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Donal asked...

Tags: bones , joint , running

I have had a few problems over the years with Medial ankle pain usually after training. I run marathons so training is important. In the past if I experience pain I rest for day or so and then resume training. In the past the pain has come maybe once every 3 months or more.

4 weeks ago I made the mistake of running a race even though I felt pain and the next day the pain was severe. I could walk but with a limp. After a few days the pain resided. I haven't run since because at present I'll get 3/4 days with no pain and then a day of pain. The pain I get now is not as bad and I can walk but I am afraid to run again.

I have planned to give it full rest for 6 weeks but I'm not sure why I get the periods of pain after 3 or 4 days. I am walking on it normally. Can you give me an idea of what's going on?

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The Answer

The most likely explanation is that you have developed some tendonitis of the posterior tibial tendon (inflammation of the tendon at the ankle). This occurs after long periods of overuse, such as long distance running. It is important to establish why this is happening in that particular part of your body.

There are a number of possible explanations that need to be explored. A physiotherapist is the best person to do this. They will also be able to offer some treatment to help prevent it happening again when you start back at running. Sometimes it is a result of asymmetry elsewhere (knee, hip or foot) putting extra strain on that ankle.

Answered by Dr Emmajane Down.


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