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  #11  
Old 05-05-2009, 04:51 PM
Lyn Lyn is offline
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Join Date: Mar 2009
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One of my issues is that he never did an mri. Yesterday I was also walking around with the brace, and I took a step and it felt like I reinjured the foot, the pain was so intense I couldn't move for a few minutes. He did tell me it takes 6-8 wks to heal, but I feel like its ok for a few days then it starts to cause much pain all over again, just as before I got treatment. My biggest concern is that there is a tear or rupture that isn't healing because this had been going on for about 2 months before I even began treatment. The bottom of my foot is also starting to hurt again, like when I take a step, the rolling of the foot is causing pain, all with the brace on. The course he has me right now is just nsiads and the brace. He told me to come back in a month and see how its going.
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  #12  
Old 05-06-2009, 05:06 PM
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Join Date: May 2007
Location: South Lake Tahoe, CA
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Default Posterior tibial tendonitis/dysfunction

Generally: Immobilization and anti-inflammatory medications are a standard initial treatment for tendonitis and follow-up is usually at 4 weeks. It is encouraging when there has been improvement by four weeks, and even then immobilization may be needed for 2-4 more weeks. It can be difficult to really assess how the treatment is progressing only 3 weeks into therapy. Increases in sharp pain and a more generalized pain or a spread of the pain are not encouraging. The immobilization for posterior tibial tendonitis is generally two-fold, the ankle needs to be immobilized and the foot and arch need to be supported. Another conservative treatment is physical therapy, which can be added to initially help decrease the pain and swelling if treatment is not progressing as planned and then can be used to help strengthen the tendon and stretch the calf. Initially, much of the assessment of the condition can be done by physical exam, if the condition worsens, an MRI may be needed. Not everyone with symptoms of posterior tibial tendonitis or early dysfunction (PTTD) needs an MRI, but if there are signs of rupture on exam or the exam reveals a more advanced stage of PTTD, "]stage of PTTD[/URL], then an MRI may further help assessment and then surgery may be required.

Last edited by officeadmin; 07-07-2010 at 03:44 PM.
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  #13  
Old 05-11-2009, 07:48 AM
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Join Date: Apr 2009
Posts: 2
Default Treatment

Mostly give rest as it allow the tissues to heal themselves, will prevent from further stress. Elevation will help perevent any sewlling of the affected tissues also compression. People who have chronic medical conditions should consult with their doctor regarding anti inflammatory medications.Commercial over-the-counter arch supports or orthotics may also help to ease arch pain.
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  #14  
Old 05-15-2010, 03:30 AM
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Join Date: May 2010
Location: Jacksonville, Fl
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The top to the inside of my arch hurts like you can't imagine even when I am not stepping on it.
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