The race was highly challenging and such endurance events require a post run recovery as follows:
The Tibialis posterior is a muscle in the lower leg and it’s tendon passes behind the bony bump on the inside of the ankle. Tibialis posterior tendinopathy is the inflammation of this tendon and normally presents itself as pain within the inner ankle.
The injury arises when the tendon mentioned is over-used or over-stretched, causing multiple tears, the body then produces inflammation to protect itself. If left without treatment the arch of the foot can weaken and foot deformities can occur. It is therefore vitally important not to ignore the pain and return to sport too quickly as this will cause further damage.
Tibialis posterior tendinopathy does not tend to get better on its own and requires physiotherapy for a full recovery.
As with most soft tissue injuries the initial treatment is the RICE principle. Rest, Ice, Compression & Elevation. The next stage is to slowly regain full motion in the ankle through appropriate stretches and exercises.
It may be necessary to begin using inserts within your shoes, particularly if poor foot biodynamics contributed to the initial problem. Finally, if you wish to return to sport, you will need a specific training programme which gradually prepares you for high intensity activity and increased pressures and strain on the ankle/foot. All of the above can be thoroughly addressed in a treatment plan devised especially for you from a physiotherapist.
If you fear you are suffering from Tibialis posterior tendinopathy then please do not hesitate to book a consultation with one of our experienced physiotherapists. We will be able t0 diagnose and devise an appropriate treatment plan.
Please see our clinics page to find your closest practice & their contact details.
If you are due to partake in an upcoming endurance event please see our previous blog where Jack shares his pre-race top tips.
