a pain? What should i do .. rest or walk even i feel little pain.when will i recover my ankle😭
Hi doc, I don't know if I'm stage 1 or 2, any advice would be brilliant... To look at my feet I have mild heel inversion and healthy arches. However if I relax my right calf, the arch visibly drops to about half its height and you can see a slight deformity with toes pointing outwards, heel eversion etc - this doesn't happen on the left. In normal standing and gait I don't have any weight on the base of my big toe.
Always trust the person evaluating you for sure. Every situation is different and if severe pain and no improvement there are always stronger options for sure.
I have Ehlers-Danlos Syndrom (Hypermobility variant) and this is a recurring problem for me. Sometimes I can get it better for a couple of weeks but it always comes back. I have tried over the counter orthodics, but being female they don't fit into all of my work shoes (professional office) I see running shoe recommendation but not work shoe. Do you have any? Also with all my joints being wobbly (I can and do spontaneously dislocate about a good 1/3 of my joint), is there any hope to getting this stable or am I doomed to basically walk on what feels like a broken bone the rest of my life?
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QUESTION: What stage YOU are?
🦶We love our FANS and thanks for SUBSCRIBING!🦶
Also let us know what topics you want to hear about!
For the shoes and orthotics recommended in the video: wp.me/p9imRX-54n
How long does Stage 1 take to heal?
👣🤯🔫 thanks man, I was born with flat feetyz
Some context + questions
I have been stuck with PTTD I believe of 2-3years now. I have had an orthotics for the past one year and pain has reduced a lot. It does hurt when I do small hikes/long walks/play. Questions:
1) How high should the arch be to support fallen arch? Should it cover 100% of the fallen arch? Or cover 50% and expect the arch to hold the rest 50% to regain strength?
2) Should I get an MRI to check my Posterior Tibial status?
3) Would I be dependent on an orthotics for the rest of my life?
4) Should I try bare foot walking? Would that regain the strength of the arch muscle?
Pls help me...how can I know if my case is worsening or has worsened?
I appreciate your video. As a pre-teen in Princeton, I began to experience Stage 1. I'm in my mid 40's now and I'm just learning about this after doind my own research. I'm annoyed that no doctor since then has ever addressed, nor expressed concern about my flat feet, nor referred me to any podiatrist. I'm discovering your video after learning what this sharp, temporary pain in on my inner ankle tendon is (Stage 2) and what I can try on my own and what to say to a doctor if/when I do visit one. Thank you!
I have beaten posterior tibial tendonitis in 9 months!
Read closely I am writing this because I would have died for someone to tell me this information when this first started when I though there was no way out. Now through all of these steps make sure to take Moringa, turmeric ,ginger and cocoa which are highly recommended for beating the inflammation (make sure to check with your doctor first to make sure these are safe for you to take 1st) and take collagen 1 and 3 preferably from green lakes or native path as well as tendoforte collagen from salt wrap or sparkling wellness which is a little cheaper. Now I was in agonzing pain with both ankles every time I would walk it literally felt like someone was shoving a staple through my tendon so it may depend on the amount of damage done with the time lapse needed on each step but I can only personally share my experience and if I would have done this the right way I probably could have healed a lot faster so here we go. Step 1. Relax your ankle for the first month to two always walk with a brace never unsupported as well as a shoe with a good orthotic always ( orthofeet reccomended) and ice to bring down infllammation I just shoved my foot in an ice bucket but any way is possible to help bring down the inflammation when walking supported gets noticeably easier its time for step 2.Step 2. once the inflammation stage starts to get better this is when stretching, rolling your legs and foot as well as taking longer walks comes into play but still always supported by an ankle brace or something just to keep you arch supported so the tendon can heal but take on a little pressure from the walking. Step 3. this should be at the 3 to 4th month time lapse once you are a professional at walking now comes strengthening a little bit more intensily with calf raises only off the ground I started with 5 the first day 10 the next until I finally made it to one hundred with out a problem from here you should be 65% improved if on any of these steps you do feel pain stop right away and go back to the earlier step you are not ready. Healing for me was a two feet ahead one step back process so be careful keep stretching and monitoring yourself. Step 4. Now when calf raises get easy start to use lotion and give your tendon a deep massage to tear up the tissue I would recommend watching a video on this first then as soon as soon as you are done walking or calf raises need to be done because the whole idea is that you are breaking up the scar tissue with the massage and realigning it with the exercise.Also start to motion your foot in a circle 5 times each way to improve mobility. By now you should be on month six and 85% better now its time for the final step. Step 5. Now at this point you should be more able to walk with out a cast unsupported not is when I started using the theraband I would point my calf down with the band on the ball of my foot and pull it in start with the weakest band start 5 then next day ten and until you can hit twenty then fifty by now you should be at almost 100%. Things to not do do not use n said cream I did this and luckily stopped and found out later it actually weakens the tendon long run. If your foot starts breaking down like all the tendons in my foot did stretch and stick in a bucket of ice every night eventually won't have to but from steps 2 to 4 this was a nightly ritual. Subliminal and mprphic fields may help speed up the process as well I definitely recommend sapien medicine for the fields. Like I said this can be done in a good amount of time if done right. Any question feel free to ask Good luck!
How to overcome subtalar arthritis
Wow! Thank you so much. I will try and do everything.
I really appreciate you
Sir I visited 10 doctors and just your video is better than them all.thank you
So nice of you
This is the best video I have found. I am 60 with arthritis my podiatrist has not staged my foot yet just said " your bones are already fused" degenerative tendon diagnosis from orthopedic surgeon. I have been nursing for 30 years.have 5 more to go. The pain is real...
Wow! Described my issue and cause. Dang, 30 years late; better late than never. The surprise was the calf muscle was part of the issue. Glad I found your videos. 🙏🏼
Thanks for watching and hope you feel better soon!
I don’t like when people call it fallen arches when I never had any. I was born with flat feet
Same.
That’s true but I’m on the other hand always had pretty good arch. 2 years ago I injured my back and suddenly a year later I can’t hold my arches to it’s normal position. More than 50% fallen of what’s it used to be (comparing with old photos). So yes people with normal aches can also develop it due to injuries in other parts of the body or simply overusing it like crazy runners or extreme sports without any prior conditioning.
I was too hopefully they can fix it they are thinking about pulling both feet in a moon boot....
Same here. And now am stuck with knee problems and now this tendon thing too. Sigh.
Same
What a high quality video! This Dr genuienly is interested in root causes, not bandaide solutions and has a gift for teaching and explaining. Well done. Thank you for your channel.
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Done!
Liked the drawing on your foot. Makes it easier to really understand the anatomy of that area. Thanks!
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This guy can do no wrong. He keeps setting the bar higher. Praise the Lord!
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What a great video! I have been to 2 different foot and ankle surgeons that have been highly recommended. They have both explained my foot situation and possible outcomes all ending up with what sounds like a pretty serious surgery. I definitely have stage 4 according to your stages. I am just very worried about going through a surgery like this and the recovery. Has anyone on here done it?
8 years ago I got this injury by twisting my foot in a hidden dog hole. I was to young at the time to go to the doctors on my own. My parents never brought me and my father didn't even believe I was in any pain. Said it was in my head.
My friends would note how swollen the area was and even purple when it was aggravated by walking all day at school and work.
So I’ve had flat feet my whole life and hahahhaha when diagnosed with this my doc said this is a “fat and old person’s problem”. I’m in my 20s and 110 lbs. he pissed me off and also you are incredibly helpful. Ty for good content
That’s so unprofessional and inappropriate I’m sorry. I’m here because I’m an ultramarathon runner and it’s pretty common amongst runners
I'm 27 and already on stage 4 😣 although without arthritis the tendon on the ankle is inflammated but the tendon that's connected to the pinky toe is slightly torn and wearing a customed brace just to stand for 10 min without feeling pain. by the way, I was born with no arch at all that it looks I'm walking on my inner foot and ankle bone with the pinky toe lifted up.
Saw my podiatrist 3 times in two weeks.
I've been handed more handouts of what it could be and say to come back 6 wks. Like no!!!! But I'm still in pain. Scheduled another appointment. I kept going asking please help with the pain literally overnight debilitating pain. Got steroid injection in heels and a numbing cream. Told to get better stability shoes. Went to fleet feet got standing gait analyzed. Learned i have low arches & over pronate on 1 foot.
Scheduled 3rd time still in pain gives me official office only sold orthotic and referred to PT.
I'm literally never told what it is untill I get handed an explanation handout. Tarsal tunnel to plantar fasciitis.
I'm convinced it's tibialis posterior tendonitis with the synonym described.
Now i wait for my PT session.
Had surgery on this tendon six months ago. It’s living hell coming back from this. Thanks for this great info !
Can you explain the living hell because I’m about to have the surgery thank you
3 weeks post op here. I hope ur feeling better by now. Please give me hope
Hmmm maybe I'm on my stage 1 to 2?
Today I am diagnosed with tendonitis calcaneus talus and my doctor referred me to physiotherapist.
Tomorrow is my first assessment session with my first physiotherapist.
I saw the physiotherapist today just to arrange the first appointment and she asked me where exactly I'm having pain, and I showed her using my palm as referencing 3D-model to roughly where's the spot I'm in pain and she told me that medial side of ankle pain is really rare and she continued to ask me whether I sprained my ankle or not but I didn't. I know how a sprained ankle feels but usually it will take like 1 to at most 3 days total subsided and most of the time I over-angled my feet and I never feel sprained LOL (that's how clumsy I am LMAO)
I decided to see doctor today because even I have changed my shoes to well-known orthotic brand shoes but the pain never subsided and most probably due to my overweight... since I have somehow ditch my 5km/10km public running events when this miserable pandemic started LOL
Wish me luck
Oh by the way thanks for suggesting cycling.
My poor old school bicycle... is collecting tonnes of dust since the pandemic LMAO
Very helpful film, with good explanations of the condition. I have it, and have orthotics and exercises from a physio that have helped a lot. But my therapist didn’t really explain the condition, so I am happy to feel better informed now.
I’ve been scouring the web for info for what is causing my medial ankle pain. No known injury. X-ray is normal. The area that hurts is where a shoe rim comes to. Take a pen and trace a line from mid anterior to just between the 2 bones of medial ankle. I’m retired & am trying to avoid PT due to $.
God bless you Doctor a difficult after operation I have foot plt
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Very informative and helpful video. Believe it or not i just got this condition a couple days ago and from this video i might be on stage 2. Planning to go see the doctor soon.
I think you have just giving me a diagnostic after two hour of been standing up my foot start to get warm Tired if I twist it only make it worst.thamk you so much this video is very help ful to me.🙏☺️👍.
Thank you for this wonderful explanation and demonstration! I have pain now in both of my arches. I bought some expensive New Balance shoes to no avail. I even took the insoles out of them because they were so uncomfortable and hurt my arches more. I bought some over the counter Dr. Scholls gel insoles and they are not much better. I am miserable and home bound other than to work and back. I went to the grocery store the other day and only 10 minutes in and I had to leave. I have an appointment with a podiatrist at the end of the month. I hope he can help because this has caused me some tears. If you were any closer(Texas), I’d gladly drive to you. You give the best explanations!
Maybe this is why my ankles spasm at night when I fall asleep and they contract so hard I have to stand up quick and put weight on it, then the joint pops back in place. I have told my primary doc at every visit but she only documents "ankle sprain". Saw a podiatrist three years ago and he just shrugged his shoulders and suggested I take more minerals (??) My ankles are bruised and you can see the broken blood vessels, lots of numbness, burning, jabs, jolts.. I only use tizanidine and tylenol or occasionally motrin and none of them really help. The muscle relaxer will let me sleep for about two hours before the spasms start. I usually cry myself to sleep. Quality of life is seriously being affected now. I'm not sure how to even keep describing this to my primary, she's going to refer me to psych soon!
I don't have flat foot. I broke my ankle in 3 spots and dislocated with syndesmosis ligament rupture 14 months ago. Since then, I've had issues with multiple ligaments in the foot & ankle, with PTT being the current major issue. It's frustrating because while one issue heals up, another becomes present and so on and so forth. I never realized just how debilitating an ankle break/dislocation could be. 😢
Very very very informative! Literally explained my personal situation and directed me to the right treatment. I can’t thank you enough!
I am glad that my video was helpful!
Thanks for the great response!
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Hello! Thank you for this video. I went to the podiatrist , here is my dx:
.
1.Equinus deformity of both feet
2. Bilateral pes planus
3.Posterior tibial tendon dysfunction (PTTD) of both lower extremities
I'm so miserable with pain. I'm going to have my orthotics made tomorrow. My doctor didn't tell me what stage I have.
My ankle is extremely sore and painful. My entire feet hurt, and my achilles.
I would love a second opinion from you.
Thank you
Sandra
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Great video. Very well demonstrated and explained concisely and in a way that is understandable. Thank you.
We appreciate you watching and contributing, We hope your flat foot feels better!
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ua-cam.com/video/cbfQh-wjxOE/v-deo.html This updated version may help more!
I'm an athlete who I think got this. I think I'm stage one since it goes away every other day. So I've been a bit stupid and running about 15-20 km / day for a couple of days, then pain and only run 10 km and then rest and then fine etc lol. But now I've decided it's time to 1. Rest. 2. Adapt the training and 3. Get some more supportive shoes and use my insoles...
Update: Got diagnosed with PTT, and with about 1 and ½ week of easy running at about 60% mileage with a lot of extra strength I've been asymptomatic for 2 runs ( 18 and 9 km respectively)! 😄😄
@@QronoZ713any more info now?
My feet are completely flat and my left ankle has been hurting so I guess I'm stage 4 😭
Dr, I am unsure if I am stage 3 or 4. My right foot looks like it’s is fully collapsed and my ancle and Tibial bone is misaligned. However I am still able to bring it back to stage 2ish shape. I do heavy loads like 150kg squats and run 5k 2-3 times a week. Have been physically active for a long time. The only thing that is bothering me at the moment when a Achilles’ tendon pain on my right foot as I started to increase my mileage. I am 23 years old.
When is surgery usually required?
I am a layman not a Dr but if you have tried numerous shoe types, and orthotics and tried physical therapy and it has a major effect on your life then consider surgery. Be careful there many types of surgery that they can do. Every Dr has surgeries that they prefer to do !
Your the best! Keep on telling it like it is! Awesome.
What if I had flat fleet all my life? How do I treat my inner ankle pain because of running?
Best video I've seen to help me. Thanks
Very helpful and informative! Loved the added visuals, definitely helped me understand. Appreciated.
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Mine colapse long time ago, is flat I have permanent horrible pain up to my knees
i just got an ankle arthroscope and tibial tendon repair and debriment of the tendon area and ankle due to having 4 total surgeries and my range of motion and flexibility not being present as i was doing physicals therapy, i also had 90% of my hardware removed so I'm hope i can get back to some form of strength and normal as i was before breaking my ankle it happened when i was 22
I was waiting for ur vid, that makes my day 💖💖💖😘😘😘
Haha I love it! Thanks for being such an amazing fan!
Great! well done.
Your video has explained my situation very well. Thank you very much.
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I am 87 years old, have had total knee replacement both knees and have had flat feet for 20+ years. 5 months ago, I started to have burning pain in the tendon under the right ankle bone and occasionally under the heel in the arch of the foot. X-rays show arthritis in the ankle and some deformation in the meta-tarsals. I had orthotics made that are extremely uncomfortable, so, of course, I don’t use them. I am slowly getting better by taking anti-inflammatory supplements and following an anti-inflammatory diet. Because I stayed off my feet so much, I am now very weak in leg and hip muscles and have started to do hip strengthening exercises. My podiatrist gave me a boot which is difficult to put on and uncomfortable as well. I do have an ACE ankle brace I use. Should I try getting different orthotics? And should I start any sort of exercise for the ankle?
These are great videos! After complaining of a sore ankle and some swelling I was diagnosed with Posterior Tibial Tendinosis after getting an MRI and then was put into a boot. After the boot the PT had me do . After a couple weeks of that the ball of my right foot became painful and one toe began to swell. So, I stopped the exercises. My ankle is still sore and a bit swollen after a couple months of no exercises. Any suggestions?
I was told my foot is falling off my ankle, but I was told I need a hip replacement, & I did get a richie brace, but struggling to find shoes I'm in a men's 11 WW sketchers, they're soft sides. I guess I guess I should do the foot surgery first & see if that helps the hip , . My ligament might be torn, he told me to stand on one foot & then lift the heal & my heal won't come up off the ground & I forget if he said it's over stretched or if it was torn.
Thanks for your explanation
Thanks for watching!
I'm having all the pain from pttd and im also having pain on the inside of my knees. Has anyone else delt with this?
I have an Dr. recommended orthotic but still get tendon pain n shin splints. Hyper mobile knees. Arthritic toe. Ankle pain too. Just ordered stretch brace for ankles.
I got into a accident June 2 and it gave me a fractured ankle. The ankle is healed, but I also got in another complication which is posterior tibial tendinitis. I was not aware that this could be posterior tibial tendinitis, so I was beginning to walk and go to the gym and also just go on kind of long walks. I started doing a research to see what could be the problem near my joint, and turns out I have been diagnosed with posterior tibial tendinitis after seeing a foot and ankle speacialist. since I was put into a cast, I lost my range of motion. I’m currently doing physical therapy, and there is this one exercise that I am supposed to do to increase my range of motion in my ankle, but I cannot perform the exercise because of my tendinitis I feel chronic pain when I try to increase my range of motion so until that chronic pain is gone, then that’s when I can get my range of motion back. My question is am I gonna get scar tissue built up since i did not know i had posterior tendonitis? im currently in a ankle brace.
thanks doctor
Explained you very well thank you
What does it mean if you have severe pain in one foot (the very hypermobile one) every time you’ve had custom orthotics made, and you can’t use them ?
Thanks, you've made me certain that I'm in stage 1. I'm going to go talk to my doctor. I thought it was a sprain for a few days, but it didn't feel right for a sprain.
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ua-cam.com/video/bkiRUlAfnZo/v-deo.html This further guide on inside of the ankle pain may help more.
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I was is unbearable pain and could hardly move .My doc told me I had a ligament injury, stage 2 flat feet and PTTD. Can you recommend some shoes which would help or some orthotics?
Why no corrective exercise? We got this from incorrect form and weakness. Won't it just come back unless we address this?
I’m at stage three and I’m 18 I don’t know what to do and I think I need help
I’m a lifelong bike racer. Switched to running while awaiting a new bike. I’m not inexperienced running but definitely increased volume too quickly. Went on another run and have been in pain with collapsing arch ever since. This is my version of hell, not being able to exercise anymore. I hate it. Hate it.
Oh my. Running too much could possible get into fallen arch? =O
Get well soon
Ugh. Been flat-footed since I started walking and now fear I’m at least stage 3.
I've had PTT for 5 months now. Even tried the DonJoy PTTD brace (I think it made it worse due to fitting). Now I'm "booted" half the day (as physical therapy tech, we put on a lot of mileage). Great video! Now I can gauge my options.
Pure gold...
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thanks , really lovely vid
Great videos doc!! I am a veteran with bilateral flat feet. How would you check to see if a patient has marked inward displacement and severe spasm of the tendon Achilles on manipulation??
Can tendonitis make your leg give out my leg always give out
Chronic inner foot pain numbness burning no orthotics help or shoes
Thank you, that was the best!
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Very informative.
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I partially tore my PT tendon. Was in a boot for a few weeks and stayed off it. I can walk with very little discomfort after 4 weeks. Lots of stretching was done throughout that time. Dry needling. After 5 weeks I could do some minor exercising. Frustrating injury. I can’t hop on one foot yet with the injured ankle, way too much pain on that tendon.
Hi Doctor, I am almost 100% sure that this is what I have in my left foot, I have a podiatrist appointment, but wonder what the sore spot and swelling is below the ankle itself?
I'm definitely at stage 4...my foot looks deformed 😔😪😔
How long until we can stop using the orthotic?
I'm in stage 1 , I got this while doing a leg workout at the gym. on medication for swelling and pain. should I stop hitting the gym or can I continue my workouts
Hi Krishna, generally at the beginning I would strongly recommend my patients stop aggravating it. This might mean better shoes, insoles or a laceup ankle brace. If the aggravation can be protected to the tendon, it can be ok to continue working out, but if it is still getting worse, then cross training (Swimming, biking, weight lifting etc) might be a better option that does not irritate it until it gets better.
Nice explanations
thank you very much
In between stage 2 and 3 is it still fixable
I’m trying to figure out if I am stage 2 or 3. I think I am stage 2 in one foot and stage 3 in the other. I am at the point I just want to get an AFO and start to live life again.
I still have the Arch for stage 1, but damn it hurts like hell
Your a Dr. But think icing reduces inflammation?
Hey Doc, first thank you so much for the super informative video.
I've got a question: I'm probably at stage 2, just started physiotherapy and using orthotics. That being said, I'm unable to do calf raises with the affected foot. Will that ever come back? (I feel like I'm like this for years now). I'm surely gonna ask this to my physiotherapist on our next session, I just wanted to get a second opinion.
Thanks again!
I read your response. Since it has been a year not sure if you'll see this. But what was your Physical Therapy sessions update, if I may ask. Thank you.
But what if you were born with flat feet? Im 49 and recurring tendonitis is an issue for me... Especially at the medial malleolus! Help
thank you so so much! I am at stage 2 (been there for months) but it does not seem to get any better. I have good Orthotics but it somehow wont go away
I'm stage 2 aswrel
What do u do about that inside of the ankle drop? I don’t have much pain but I think it’s causing issues in my toes.
Very frustrating bc shoes don’t fit. Nothing feels wide enough
My son has Stage 4 he only 12 years old my poor baby
How does one find a good podiatrist?
Unfortunately it's like looking for a good primary care doctor, look at the bio for someone hard working and good reviews! Don't worry there are usually a lot of great ones near you!
Can an orthopedic surgeon or sports medicine doc also help with this condition?
Best brace for stage 2
I believe I’m getting pain at the tibial tendon, not the entire length but only at the bottom, like at the side of the foot above the arch. And this happens only when I do long hikes like 15 mile a day, not on regular walking or running. The soreness lasts a few days after such hikes. Do you think it’s a condition I should check with a doctor?
How can you recommend orthotics for some and minimalist shoes for others? sounds like you're talking out of both sides of your mouth. And why aren't there any patients who have proof that they fixed their flat feet? Thousands of doctors on UA-cam but almost zero patients. Reminds me of the gold rush of 1849.
hello my friend i have problem my little brother have flat feet on his left foot his right foot is good what is the problem
excuse me, when can l start the exercises???
I was injured about two months ago.
What if the pain is above the ankle but in the area of that muscle?
Possible to have “flat foot” when you have very high arches?
This is just what I needed! Thank you!! Another question: I had flat foot surgery on my left foot 3 years ago and lost about 90% of feeling in my foot. Will that ever come back? Are there any exercises that will help?
Not specific to you but when we see a patient with symptoms like that the next question is that is it so due to a chronic repetitive imbalance straining nerves and tendons? Or has something permanently been damages?
In most people I would find the answer is the imbalance that led to the flat foot in the first place is still occurring, for example still a lot of compensation in the hamstring, hip, lower back and calf muscles leading constant overload of one foot vs another. unfortunately a very impossible diagnosis without a full workup. Hope you find a good doc that can help!
Diagnose stage 2 is it fixable
@@DrTomBiernacki pls help me...what are the signs that my posterior tibial tendonitis is worsening or has worsened?
What about snapping sounds
Not sure which stage I’m in but my podiatrist said there’s not much he can do and told me I should see ortho. My MRI says I have arthritis and tendinitis. He never took an x-ray. I’m in constant pain. Had three Cortizone shots and inserts made and nothing is helping 😩
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Amazing thank you and have a happy new year! 😊🙏
Do they teach foot drawing in foot doctor school?
No, at foot doctor school nobody teaches how to draw a foot.
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All the best to you!
I had cancaneal heel spur and my medial bone pop out, I can't rotate my ankle properly any suggestions sir
Sir , i got injured in my ankle 2year ago that time doctor didn't tell me to get plaster .now i feel pain when i walk ? What should i do now??
ua-cam.com/video/bkiRUlAfnZo/v-deo.html This video might help further!
Hello ,i had grade 2 ankle sprained .and had physio since 3 months . I still feels little irritation in ankle during rest. Whenever i walk i still have a pain? What should i do .. rest or walk even i feel little pain.when will i recover my ankle😭
What stability or motion control shoes are best?
What muscles do I stretch?
Hi doc, I don't know if I'm stage 1 or 2, any advice would be brilliant... To look at my feet I have mild heel inversion and healthy arches. However if I relax my right calf, the arch visibly drops to about half its height and you can see a slight deformity with toes pointing outwards, heel eversion etc - this doesn't happen on the left. In normal standing and gait I don't have any weight on the base of my big toe.
Is a motion control shoe the best for this condition?
I have it so bad I walk with a crutch. Its horrible.
you added that surgery is rarely needed. After my MRI, my doc is recommending surgery, right now I am in a cast. ?
Always trust the person evaluating you for sure. Every situation is different and if severe pain and no improvement there are always stronger options for sure.
What did you decide? Surgery?
I have Ehlers-Danlos Syndrom (Hypermobility variant) and this is a recurring problem for me. Sometimes I can get it better for a couple of weeks but it always comes back. I have tried over the counter orthodics, but being female they don't fit into all of my work shoes (professional office) I see running shoe recommendation but not work shoe. Do you have any? Also with all my joints being wobbly (I can and do spontaneously dislocate about a good 1/3 of my joint), is there any hope to getting this stable or am I doomed to basically walk on what feels like a broken bone the rest of my life?