Thank you. I saw a podiatrist for a relatively mild case of this issue and they told me I should never walk barefoot and always wear orthotics. This seemed insane, especially because I’m a barefoot shoe enthusiast and being barefoot has largely helped improve my health otherwise. I thanked them for the diagnosis and have been searching for advice like yours to properly address the root of the problem. I’ve been focusing on my foot and ankle, but haven’t considered my hips yet! I’ve trained myself up to deep squats and ATG split squats, but I must not have been using proper form because I would not feel it in my glutes. I feel it now after imagining pushing out a band around my legs!
@@evanm4500 I think the root cause is a combination of my hip rotation and the fact that my left foot is structurally slightly flatter than the other. Fixing my hips seems to have greatly improved things. I haven't had tendon pain since watching this video. I still get tight and fatigued in the one leg, but it seems to be more evenly spread across all my calf muscles instead of exclusively the post tib. I'm guessing I just need to rebuild strength after using my leg incorrectly for so long. I'm using a small massage roller to help loosen things up for now. I considered giving up barefoot shoes at one point, but I tend to agree with the philosophy that if you have pain while wearing them, it's probably a sign that you have some dysfunction to resolve. I wore some cushy slippers when I was having pain but now I'm back to barefoot only.
Same issue here, I saw two orthopedists and two physiotherapists and everybody always says « you can’t walk barefoot and must wear orthotics for the rest of your life ». I don’t get why they would think it’s the only tendon injury that is treated by essentially a life-long splint, instead of exercises like most (if not all) other non-surgical tendon injuries
Great to hear mate! Sorry for the late reply, but as someone has mentioned below traditional advice in healthcare can often lack a little perspective. We definitely shouldn’t demonise being barefoot as that’s as normal as things get for our feet. We may need additional help to begin with but as you mentioned - if barefoot generates a symptom it’s more likely to be exposing something rather than causing it!
Dude, the emphasis on the broader perspective, the root causes, that is the way to go bro. Watching this video one time I feel better but I'm lucky because the specific causes match with my situation. Such as being the person who stands with feet externally rotated at an angle and feeling pain in the buttox near the hip. The pigeon stretch helped with that immediately. Screwing out the feet in squats is something I learned in the past but let it go and reintroducing just feels right. I'm so grateful. I could go on but I really encourage you to keep up with addressing the root causes and the broader issues that are the true origin of the problem. People want to nip it in the bud I live their life , not nurse something forever never transcending the problem.
Great information! I have been suffering from Tib Post Pain for over a year and realised that it doesnt make any sense to rely on orthoses for a life time. Very few health professionals consider the general body mechanics to understand the real cause of any injury so thank you
Thank you for your information on posterior tibial tendinitis. I have recently got this problem and also tarsal tunnel syndrome, with my flat feet. I am 76 years old, and have had intermittent foot problems, most of my life. I am thankful to have UA-cam videos to help me.
Gosh, l injured my TP by doing mini squats and have since had treatment from 3 podiatrists- none of whom mentioned the knees rolling in and the feet sticking out- or gait- so you are spot on as with over 2 years of struggling with this l've kind of worked that out myself- really want to focus now on the points you mention and ironically- back to the mini squats!
Been struggling with this for 3 months. Had 6 weeks of PT and still struggling. You’ve given me some great ideas I will try. This is a very informative video.
I've watched dozens of videos on this issue, but yours nailed the whole package!! When I did that mini squat, the "it feels so good" stretch was immediate. I'll be following your treatment plan and channel from now on!! Thanks so much!!😍
While training for the Chicago Marathon in October 2023, I developed PTTD in June due to a track workout. I deferred the marathon to October 2024 after starting physical therapy in August. My PT identified weak lateral glute muscles as the cause of my tibialis posterior issues. I've been doing glute and foot exercises with resistance bands to improve. Recently, I noticed hip tightness on my left side (affected by PTTD), which may still be impacting my running. I plan to stretch my glutes thoroughly before my next run to improve my performance, and hopefully this will help with proper leg and foot placement! Thanks for this video!
@@theaviatroy much better. All the exercises I did did not seem to help. I ended up just running 8K almost every day and just focused on keeping my ankles and feet as extremely relaxed as possible. My body would react when it hit the ground and I didn't need to be so tense. After practicing that, all my issues went away. Now I am back to running where I was pre-injury!
@@daniel98carvalho I'm glad you're much better now and back running! When you said "keeping my ankles and feet as relaxed as possible": what pace was this (i.e. easy pace) and did you do it while still in pain and just endured it until you no longer felt them?
@@theaviatroy yes, easy pace or recovery run. Basically I would start my runs but the posterior tibialis pain would slowly creep up after 1-2 km. Once I started relaxing my ankles and feet this went away and I ran pain free (unless I did some speed work or something in the first month of practicing this. Then it would make a subtle appearance but be gone by the next day). What I mean by relaxed is as soon as your foot leaves the ground, make it go completely limp. When your foot strikes the ground, your body will unconsciously deliver the exact needed power and muscle tension to keep you going. That was key for me.
Glad I found you and this video today- thank you!! Most Excellent and informative information, explanation and demos. I’m a runner and last week felt a brief ‘twinge’ in my arch in the area just below the ankle. Two words came to mind -Plantar Fasciitis - as I had it years ago and I remembered the PTherapist talking about the Posterior Tibialis Tendon and how I needed to strengthen it. Your video is excellent and I started doing these exercises and will continue. The fascia throughout my RT feels good- except for that small area mentioned above which I’m attributing in part to the PTT weakness. I was wearing new pair of running shoes recently which did not have good arch support but I’m now wearing the HOKA Clifton 9 which is great! I’m also working on exercises for my toes ( especially the ‘big toe’ and doing a lot of eccentric calf strengthening. Thanks again and subscribed to your UA-cam videos and Instagram.
This is spot on! have been dealing with PTTD for years. Stopped running. Only cycle, walk, and yoga. Recently and on my own I noticed the days I added a little bit of squats into my yoga routine. I was getting some relief. This verifies (finally) that my hips and rotation are causing problem. I have seen multiple doctors and PT for a year explaining PTTD and pinching at my hip. Always told it is unrelated.
I've been looking for good exercises to help alleviate my post-tib pain ever since I started playing hockey. This video is the first one that actually made me think about the "why" or the cause behind my pain and it's now clear that my poor technique cannot be ignored any longer. I was seriously concerned about this over the last two weeks and just the clarity of understanding the issue has brought me some stress relief. I now know where to start because of you and I earnestly thank you!
@@sonnysilversmith2156 I was diagnosed with plantar fascia in 1999 I had surgery on both feet to release the ligament and grow back with extra length, wore moon boots for 3 months. After I healed I got pain in the side of my feet in my arch. then got compartment syndrome so I had another procedure and they release the sheath around the muscle which then made my foot pronate a couple of years later I was getting pain at the side of my ankle and it's never-ending now I just recently got some new orthotics and that has helped immensely still taking anti-inflammatories and doing a lot of ankle strengthening.
This is great information. I’m a active duty Marine and never had any problems with my ankles/calves before service. I think between standing at attention and parade rest with 45 degree foot placement is the cause for a lot of Marines I’ve meet with the same pain. As well as weak ankles from running in boots often. Definitely going to be recommending this video.
Subsribed. Excellent advice, thanks a lot ! I am a tango dancer with flat arches (asian ancestry) and am dancing with an inward arch especially on my right foot. But I am now changing my esthetics thanks to your outstanding explanations. Cheers from Paris, France
I can't tell you how much extreme compensation I've had to do over the years because of this problem. What's weird is, I didn't even realize it was a problem till I hurt my back! My hip, knee and ankle just were not getting the job done. It progressed so far that my arch flattened almost completely and my two toes past my big toe stopped working when they got tired. Anyway, after loads of trial and error and mindfulness, as well as different mobility programs and martial arts, I am FINALLY getting somewhere. This video has been very helpful. Imagine, I ran a 10K in 43 minutes with this problem and really had no idea. No wonder my knee hurt. Goodness gracious. I must say, for me, MINDFULNESS is KEY. It is the biggest component for me. Strengthening the mind to muscle connections and learning to be mindful of my body has been tremendous! Life changing stuff and great video!
Again, another great video! I watched your plantar fasciitis one and followed those for awhile before I realized that I have PTTD... and as you've described so nicely here, an overall leg knee hip calf ankle disfunction... Thanks!!
Great video! I love it when videos like this address immediate pain release methods as well as the long term, underlying issues. I’d much rather know what exercises I need to do to fix a problem rather than just a recommendation to buy insoles or orthotics. Thank you!
Awesome to hear the video resonated with you mate! I feel as an industry we can do that little bit better by trying to understand why things happen, not just treat the symptoms.
@@YourWellnessNerdYou’ve explained this so well. I see a specialist bio mechanical podiatrist who has diagnosed me with post tib tendinitis and tight calf muscles and extremely tight backs of legs and hamstrings and birth injuries to my coccyx and lower back and abdominal wall separation, all causing acquired adult flatfoot and split second effect and miserable malalignment syndrome, just as you described where my leg is in a crooked position. The first sign was knee pain, MRI confirmed patella tendinopathy which is not clearing up. Initially they started me on a course of shockwave therapy which helped reduce some of the pain enough to walk a bit more easily but the effects wore off after a month or so. My rehab now is temporary insoles to relieve pain enough to allow me to walk short distances, + slant board exercises for 10 mins 3 times per day, started at 15 degrees, have worked up over 3 months to 18 then 20 degrees. Once I can stand comfortably on the slant board at 30 degrees we can look at gait analysis and customised orthotics and next stage of exercises. They have also recommended I can soon start Stott and Reformer Pilates in a 1-1 or very small group setting to get my abdomen back in working order and help my whole body alignment and strength. It’s going to be a long road but my main pain is the collapsed foot arch and post tib and I have a toddler to look after - the prognosis is it will take a year to fix this so in for the long haul. You explain it so well, it’s a kinetic chain issue for sure, thank you so much for your content and expertise
finally, infomation that addresses the problem proximally. i deal with this off and on...have done the PT for it, as well. I also have a tight piriformis on the same leg and did PT for that years ago...without resolution. i have always wondered if the two were related. thoughts?
For me, it’s often a consequence of something else and as mentioned can be in part due to some hip dysfunction. Best way to figure it out is to improve one part of your leg and see how it affects things lower down!
Thanks for all this info. I have hip bursitis on the side I have this issue with my foot. I also need another surgery for my spine because of my spine compressing (I had a spinal fusion years ago.) I also have heal spurs on both feet. My other leg needs a knee replacement due to bone on bone (I had surgery years ago on it). That foot has plantar facitis. Stretching my hip and legs gives me pain in the back (and hip). I'm screwed, but the first exercise is helping me. What helps both feet has been compression half socks. No surgery for me so I'm trying everything else. Oh, and I'm old!!! LOL And I don't want to use antiinflamatories or pain meds unless I am in A LOT of pain. No meds for me!
I have become virtually immobile over time... I'm 70, female. In recovery from cancer. It's taken me about 6/7 months to get here ... I don't recall any specific instances jury I sustained ... I started going to the gym. That was it. I am overweight - have been all my adult life... I'm not sure I could do any of those exercises -except the first ... thank you
Since my Injury during a step aerobics class 3 weeks ago, I have been in agony the x-ray ruled out any broken bones. I was told to rest, and it will heal in 6 to 8 weeks. I work in a primary school, so resting is very hard. I've had to stop gym classes and walking as I'm finding it very hard to walk. I have been using KT tape but taped for plantar pain it gave some relief but pain was still intense. Browsing through Google to try and find out what my actual injury is and try self treatment. I am so glad I came across your video it was spot on with my symptoms I have just gone through the exercises and feel some relief already. Thank you 👍🏻 I will be booking in for some sport therapy now I know it could possibly be PTT.
I am 66, developed PTTD in July. Finally found decent therapy, self treatment. Just 3 days in with exercise band and over pronation/super pronation etc. Have had titanium hardware in broken left femur since 21. So while it is starting to feel better with exercises I have been using silicone arch inserts, high ones,doubled in right shoe. Combined with overpronation inserts.These work better for me than whole shoe orthotics. I cannot imagine NOT USING THESE from here on in. They make it possible for me to work four hour shifts cashiering with a change of shoes involved. have high arches and my poor right foot has done most of the work for years. Had I been more mindful of arch support this problem wouldn't have occured. Thank you for additional hip exercises to add to my regimen. Again what was noise that sounded like a motorboat? Extremely loud and distracting.
Agree with everything you've said. Just would add that I've noticed an improvement since losing 10 pounds. Didn't fix it, but definitely helped. Talk about an incentive to watch my weight! 🙄🙂
Thank you for these great reminders! My old ballet injury has flared up again now that I am playing sports. I don't need the stretches but the good old doming the arch, invert/evert band exercises and darn it-- squats again! Great explanations. Sarah
I had a midfoot fusion, bunion correction, and osteotomy done on two of my metatarsals 3 1/2 months ago and I'm having quite a bit of discomfort that I believe is associated with the tib post tendon. The rest of my foot where I had all of my surgeries feels fine but this part of my foot / leg has been keeping me from feeling 100% and I think it's because that tendon was so relaxed for 3 months of non weight bearing. I'm going to try these exercises to try to get me over the hump. I naturally overpronate so I think I need to work on the position of my knees and hips more. Thank you for taking the time to explain this well.
This is a great video. I have this injury but on a very low scale. I think it is not tendonitis but just sore muscles. Because i can still do calf raises and other leg exercises very easily. I just have from time to time this pain when i warm up before a run or after a long day of standing. Im trying to catch this early and i think this video hit the spot. I will try all these stretches, especially the hip ones because i have a very tight right hip which is coincidentally the leg where i have a sore post tib. Thanks!
Brilliant coverage of this issue which really resonates for me. Ive had this problem on and off for 3+ years. My hips are so tight I cant even get close to pidgeon pose so need to work on that. keep up the good work
Hey Grant I'm glad I came across this video. I've struggled with the problem on and off for a long time now. I wore orthotics for 30 years and they may have caused more harm than good, hard to say. But one thing that has never come up in all the discussions I had with many different practitioners in all this time is the hips. I can see now, after watching this video, that I do indeed have very poor range of movement in my hips. Trying the pigeon exercise is very difficult for me, I can't even get into the position to start the exercise. Just wondering if you have any alternative to help with building up to being able to do the pigeon exercise. Thanks
Hey Pat! The goal of the pigeon stretch is to try and mobilise the tissue on the back/outside of the hip. So anything that looks to do the same can be worthwhile. You can do the same thing in settings, where you just cross your leg, sit up nice and tall, and try hinge forward from your hips. Something even more gentle, and respectful, can be standing up against the wall, or lying down on the floor, and gently letting a ball press into any tightness a person may find. Hope that helps!
This is so helpful! I just finished rehabbing a knee injury and now I’ve developed PTT on the same side, so it’s good to know I should work on my hip mobility too.
Wait til there is little to no pain and if exercises cause more pain then stop all together until symptoms are almost gone. It may take upwards of 6 weeks completely non weight bearing depending on how badly torn the post tib is. Then when you start to weight bare you need to be extremely careful and go verrry slowly into weight bearing. The key is patience. Tendons take a long time to heal but they eventually do heal. Whatever you do don’t go do extreme sports like running while u r healing.
@@lightbulbfishI have a partial tear on my posterior tibial tendon I started to do non weight bearing 3 weeks ago. Should I continue for 6 weeks? I also got an air walker boot but I haven’t used it yet. I am just worried as my calf got so small. I had this problem on and off last 10 years. I was doing fine last 3 years but it flared up again this summer when I was working as tour guide on my feet all day. I would appreciate if you can share some wisdom as I couldn’t fine anything that worked until now. 😢 thank you very much.
@tugcancevik5596 I am just now realizing I have this problem. I've been dealing with it for 8 years and recently it's been more painful and happening more frequently. I just now realizing I probably have a serious problem that needs to be addressed. Let me know how if you have any success. Currently trying to figure out where to start.
I’ve been struggling with this for so long! First with my left foot for years, and now an acute flare up in my right. I’m going to give the MFR a go, but my mobility is great and I do PT like it’s my job. Not sure what else to do at this point.
Me too. Hip 90 90 daily , single leg balance , bought a laser , toes spreading, toe walking , heel raises with ball, bands . The only positive I have come to is it "forces me to move everyday" because I refuse to not be able to hike and walk and definitely don't want surgery. Thanks for sharing 👍
Why can’t my ortho doctor explain PTTD like this? I’m in excruciating pain and I thought wearing orthotic inserts was the answer. Obviously not!! Thank you for the easy to understand explanation and exercises.
I've had flat feet all my 57 years. Went from 'average' walking to walking 4-7 miles a day on a concrete floor (department store). My ankle pain is sometimes excruciating along with arch pain. Just starting PT and am concerned my pain will prevent me from doing some of the exercises they've recommended. We'll see! This was a very imformative video, esp about the hips. I'm super tight.
Great info, thank you. I have an ankle that won't move forwards. What's your best mobilising technique please? My podiatrist had me placing the power band on the front crease as in your stretch.
Hey Lyndsey, I started with plantar fasciitis, was managing that but also had a very inflexible ankle - had acupuncture (hamstring, calf and foot) that relieved the ankle. Realised that Tib Post was part of the overall dysfunction, so now working on this. Try acupuncture, it may assist to manage your situation.
Hi Lyndsey, I know it’s been awhile since you posted this comment but I did put out a video on ankle mobility somewhat recently. There’s about 12 or 13 exercises that I find address different aspects of a limited ankle - some of which may be helpful to you if you’re still dealing with the same issues!
I rolled my foot/ankle inward on a rock while walking. After having it checked out, told that it was just a sprain, 4 years later was diagnosed with PTTD. I’m almost 5 years either way this pain, had to stop hiking, walking more than a mile and doing activities that put pressure on the foot. I’ve had PT, have tried many things. Will it ever heal?
Hey Julie! Sorry to hear it’s been a challenge for you! I can’t speak to your specific injury, but as a general rule you would expect most things that are damaged to heal. Often, a lot of peoples ongoing dysfunction relates more to the function of the overall area. if this is you, the hidden things like hip mobility and strength, ankle mobility, improved arch function, lower back function etc, may be the things that a person needs to focus on to improve how that tendon is loaded - ultimately giving it the space to settle down finally. Good luck!
Thank you for sharing your knowledge on the root cause of Tib Post Pain. I injured my foot on the inversion table. When i got of i immediately felt pain like an ankle sprain in the inner side of my foot. Have seen a doctor and thank God no fracture but was not recommended any therapy was told it will get better with time. My question to you, is this condition permanent? I injured 15 months ago some days i can walk slow with no pain but if i pick up the pace the pain caused me to limp and notice that my knee and arch wants to buckle just like you described. I have stage III i belive where i cannot lift me up on my toes on the left left at all. So when walking my foot does not propell me forward. Will doing the exercises as seen in your video help restore my foot strength even if it may take months or yrs or am i doomed to not walking normal again? Has it been too long? Thank you for your advice I greatly appreciate it.
Hey mate, I can’t speak to you situation unfortunately without assessing you myself, but from a general perspective the ideas in the video try to go after the mechanical underlying issues that set the rib post up to fail. They’re important to go after as they can give an injured tib post a more optimal environment to function better, while a person keeps working on their specific tib post tendon/muscle rehab
Thanks for this very helpful information! Is this proper form for all squats (pointing the knees more outward), or just a specific type of squat to help combat this issue?
It’s just an expression of good leg mechanics all round. Whether it’s a squat, a lunge, going up and down stairs, riding a bike etc, generating that external rotation force is beneficial!
@@YourWellnessNerd Follow-up question then - in strengthening the glute muscles, which I think is my root cause of PTTD - will my walking gait "automatically" start to change and no longer strain the post tib? Or do I need to be mentally trying to activate and recruit the glute muscles as I walk to try and stop the inward roll?
Everyone is different, Kristofer. It all depends on how serious things are, how robust someone’s tissue is, activity levels, and a range of other things like diet, sleep, stress, etc.
How often should you do these exercises? And do you need to warm up before hand. I have a mild case right now where my arches start to hurt after 10-15 minutes of running. I started wearing a more stable shoe so that I don’t overpronate for now. If I do these exercise, how long before I should be able to run pain free again. Thank you for a great video.
I'd always ask my patients to try and do them daily, more if tolerable. Generally, I would ask my patients to progress back to running once standing and walking feel tolerable at the very least. It could ve days or weeks depending on the state of each individuals tendon and symptoms.
I am a person who suffers from club foot and have had all the surgeries for fused mid foot bones etc. I’ve been diagnosed by my podiatrist as having anterior tendonitis. The pain is a sharp pain on the inside medial part of the foot that can suddenly stop me in mid step. Scary as I think it might snap of something. I soak my foot in ice and then I can walk again. I have taping and special orthotics but still have this problem on and off. It is getting more constant as the years go on. I am trying to to work out what is causing it for me because I am not flat footed , I have a very high arch and my heel doesn’t touch the ground even though I had Achilles lengthening when I was younger. I am trying to work out the mechanics of why this is happening so that I can get an orthotic that will offload the tendon. I walk on the out edge of my foot so maybe this is causing the stress on the inside foot tendons. There is nothing in the internet about this apart from it being caused by flatfoot, which mine defo isn’t! Thanks for the video.
I hear you Anna. Ideally, all we are looking for is what within the scope of your back and leg aren’t as optimal as it could be. For some it could be simple lower back stiffness, others restrictions in hip rotational range, others hip rotational weakness, some may have stiff ankle joints, others stand and walk with their feet turned out. If you can figure out where those relatively hidden restrictions might be then at the very least you can get to work on optimising the environment it exists within!
@@YourWellnessNerd Thanks Iv been doing research on it and it doesn't hurt at all but from all the sources it says it could grind away the tendon and I dont want that!!!!
Start of the video: if you stand like this... Yup this video is for me! Great information! Ive been running for years and even ran collegiately and always wondered why i got shin pain on the interior tib area so easily along with tight ankles, this explains so much! Ive never run a marathon before and started to train for one and ealry into my training that pain is starting to come back but is presenting more like post tib pain so hopefully this helps me get through it!
Hi, Is it possible for this to cause patella tracking issues? I've had patella tracking issues and knee pain for 10 years and was always told to strengthen my VMO and glutes which never helped. My tibialis posterior feels very tight and I also overpronate with collapsed arches. I also have lost a lot of hip internal rotation and have very tight adductors if that has anything to do with it. Thanks for your help!
It really depends Deeksha on what type of surgery, where it was and for what reason. It's best to ask someone who can see you in person to make the most appropriate call for you
The hip stretch movement around 11min in doesn't make sense to me.. if the knee is prone to collapse inward, wouldnt that stretch have just slackened the glute muscles and allowed for less stability from the hip? Would have thought we would need to strengthen and stiffen those muscles, but haven't finished the video yet.
Hey. Thank you for this, I’m a runner who’s been having issues for the last few years and have had to stop running for the last six months. I can still walk 15 miles some days with very little pain, only towards the end. Is this condition treatable to the point where marathon running again would be possible?
It's hard to comment without assessing you Mitch, but from a general standpoint unless there was major disruption to the tendon each person's expectations should ideally remain high
@@YourWellnessNerd thank you. I’m encouraged by the fact I can still walk so far without any real pain so am taking that as a good sign lol. Obviously not asking for direct guidance here, but just out of interest, people with these issues, is it something where you can still run and strengthen the area up or are people best taking a period off running whilst the muscles get stronger? Suppose basically, can you have your cake and eat it and be able to get stronger whilst still running.
hey man. I have PTTD for 18 months now. Its slight because I can still stand on my toes without pain. I am(was) a runner and I am a PE student, so I have quite the demand. I tried pretty much everything (insoles, barefoot shoes, strengthen the posterior tibialis, shock wave, massages etc.) I have a hollow foot and no flat feets , also: I don't pronate just by my feet - I rather tend to supinate - So I kind of maybe think your hip and dorsiflexion explanation could be the reasons behind it. I will get better insoles from my podologist soon because it might also be the missing activation of my big toe. I will try your excersises and stretches - do you happened to have an update with even more exercises ? how long should I at least to them to feel any differences? Appreciate your insights. thank you!
Thanks for reaching out David! I don't have an updated video just yet but happy to work one in over the next few weeks! With any mobility exercise or stretch you deserve to feel an improvement in your flexibility straight away. If those restricted areas are linked to someones pain, it's reasonable to expect some positive change over the course of a few days to a week as things potentially right themselves!
I have one other big problem. I suppose my posterior tibialis is inflamed too, because it flares up when I try to stretch my calfs especially with a bent knee, but the worst is my left big toe. Whenever I sit and curl my big toe in (bend it) It starts shaking uncontrollably. What should I do? Should I train big toe muscle regularly by towel squeezes? How often. It never fixed. I often tried exercises but remain with the same pain and problem..
Hi! I believe I have this, or something close. When I rotate my ankle, I can visibly see and hear something popping basically on the ball of my inner ankle. I can do most of these exercises relatively easily. But it does hurt when I do the Standing Dorsi-Flexion stretch. I can also still run, but don't want it to get worse- so have been cautious. Has anyone had this popping before? I'm a 29-year old marathon/ultra runner. Thanks!!!!!
I am in either stage 2 or 3 pttd, should I do that outward leg rotation exercise with or without my shoes and orthotics on or maybe just stand on my orthotics without the shoes
I have pain in this part and also my big toe is like jumped of compared to my left doctors told me that i dont have flat feet but lowered vaults and i train basketball my big toe is in so much pain i can sometimes just crack it but when i wake up and train 24/7 i have pain in tibialis posterior
I now see my PTT might have started since my outer meniscus degenerated. Because of this meniscus I can not do the stretch of my hips (the pigeon). Do you have another suggestion or adaption of this practice?
Ok. I just did a UA-cam : " ankle exercises video.." .. One exercises was for the tibial posterior & another; anterior tibial ?. & others! .... I squeezed a tennis 🎾 ball between my ankles , whilst raising & lowering up onto my toes.... After , I had pain in the innerside ; At the bottom of my shinbone !!?. Anybody know if that means I allready had an injury that got highleted or does the exercise hurt it?
It’s hard to say without seeing the person directly, but often they can both be caused by similar, broader dysfunction with the overall leg mechanics. Stiff ankles, weak/tight hips for example.
@@YourWellnessNerd thank you for your response. I think Google's subtitle sucks because it just failed to translate the core medical / physical words you spoke with. and those are just most difficult part for English-as-second-language listeners. Maybe some short summary in the description would help a lot! Your video and methodology still looks great so I tried very hard to comprehend the details.
Thank you. I saw a podiatrist for a relatively mild case of this issue and they told me I should never walk barefoot and always wear orthotics. This seemed insane, especially because I’m a barefoot shoe enthusiast and being barefoot has largely helped improve my health otherwise. I thanked them for the diagnosis and have been searching for advice like yours to properly address the root of the problem. I’ve been focusing on my foot and ankle, but haven’t considered my hips yet!
I’ve trained myself up to deep squats and ATG split squats, but I must not have been using proper form because I would not feel it in my glutes. I feel it now after imagining pushing out a band around my legs!
Hey Snazzy!
I'm also a barefoot dude, I wonder if this was caused by that or, more likely, i had pre existing issues . How'd your recovery go?
@@evanm4500 I think the root cause is a combination of my hip rotation and the fact that my left foot is structurally slightly flatter than the other. Fixing my hips seems to have greatly improved things. I haven't had tendon pain since watching this video. I still get tight and fatigued in the one leg, but it seems to be more evenly spread across all my calf muscles instead of exclusively the post tib. I'm guessing I just need to rebuild strength after using my leg incorrectly for so long. I'm using a small massage roller to help loosen things up for now.
I considered giving up barefoot shoes at one point, but I tend to agree with the philosophy that if you have pain while wearing them, it's probably a sign that you have some dysfunction to resolve. I wore some cushy slippers when I was having pain but now I'm back to barefoot only.
Same issue here, I saw two orthopedists and two physiotherapists and everybody always says « you can’t walk barefoot and must wear orthotics for the rest of your life ». I don’t get why they would think it’s the only tendon injury that is treated by essentially a life-long splint, instead of exercises like most (if not all) other non-surgical tendon injuries
My theory is that most people want to hear this; a simple fix for a problem that they can't be held responsible for
Great to hear mate! Sorry for the late reply, but as someone has mentioned below traditional advice in healthcare can often lack a little perspective. We definitely shouldn’t demonise being barefoot as that’s as normal as things get for our feet. We may need additional help to begin with but as you mentioned - if barefoot generates a symptom it’s more likely to be exposing something rather than causing it!
Dude, the emphasis on the broader perspective, the root causes, that is the way to go bro. Watching this video one time I feel better but I'm lucky because the specific causes match with my situation. Such as being the person who stands with feet externally rotated at an angle and feeling pain in the buttox near the hip. The pigeon stretch helped with that immediately. Screwing out the feet in squats is something I learned in the past but let it go and reintroducing just feels right. I'm so grateful. I could go on but I really encourage you to keep up with addressing the root causes and the broader issues that are the true origin of the problem. People want to nip it in the bud I live their life , not nurse something forever never transcending the problem.
Really appreciate that Ken! Glad it resonated!
Thanks a million. Your instructions for walking correctly, stopped the heel pain I have had for months!!! Please give yourself a hug for me!
Glad it helped Madelyn!
Great information! I have been suffering from Tib Post Pain for over a year and realised that it doesnt make any sense to rely on orthoses for a life time. Very few health professionals consider the general body mechanics to understand the real cause of any injury so thank you
I hear you mate! Hope the video helped I'm some way!
Thank you for your information on posterior tibial tendinitis. I have recently got this problem and also tarsal tunnel syndrome, with my flat feet. I am 76 years old, and have had intermittent foot problems, most of my life. I am thankful to have UA-cam videos to help me.
Hope the tips help improve how things feel for you mate!
Gosh, l injured my TP by doing mini squats and have since had treatment from 3 podiatrists- none of whom mentioned the knees rolling in and the feet sticking out- or gait- so you are spot on as with over 2 years of struggling with this l've kind of worked that out myself- really want to focus now on the points you mention and ironically- back to the mini squats!
Good luck with it mate! Hope it’s helpful long term!
Been struggling with this for 3 months. Had 6 weeks of PT and still struggling. You’ve given me some great ideas I will try. This is a very informative video.
Hope it helps make a difference Carla!
I've watched dozens of videos on this issue, but yours nailed the whole package!! When I did that mini squat, the "it feels so good" stretch was immediate. I'll be following your treatment plan and channel from now on!! Thanks so much!!😍
Glad it helped Jenny! Hope things clear up for you quickly!
While training for the Chicago Marathon in October 2023, I developed PTTD in June due to a track workout. I deferred the marathon to October 2024 after starting physical therapy in August. My PT identified weak lateral glute muscles as the cause of my tibialis posterior issues. I've been doing glute and foot exercises with resistance bands to improve. Recently, I noticed hip tightness on my left side (affected by PTTD), which may still be impacting my running. I plan to stretch my glutes thoroughly before my next run to improve my performance, and hopefully this will help with proper leg and foot placement! Thanks for this video!
Hope it helps and good luck with the training mate!
How are you doing now Daniel?
@@theaviatroy much better. All the exercises I did did not seem to help. I ended up just running 8K almost every day and just focused on keeping my ankles and feet as extremely relaxed as possible. My body would react when it hit the ground and I didn't need to be so tense. After practicing that, all my issues went away. Now I am back to running where I was pre-injury!
@@daniel98carvalho I'm glad you're much better now and back running!
When you said "keeping my ankles and feet as relaxed as possible": what pace was this (i.e. easy pace) and did you do it while still in pain and just endured it until you no longer felt them?
@@theaviatroy yes, easy pace or recovery run. Basically I would start my runs but the posterior tibialis pain would slowly creep up after 1-2 km.
Once I started relaxing my ankles and feet this went away and I ran pain free (unless I did some speed work or something in the first month of practicing this. Then it would make a subtle appearance but be gone by the next day).
What I mean by relaxed is as soon as your foot leaves the ground, make it go completely limp. When your foot strikes the ground, your body will unconsciously deliver the exact needed power and muscle tension to keep you going. That was key for me.
Glad I found you and this video today- thank you!! Most Excellent and informative information, explanation and demos. I’m a runner and last week felt a brief ‘twinge’ in my arch in the area just below the ankle. Two words came to mind -Plantar Fasciitis - as I had it years ago and I remembered the PTherapist talking about the Posterior Tibialis Tendon and how I needed to strengthen it. Your video is excellent and I started doing these exercises and will continue. The fascia throughout my RT feels good- except for that small area mentioned above which I’m attributing in part to the PTT weakness.
I was wearing new pair of running shoes recently which did not have good arch support but I’m now wearing the HOKA Clifton 9 which is great! I’m also working on exercises for my toes ( especially the ‘big toe’ and doing a lot of eccentric calf strengthening. Thanks again and subscribed to your UA-cam videos and Instagram.
Glad to hear it helped Barb! Good luck sorting it out!
This is spot on! have been dealing with PTTD for years. Stopped running. Only cycle, walk, and yoga. Recently and on my own I noticed the days I added a little bit of squats into my yoga routine. I was getting some relief. This verifies (finally) that my hips and rotation are causing problem. I have seen multiple doctors and PT for a year explaining PTTD and pinching at my hip. Always told it is unrelated.
Great to hear you feel as though you’re figuring things out mate! Good luck with it!
I've been looking for good exercises to help alleviate my post-tib pain ever since I started playing hockey. This video is the first one that actually made me think about the "why" or the cause behind my pain and it's now clear that my poor technique cannot be ignored any longer. I was seriously concerned about this over the last two weeks and just the clarity of understanding the issue has brought me some stress relief. I now know where to start because of you and I earnestly thank you!
Wonderful to hear the video resonated mate! Hope it goes some way to helping you conquer that pain!
This injury ruins my life.
I’m so sorry…❤❤
what happened?
@@sonnysilversmith2156 I was diagnosed with plantar fascia in 1999 I had surgery on both feet to release the ligament and grow back with extra length, wore moon boots for 3 months. After I healed I got pain in the side of my feet in my arch. then got compartment syndrome so I had another procedure and they release the sheath around the muscle which then made my foot pronate a couple of years later I was getting pain at the side of my ankle and it's never-ending now I just recently got some new orthotics and that has helped immensely still taking anti-inflammatories and doing a lot of ankle strengthening.
My life is destroyed completely after this problem i can't sleep whole night
Found a fix? @@Grey_Tech
this tortured me already 10 years, and still keep geting worse.
This is great information. I’m a active duty Marine and never had any problems with my ankles/calves before service. I think between standing at attention and parade rest with 45 degree foot placement is the cause for a lot of Marines I’ve meet with the same pain. As well as weak ankles from running in boots often. Definitely going to be recommending this video.
Hope the exercises help Anthony!
Thank you for serving
Subsribed. Excellent advice, thanks a lot ! I am a tango dancer with flat arches (asian ancestry) and am dancing with an inward arch especially on my right foot. But I am now changing my esthetics thanks to your outstanding explanations. Cheers from Paris, France
Great to hear Sonia!
I can't tell you how much extreme compensation I've had to do over the years because of this problem. What's weird is, I didn't even realize it was a problem till I hurt my back! My hip, knee and ankle just were not getting the job done. It progressed so far that my arch flattened almost completely and my two toes past my big toe stopped working when they got tired. Anyway, after loads of trial and error and mindfulness, as well as different mobility programs and martial arts, I am FINALLY getting somewhere. This video has been very helpful. Imagine, I ran a 10K in 43 minutes with this problem and really had no idea. No wonder my knee hurt. Goodness gracious. I must say, for me, MINDFULNESS is KEY. It is the biggest component for me. Strengthening the mind to muscle connections and learning to be mindful of my body has been tremendous! Life changing stuff and great video!
Thanks! Glad to hear you’re making progress! Hope it continues!
Again, another great video! I watched your plantar fasciitis one and followed those for awhile before I realized that I have PTTD... and as you've described so nicely here, an overall leg knee hip calf ankle disfunction... Thanks!!
Great video! I love it when videos like this address immediate pain release methods as well as the long term, underlying issues. I’d much rather know what exercises I need to do to fix a problem rather than just a recommendation to buy insoles or orthotics. Thank you!
Awesome to hear the video resonated with you mate! I feel as an industry we can do that little bit better by trying to understand why things happen, not just treat the symptoms.
@@YourWellnessNerdYou’ve explained this so well. I see a specialist bio mechanical podiatrist who has diagnosed me with post tib tendinitis and tight calf muscles and extremely tight backs of legs and hamstrings and birth injuries to my coccyx and lower back and abdominal wall separation, all causing acquired adult flatfoot and split second effect and miserable malalignment syndrome, just as you described where my leg is in a crooked position. The first sign was knee pain, MRI confirmed patella tendinopathy which is not clearing up. Initially they started me on a course of shockwave therapy which helped reduce some of the pain enough to walk a bit more easily but the effects wore off after a month or so. My rehab now is temporary insoles to relieve pain enough to allow me to walk short distances, + slant board exercises for 10 mins 3 times per day, started at 15 degrees, have worked up over 3 months to 18 then 20 degrees. Once I can stand comfortably on the slant board at 30 degrees we can look at gait analysis and customised orthotics and next stage of exercises. They have also recommended I can soon start Stott and Reformer Pilates in a 1-1 or very small group setting to get my abdomen back in working order and help my whole body alignment and strength. It’s going to be a long road but my main pain is the collapsed foot arch and post tib and I have a toddler to look after - the prognosis is it will take a year to fix this so in for the long haul. You explain it so well, it’s a kinetic chain issue for sure, thank you so much for your content and expertise
finally, infomation that addresses the problem proximally. i deal with this off and on...have done the PT for it, as well. I also have a tight piriformis on the same leg and did PT for that years ago...without resolution. i have always wondered if the two were related. thoughts?
For me, it’s often a consequence of something else and as mentioned can be in part due to some hip dysfunction. Best way to figure it out is to improve one part of your leg and see how it affects things lower down!
This makes so much sense! I have an overloaded tib. post and terrible external rotation on that side.
Thanks for all this info. I have hip bursitis on the side I have this issue with my foot. I also need another surgery for my spine because of my spine compressing (I had a spinal fusion years ago.) I also have heal spurs on both feet. My other leg needs a knee replacement due to bone on bone (I had surgery years ago on it). That foot has plantar facitis. Stretching my hip and legs gives me pain in the back (and hip). I'm screwed, but the first exercise is helping me. What helps both feet has been compression half socks. No surgery for me so I'm trying everything else. Oh, and I'm old!!! LOL And I don't want to use antiinflamatories or pain meds unless I am in A LOT of pain. No meds for me!
Hope you’re going well Susie!
Really solid info--thank you. I'm having both hip and tib post issues and this helps make some sense of it!
Awesome BMP! Hope it's the missing piece to your progress!
I have become virtually immobile over time... I'm 70, female. In recovery from cancer. It's taken me about 6/7 months to get here ... I don't recall any specific instances jury I sustained ... I started going to the gym. That was it. I am overweight - have been all my adult life... I'm not sure I could do any of those exercises -except the first ... thank you
Since my Injury during a step aerobics class 3 weeks ago, I have been in agony the x-ray ruled out any broken bones. I was told to rest, and it will heal in 6 to 8 weeks. I work in a primary school, so resting is very hard. I've had to stop gym classes and walking as I'm finding it very hard to walk. I have been using KT tape but taped for plantar pain it gave some relief but pain was still intense. Browsing through Google to try and find out what my actual injury is and try self treatment. I am so glad I came across your video it was spot on with my symptoms I have just gone through the exercises and feel some relief already.
Thank you 👍🏻 I will be booking in for some sport therapy now I know it could possibly be PTT.
Good luck with your recovery! Good detective work to find something that may help btw!
I am 66, developed PTTD in July. Finally found decent therapy, self treatment. Just 3 days in with exercise band and over pronation/super pronation etc. Have had titanium hardware in broken left femur since 21. So while it is starting to feel better with exercises I have been using silicone arch inserts, high ones,doubled in right shoe. Combined with overpronation inserts.These work better for me than whole shoe orthotics. I cannot imagine NOT USING THESE from here on in. They make it possible for me to work four hour shifts cashiering with a change of shoes involved. have high arches
and my poor right foot has done most of the work for years. Had I been more mindful of arch support this problem wouldn't have occured. Thank you for additional hip exercises to add to my regimen. Again what was noise that sounded like a motorboat?
Extremely loud and distracting.
Agree with everything you've said. Just would add that I've noticed an improvement since losing 10 pounds. Didn't fix it, but definitely helped.
Talk about an incentive to watch my weight! 🙄🙂
Hope things have been improving Delia!
Thank you for these great reminders! My old ballet injury has flared up again now that I am playing sports. I don't need the stretches but the good old doming the arch, invert/evert band exercises and darn it-- squats again! Great explanations. Sarah
You’re welcome Sarah!
I had a midfoot fusion, bunion correction, and osteotomy done on two of my metatarsals 3 1/2 months ago and I'm having quite a bit of discomfort that I believe is associated with the tib post tendon. The rest of my foot where I had all of my surgeries feels fine but this part of my foot / leg has been keeping me from feeling 100% and I think it's because that tendon was so relaxed for 3 months of non weight bearing. I'm going to try these exercises to try to get me over the hump. I naturally overpronate so I think I need to work on the position of my knees and hips more. Thank you for taking the time to explain this well.
Hope everything goes well for you mate!!
This is a great video. I have this injury but on a very low scale. I think it is not tendonitis but just sore muscles. Because i can still do calf raises and other leg exercises very easily. I just have from time to time this pain when i warm up before a run or after a long day of standing. Im trying to catch this early and i think this video hit the spot. I will try all these stretches, especially the hip ones because i have a very tight right hip which is coincidentally the leg where i have a sore post tib. Thanks!
Hope they help James! Feel free to let me know how they go for you!
Brilliant coverage of this issue which really resonates for me. Ive had this problem on and off for 3+ years. My hips are so tight I cant even get close to pidgeon pose so need to work on that. keep up the good work
Hope it clears up soon Ken!
Great video! Thanks for your work.
Hope it helps Bluejay!
This video really helps me a lot. Thank you so much. 💯
Fantastic to hear!
Thanks so much! Liked and subscribed.
Glad it may have resonated Ross!
Excellent- very helpful. Thanks.
Hey Grant
I'm glad I came across this video. I've struggled with the problem on and off for a long time now. I wore orthotics for 30 years and they may have caused more harm than good, hard to say. But one thing that has never come up in all the discussions I had with many different practitioners in all this time is the hips. I can see now, after watching this video, that I do indeed have very poor range of movement in my hips. Trying the pigeon exercise is very difficult for me, I can't even get into the position to start the exercise. Just wondering if you have any alternative to help with building up to being able to do the pigeon exercise. Thanks
Hey Pat! The goal of the pigeon stretch is to try and mobilise the tissue on the back/outside of the hip. So anything that looks to do the same can be worthwhile. You can do the same thing in settings, where you just cross your leg, sit up nice and tall, and try hinge forward from your hips. Something even more gentle, and respectful, can be standing up against the wall, or lying down on the floor, and gently letting a ball press into any tightness a person may find. Hope that helps!
This is so helpful! I just finished rehabbing a knee injury and now I’ve developed PTT on the same side, so it’s good to know I should work on my hip mobility too.
Glad to hear! Its important to think of the knee and foot as part of a broader leg so we don't miss those hidden contributing factors!
I was working on Post ankle impingement and i gave myself this new injury FFS
Great advice
Hope it helps in some way Niall!
can you do these exercises whilst the tendon is inflamed? just scared I'm doing more damage
Wait til there is little to no pain and if exercises cause more pain then stop all together until symptoms are almost gone. It may take upwards of 6 weeks completely non weight bearing depending on how badly torn the post tib is. Then when you start to weight bare you need to be extremely careful and go verrry slowly into weight bearing. The key is patience. Tendons take a long time to heal but they eventually do heal. Whatever you do don’t go do extreme sports like running while u r healing.
@@lightbulbfishI have a partial tear on my posterior tibial tendon I started to do non weight bearing 3 weeks ago. Should I continue for 6 weeks? I also got an air walker boot but I haven’t used it yet. I am just worried as my calf got so small. I had this problem on and off last 10 years. I was doing fine last 3 years but it flared up again this summer when I was working as tour guide on my feet all day. I would appreciate if you can share some wisdom as I couldn’t fine anything that worked until now. 😢 thank you very much.
@tugcancevik5596 I am just now realizing I have this problem. I've been dealing with it for 8 years and recently it's been more painful and happening more frequently. I just now realizing I probably have a serious problem that needs to be addressed. Let me know how if you have any success. Currently trying to figure out where to start.
I’ve been struggling with this for so long! First with my left foot for years, and now an acute flare up in my right. I’m going to give the MFR a go, but my mobility is great and I do PT like it’s my job. Not sure what else to do at this point.
How's it going?
Me too. Hip 90 90 daily , single leg balance , bought a laser , toes spreading, toe walking , heel raises with ball, bands . The only positive I have come to is it "forces me to move everyday" because I refuse to not be able to hike and walk and definitely don't want surgery. Thanks for sharing 👍
Why can’t my ortho doctor explain PTTD like this? I’m in excruciating pain and I thought wearing orthotic inserts was the answer. Obviously not!! Thank you for the easy to understand explanation and exercises.
No worries! Glad it resonated and hope it helps!
I'm starting to think the doctors just want to make money off of these inserts.
I've had flat feet all my 57 years. Went from 'average' walking to walking 4-7 miles a day on a concrete floor (department store). My ankle pain is sometimes excruciating along with arch pain. Just starting PT and am concerned my pain will prevent me from doing some of the exercises they've recommended. We'll see! This was a very imformative video, esp about the hips. I'm super tight.
Glad the video resonated Jennifer, and best of luck with your rehabilitation!!
Really helpful thank you
Glad to hear it Liz!
Great info, thank you. I have an ankle that won't move forwards. What's your best mobilising technique please? My podiatrist had me placing the power band on the front crease as in your stretch.
Hey Lyndsey, I started with plantar fasciitis, was managing that but also had a very inflexible ankle - had acupuncture (hamstring, calf and foot) that relieved the ankle. Realised that Tib Post was part of the overall dysfunction, so now working on this.
Try acupuncture, it may assist to manage your situation.
Hi Lyndsey, I know it’s been awhile since you posted this comment but I did put out a video on ankle mobility somewhat recently. There’s about 12 or 13 exercises that I find address different aspects of a limited ankle - some of which may be helpful to you if you’re still dealing with the same issues!
I rolled my foot/ankle inward on a rock while walking. After having it checked out, told that it was just a sprain, 4 years later was diagnosed with PTTD. I’m almost 5 years either way this pain, had to stop hiking, walking more than a mile and doing activities that put pressure on the foot. I’ve had PT, have tried many things. Will it ever heal?
Hey Julie! Sorry to hear it’s been a challenge for you! I can’t speak to your specific injury, but as a general rule you would expect most things that are damaged to heal. Often, a lot of peoples ongoing dysfunction relates more to the function of the overall area. if this is you, the hidden things like hip mobility and strength, ankle mobility, improved arch function, lower back function etc, may be the things that a person needs to focus on to improve how that tendon is loaded - ultimately giving it the space to settle down finally. Good luck!
7:20 i was looking for that! Thank You!
Awesome Straz! Hope it helps!
Thanks for the video, will this condition cause pain at the back and inside of the heel / bottom of the ankle?
Potentially, it can depending on where you feel it. If you Google an image of the tibialis posterior and see whether that matches up exactly!
Thank you, that's really helpful - that's eliminated that as the problem!@@YourWellnessNerd
Thank you for sharing your knowledge on the root cause of Tib Post Pain. I injured my foot on the inversion table. When i got of i immediately felt pain like an ankle sprain in the inner side of my foot. Have seen a doctor and thank God no fracture but was not recommended any therapy was told it will get better with time. My question to you, is this condition permanent? I injured 15 months ago some days i can walk slow with no pain but if i pick up the pace the pain caused me to limp and notice that my knee and arch wants to buckle just like you described. I have stage III i belive where i cannot lift me up on my toes on the left left at all. So when walking my foot does not propell me forward. Will doing the exercises as seen in your video help restore my foot strength even if it may take months or yrs or am i doomed to not walking normal again? Has it been too long? Thank you for your advice I greatly appreciate it.
Hey mate, I can’t speak to you situation unfortunately without assessing you myself, but from a general perspective the ideas in the video try to go after the mechanical underlying issues that set the rib post up to fail. They’re important to go after as they can give an injured tib post a more optimal environment to function better, while a person keeps working on their specific tib post tendon/muscle rehab
Thanks for this very helpful information! Is this proper form for all squats (pointing the knees more outward), or just a specific type of squat to help combat this issue?
It’s just an expression of good leg mechanics all round. Whether it’s a squat, a lunge, going up and down stairs, riding a bike etc, generating that external rotation force is beneficial!
@@YourWellnessNerd Follow-up question then - in strengthening the glute muscles, which I think is my root cause of PTTD - will my walking gait "automatically" start to change and no longer strain the post tib? Or do I need to be mentally trying to activate and recruit the glute muscles as I walk to try and stop the inward roll?
Hey, great video. I added to my blog today. Rich
Appreciate it Rich!
What if the area looks swollen? How long will it take to decrease inflammation?
Everyone is different, Kristofer. It all depends on how serious things are, how robust someone’s tissue is, activity levels, and a range of other things like diet, sleep, stress, etc.
How often should you do these exercises? And do you need to warm up before hand. I have a mild case right now where my arches start to hurt after 10-15 minutes of running. I started wearing a more stable shoe so that I don’t overpronate for now. If I do these exercise, how long before I should be able to run pain free again. Thank you for a great video.
I'd always ask my patients to try and do them daily, more if tolerable. Generally, I would ask my patients to progress back to running once standing and walking feel tolerable at the very least. It could ve days or weeks depending on the state of each individuals tendon and symptoms.
I am a person who suffers from club foot and have had all the surgeries for fused mid foot bones etc.
I’ve been diagnosed by my podiatrist as having anterior tendonitis. The pain is a sharp pain on the inside medial part of the foot that can suddenly stop me in mid step. Scary as I think it might snap of something.
I soak my foot in ice and then I can walk again.
I have taping and special orthotics but still have this problem on and off. It is getting more constant as the years go on. I am trying to to work out what is causing it for me because I am not flat footed , I have a very high arch and my heel doesn’t touch the ground even though I had Achilles lengthening when I was younger.
I am trying to work out the mechanics of why this is happening so that I can get an orthotic that will offload the tendon. I walk on the out edge of my foot so maybe this is causing the stress on the inside foot tendons. There is nothing in the internet about this apart from it being caused by flatfoot, which mine defo isn’t! Thanks for the video.
I hear you Anna. Ideally, all we are looking for is what within the scope of your back and leg aren’t as optimal as it could be. For some it could be simple lower back stiffness, others restrictions in hip rotational range, others hip rotational weakness, some may have stiff ankle joints, others stand and walk with their feet turned out. If you can figure out where those relatively hidden restrictions might be then at the very least you can get to work on optimising the environment it exists within!
Do you have a brand or specific power band you recommend for the exercises?
Hey YWN great video, can you do a video on peroneal clicking in the ankles I have slight click and need an ailment?!?!
Great idea! I'll add it to the list!
@@YourWellnessNerd Thanks Iv been doing research on it and it doesn't hurt at all but from all the sources it says it could grind away the tendon and I dont want that!!!!
Start of the video: if you stand like this...
Yup this video is for me! Great information! Ive been running for years and even ran collegiately and always wondered why i got shin pain on the interior tib area so easily along with tight ankles, this explains so much! Ive never run a marathon before and started to train for one and ealry into my training that pain is starting to come back but is presenting more like post tib pain so hopefully this helps me get through it!
Great to hear! Hope it helps mate!
Hi, Is it possible for this to cause patella tracking issues? I've had patella tracking issues and knee pain for 10 years and was always told to strengthen my VMO and glutes which never helped. My tibialis posterior feels very tight and I also overpronate with collapsed arches. I also have lost a lot of hip internal rotation and have very tight adductors if that has anything to do with it. Thanks for your help!
Theres often a broader mechanical issue behind patella tracking issues, some of which can be the things youve mentioned.
Can we do these after tibia surgery
It really depends Deeksha on what type of surgery, where it was and for what reason. It's best to ask someone who can see you in person to make the most appropriate call for you
The hip stretch movement around 11min in doesn't make sense to me.. if the knee is prone to collapse inward, wouldnt that stretch have just slackened the glute muscles and allowed for less stability from the hip? Would have thought we would need to strengthen and stiffen those muscles, but haven't finished the video yet.
Hey. Thank you for this, I’m a runner who’s been having issues for the last few years and have had to stop running for the last six months. I can still walk 15 miles some days with very little pain, only towards the end. Is this condition treatable to the point where marathon running again would be possible?
It's hard to comment without assessing you Mitch, but from a general standpoint unless there was major disruption to the tendon each person's expectations should ideally remain high
@@YourWellnessNerd thank you. I’m encouraged by the fact I can still walk so far without any real pain so am taking that as a good sign lol. Obviously not asking for direct guidance here, but just out of interest, people with these issues, is it something where you can still run and strengthen the area up or are people best taking a period off running whilst the muscles get stronger? Suppose basically, can you have your cake and eat it and be able to get stronger whilst still running.
hey man. I have PTTD for 18 months now. Its slight because I can still stand on my toes without pain. I am(was) a runner and I am a PE student, so I have quite the demand. I tried pretty much everything (insoles, barefoot shoes, strengthen the posterior tibialis, shock wave, massages etc.) I have a hollow foot and no flat feets , also: I don't pronate just by my feet - I rather tend to supinate - So I kind of maybe think your hip and dorsiflexion explanation could be the reasons behind it. I will get better insoles from my podologist soon because it might also be the missing activation of my big toe. I will try your excersises and stretches - do you happened to have an update with even more exercises ? how long should I at least to them to feel any differences? Appreciate your insights. thank you!
Thanks for reaching out David! I don't have an updated video just yet but happy to work one in over the next few weeks! With any mobility exercise or stretch you deserve to feel an improvement in your flexibility straight away. If those restricted areas are linked to someones pain, it's reasonable to expect some positive change over the course of a few days to a week as things potentially right themselves!
@David Have the exakt problem as you, have you been doing the streching and has it made it any better?
Can you do this when the tendon is inflamed? Also inflamed tibialis anterior
I have one other big problem. I suppose my posterior tibialis is inflamed too, because it flares up when I try to stretch my calfs especially with a bent knee, but the worst is my left big toe. Whenever I sit and curl my big toe in (bend it) It starts shaking uncontrollably. What should I do? Should I train big toe muscle regularly by towel squeezes? How often. It never fixed. I often tried exercises but remain with the same pain and problem..
What if you are not flexible enough to cross your legs. Mine I can criss at the ankle nut not on the thigh
The exercise can be performed lying on the ground too!
Hi! I believe I have this, or something close. When I rotate my ankle, I can visibly see and hear something popping basically on the ball of my inner ankle. I can do most of these exercises relatively easily. But it does hurt when I do the Standing Dorsi-Flexion stretch. I can also still run, but don't want it to get worse- so have been cautious. Has anyone had this popping before? I'm a 29-year old marathon/ultra runner. Thanks!!!!!
I am in either stage 2 or 3 pttd, should I do that outward leg rotation exercise with or without my shoes and orthotics on or maybe just stand on my orthotics without the shoes
Great video but edit out some redundancy for our time needs ; You mentioned the TB muscle's purpose/role in the injury 5/6 times. Best.
I’m getting better at it these days!
I have pain in this part and also my big toe is like jumped of compared to my left doctors told me that i dont have flat feet but lowered vaults and i train basketball my big toe is in so much pain i can sometimes just crack it but when i wake up and train 24/7 i have pain in tibialis posterior
Hope you find the answers you’re looking for Luka!
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I now see my PTT might have started since my outer meniscus degenerated. Because of this meniscus I can not do the stretch of my hips (the pigeon). Do you have another suggestion or adaption of this practice?
Ok. I just did a UA-cam :
" ankle exercises video.."
..
One exercises was for the tibial posterior & another; anterior tibial ?. & others!
....
I squeezed a tennis 🎾 ball between my ankles , whilst raising & lowering up onto my toes....
After , I had pain in the innerside ; At the bottom of my shinbone !!?.
Anybody know if that means I allready had an injury that got highleted or does the exercise hurt it?
Thank you but a lot of background noise
Can a tib post injury cause or aggravate tarsel tunnel syndrome?
It’s hard to say without seeing the person directly, but often they can both be caused by similar, broader dysfunction with the overall leg mechanics. Stiff ankles, weak/tight hips for example.
Nice!
Hey I have those wal mart swim trunks too! lol
🩳🩳
My life is destroyed completely after this problem i can't sleep whole night
Hope you’ve since found some relief mate!
Yes
The pain from this makes me question my interest in things 😂 😔
🤓
@@YourWellnessNerd yup, all we can really do or say is to laugh about it. It’s currently inflamed by my normals day work etc, 😔
Why is this video 17 minutes long!!!!
I’ve learned to streamline things since mate
You accent is really difficult to follow. Oh you are Australia
Can’t do much about it unfortunately. Perhaps try subtitles so the message gets across
@@YourWellnessNerd thank you for your response. I think Google's subtitle sucks because it just failed to translate the core medical / physical words you spoke with. and those are just most difficult part for English-as-second-language listeners. Maybe some short summary in the description would help a lot! Your video and methodology still looks great so I tried very hard to comprehend the details.