Posterior Tibial Tendon Dysfunction (PTTD) experience anyone???

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FurryFeet Jul 2011 5:15pm, 31 Jul 2011 391 posts	0 FurryFeet After two weeks of being convinced I was off the PF injury bench, I have a new pain to deal with. My right foot - which has been bomb proof for a year has developed a pain below the inside of the foot below the ankle bone. It could of course be PF, but the pain appears to be above where I would expect the plantar to be (though I'm no biologist). I have no tightness - which was the original cause of PF. The discomfort is not particularly worse first thing in the morning, and stretching the Plantar doesn't have the usual discomfort. The other bit of evidence is that a the is noticably worse if I tip the foot outwards. I'm suspecting PTTD - rather the PF - not sure if this is better or worse. Has anyone battled this ailment (and won)?
Milou Jul 2011 9:39pm, 31 Jul 2011 57 posts	0 Milou Yes - but only by changing my running style (from heel strike to forefoot - well my attempt at POSE) and going to more minimal footwear. All the best with PTTD - it's a complete pain....
FurryFeet Aug 2011 10:44am, 1 Aug 2011 392 posts	0 FurryFeet Thanks Milou Was more PF like this morning :-), I am going to have to cross train this week (at least) me thinks I had intended my second marathon in Oct - this is now looking like it's at risk - at least in terms of going for a PB.
cabletow Aug 2011 2:38pm, 1 Aug 2011 20,605 posts	0 cabletow seems like you need a diagnosis to get one see a sports dr or Physio We can help if you post a pic with you pointing to the tender spot
FurryFeet Aug 2011 10:01pm, 1 Aug 2011 394 posts	0 FurryFeet Thanks cabletow. Does this provide an insight? http://www.fetcheveryone.com/gallery-showphoto.php?filename=38162_45356.jpg Note: pushing on the base of the foot doesn't hurt at all. Pushing in laterally at the point of the pen tip is quite uncomfortable. Plus I've get more pain at that point when I push of sideways, or my foot tips outwards - which leads me to suspect PTTD,plus feels to high to PF. In fact this evening there is hardly any pain. I have to stand on one foot and rise on to my toes - at this point I feel pain at the point pointed to. Having said that there felt like quite a lot of inflammation this morning and running would have been out of the question, had I been silly enough to attempt a run today. Agreed, should see a phys - though could be a challenge for the next couple of weeks. Thoughts?
cabletow Aug 2011 2:53pm, 2 Aug 2011 20,606 posts	0 cabletow That is the outer fibres of your PF rather than the PTT nd as it hurts when you load the PF - (standing on tip toes will load PF more than PTT) it points to PF. Although painful it is not serious there.
FurryFeet Aug 2011 2:59pm, 2 Aug 2011 397 posts	0 FurryFeet Thanks cabletow - I know the PF routine and should be able to self manage that now. I guess in many ways the better the devil you know. Hopefully, the new shoes will also help.