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Pain at the medial malleolus: am I the only one?

asked almost 5 years ago | Report

Hi all!

Since tha last october I have pain just over the medial malleolus (I don't know if there's a ligament or a tendon). I took a rest period but last week when I tried to run, the pain reappeared after 20 mins (and about 4 Km). Then I had annoyance for about 3 days (it's not pain, just annoyance). This is the second time I try to run and after 20/25 minutes I have pain again. Does someone had the same problem? I used teh same running shoes for about 450 Km (300 miles): I don't think I must change it. Am I wrong? Do I just train my patience and rest again?
All comments are very welcome!

Happy new running year!

July 8, 2010 UPDATE: I saw a physio and an orthopaedic specialist and they told me that:
1) I have a Posterior Tibial Tendonitis due to overtraining
2) I must do some stretching exercise
3) I must use orthotics - I saw a podologist and he made the orthotics (he told me that I could heal in 2/4 weeks)
4) I must alternate running with cycling and/or swimming

Thanks to all

5 answers

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  • I think I have the same problem, but different symptoms. I have a pain at the top of my ankle bone that hurts when I invert my foot. Two doctors weren't concerned, but the pain hasn't gone away in a month. Mine hurts for the first mile then goes away, but it is there all day just walking. I wonder if I have a fracture.

    answered over 4 years ago |Report

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  • You need to see a podiatrist. Get your foot position checked. The Tibialis posterior tendon winds around the med Malleolus get it checked over by a PT.

    answered over 4 years ago |Report

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  • I agree with William E. The Posterior Tib tendon can get inflamed if the biomechanics of your foot are out of alignment. Have you tried icing or any other modalities? Also, do you wear any type of orthotics?

    answered over 4 years ago |Report

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  • I think I am suffering from the same thing. Been running for about 4 weeks and trying out different shoes to see what works best. So far my trail runners are at the top of the list and I've retired a pair of Asics Kanberras because the heel is too high. I'm a neutral runner with a forefoot strike. The lower heel seems to ease the pain in the medial malleolus, thankfully. I also try to stretch the PT tendon by rolling onto balls of my feet while lifting my heels up and out. Seems to help.

    answered about 4 years ago |Report

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  • I started having this same issue, pain directly on the medial malleolus and effusion of the bone after running and other exercise, over a year and a half ago. It started in concurrence with another injury in the same foot, which kept me from running for a few months. This injury healed, the ankle did not. I have had 2 MRI's and multiple XRAYs. The first xray at the time of initial injury of my foot, showed a minor stress reaction to the medial malleolus, but the second MRI just under two months ago, showed a clean healthy ankle. At that point, I had been in an air cast for about 2 weeks. I continue to wear the air cast while doing low impact exercise, but I haven't been running for over 4 or 5 months now and still having pain and inflammation in that area.

    I was initially diagnosed with posterior tibial tendonitis also, but it turns out that was never the case and months of physical therapy was not helping as far as I could tell. I have orthotics, but not customs, which is my next plan of action.

    This has been an extremely frustrating injury and I am dying to go back to running, but as with you, within 20 min my ankle is hurting. It's been a while since your original post, so I hope this has sorted itself out for you- I'd be interested to know what did/did not help.

    answered over 3 years ago |Report

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