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How to Get Rid of Posterior Tibial Tendonitis
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- Опубліковано 20 тра 2019
- Tib post tendinopathy can be tricky to treat. In this video, Maryke explains what causes the tib post tendon to become painful and what treatment our patients find useful.
🌟Need more help with your injury? You’re welcome to consult one of the team at SIP online via video call for an assessment of your injury and a tailored treatment plan: www.sports-inj...
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Not even 9 minutes in and she gave me more info then my orthopedic that i paid $200 for
Same here!
I second that
Same
Same
I’m right there with you! Frankly, its a damn shame and VERY frustrating that we can get more help from ppl on UA-cam than right where we live in front of the damn doctor or PT therapist. They just want to bill us and our insurance and medicate us and send us on our way only to return and repeat!
Found my issue - downhill running. Glad I found this video
I just want to say that this injury started when I was a teenager and I'd been compensating for it for over 20 years while doing extreme physical activity in my personal life and in the military. It wasn't until I started practicing martial arts, meditation/mindfulness and breathwork did I have the awareness to realize that this was even an issue for me! Turns out, it's HUGE issue and this discovery has been a game changer. Thanks for this video!
Wtf, how do you have this problem for so many years. Doesn't it gets fixed by itself
I walked in to podiatrist with very little burning pain. He put me in a boot. A week later I couldn't even stand because of the pain. Learned so much more info from this video than the orthopedic and podiatrist gave me.
wish I had seen this months ago. She has given more info than my orthopaedic
I'm so glad I came across this video. The information is so intelligently and thoroughly presented. You cleared up a lot of questions for me and I now realize how some of the things I'm doing might be preventing the injury from healing completely. So very grateful to you, thank you from the bottom of my heart.
This is so helpful. As a very active middle aged adult, being diagnosed with PTTD seemed like a death sentence. This video helped me realize that one can live with it with some reasonable modifications.
Glad it was helpful!
Very helpful - I’ve watched 5 videos on this. Yours is the best!
I second that!
True story !!!
This is exactly what I’ve been struggling in. That exact movement is what hurt my foot, thank you
I've been suffering with tib post issues for two weeks. This is an oustanding video. Very informative and practically useful. I will be implementing these exercises over the coming weeks!
I’m glad you appeared on my feed. I’ve been struggling with this for quite some time and was feeling hopeless until now. Everything you said makes sense, and I finally found the causes. Thank you so much!
superb video. I have been trying to treat this since november and still suffering. I was referred to NHS (UK) physio and was told to immediately stop running and was given some very aggressive stretching exercises. I felt like it was recovering but seemed to keep 'flaring' again. My ankle feels very stiff and I struggle to walk after being in bed. Interestingly I spend a lot of time standing with my job and this is ringing a bell in my head from what you've said. Thank you so much for this, it's so good to hear from a runners perspective.
I currently have the exact same problem. so I tried stretching it helped a bit but the flaring up keeps coming back. this video helped in a sense that now I literally know my mistakes and can get on to fixing it.
The orthotics advice was spot-on in my experience - as indeed was the rest.
Thanks. 👍
This is the 2nd video of yours I've watched. Seen one a few days ago. I'm a physio myself and enjoy broadening my knowledge by working through UA-cam videos. Brilliant breakdown. Nice to help my clinical reasoning and excellent explanations about load management in a way that people can relate to.
I've had PTT for more than 8 months, I've probably seen all youtube videos on this condition and this is the best one by far
Great to hear!
This woman is very good at what she does! Thank you.
You gave me my sanity back with something to look forward to. Hearing I might be able to run before it's not quite healed if I run with the right camber absolutely made my day
Very informatve
What a great video on this, thanks so much for this.Your mention of different terrain, camber and hills is spot on. I find running XC and up a slight incline is much better for me and less harsh than the road. I have also stuck in a superfeet insole and what a difference. At 1st when walking I hated the feeling of it pushing on the arch, but once i started running i felt so much more secure and i ran 6 miles without any pain. By the end of the run i did not even notice the insole. So anyone watching and suffering with this get an insole in your shoe as it def helps. Thanks again.
She gave more thorough explanation of my injury then my podiatrist did. I had to ask him to show me what was going on in my foot and he draws a little picture of it. He also charged me $259! 😡
Grateful for this video. Thank You!!!!
I’ve been struggling with this injury for a few weeks now. I was ready to ask my primary for a referral but this video was so informative that I skip that and save my money!Thanks so much for all the insights! Subscribed because I’m sure more of your videos will be useful to me!
Excellent information! Way more detailed than anything my doctors have given me.
This is quite useful! This has encouraged me to just perform some self analysis on my injuries before I run off to visit the doctor
15 years, miss I thank you so much you saved my soccer career
What a great resource! Clear, well-informed, helpful. Thank you very much!
One of the best videos I've seen on this subject. Now I understand the WHY which helps a lot. So true that standing for too long aggravates the problem. Good to know that stretching and tough massage can make it worse. Also, I believe I was asked to use the band exercises too soon. What do you think about cycling? Is that OK to do if it doesn't aggravate it? Thanks so much, Maryke!
Yes, cycling is usually fine. xm
The best video I’ve seen on this condition. Thank you
Glad you found it useful Dawn. xm
So pleased I found this video. Spent over 300e plus more on pain killers. Finally after over a year with pain on the left foot, and now last few weeks on my right foot. more information in this video than any osteopath, podiatrist, MRI scan, x rays, GP in the past. Thank you..off to buy inner sole gels now.
I find this video very helpful and for me, it's the gold standard. You have a very good way of explaining things which makes things easy to understand. As I write, I have ice on my posterior tibial tendon which has flared up after being on my feet a lot yesterday. Thanks for your help.
Thank you for this, your real-talk answered some big questions that I've been struggling to understand for a month. This deserves an award. Awesome!
and how is your injury now? i've had it 2 months
@@martinallmostt1527 how is yours now? Same i about 2 months in and it feels the same since week 4
@@joel553009 I have completely stopped running and am cycling a ton, it's quite fun. I figure it's not tendinitis and actually stress fractures, in both legs. I came back to running, when not fully healed, did a total of maybe 150 miles over 2 months and the pain returned. It's been really depressing and stressful dealing with it but I've finally accepted that it's gonna take as long as it takes. I won't run at all until there has been no tenderness. I'm making the most of cycling and the gym for now.
Maybe yours is fractures too, otherwise it might have healed by now.
@@joel553009 my advice would be, don't run until your legs are 100% healthy, then ease into it in a similar way to 'couch to 5k'
Most helpful PT video I’ve seen on any subject. I feel so fortunate to have found it! It’s long but not one minute is wasted. Lots of practical wisdom that clearly comes from experience. Thank you so much! I tried to book a consultation with you on your website to diagnose something else that’s not urgent but it looks like you’re booked for the next month or two. I’ll check again later :)
The best video on the subject. You have confirmed everything that I have suspected during my recovery.
A v. helpful video. Thanks so much.
Glad you found it useful xm
Excellent analysis and guidance to get rid of this injury.
Thanks a lot. GOD BLESS YOU.
I'm not a runner and think I have this from inflammatory arthritis. The activity modification info was so helpful.
Thanks for your video!!! I am a Concrete Mixer Truck Driver and using the clutch as much as I have to to deliver the product at a rate that the contractors can use and be happy with is causing a lot of PTTD in my left foot. I will try some of what you suggest and I have an appointment with my Podiatrist. I have very flat feet. Thanks again. At least now I understand what is happening!!!
Thank you so much. Great to hear from someone who has dealt with this and has a realistic approach to solving it. Much better than anything I have learned from a doctor or physical therapist.
You're welcome!
Amazing video with great insights 👏🏽
2 weeks into recovering from an eversion ankle sprain from football. Really appreciate how you made the technical concepts simple and digestible.
Keep up the great work 🙌🏽💪🏽
Great to hear!
excellent presentation, everybody kept pointing me to its more famous cousin plantar fasciitis but symptoms point clearly to tibialis posterior, a bit further up (and a lot more obscure)!
Maryke is the best PT i have found best among anyone in youtube. She is so genuine to share information to people. I just watched her when her other video finished but she explained every issue with so much detail to people suffering out there. God bless you Maryke!
Thank you!
Thank You!!!! This is a great video to help heal my injury. God Bless
You’ve just ticked off 3 things that no one really picked up. Previously broken tib/fib, your point number 6 I think is a major one. Just did a week of walking, followed by riding. That right leg has never been as strong as the left and it’s all coming together quickly now!
Thankyou for your info!
You're welcome!
I been struggling for 2years with an ankle injury and I'm having a hard time to recover. A lot of useful information in this video..thank you so much :)
You are absolutely the best, thank you! Very informative and practical.
This vid was amazing! Bob and Brad better watch out
Thank you so much for this video. I finally can understand my injury and get to try to cure it. So grateful!
You're awesome. Solid information and delivery. So helpful.
You are very thorough and clear. I benefitted from this. Thank you.
You are welcome
You are a gem! The explanation and instruction is clear and concise. Thank you very much!
You're welcome!
Thanks a lot for the information. I have been suffering from that injury since 5 years and had a surgery last year. After 5 months it was back on fire and still is. With your video I learned something about the mechanism behind the aggravation and can try to reduce stress there.. Thanks from Ulm, Tobias
Excellent video! One question I have that was not addressed is if ice and ibuprofen is good for initial reduction of inflammation and symptoms. Thanks!
If you only have the tendon being painful and flared up, then ibuprofen is usually not advised because the inflammatory process is useful for healing. However, if you also have inflammation of the sheath (tenosynovitis) then anti-inflammatories can be very useful and help prevent it getting adhesions. You can usually suspect that you have tenosynovitis if your also have quite a lot of swelling in the area. If it is just the tendon, then you usually don't really see swelling. Same goes for ice but if your tendon is super painful, then I would consider doing ice as it is not as long-acting as ibuprofen - but only for short periods e.g. 7 to 10 min at a time.
Hello! I just want to report that after two years of dibilitating pain of my posterior tibial (which makes my bone spur on top of my foot worse) I started cycling and exercising my glutes. I have had immediate relief of the tendon from doing so! Who knew that the gluts could have such and effect ! For once I have relief. Thank you so much!!!
Thanks for sharing!
Thanks for this very thorough explanation, far superior to the info I received from a podiatrist a couple of weeks ago!! Now I understand what I'm dealing with and how to proceed with rehab. It's been super frustrating for quite a while, but now I feel hopeful about getting back to the activities I enjoy 🙏
Good luck with your recovery!
Great video. Explanation and recommendations! Very thorough
@sportsinjuryphysio Thankyou so much for this video. I injured my ankle badly while running, a few weeks ago. I am not able to walk with it and the pain is just like in this video. The causes too. Ground shapes, shoes, faulty form.. The nurse just called and said it is not guaranteed will my foot ever be painless or better again. The doctor was very unprofessional and would have sent me home without any treatment or help. I basically made him sent me to MRI. So there's a tear, small cartilage damage and tenosynovitis. I have been left with only these pieces of knowledge. As I said, the pain in my ankle is just like you describe in this video and I am so grateful of everything you have just told me! I feel kind of hopeless, but try to start some kind of self learned rehab for it.
Great video, I find it to be the most useful on youtube in regards to the subject!
Great information!! I have been dealing with the pain for a while. Dr suggested surgery if it doesn’t get better but with your suggestions and explanation I know I will see it getting better. Thank you!!
You're welcome!
Wonderful! Clear explanation and good advice. I know enough to make a start. Thank you!
You are welcome!
I’ve been looking for an explanation and relief for some time now and you did the most amazing job explaining all of it! 🏆 thank you!
You're very welcome!
@@SportsInjuryPhysiothis video is beyond helpful. Do you have a video with exercise recommendations for glutes strengthening?
Thank God a found this video. I have this problem for over 8 months. I got 3 cortisone shot one month apart from each one. I’m so depressed because I work on my feet over 8 hours at day. I start thinking on quit my job, because is real painful, to hold that pain all day long. I going to follow all your advice. Thank you ❤
Good luck with your recovery!
Honestly after seeing Dr and prescribed PT I felt worse than ever. I put PT on pause and glad I did. All the aggressive things that she warned against is what they were doing. Stretching excessively I think was the main culprit. Consequently my physical therapy would actually cause more inflammation and then I would recuperate over a couple of days and go back for another session and then inflame It again. I will now take it slow. Grateful for this video.
this is so incredibly useful; thank you!!!
honestly, what a brilliant informative video, thank you very much
Very informative. Nurse that walks 12 hours! Side of foot hurts exactly where you pointed out. Have had an ankle injury where the right ankle turned inward. I have wide feet and I tend to take the insoles out because it makes my foot feel like I have a little more space in width. May have to do with the fact that I also have a high instep. Anyway..wonderful video! You obviously understand and like what you do! Wish there were more like you!
Hello Dr. Maryke, I have had insertional achilles tendonitis for a year and now just got diagnosed with PTT. I think I avoided dorsiflexion too much for the year and now I have PTT :( Thank you so much for this valuable video!
Thanks for sharing!
Comprehensive and clear ..you can not get better then the ones you find out in this video ...really professional and clear
This made perfect sense When you said excessive mileage that ends with lots of downhills. That was my course for some time. Also hyper mobile foot I don’t know how I got away without using orthotics all these years.
I appreciate the direct applications to running/jogging.
The variable of compression was important in that I was practicing some the tactics that were exacerbating my symptoms(hard orthotics, aggressive massage and stretching, ankle brace). I have been a barefoot runner for about 3 years (20 miles a week) and have found that shortening my stride length and increasing cadence(from 156 steps/minute to 193 steps per minute) really made a difference with my flat feet. This problem always pops up when my cadence slows and my strides open up. I appreciate the strengthening exercises you suggested.
Very informative, I gathered so much information finding my root cause of the injury. Thank you very much.
Thank you Maryke!!!!! i finally understand the entire map now
You're welcome!
Thank you! This is what I needed to hear! I have this right now!
Thank you,very helpful.,God Bless..
Thank you so much. I've tried everything and the most helpful was the orthotic bit. My ortho put me in extremely rigid ones 10 months ago...no wonder I'm not getting better
Glad it helped!
Great video. I haven't watched a video this long in ages. Great explanation with important details about each section.
Glad you enjoyed it!
Thank you Maryke, this all makes perfect sense. I have found my issue is my glute is weak on the same side. Wonderful information - doing the supination with a band made my ankle feel much better too.
You are welcome!
Perfekt explanation , helped me very much, i can understand your english perfectly.thank you
Excellent advice! I liked how thorough it was.
Wow! This video was so informative and helpful. I have the beginning of this issue and was afraid that I would have to stop all running. Thank you very much. Subscribing.
Thank you for the video....I took a week off and used your stretches and the tendon has calmed down a bit. I am going to go on a run tomorrow!
Indeed I really enjoyed your presentation but my concern you have solved half of the issues I have the cause or genesis of my problem results from back and pelvic girdle pain
Brilliant video. I was captivated from the start. Mine is an accidental injury. Had to run after my dog after a thunder clap scared him. I am not a runner so running in full water proofs and mountain boots caused me major problems with my feet. Thank you for this help and guidance. The rehab information has been particularly helpful as I got a diagnosis from a friend who is a podiatrist who helped me greatly but this video has been helpful from beginning to end. Thank you. 😊
I'm glad you found it useful Cara. Yes, I also had a moment during my own recovery where I ran for a train in very flat shoes and it caused me a massive increase in pain. xm
I love your videos - so clear, so well demonstrated
Glad you like them!
The information in this video is golden, very specific to what I’m going through rn. Thank you for this
Absolutely amazing delivery, you are seriously skilled in explaining and delivering information.
Thank you for this video I feel I understand.
I appreciate that!
Thank goodness I found this video, I was considering amputation for a minute! 😅
🙈
Thank you, it was the best video I saw about it and congrats by the job and content.
I appreciate that you mentioned some concerns about calf stretching because I tried to tell my doctor that stretching is not really working for me, in addition I always feel the stretch in my left calf and NEVER in my right calf which is the one that is worse off. I have had my issue for a while, went to PT, etc, it got better and now returned out of no where. I’m so frustrated and dont want to keep going to back these doctors because they are all telling me the same thing and prescribing the same treatment which is the definition of insanity! Sorry for so much complaining I am just frustrated and tired of wasting my time and money only to still have the issue.
same!😢
same!😢
same!😢
same!😢
same!😢
Absolutely amazing…so helpful!!
Glad it was helpful!
Very educational video! Are there specific exercises you recommend for strengthening glutes? ...as you mentioned to help reduce load on tendon. Sounds like strengthening helped you, thanks!
Very excited for this! Been to a podiatrist and have been strapped plus got proper shoes
Wow, after so many video's watched, you actually opened my eyes. Very very good video!
Glad to hear it!
Very grateful for your insight. My symptoms match exactly and tye only option I was offered was surgery!
Thank you for the information and I look forward to working on this project.
This video was MOST informative. I am currently experiencing this problem and it's a pity I didn't watch this video at the onset. I have flat feet and foolishly I did quite a few of the tip toe stretches at the start of my pain, which I now realize aggravated the tendon more. I eventually visited a physiotherapist who advised the towel exercise, so I'll continue with that, purchase some orthotic insoles (only now) and follow your guidelines. Thank you so much.
Great video about my issue. Wish I would have founded a year ago when I was in intense pain. I now know how to care for my tendon. Thank you Maryke!
Glad your found it useful George. xm
I love this lady..thank you for the most perfect video 😊
😄👍
I was wondering would this also be the right protocol when it has been a chronic problems for years? It is so difficult finding a professional sports physical therapist who deals with all this.
Excellent video.
The treatment for this when it has been present for years usually consists of: Getting the correct shoes + insoles and doing strength training exercises to restore the tendon's strength.
All around great video. Very informative and explained easily for your average joe
Thanks for your great video. Can you give a little more specific guidance on which Glut strengthening excercises to do?
absolutely amazing explanation - please keep posting these types of videos
Excellent video. Thank you. I have this injury at the moment. 😢
Good luck with your recovery!
Thanks for the video. What i got from this video and my 1 year experience in running is:
1) Almost every tendonitis is from increased volume/intensity
2) Almost every tendonitis is from increased volume/intensity + weakness/non activation in gluteus
I dont know if we need to do strength exercise for posterior tendon. It looks like 90% of the runners could prevent this by slowly increasing their volume/intensity and have good activation/strength in their gluteus. Glute single leg bridge is the best exercise for me to activate gluteus. I will do it every day now to my left problematic leg
Thanks for sharing!