tag:blogger.com,1999:blog-2458087927091988291.post4596188068036031092..comments2024-02-12T23:35:33.208-07:00Comments on Endurance Athlete Consulting by Senska Physical Therapy: Plantar Fasciitis or Tibialis Posterior Tendonitis?!?Brad Senska, PT, DPT, BS.http://www.blogger.com/profile/12096786516898052248noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-2458087927091988291.post-18165328229756171552020-11-27T01:19:26.340-07:002020-11-27T01:19:26.340-07:00Body health is important thing, leg and knee pain ...Body health is important thing, leg and knee pain is makes more trouble. So people should be careful to take their health.Buy Kamagra oral jelly onlinehttps://www.allmedscare.com/kamagra-oral-jelly-100mg.htmlnoreply@blogger.comtag:blogger.com,1999:blog-2458087927091988291.post-73110699303168060372020-05-30T02:53:52.231-07:002020-05-30T02:53:52.231-07:00Give your knee pain relief, apply ice to reduce sw...Give your <a href="https://www.paintreatmentspecialists.com/best-knee-pain-treatments-in-2019/" rel="nofollow"><b>knee pain relief</b></a>, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated. Don't overlook your weight.backproblemsdoctorhttps://www.blogger.com/profile/02486746927433183995noreply@blogger.comtag:blogger.com,1999:blog-2458087927091988291.post-59935857457993433232012-12-02T20:09:40.087-07:002012-12-02T20:09:40.087-07:00Hi Charles,
Try reducing your mileage just a bit....Hi Charles,<br /><br />Try reducing your mileage just a bit. Instead of 8 miles, run 6.5 with 3 - 5 30 second pick ups during the run. Also, when in the Pureflows, try to land more mid foot and lateral on your foot. Following your run, perform a self massage to your medial calf. This area may be tender at first with the massage but after several minutes, this tenderness should reduce to almost no tenderness. Follow this up with ice for 8 - 10 minutes on your medial calf. Continue the stretches but in modest. Don't go overboard with the stretching. Too much stretching can continue to irritate the tib posterior tendon. If you have access to a Bosu ball, begin doing single leg stands in sock or bare feet on the Bosu ball. Balance on the affected lower extremity for 30 seconds to 1 minute. Use a hiking pole or stick to assist with re-acquiring your balance. Don't use it to balance with though. This may be quite challenging at first. Keep your knee just slightly bent. You'll have better control this way and recruit more thigh, calf, and foot muscle activity. You'll feel the arch of your foot begin to become fatigued and tired. This is expected. A good number of repetitions to start with is 4 - 7 repetitions of 30 seconds to 1 minute duration. The massage, the stretching, reducing your mileage while symptoms resolve, icing, performing the Bosu ball exercise, and changing your foot strike just a bit more should finish off getting rid of your foot and calf pain. Just one other thing. When you're on the Bosu ball balancing and your hip begins to get tired or fatigued, the source of your foot and leg pain may actually be coming from weak hip abductors and weak hip external rotator muscles. Good luck and keep me posted!<br /><br />Peace,<br /><br />Brad Senska<br />aka: PackmongerBrad Senska, PT, DPT, BS.https://www.blogger.com/profile/12096786516898052248noreply@blogger.comtag:blogger.com,1999:blog-2458087927091988291.post-18883552524896679662012-12-02T16:34:15.183-07:002012-12-02T16:34:15.183-07:00Back in the PureFlows. I definitely land flat in ...Back in the PureFlows. I definitely land flat in that shoe, maybe rising up on my toes if I'm running fast. I ran eight today with some pain in the medial/posterior arch area and it's sore with walking, particularly at toe off. I'm 5'7" and148 lbs. I have been stretching that leg by doing knee bends and wall push ups with my foot turned in, which seems to reduce the discomfort a little.Anonymoushttps://www.blogger.com/profile/04611992873066371598noreply@blogger.comtag:blogger.com,1999:blog-2458087927091988291.post-89395373189706388482012-11-29T14:37:35.790-07:002012-11-29T14:37:35.790-07:00Hi Charles,
Without seeing your foot or your runn...Hi Charles,<br /><br />Without seeing your foot or your running mechanics and some other things that would let me be more objective about advising on the right shoe for you, I'm unable to tell you exactly which shoe would work the best. I can say that when you're running in the Nike Free's, pay attention to your foot strike. Notice if you're landing hard on your heel or landing on the outside of your mid foot. This will make a big difference with the heel pain. The Nike Frees were the first minimalist type of shoe to come out. The minimalist shoes aren't meant for someone to strike with their heel. When using the GoRuns, this shoe will cause your tibialis posterior tendon/muscle to become painful. This shoe deletes a necessary aspect of foot mechanics when running. Of the shoes you mentioned, I would stay with the Brooks Pureflows. One recommendation that I can make is, if you have a medium to medium high arch, then use more of a cushioned shoe vs. a posted or firm soled shoe. Get a shoe that doesn't have a dual density sole. New Balance makes a nice one as does Saucony. Again, I hope this helps!<br /><br />Peace!<br /><br />Brad Senska<br />aka: PackmongerBrad Senska, PT, DPT, BS.https://www.blogger.com/profile/12096786516898052248noreply@blogger.comtag:blogger.com,1999:blog-2458087927091988291.post-7974727445190179472012-11-28T19:22:10.426-07:002012-11-28T19:22:10.426-07:00There has been pain in that foot for over a year n...There has been pain in that foot for over a year now. It began after trail running in Nike Vomeros, feeling like a strain due to running on the uneven surface. It slowly built up, even after running in the original Nike Free's, which felt really natural. When those were discontinued I went back to the Vomeros but they felt so clunky so I searched for a new minimalist shoe. I tried the PureFlows, which weren't bad and seemed to help that mysterious calcaneal pain described above. One short run in the old Nike Frees made the bone hurt again. I tried the GoRuns and the heel bone pain was better but then the tendon acted up. I have had TPT in the past with the Vomeros but it resolved. Not sure what to run in now.<br />Anonymoushttps://www.blogger.com/profile/04611992873066371598noreply@blogger.comtag:blogger.com,1999:blog-2458087927091988291.post-15815775021972074682012-11-25T20:53:13.625-07:002012-11-25T20:53:13.625-07:00Hi Charles,
The Skecher GoRuns do have a strong p...Hi Charles,<br /><br />The Skecher GoRuns do have a strong potential to causing tib posterior tendonitis. This is because of the contour of the sole of the shoe. The shoe limits the amount of active plantar flexion and muscle recruitment during the toe off phase of the running cycle because of the rocker type sole on the shoe. The shoe assists you too much with advancing from heel or mid foot strike to the toe off phase when running. Add this to high repetition, then you would be assisting in the onset of disuse and the eventual onset of tib posterior muscle weakness and tendonitis. If you've read a couple of the blogs regarding TPT, you'll know that the tib post tendon attaches very near to the bottom and medial aspect of the calcaneus. So this would make sense that the initial area that became symptomatic would be felt on the bottom and medial aspect of your foot. So what you've stated in the progression of your symptoms make sense. I hope this helps!<br /><br />Of one other mention, you may want to look at the details of the class action lawsuit against Skechers that occurred last year from similar injuries to the one you're describing.<br /><br />Sincerely,<br /><br />Brad Senska, PT, DPT, BS, ASTYM.<br />bsenska@gmail.com Brad Senska, PT, DPT, BS.https://www.blogger.com/profile/12096786516898052248noreply@blogger.comtag:blogger.com,1999:blog-2458087927091988291.post-64576352903837198222012-11-25T18:46:49.427-07:002012-11-25T18:46:49.427-07:00Do the Skecher GoRuns cause PTT too? They seemed ...Do the Skecher GoRuns cause PTT too? They seemed to quell some serious heel pain that felt like the calcaneous bone was going to crack at about mile 1-2 but now the tendon seems inflamed.Anonymoushttps://www.blogger.com/profile/04611992873066371598noreply@blogger.comtag:blogger.com,1999:blog-2458087927091988291.post-71739457847323125312012-04-12T08:40:53.074-07:002012-04-12T08:40:53.074-07:00I'm sorry to hear that! You could possibly al...I'm sorry to hear that! You could possibly alternate with your Five Finger shoes and more supportive shoes until your tibialis posterior tendon adapts to the new length tension and force that goes through it. I'm currently working with a lady whose left tibialis posterior tendon has been stretched beyond the point at which it originally was. Unfortunately, her tib posterior tendon will remain this length now. But as she consistently works at balancing out the muscles in her legs, she's nearly completely resolved her symptoms and is back doing all of her usual recreational activities. Good Luck. Send me an email if you have any other concerns or questions.Brad Senska, PT, DPT, BS.https://www.blogger.com/profile/12096786516898052248noreply@blogger.comtag:blogger.com,1999:blog-2458087927091988291.post-6006913146949968252012-04-12T08:13:54.113-07:002012-04-12T08:13:54.113-07:00the five fingers are what caused my PTT. As much a...the five fingers are what caused my PTT. As much as I hate to admit it because they are and have been great for my pelvic tilt which caused a limp for most of my life because of a short leg. Any running or long walks will have to be done with more support for me.Deehttps://www.blogger.com/profile/03241954979917549972noreply@blogger.com