Tuesday, September 27, 2011

Tendinitis Physical Therapy

Today marks the start of of my fifth week of physical therapy for tendinitis (also tendonitis) in the posterior tibial tendon in my right foot. My physical therapists have used massage, electromagnetic stimulation, and ultrasound to help reduce the inflammation. I've also learned light exercises to strengthen the surrounding muscles. I got a little discouraged the third week of therapy because I wasn't feeling an improvement. I even called to cancel my remaining appointments. One of the therapists called me backed and convinced me to finish out my doctor's script of six weeks. Today, I still have some localized tenderness in the arch of my foot. And the uncomfortable sensation of pulling under my ankle bone when I push off. We use a scale of 1-10 each session to rate my level of pain. If my pain was at a level 10 the day after the half marathon, today it is between a 1 and 2. I worked a trade show in Philadelphia this weekend and spent most of the time on my feet.
I didn't do a lot of sight seeing, but walked the convention center floor a lot and walked across the way to the Reading Terminal Market quite a few times to gorge myself on philly cheese steaks and cupcakes.
I even got a chance to use the elliptical in my hotel gym for a half hour session. Each night I massaged and iced my foot. After all that activity, I expected to have an increase in pain, but it has remained around a level 1, which is an improvement I guess. I think I'm just tired of having pain period. I'd like to get back to my regular running routine, but I have accepted that I may only prolong the inflammation if I do more activity than my tendon is ready for. At today's session, in addition to my regular massage, stretching, and strengthening activities, I walked on the treadmill on an incline for the the first time without pain. I followed up with a compress with my trusty ice pack and hope to be at a level 1 or better tomorrow.

No comments:

Designed By Blogger Templates