Question:

Dear TAI Experts:

I have been having ongoing problems with my right foot for over a year. It started as Plantar Fasciitis, which I had for a year and seems to have subsided with cortisone shot and stretching. I am now currently dealing with “tenosynovitis” of the postior tibilias tendon (diagnosed w/ MRI). The soreness is located a the mid-point in my arch. When I run on it, it causes ankle stiffness (mostly peroneal tendon, there is also a lot of crepitus). I was wondering what is the best way to rid myself of tenosynovitis. Exercises? Rest-(how long)? Stretching?

Answer:

Without doing an examination I am unable to comment specifically on your condition. Generally speaking, tenosynovitis, or inflammation of the tissue surrounding the tendon, is associated with trauma to the tissue. Trauma may be the result of an overuse of the tissue or the result of an acute event which may result in swelling, restricted motion, and associated pain. The primary goal of treatment for tenosynovitis is to reduce inflammation and restore normal function. An evaluation performed by a physical therapist would be able to identify the stage of healing your tissue is currently undergoing and limitations in strength and joint function which may be contributing to your ongoing problems. This will guide a treatment program to promote and potentiate healing, which may include the use of modalities, manual therapy, and therapeutic exercise to achieve recovery and prevention of further injury.

Leslie Girard PT, DPT