Posted by Jennifer Cronin on 5/21/2008, 5:37 pm, in reply to "Re: chronic posterior tibial tendonitis + antibiotics + walking"
Thanks for the reply. I just checked today. I've done everything that you said and plan to rest it longer than I think it needs again with the theraband exercises to keep muscles strong. So far, nothing has turned up with nizoral and others having bad experiences along this line. Ultimatley, I think it takes a long time to pin point a med with an activity related injury so... I'm glad you passed on the quinolone AB. Good choice. Thanks for your time and happy trails 
Jennifer
--Previous Message--
: Forgive my tardiness. I meant to post earlier
: but I wanted to digest what you wrote. I am
: sorry about your affliction and I really
: wish I had the knowledge and ability to
: advise you with a sure fire remedy that will
: allow you to get back on your feet again
: pain free. But, unfortunately I do not. I
: am surprised that you spent so long on those
: antibiotics. A few years back, I had a need
: for some high powered antibiotics. I was
: given leviquin which is a type of quinolone.
: I did a little research on this type of
: medicine and discovered that they could
: cause major tendinopathy issues such as
: achilles rupture. Having bad achilles to
: begin with, I said 'no way' and did not take
: them. I don't know anything about nizoral
: but I wonder if it might be the cause of
: your problem? I assume you've discussed
: this with your doctor(s)!? If it is the
: cause, then maybe there might be a protocol
: somewhere out there for a cure?
:
: As far as your foot tendon issues go: I've
: had PTT before. It went away with rest. I
: currently have tendinosis (very different
: than tendinitis) in my right achilles. I
: know from personal history that tendinosis
: won't go away with rest (had it in my left
: foot. had surgery to fix it. it worked).
: Have you had MRI's done? It is possible to
: have tendinitis and tendinosis at the same
: time, so I've read.
:
: With your case, it does sound like the
: antibiotics may have been the initial cause.
: You should really research that to see if
: you can find others in the same situation to
: see how they've managed.
:
: With respect to recovery plan/protocol I can
: only tell you generally what I did for my
: achilles (post surgery) but our issues seem
: very different. I think the only similarity
: is that we are both dealing with tendons and
: they are tricky. They like to take their
: sweet time to heal and don't do so very well
: on their own. They are also deceptive.
: They lead you to believe you've healed
: because the pain has diminished or gone
: away. So, you start with some light
: exercises and, whammo, they flare right back
: up. Been there done that so many times.
: So, if I could offer one valuable piece of
: advice it would be: give yourself more time
: than you think necessary before attempting
: any exercise or tendon loading. Right when
: you think you are ready, stop, take a breath
: and give yourself another week or two. (I've
: yet to listen to my own advice!)
:
: My post surgery road to recovery was rather
: simple. I did not go to physical therapy.
: I just began with easy morning walks, some
: easy bike riding and light eccentric calf
: raises. The theraband you mention can be
: used for eccentric (resistance) work. You
: could just sit with legs extended in front
: of you and use the bands to pull your toes
: toward you while resisting with your feet.
: Always err on the side of caution and go
: easy. Remember what I said above. With my
: active recovery it still took a long time
: before I felt normal. About a year.
:
: One other thing. About the knots in your
: legs. Make sure you have those checked out.
: I'd want to rule out DVT.
:
: Sorry so long winded. I hope you get your
: issues resolved and I wish I could have
: offered more help. Good luck!
:
:
:
:
:
:
: --Previous Message--
: 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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