Posted by Jennifer Cronin on 5/19/2008, 6:54 pm
Hi Rob,
I saw your web page today and need advice.
I developed posterior tibial tendonitis in both ankles during a 4 month period of taking ketoconazole (nizoral). I was feeling good the first two months with training and having good workouts and then began to feel weakness. Two months into the treatment, I had done a couple of days of high impact exercise indoors and some leg kicks with leg weights when it was rainy last winter. My right ankle swelled up with no pain, but I was having knee pain , so my knee go the RICE treatment and I eased into walking and backed off all high impact ex. That happened in January. March came and I couldn't walk after beginning to ice my right ankle. A week later, I tried to walk barefoof and my feet literally fell apart. I could not walk. Now, each time I have transitioned out of bedrest with theraband and ROM exercises I begin to barely walk without pain and I become reinjured. I have been receiving physical therapy since March (infrared muscle stimulation, ultrasound, some chiropractic as he oversees the therapy). An MD has diagnosed me with tendonitis, but I may need a second opinion. Two weeks ago, I started walking again, but only achieved some activities of daily living (still sitting in the shower) and began walking straight lines at home or outside for a few minutes at a time. Then I got into a pool and walked more. It was there that I have reinjured myself once again over two months of dealing with this. Now my left leg is also affected, both ankles have pain upon any load, I cannot stand without pain and both calves have knots in them (left is new from the pool and the right leg knot is old from ???). Do you have any suggestions regarding transitioning to walk once I start again or eccentric exercises for my posterior tibial tendons. I have a good arch and am not flat footed. I am back to Rest, ice, compression and elevation and therabands again and crawling around my house on contractor knee pads. For my right leg I have an ankle brace and a walking cast. For my left leg I am wearing a different ankle brace for a swollen tendon on the outside ankle and a cho pat for my calf knot that happened 4 days ago. I broke down and began taking Ibuprofen, but will likely do this only temporarily.
Any transitioning to walk protocols would be helpful. I have a pedometer and will try to start measuring my steps when I try again. Any eccentric exercises for the ankles would be appreciated. Are the therabands eccentric?
Thanks for your time. This has been a long, complicated road, so I tried to give you enough background. Jen
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