Simple Test: Is Your Foot Pain "Posterior Tibial Tendonitis"??
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- Опубліковано 31 тра 2016
- Famous Physical Therapist's Bob Schrupp and Brad Heineck demonstrate a simple test you can do to determine if your foot pain is coming from posterior tibial tendonitis. If it is we will show you how to treat it in our next video.
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![Inside of the Ankle Pain [Posterior Tibial Tendonitis Treatment]](http://i.ytimg.com/vi/X1mtD7XUIsc/mqdefault.jpg)
So glad I found you and your video on Posterior Tibial Tendonitis. Thank you for the work you're doing!
I love you guys...so informative, so helpful...thank you very much for these videos...
Perfectly explained my issue. Woohoo! Struck gold with you guys!
Gentlemen, you are kind of genius, keep up the good work!
You guys really are the best physical therapists on the internet! This video finally made me determine that I have PTT. Thank you!
And the skeleton is named Bonaparte! I'm obsessed ahaha
Great advice and great fun as usual. Love you guys - as does all my family now. It's spreading!!!!!!!!!!!!!!!!!!
Sincerely.
It' very interesting and beautiful how the body is so intertwined and connected like that
You guys are great! Thank you. Nice humor too😁
Wow this is so interesting! Thanks for the video! I've found I don't even have the strength to stand on my toes on my left foot. Interesting.
Great video! What if the pain is higher up, instead of the ankle higher up on the muscle?
Thanks a lot for you
you guys crack me up .. thank you for all your info. and help!
you should be a TV show xo
Love you guys! Best jingle ever!
Soooo close to 1 million subscribers!!
Good video. Thanks. Can you do more videos about feet and ankles? Especially feet? Thanks!
yes, yes, yes, thank you!!!!!!
So exciting. Can't wait. Been in pain for 3 yrs now. Phys therapy doesn't seem to be helping!
Hey Dr. Bob and Dr. Brad!!! You guys make medicine not seem so scary! 😁 Thank you for y'alls great videos. 💜
Nice and thank you boths.
I have a problem with my big toe on left leg. It pains when walking, or is on limit angle.
Can you help me, please ?
yep, it hurt immediately. thanks for the test!
Great and the point. Ice hurts: can heat be used to promote blood flow: it's more comfortable than icing.
Bob and Brad thanks for your videos I have watched yall for many of my problems. Can this be caused by wearing boots on the wrong terrain?
Useful. What if the pain is felt in the ankle where the muscle belly starts rather than the foot itself?
Do you guys have a video on peroneal tendonitis??
Please could you give exercices to fix this ?
Ouch!! Whiney me says thank you, unfortunately, for this demonstration... I'm off to a therapist! You guys a cool!
I can’t tell you how long it took me to figure out what was wrong with my foot, this is so painful
I have recently found out I have this , it definitely is painful , have felt the pain for almost two years. It’ sucks, super painful but I’m happy to know what the problem it finally. I’ve been wondering for a while and was getting frustrated not knowing what was wrong . Just started therapy
@@seseterry1995 i have been suffering for last 8 months. Started waring custom insole. How is it going with your therapy
@@Ashish-nd3xj
Ehh honestly I don’t notice a difference, I didn’t think I would, cause as long as that bone sticks out and my foot curves in the pain will still be there . But it’s nice to learn some exercises I can also do at home. Right now I’m in the process of just finding the right insert
@@Ashish-nd3xj
Sorry your also going through this, I know it definitely sucks. Hope it gets better for you
@@seseterry1995 are you in bay area by any chance ? I have started using insoles from some one. So far so good. Can refer you if you need.
That’s one of the areas that I sprained 12 weeks ago , tens unit really helps also , especially on the bottom of foot.thats for another exercise.
Ooh, I hadn't thought of putting the tens on my foot.
I have foot pain in that area but no pain when pushing on tendon area. I cant do the hwal raise though. My pain is more anterior to the ancle bone. Mid foot osteoarthritis maybe?
This makes sense. My podiatrist gave me recommendations for plantar fasciitis but I always felt like it was something else going on. Is it possible to have both conditions? Can one cause the other?
+physicaltherapyvideo okay, thanks for these videos.
Great video! You guys always explain this stuff in simple digestible terms and you make it fun too. Anyway, I'm a runner and the day after my last run I developed that pain and tenderness in the exact spot you described on my right foot. Thing is, I did your test (several times to be certain) and no pain. The only time I feel the pain is when press down on that single point you mentioned and when I invert my foot inward. ...and of course there's a little soreness when I walk. Is it still Posterior Tibial Tendonitis?....or something else? Thanks. Again, fantastic video!
I have The exact same, how is it going?
Same no pain doing the test but standing I get pain laying in bed it thronbs and feels tingling
Thanks for the clear video. Is the heel raise test accurate? I have pain and numbness in that same area however no difficulty when doing one leg heel raises. In fact it feels better afterwards. I started getting sore ankles when cycling and in a bike shop I was recommended some footbeds with arch support because my feet were pronating. But after a few hours of riding with them on my right leg it felt like they were crushing my sol; initially just a pain in my arch and I said I should just get used to it but now it's also right on the inside below the ankle bone and have trouble even when walking. My heel also is hurting now.
Hi Alex, this sounds exactly like what is going on with my feet. Did you ever figure out exactly what it was or how to fix it?
Hi guys, I feel nothing when pressing directly on the tib post, or when doing calf raises. I can feel like a pinch when running (which increases in pain the longer I run), or when doing squats, and the area under /back off the naviculare bone can feel a bit stiff a day or two after running / squatting. I can also feel, not a pain, but like maybe more like a soreness under / back off the naviculare bone when doing ankle inversions. Does this sound like PTT to you or can it be something else?
On my leg it’s further up closer to the ending of my calf muscle along the bone
You've got anterior tibial tendonitis buddy.
I purchased your foot massager about 4 months ago. Unfortunately it doesn’t help with my PTTD as the massager focuses underneath feet. It doesn’t help relieve tension on PTTD painful area. The massager is particularly designed for Plantar Fasciitis, which I don’t have. I was diagnosed by my podiatrist for PTTD. It is really sad that your foot massager doesn’t work for PTTD. I really can’t return the massager because I ordered from Canada and I don’t want to go through the return hassle.
Thank you! Please zoom in closer when they’re showing the anatomy?! Here and in other videos the zoom has been insufficient.
hi this is a great video!! i would like to ask regarding my case, there is a bone below my inner ankle which always hurts when i do running or hiking. it was located above arch? what do you call that and how to address that pain?
thank you so much for your reply. this is very helpful, but in that case if ever it is my navicular bone is there any treatment that could lessen the pain specially when doing extreme sports?
I don't have any pain if I do the test, but it hurts there when I go on long walks/hikes. Gets better a couple days after my hike. Is that really a condition for me or am I just working the muscle too much?
I have more pain when I'm sleeping. It seems very "nervy". It tends to zap in the inside back of my arch. Owie. It is painful. It feels better when I'm walking on it. Any ideas?
I've been a commercial gardener for 35 years and have kicked too many shovels into hard ground. i have had throbbing in the attach point for the tibial tendon on and off (in both feet) for years; comes and goes. Can gardeners get this? I am not a runner but when my car broke and I had to walk more, the right foot under and in front of the ankle swelled and it's still swollen. i couldn't walk well for almost 3 weeks
What if you have the pain during the test but it isn't tender and doesn't hurt when not bearing weight?
I have pain on the opposite side of the foot. The flat long part. How can I get rid on it??
So the thing is for me, my foot just is sore in one place on my right foot but it hurts a lot. I can barely walk. I've tried searching up the types of foot pain and where my pain is, it doesn't show up as a type of "foot pain". So do I need to see my doctor or what...?
I’ve had pain in my great toe for months now. My GP thought it may be tendonitis but I’m not sure. It’s to the side of the joint. I play(ed) a lot of sport. The pain finally started improving but yesterday it came back! Any ideas? It don’t think it’s gout. Sometimes the pain is in the base of my foot but not as bad as the toe pain. The very first day I had the pain it was very painful.
Is it possible that when I did the test I felt some crackling in my ankle?
Way to keep us in suspense....broke my navicular bone (small but hurt like hell) about a year ago was finally diagnosised in Sept. ...Oct bone frag taken out scar tissue removed from PT tendon and then reattached with titanium. It's been a long journey but back to hiking 4-5 miles twice a week , have increased pain in that area, actually the heel and just beneath my big toe ....what's up with this? Need to strengthen ? Guess I'll have to stay tuned. I credit my best recovery to swimming 3x a week an hour each time ....not water walking actual kicking flipping my feet really worked. Thanks for the vids 😀
Hi Bob and brad. Am on my way to weightloss. Unable to exercise due to the pain and swelling in Posterior Tibial. What exercises should I do and which to avoid
Did you ever find out what exercises to do I can’t find anything. I’m also trying to lose weight but it seems impossible without exercising. I’ve changed my diet and still nothing I’ve tried vegan, keto, fasting and counting calories. At the moment I’m doing 3 at a time keto with fasting and trying to keep in a calorie deficit
yeah I think I got a foot up in the game. Vernon Jenkins LMT,CPT.
Thanks Doc.
Hi
My foot is so swollen below the ankle bone it looks like the swelling IS the ankle bone. Tried the tip toe thing and the foot is weak but it didn't hurt to do that. Any suggestions on what else it might be?
Anyone?
What about pain that is on the inner side of the leg, but is above the ankle? Hurts when walking, running, going down stairs. I tried this test and it wasn't a problem.
I have this issue too. I think it must be related to pttd. I've kept off it for months and started running again, mixed with exercises and massaging the area.
It's better than it was, but hasn't fully gone and I'm afraid it may return as my load increases. I hope yours is better 5 months on? Do you have any suggestions please?
can you please see your patellar dislocation video and answer my question please....
thank you
i had a dislocation and im 13 years old...i love running but im scared to run cuz of this....and im scared of it happening it again. i could walk properly after 3 days itself and can walk in steps fold my legs play run and all that......if i do my exersices properly will i get okay soon? first am i normal as before because my knee dosent pain at all now unless yeah i have kinds of popping sounds when i fold it but even then i have no pain ......am i normal??
Awesome video! Is it possible for this pain to radiate up the leg (mid shin area)? I have had a constant pain (2-3 level) in my foot and leg for almost two years, but recently it has been spiking to a 6-7! Any advice on what to do for this? I have very high arches and am not sure if that is contributing to this pain.
I have the same pain and was wondering the same thing
The meat of the muscles as they say can also ache, as can the outer aspect of the ankle and across the area where you’d tie a bow of your laces. I’ve been told that’s other muscles being strained as they try to compensate for your arch dropping.
I’ve ground great relief with kinesiology tape. It’s stretchy. Use a 35cm piece and apply first 3cm without stretching just below your little toe, on upper surface of foot, with the long piece of tape hanging off the outer edge of foot below little toe, then stretch the rest round under the foot obliquely and emerge from under the arch on inner side, then stretch it up and along the path they showed, red, up the line of the muscle towards knee. I also like to split/ cut the length of tape in half from above the ankle and upwards, and take that other half part up and across the shin at a diagonal. Apply last 3cm ends without stretch to anchor it. So all ends are not stretched but in between is stretched.
This is then like a J shaped hook under your foot. It supports the arch and gives the tendon a rest. Bliss! Less pain. Keep it on. I have a subscription for the stuff on Amazon! Wide Zinc tape can also be used, which isn’t stretchy, but still try and pull taught, but that brought me out in a rash!
The pain and area sounds EXACTLY like what I am experiencing and the pain is SEVERE! My podiatrist said my pain comes from my back (even when my back doesn't hurt)! Is it possible for you to do a video explaining that? Or...if you already have a video about it can you let me know?
Your podiatrist is a fool. If you don’t have pain in your back, it’s not coming from your back. Always a song and dance with these doctors
You can develop this when your hips are weak. I’ve been told to abduct the affected leg to strengthen my glutes
I think I have that I have scar tissue from tarsal tunnel surgery and that maybe why I have trouble walking
Love the intro lol
I'm so confused. Randomly every so often I'll feel a little pinch of pain in that spot. Itll hurt when I run down stairs. Sometimes. And when I do this test I don't feel anything. What the heck could it be?
SAME WITH ME
Sophia Kopasakis me too!!!
Me too
@@laniemarie3312 did you ever figure this out?
@@abbasbaloch3687 did you ever figure this out I have same issue
Hi , thanks for the video. I have had this issue for 2 years and it doesn't seem to heal.It has been caused due to overuse. I can only walk for half an hour before I start to limp and I have bought insoles too which do help with pain. I have done strengthening excercises but as soon I have to walk a bit more 3-4 hours it comes back. Would a cortisone steroid injection be recommended for this issue to help with the pain?
callshivi did you try the injection? having the same chronic pain
Unfortunately mine is a combination of an ankle injury (I’m not a runner) flat feet, torn ligament upper right thigh and L4 and L5 issues. Every Dr wants to blame the other … it’s the thigh and not back. It’s the ankle not thigh. It’s back but doesn’t affect ankle etc ugh 😩
What if its the same pain and all but its on the back side of the foot
I would try this but I hurts just to stand on my foot plainly and it will give out and ill fall if I do. My moms a doctor so ill have her check it out when she gets home. It started hurting after my foot bend backward while trying to trap a soccer ball. it hurts to point down, inwards and to stand on it. Do you have any ideas?
So does this cause knee pain?
what if you cant even lift up with that foot? I can on my good foot but cant get off the ground with my bad foot ... could it be torn or detached or something?
ZillasCoop That means you’re already beyond stage I of PTTD & into stage II or beyond, in which case it might be time to see a podiatrist
Can this present as calf pain? The area you point out is tender to the touch, and I feel pain in the calf when standing on one foot.
Your comment is old but i got misdiagnosed as calf problems when it was this. hope it helped
hi, is the pain only on the left foot, or both?, because when i wake up i feel the pain on my left only
and it's stays for a bout 5 minuets than it's leave.
i did the test and i felt a little pain on the left foot but the right foot nothing
and thank you guys, i'm working on fixing my body and you guys are big help
respect
Hey my pain is on the inner part of the ankle but in the front - inner part the line you drew goes behind it is it still posterior tibial tendonitis ?
The line you drew goes from behind the ankle my pain is in the inner front part of it
I’m 30 and the inner sides of my feet are sore to the touch from the very bottom of my tibia (just after the hump at the end of it) all the to the halfway part my my foot.
The pain is worse in the left foot but is present in the right foot with the same symptoms just not quite as tender to the touch. Mine really only hurts when I apply pressure to the area and no other time.
I am overweight and work an office job so I don’t get a lot of exercise. I’m wondering if i have this problem. Can anyone tell me based on my description please?
P.S I had some very minor swelling in my left foot over the tender area a day or two before before the tenderness existed.
P.S my foot didn’t hurt when I did this test but I could not hold the position for very long without losing balance. However, if I bend my ankles inward then that inner area of the foot is very stiff. It’s not as stiff since the swelling went down though but it’s still stiff and a little tender to bend my ankles inwardly.
I’m about to do another epson salt + warm water small tub bath for my feet like I did when they were swollen up (granted the swelling was VERY minor in them but I tend to freak out over everything related to my health to the 10th degree. I try not to but I just can’t help it.)
I have that pain on the inside of my heel, right near the back. So I don't think I have this type of tendonitis. I had it on the right foot for a long time and it healed but now it's on the left foot. Same exact type of pain, tender on the inside of the heel bone.
Hi, I think I'm suffering from the same thing as you did. Just wondering if it effected any physical activity?
@@tomasblack871 well that was 2 years ago and I’m fine now, but yes it effected every activity even just walking. I now always wear orthotics in my shoes and have had no more issues.
Thanks, what if it's tender at the navicular area but the test doesn't cause any discomfort, what does is kicking a football ?
Thomas Butcher hey Thomas, were you able to find out anything about what is causing your pain? I have the same problem as you do..
Ole Nirwing No but 3 weeks rest and then put JT tape on in a herringbone pattern to support and it seems ok.
KT tape
oh its okay....can I copy and paste it here?
+physicaltherapyvideo did you read my message..will I get okay?
+physicaltherapyvideo I had sent that to you
I have tibial tendonitis but my pain is not on the inside of the ankle it's on the outside of the ankle but same spot where pain is. I have tried everything to get better & give up... my foot is deformed now what do I do???? I am in soooooo much pain. I'm too young not to be able to walk
hey, did your foot ever recover?
Not zoomed in properly
So this is the name of the problem I've been having for the past 10 years!
My left foot is swollen exactly at the insertion. Had this for 2 years+
Pain is severe now. Actually switches between mild discomfort to severe pain since 2016.
When I stand straight the left foot faces outward unless I take a conscious effort to straighten it.
Do you think I am suffering from tendonitis?
Thanks
Trade2 Win I have the same issue on my right foot. Has been swollen for a few years but a few months ago I started having pain. Like you it changes from discomfort to extreme pain. My podiatrist said it’s most likely posterior tibial tendinitis. So I just started physical therapy.
@@reesescup003 Wish you quick healing.
Trade2 Win thanks. I hope you get the answers you need to heal as well
@@reesescup003 Thank you
Couldn't hold it for a half of second it was so painful. it's totally inflamed right now. I guess I have this condition in both feet? Anyone? 2.5/3 points from termination at work I HAVE to figure this out tonight
I haven't had surgery but when I cross my legs the pain comes back. why is that
Thank you
What if I have this injury only though on the other side of the foot... Same left foot but posterior to outside ... Is it the the same?
ahmad negahban No, that’s not the same
I can do it...but with a bit of pain and discomfort... can I still run? please? lol
Hi, so ive already asked you two a few questions, i had injured my ankle and developed this posterior tibial tendonitis. Just these past few days i started running again. I am able to sprint with no pain and i now passed the hop and jump test. The only thing i have left is a pain on the inside of my ankle, so basically in the ankle bone and the posterior tibial tendon when i am at the deepest point of dorsiflexion. Is this just a mobility issue? Or what do you think it could be? Thank you in advance.
physicaltherapyvideo do you think its safe to go back into playing soccer? And thank you very much. You guys deserve a million subscribers the way you reply to everyone!
Did you ever get your ankle issue resolved? I have exactly what you describe. No pain while running, only deep dorsiflexion right behind malleolus on the inside.
@@rileyhernandez1872 So this was a long ass time ago but from what I remember, what really helped out (and basically anytime I had an injury on the inner side of my ankle) was doing eccentric calf raises. So basically just stand on the edge of a stair or some sort of platform. Go into a calf raise with both feet, take away the good ankle and very slowly come down with the bad ankle until it goes lower than the platform. And repeat. I think at the time I just had built up scar tissue from the actual injury so working it out past the range of motion helped break it up.
@@ajjimenez4701 damn thanks for the reply haha. yeah i've just been doing lots of band exercises moving the ankle inward and that's been helping a lot
Just got this injury, any advice would be appreciated!?
Is there something else that causes similar pain? I have pain in the same spot you are pointing to but i can be in a toe raise with no pain and only feel pain if i really get up on my toes and even then its not bad. What really hurts is when i do an achilles stretch where you bend your knee down, the entire section on that inside of the foot is in pain and i cant get too far down. I can walk and jog in a straight line with no pain, but once i run hard and put a lot of pressure on it it hurts, so tryig to jump high and sprints are painful. and also making turns towards the hurt foot is very painful in that area too. The exercises for this problem havent been helping me much so im not sure if it is something else. I sprained my ankle 1 1/2 months ago and played through it up until 2-3 weeks ago that i have been resting it
And actually i can jump with no pain from a standing position. Its really only the whole bending at the knee where the inside of my ankle starts to hurt really bad
I have similar problem, but I can run, sprint and actualy do horizontal jumps without pain, but during High jump take of it gets so bad it feels like my ankle could break, and often in the morning my ankle and achiles tendo is very stiff.
Did you still have the same problem ?
Thanks for making this! I was able to go on my toe without any pain really (tiny bit but no problem standing that way) - but it hurts to walk normally, like if I put any weight on the inner bottom of my foot (the side of the pain, like any weight on my big toe or that side) this area under the ankle that you point to in the video hurts, I have to walk with all the weight on the outer side of my foot. could it be just minor posterior tibial tendonitis or injury? I'm resting it with ice and ibuprofen, just don't want to make it worse
Same here mostly the past couple of days. Can stand on my toes but hurts to walk sometimes. Wondered if you ever got it figured out? Tips?
same problem :) anyone knows? =)
Much better after two or three weeks here after doing some stretches and exercises daily.
How about facilatory and inhibitory technique for abnormality of tone
Yes, it is! Miserable pain! Ouwie!
What are the balls of nerve that hurts under my arch?
Skeleton name is Bonaparte cheesy but funny,lol.
Pure Genius.....and î'm French
Just finished treating a client via Reflexology and I was seeing possible signs of tibialis anterior inflammation and trigger points. Actually applied of little of your technique but the client was sitting door so I did it manually.
Bob missed his true calling: those are dancer's feet (Barishnikov would kill for those arches!)
Bonaparte hit my funny bone.
I had shoulder issue and I use you guys approach to treating a separate shoulder.
Your videos cause more questions than answers.
Not always true about people who have this not being able to do a calf raise. I see this statement from a LOT of different, legit sites too. I have this. I knew I did and an MRI just a few days ago has confirmed it. I can absolutely do calf raises. In fact I typically do 50, one legged calf raises on stairs, 3x/week. I can still do those with minimal pain.
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