Tibialis Anterior Hernation

[StewartLowe]

I am from England and at aged 37 I suffer from Bi-lateral tibialis anterior hernations. I have always been active and up to the age of 32 I was completing half marathons and running 6 miles 3 times each week. I noticed a hernia in my left leg in 2000 but never let it stop me doing the running that I loved. It then became bi-lateral and I still carried on running when maybe I shouldn't have. Some days I would run symptom free and other days I could not run 2 miles without a burning sensation over the hernia areas followed by weakness in those muscle that showed in my feet becoming floppy and flat footed when I ran, which ultimately made me stop. I now have painful toes and ball of feet which can be extremely painful and not sure if this is a secondary problem that is brought on by the hernias and having to over compensate in other areas? I have a weak inner quad muscle in my left leg and also not sure if this is due to the hernias and / or having to over compensate in other muscle groups to make up for this? I don't suppose anybody else may have had these problems? It is a shame that something so rare means so little information online where there is usually unlimited information. I have visited rheumatology, orthopaedics, podiatry, physiotherapy etc and not once has it been discussed the possibility of surgery but instead very poor management of this. At 37 years old I am only able to walk no more that 0.5 mile or stand for more than 5 minutes without my feet being in bits. Its so dibilitating that my job contract at work ends in 3 months. I have an interview for a new job which looks promising but if offered that job, I fear I wont be able to do it due to the time I would be on my feet. Its pretty upsetting.[email protected]

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[physiobob]

This sounds rather abnormal to me. Have you had any muscle biopsy or nerve conduction tests or full blood tests to ascertain why this is happening? Any chance you could attach a photo showing the situation when it is 'herniated'.

[StewartLowe]

This sounds rather abnormal to me. Have you had any muscle biopsy or nerve conduction tests or full blood tests to ascertain why this is happening? Any chance you could attach a photo showing the situation when it is 'herniated'.

Thank you for your reply. Unfortunately i cant send a picture of the herniations because they don't always come up and are not present all the time. They are shaped dome like, raised 5-10mm and are 30mm in diameter. I have never had a muscle biopsy, blood tests or nerve conduction test. Could I ask what these might rule out if they may be a requirement? In cold weather or when i have had a brisk walk or go running, its a greater effort to achieve dorsi-flexion of the feet during gait because the compartmental pressure of the tibialis anterior is compromised.
Many thanks for your time.