PTTD - 3 of the Best Exercises for Posterior Tibial Tendon Dysfunction
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- čas přidán 1. 05. 2023
- This video describes an exercise programme for the tibialis posterior tendon, which is affected in the condition called PTTD (posterior tibial tendon dysfunction)
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My other video which explores PTTD in more details can be found here • Posterior Tibial Tendo...
A more detailed explanation of the exercise programme can be found on the website : www.physiomsk.com/2023/05/3-g...
For all other videos and articles related to MSK conditions please see www.physiomsk.com
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Disclaimer
This video provides general information related to various medical conditions and their treatment. They are intended for informational purposes only and are not a substitute for professional advice, diagnosis or treatment provided by a doctor or other qualified health care professional. The information provided does not constitute personal advice or guarantee of outcome and should not be used to diagnose yourself or others. You should never ignore advice provided by a health care professional because of something you have seen or read on this channel. You should always consult a doctor or other qualified health care professional for personal medical advice.
Exercise is not always without risk, even for healthy individuals. Certain types of exercise and riskier than other and all exercise may be risky for some individuals. You are responsible for your own health and safety at all times. As such, by visiting and using the information on this website/media channel you are acknowledging that you have been assessed by a qualified health care professional who has given you consent to take part in physical activity.
Thank you!!!
You're welcome!
Great exercises and examples, thanks!
Glad you like them!
Thank you for your video....I definitely have PTTD and its been going untreated because I didn't know but now I cannot even lift it off the ground when on one foot and very painful inversion. I am going to rehab it but can you recommend the best ankle wrap/cast? There are soooo many, thanks!
Look for my PTTD video and check the description. There are a few recommendations in there.
Great video, sir! May I ask you, which city are you from?
I’m from Preston. Lancashire.
Great video, are you suggesting to do all these exercises back to back and to do them every day or every other day?
Hi. It’s difficult to be too prescriptive with tendon exercises as every tendon problem will be different in terms of severity and where is it on the scale of recovery. As a rule I would suggest picking 3 of these exercises that you can do with minimal pain and aim to do them for about 5 days per week. You might need adjust these quantities to suit your individual symptoms. It can be a bit of trial and error. Adjust the days exercises depending on how the day before went. Too sore … back off. No pain … progress slowly. Good luck 🤞
@@PhysioMSK Many thanks for the reply
lv had mine for years and doing exercises but it still hurts l do them every other day as advised . please can you recommend some suitable shoes as l have pf as well 🙏 l would be so grateful. l am a pensioner.
I am a women . Thanks
Would you recommend the same exercises for post PTTD surgery (tendon repair and heel osteotomy)?
Possibly. Be guided by what the surgeon says if the surgery was recent. If it was a while ago then yes they should be fine.
What would you suggest if my ankle currently hurts too badly to shift any weight onto it?
Look at my other video about this condition here czcams.com/video/vfQeWoCP1oc/video.htmlsi=wAHY__18JpHqhsdP
You may want to consider insoles or even resting it completely in an immobilisation boot if you can’t do any exercise without pain.
I dont feel pain, and I'm unsure as to whether I'm working my posterior tibialis in any of these exercises based on the fact that I feel no strain or tension within the muscle. How do I know if I'm targetting the correct muscle with any of these exercises?
Are you sure you have PTTD ?
How many times in a day
Just once
Is feeling pain or small irritation normal after doing these exercises? How about during? Is ice or heat better for dealing with the irritation and inflammation?
Hi. Yes a small amount of pain is fine both during and after exercise as long as it settles down quickly (within an hour) and is generally mild. If it feels inflamed or swollen then use Ice and anti inflammatory gel. Don’t use heat - which is better for general muscle pain without any inflammation.
If it doesn’t settle then it might be best to rest it for a few weeks and stop the exercises. Managing PTTD (and indeed most tendon pains) is always a balancing act between not doing enough and doing too much. The best advice is to listen to your body and adjust the exercises as needed using small changes.
Good luck with it & best wishes
Stephen.
I have PTSD I hit my inner r ankle trying to get to bathroom on my sleigh bed 11months suffering and don't mention pain in pt waiting for custom brace and ortonics I'm 73
Good luck with it. If it doesn’t improve with the orthotic, get an x-Ray and ultrasound scan OR an MRI.
3 months is a long time. So no type of training at all?
Not if it’s really painful. By all means try but if you exercise through high levels of pain you will just end up prolonging the condition. I know it’s frustrating but let the pain guide you.
I’m guessing you’d walk/jog to get back into running?
@@DavidGonzalez-kv1ncyes. That would be advisable.