Introduction
Tendonitis
is one of the most common injuries of very active people, athletes,
specially runners, it can affect any tendon but the most common
area affected is the arch of the foot. The posterior tibial
tendon which runs along the medial arch. This tendon supports
the arch of the foot and prevents the foot from rolling in too
much.
Pain will be present in the instep of the foot; this may be
a burning, tingling or even shooting pain. This occurs due to
the inflammation of the nerve that surrounds the tendon. When
a runner stands on his toes it should produce intense pain when
suffering from this condition.
How It Affects Person
This
is a typical overuse injury; runners that dramatically increase
mileage and speed work are prone to tendonitis. A total cessation
of running may be necessary with this injury.
Causes
This
can be a result of an initial strain due to running on even
surfaces. Tight heel cords and flat feet types are more likely
to be affected by this condition. A sudden increase in uphill
running can be a catalyst for this condition. Conditions such
as over pronation are the main cause of tendonitis amongst runners
as this causes a biomechanical imbalance during the running
stride.
Treatment
Initial
treatment should consist of an ice pack. Some runners prefer
to use a wet towel that has been in the fridge. Anti-inflammatory
such as Ibrobrufen will help to reduce the swelling. Please
note this should be taken with meals and never before running.
Sports
shoes with built in insoles can be beneficial, however we strongly
recommend you replace existing insoles with specific sports
orthotics/ insoles.
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