Tibialis Posterior injury

[Fisiomarc]

Slow down, bluecat. You need a pair of insoles specificaly designed for you for correcting your pronation or you could always suffer from these. Your tibialis are weak because they are exhausted!! You don't need to strenghten them. You have to relax them!! They hurt because they can´t follow you . Try with several massages, a lot of stretching and rest. I have had some experiencies like yours and if you keep running with pain it could became chronic. Don´t let it happen.

[physiobob]

In general I agree with both posts above. On the one hand you have increased the training. Have you also changed shoes recently?

Maybe the additional km's are also contributing to a gait cycle that has slightly excessive pronation (hence the orthotics comment). That might be a "bandaid" of course if the pronation is due to more proximal issues about the hip joint (stability, fatigue resistance, ability to extend and recruit glutes and hamstrings etc etc).

As you're a physio student now is a great time to get looking at the body. Get a friend to video you running towards the end of a run when things are perhaps falling apart slightly. This might provide more insights into the issues.

Oh and don't forget to eat well

[specialisedsofttissue]

am I stating the obvious here or are we already talking about a pretty classic case of shin splints, I know shin splints is an big umbrella term used to describe almost any lower leg/tibia pain so differentiating between tibial periostitis, exertional compartment syndrome, tib post tendinopathy or perhaps some form of neural component is paramount to success in effectively treating this condition. A recent paper i read suggested that soleus was the primary cause of medial tibial stress, and tib. post. secondary, might be something to think about/assess. I guess like the others have said rest is definately on the cards either way, if just walking flares it up then maybe ice it down for a while afterwards and soft tissue massage.
Additional Comment I forgot:
also a friend of mine who does a lot of sprints swears by dry needling, he had them for years on and off, a few treatments with DN and the problem was solved.

[physiobob]

am I stating the obvious here or are we already talking about a pretty classic case of shin splints, I know shin splints is an big umbrella term used to describe almost any lower leg/tibia pain so differentiating between tibial periostitis, exertional compartment syndrome, tib post tendinopathy or perhaps some form of neural component is paramount to success in effectively treating this condition. A recent paper i read suggested that soleus was the primary cause of medial tibial stress, and tib. post. secondary, might be something to think about/assess. I guess like the others have said rest is definately on the cards either way, if just walking flares it up then maybe ice it down for a while afterwards and soft tissue massage.
Additional Comment I forgot:
also a friend of mine who does a lot of sprints swears by dry needling, he had them for years on and off, a few treatments with DN and the problem was solved.

In a sense perhaps, more like a tenoperiostitis in something like the tibialis posterior origin or peroneals.