My sports doc recommended a cortisone shot or a walking boot. And prescription anti-inflammatory meds.
I was very leery of a cortisone shot immediately. There are a number of risks. Tendon rupture is one. Cortisone shots stop the pain, but they don't really treat it. Also, did you hear about the recent series of meningitis cases from bad steroids? No thank you.
So I opted for the boot. One week on, then every other day for another week. Be very jealous. I am not looking forward to people treating me like the walking wounded, but I am looking forward to running a social psychology experiment on altruistic behavior on the Metro. I'm actually not kidding about that last part.
Posterior tibial tendonitis seems to be one of those tricky things to treat. There is a lot of trial and error to figure out what works. Rest alone (meaning, no exercise) is not enough to get the tendon to calm down. Even walking can continue to irritate the tendon. For most people, walking is not optional. Enter the walking boot which immobilizes the angry tendon.
Cross your fingers that this works. I am patiently not running, but I am quickly running out of patience with not running. I don't know what I am going to do for exercise since cardio and yoga are off-limits. Body weight exercise that don't involve my feet/legs? Core work?
Hey, angry tendon, please cut this out. Pretty please?