Partially Ruptured Tibialis Anterior Tendon

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Thommo's picture
Thommo

Hi Folks,
This is my first time on this board so please be gentle! My first injury is a good one though. I have tried to find some literature on it but alas to no avail. This injury was diagnosed after an ultrasound on my foot after symptoms of a raised first metatarsal head (interestingly no pain ever) and swelling which was relieved with application of some Ibuprofen gel (God bless that stuff!).
Does anybody know anything about the nature of this injury and treatment/rehab options to fix it as been told not to play rugby for a while (

Re: Partially Ruptured Tibialis Anterior Tendon

stephenm's picture
stephenm

Thommo wrote:
Hi Folks,
This is my first time on this board so please be gentle! My first injury is a good one though. I have tried to find some literature on it but alas to no avail. This injury was diagnosed after an ultrasound on my foot after symptoms of a raised first metatarsal head (interestingly no pain ever) and swelling which was relieved with application of some Ibuprofen gel (God bless that stuff!).
Does anybody know anything about the nature of this injury and treatment/rehab options to fix it as been told not to play rugby for a while :(

hi thommo

this is my first time as well

i know about this tendon, mine detached (full rupture) from the bones in the foot on sept 19 2003, had to have surgery to stitch/screw back. An injury to this tendon is apparently very rare, my surgeon had never seen anything like this, neither could he find any other person who had this in Uk. I had swelling in foot, halfway between ankle & big toe, felt like my shoe was too tight, i kept playing squash with slackened laces - until- ouch - some severe pain, which only lasted about 10 mins, after though i couldn't pull my foot backwards.
In plaster for 9 weeks after surgery, now having intense physio, no impact type exercise for next min 2 months, poss longer, keep it flexible, this tendon moves your foot back & in, get some elastic training band, gently stretch over your foot and with the bad leg extended hold the band over your opposite knee, this should pull your foot inwards, slowly& gently, find your level, move your bad foot outwards and return under control.
Other exercises include stretching, kneel on floor with shoes off, sit down on to your feet, this will stretch the front of your foot, be careful, take it easy. see a physio, plenty of cycling/stepping, this will be a long job.
I have been told i can expect to play squash again, but, nobody knows when, keep in touch
ps i forgot to mention wobble board,wobble board and more wobble board, round or square, aim for 30 squats, not too deep, keeping balance.
Plus walk in straight line very slowly on toes one foot directly in front of the other, then turn and walk sideways, keep control of both feet, especially the bad one.

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