Posterior Tibial Tendonitis

  • In this episode: Posterior Tibial Tendonitis. It is the 26th most common running injury though running is not the only cause.

  • Chip Review @ (15:37): Kettle Brand – Tropical Salsa (Thank you Karin)

  • Trivia question of the week @ (14:04): What is the only village in the US with only 1 person?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

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Brief overview of the episode:

            Posterior tibial tendonitis or is it posterior tibialis tendonitis? Now a days its often referred to as posterior tibialis syndrome because there is often no swelling though the rest of the symptoms are the same or at least closely similar.
            The posterior tibialis muscle sits on the inside of you tibia. This is the deepest muscle of the lower leg. The tendon runs along the inside of you ankle and connects to the underside of your foot. It is often said that the posterior tibialis is responsible for suporting your arch. This occurs because the muscle performs both inversion of the foot as well as plantar flexion.
            If this muscle is injured you will have pain on the inside of your foot, ankle and lower leg. There is sometimes swelling on the inside of the ankle or lower leg. Pain is usually worse with running, longer duration walking or standing. In later stages the arch of the foot could collapse and pain can be present on the outside of the foot as well. In most cases there is at minimum pain but often times significant difficulty performing a single leg heel raise. This will present as difficult or pain pushing off when running or walking.
            There is usually range of motion loss in the ankle or at least restriction. Most often this is with dorsiflexion (pulling the foot upward). This is a chicken or egg situation. It is not fully known if poor dorsiflexion is a cause of or response to injury to the posterior tibialis.
            Because of the similar location of pain often time plantar fasciitis is thought to be the early diagnosis. This is fairly easy to differential diagnose during an evaluation.
            Posterior tibial injuries are more common in women. People over 40 and other risk factors include being overweight, diabetes and hypertension. Here at Rebound Therapy and Wellness Clinic we tend to see it most often in people whom run a lot or with individuals who have recently increased the amount of running they are doing.

 

 

Other episodes you might enjoy:  

Ankle Sprain_Inversion Type: Episode 3

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

Plantar Fasciitis: Episode 11

 

 

Total Ankle Replacement: Episode 77

  • In this episode: Total Ankle Replacement is going through a bit of a renaissance. It was attempted in the past with mixed success but has in the last few years become a more common treatment options for those dealing with ankle pain and ROM loss due to arthritis or trauma.

  • Chip Review @ (11:16): Chex Mix – Hot & Spicy Ghost Pepper (Thank you Jean)

  • Trivia question of the week @ (10:12): – What two nations share the longest border?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

To Subscribe, Review and Download select your preferred hyperlink below

Apple Podcasts:

Google Play:

Youtube: 

Stitcher: 

Podbean: 

Brief overview of the episode:

Total Ankle Replacement, aka Total Ankle Arthroplasty (TAA) is an uncommon procedure. Rare, even really rare are appropriate ways to describe it. This procedure was most common in the mid 90’s and occurs at least 40% less than that now.

The reason it is so rare is that it historically has not been a viable option. People who underwent the produce would end up with a number of issues. Poor life span, stress deformation of the prosthetic and surrounding tissue and also significant bone loss occurred way to often.

Over the last few months of 2019 we started to see and hear about more total ankle replacements being done and end up treating some individuals who had it done.

Unlike other joint replacements TAA does not allow for immediate weight bearing. Commonly 6 weeks of non-weight bearing in a cast or walking boot is prescribed. This results in the use of a knee scooter, walker or crutches needing to be used. Joint swelling is a big problem following total ankle arthroplasty. This is difficult to manage when someone is casted or generally restricted with their movements.

Total ankle arthroplasty is not often recommended as a treatment option because it has historically not been success. As technology advances maybe this will change. In many cases an ankle fusion will be a more comfortable and better functioning option.

Other episodes you might enjoy:

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

Knee Pain: Episode 2

Hip Pain: Episode 15

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

  • In this episode: We interview Dr. Mohammed Rimawi from Grand Central Footcare in NYC

  • Chip Review: Lay’s Sour Cream and Onion

  • Trivia question of the week: What is the name of the first imperial Faberge Egg?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

00:00 – Intro
00:31 – Grand Central Footcare and Grand Central Station
01:07 – Not living in Manhattan
01:30 – Some history on Brooklyn
01:51 – Dr. Mohammad Rimawi
02:36 – Why we never did Djimmer’s resume
02:59 – How did you get into podiatric medicine?
03:40 – It’s funny how much Djimmer loves feet
04:08 – The foot and ankle are fascinating joints
04:49 – Way to common misdiagnosed foot and ankle injuries
05:11 – The physical therapist I work with are always spot on
05:53 – Where it gets a bit frustrating, urgent care centers
06:58 – Seen our far share of missed peroneal tendon tears or partial tears
07:40 – Missed stress fractures even with X-ray
08:07 – Here is why stress fractures are tricky
08:48 – Over reliance on imaging (x-ray, MRI)
10:05 – Experience is invaluable
10:12 – What cases are you seeing the most right now? It’s plantar fasciitis 
11:34 – What’s your opinion on doing surgery for the plantar fascia?
12:35 – Partial tears of the plantar fasciitis?
            – Cam walker boot
14:00 – How long should someone be in a boot?
            – Acute 3-5 days, the acute inflammatory phase
14:43 – With plantar fasciitis, Once you get it once there is something
15:00 – Roll of orthotics, before, during & after plantar fasciitis
16:03 – Adult acquired flat foot / PTTD (posterior tibial tendon dysfunction)
16:45 – Ankle sprains
18:15 – Syndesmosis injury aka High Ankle sprain
19:39 – Not all “ankle sprains” are the same
20:55 – What is the best sports experience in New York City?
21:31 – Philly fans know how to take it to a different level
22:37 – What is the one thing you wish all people did to take care of their feet a little             better?
23:30 – Be proactive instead of reactive
23:47 – Foot wear pet peeve
24:04 – The worst footwear
            – Flats and flip flops
26:00 – Give me my tennies / Answer from last week
            – Why is a sneaker called a sneaker?
26:39 – Trivia Time!
– What is the name of the first Imperial (Russian Royal family commissioned) Faberge Egg?
27:30 – A too long a history about the Faberge Eggs?
30:00 – Chip Time!!
            – Lay’s Sour Cream & Onion
32:29 – Thank you to Dr. Mohammad Rimawi
              – grandcentralfootcare.com
              – 212-697-3293
            – Instagram: nycfootdoc
33:35 – Outro
34:04 – Take care of your feet

 

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