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Chronic Pain - Posterior Side of Both Legs/Ankles - Volleyball Player - Please Help! ?

Hello, I am a competitive volleyball player. Almost a year ago I developed what I thought were shin splints in both legs after playing indoors. Well now, almost one year later, I still have a chronic throbbing/burning, even sharp, type pain at times in both legs in the post tib tendon and down into the ankle area and below the ankle. I feel this pain with no activity. It will just feel like a deep ache, or, when it's bad, it will burn. It can be significant at times, and it has really been a nagging discomfort and certainly interfering with my daily life activities. I have had MRI's and X-Rays done. Nothing more than inflammation and tenosynivitis has shown up. I have had bloodwork, an EMG done, deep tissue work, seen a vascular doc, a chiropractor, and several foot docs and orthopedics - none of that has worked. I have even gotten custom orthotics which has provided only little relief. If I press into the post tib tendon area it feels tender to the touch. I have also recently developed what feels like bumps or lumps (knots?) beneath the skin that I can clearly feel if I run my hand along the course of the tendon from my ankle up to my knee. Does anyone have any speculation as to what this can be or what I can do? I have been doing a lot of mobility and stability strengthening and stretching exercises already.

A few things I am speculating this could be: PTTD, posterior tibial tendinitis, tendinosis, tarsal tunnel syndrome, compartment syndrome. (However, even if it is one of those, I have not been able to find the solution to get it to go away).

My beach v-ball season returns at the end of this May so I have 4 months to get this better. I really need to find a solution because I was already out almost half the season last year with this problem. Thank you everyone for the assistance.

-Ryan

3014 day(s) ago

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Answers (1)

DocPod
It does sound like post tib tendonitis and the standards treatments that are used for that appears to have been done, so not sure I can offer any more.

The "knots" may be trigger points in the post tib muscle, so that may be worth pursing.

Apart from that all I can suggest is more rest to let it settle and then a careful progressive loading program for the tendon as its rehabbed.

Posted 3007 days ago

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