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Tibialis Posterior Tendon Rupturereturn to running


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#1 Suzy

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Posted 12 June 2011 - 04:07 PM

After 4 months of struggling with posterior tibialis tendonopathy, an MRI shows I now have a ruptured tendon. I'll be seeing a specialist soon, but in the meantime I'd like to ask the knowledgable CR community if you know of anyone who has made a successful return to running after rupturing the PTT?  Was surgery required? How long was the recovery, etc?  Any info on this condition would be appreciated while I weigh up my sporting future.

Suzy

#2 FreeDickland

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Posted 12 June 2011 - 10:25 PM

Had partial rupture (?) of same tendon repaired.  Actually tendon sheath had been sliced open by a sliver of bone from fracture of medial malleolus on left ankle - was running along street in heavy rain storm and put foot in a puddle that was full of water (did not see that it was a deep hole in road surface), ankle x-rayed and put in cast.  Over next 15 years my running was frequently curtailed due to sudden severe pain in left ankle.  This was variously diagnosed, and treated as stress fracture, achilles strain etc., etc., etc.
Had been long term runner since late 1950s, primarily 200-800 but ran over all distances & was placed in state championships on numerous occasions
Eventually referred for ultra-sound, informed that I should forget about running as the tendon sheath was shredded in three places and tendon itself was only thin thread size.  set of
Referred to a surgeon (Adelaide Sports Med) who performed repair - this included a clean out of the ankle joint which has a small piece (small fingernail size) of bone from malleolus inside it which had made a mess of cartilage - the major repair was to use kevlar to fix tendon sheath and a reaming out of the groove for tendon in the ankle.
Discharged next morning on crutches with instructions to do as much weight bearing as tolerable  and some exercises to perform - was prescribed pain control mediation but did not need it.  Lots of physiotherapy and my first orthotics (these complicated by aftermath of motor bike accident which fractured 1st metatarsal many years before) over next 3 months and I was running once again.
Ankle is not quite as strong as the other one, has slightly less range of movement and balance on left side is not quite as good as it should be.
Now about 6-7 years later, and have run ever since - ankle basically OK apart from a slightly compromised gait - still place well in local fun-runs and won over 60 division in local half marathon (hilly course, pouring rain and 2 degrees - living in Canada now) when in my late 60s
Currently sidelined with crook left knee - arthritis quite bad but generally tolerable now complicated by torn meniscus due to bad fall running on snow & ice in a Cross Country race.  Scheduled for surgery later this week so an hopefull of getting back to running in next few months.

CONCLUSION - yes it can be repaired and yes you can get back to running - this, of course being dependant on just what and how badly your ankle is damaged - my understanding is that they cant tell this until they get "inside".
Good Luck

#3 Suzy

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Posted 13 June 2011 - 06:33 PM

Thanks for your reply FreeDickland, it has given me some hope that there is light at the end of the tunnel.  It sounds like you have had your share of trials and tribulations over the years but well done on managing to come through it all and keep running as well as you have. I can only hope that I am still competing when I'm in my 60's as you've done.  Bad luck on the latest injury - I hope it all goes well for you and that you'll be back doing what you love again soon.

#4 NeillS

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Posted 16 June 2011 - 04:41 PM

Nasty injury. The surgeon will tell you more once he's been in there and seen it. If he's a pessimistic bugger he will probably tell your never to run again, but don't take that as gospel. Do the rehab thoroughly and well, and see how it goes. They are all different. Best of luck!

#5 Suzy

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Posted 28 June 2011 - 06:03 PM

Well I am booked in for surgery on 13/7. Surgeon said running is probably not going to be the best thing for me, but I'll wait and see how things go. Never say never.

#6 FreeDickland

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Posted 29 June 2011 - 09:45 AM

Hope it all goes well, I found that it was a good idea to get mobile as quickly as possible - bit like tightrope walking as it is important to do just a little less than you think you can as it is easy to do more than you should - hope that makes sense.

Hope it all goes well, I found that it was a good idea to get mobile as quickly as possible - bit like tightrope walking as it is important to do just a little less than you think you can as it is easy to do more than you should - hope that makes sense.

#7 southy

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Posted 29 June 2011 - 01:06 PM

I ditto that FreeDickland. My daughter (21yrs old) had ankle surgery last year. The surgeon had her walking out of the hospital that day on it (assisted a bit by crutches, so not full weight bearing) and had an appt booked with the physio for her to be there in less than 24 hrs. She was in a boot but was instructed to take that boot off regularly throughout teh day and do exercises for the ankle and get rid of the boot asap. She had an excellent recovery.