Some wise words

January 10, 2014

Matthew asked The Guru for the following Physiotherapy Advice:

I did a speed session last week and noticed some pain around the front outside of my ankle. It subsided and I went for a 10 mile run at the weekend without any problems.

It has since become painful to walk and the pain has spread up by shin between the center and outer side. I can point my foot down without any pain but pointing it upwards is very painful. When I’m sat down, the shin feels like it is gently throbbing sometimes about half way up.

Strangely it doesn’t hurt when I run.

I have been running for a year and a half and have never had any issue before. I only recently started with speed sessions. I typically run 25 miles a week.

Any ideas?

January 10, 2014

Hi Matthew

Obvious things first like shoes. All OK? Running technique solid?

Could well be a muscle that runs up the front of your shin called Tibialis Anterior or Extensor Hallucis Longus – they’d be painful on resisted pulling your foot up, and better when stretched (pointing down). The cause needs to be looked into, which may well relates to your speed sessions.

The other slightly obscure thingy is a syndesmosis injury, which may have more serious complications BUT I don’t believe this is you, however it may be a product of how you run giving symptoms in the bone (almost stress reaction like). You’ve had no previous injury??

I think it’d be wise to have a weeks break – no impact and then run, not speed train, and see what gives.

You may need to seek advice if you remain ISQ, but please let the Guru know…

Guru Responded

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