Doctor insights on:
Anterior Tibial Pain Syndrome
This syndrome occurs when the muscle on the front of the lower leg swells, usually due to injury. It can occur with runners, or people who exercise a lot.
The fascia is a tight envelope on the outside of the muscle, and if the muscle swells, the fascia can be too tight and block blood flow to the muscle. The treatment involves cutting open the fascia to let the muscle swelling pressure decrease. ...Read more
Open muscle sheath: Fasciotomy is done for increased pressure in a muscle compartment. Muscles in the calf are encased in a tough sheath, and if serious swelling occurs, the muscle & nerves can be damaged. Opening the sheath relieves the pressure & is usually done on all 4 compartments of the calf. Often, the open wound requires skin grafting to close. ...Read more
Mayo clinic website:
Recommends the following for medial tibial stress syndrome, commonly known as shin splints:
rest, ice to the effected area, decrease swelling by elevating leg above the heart, wear proper shoes, consider getting arch supports, and take otc pain meds. If your doctor has ordered something else, however, I would follow his or her directions because they know your case well. ...Read more
Flat feet: Here is the simple answer....Posterior tibial tendon dysfunction or pttd is a flat foot deformity. It could be rigid or flexible and present with pain at the arch or heel area. Tarsal tunnel syndrome or tts is a compression syndrome (such as carpal tunnel syndrome in the hand) of the posterior tibial nerve. Pttd can cause tts. Therapy can vary significantly. Treatments include orthotics to surg. ...Read more
Other than a traumatic insult, what could cause a spontaneous rupture of the anterior tibial tendon?
When the post tibial tendon is inflammed does it affect the anterior tibialis tendon, are they interconnected? Where and how r both tendons examined?
Both supinate: The Tibialis Posterior is a large tendon that has extensive insertions in the plantar medial foot. This tendon lifts the medial arch. The Tibialis Anterior inserts of the top of the foot, decelerating the foot on heel strike and assisting in supination of the foot. As far as I am concerned, all muscles and tendons are interconnected in function. If one is ailing, the others have to work harder ...Read more
Reconstructed acl: hyperintensity seen in the proximal part with anterior tibial subluxation. Can someone explain that to me?
Reinjury?: The acl tethers the tibia to the femur preventing it from sliding forward in certain positions of knee bending. Hyperintensity seen in the proximal part of the reconstructed acl means there has been an injury/tear/bleeding of the ligament where it attaches to the femur (thigh bone). Subluxation means the tibia is sliding forward/not doing it's job. See your ortho doc for an exam and plan. ...Read more
What are the reasons why a cortisone injection wouldn't work for anterior tibial tendinitis? Podiatrist offered it for condition lasting 1 1/2 yrs.
Tendons receive a: Poor blood supply and as such, take a long time to heal. You might want to inquire about a course of physical therapy, a period of immobilization or anti-inflammatory medication or a combination of all these. Another possibility is the diagnosis is incorrect and something else is going on. ...Read more
After a tibial plateau & 2 surgeries later (8 months out now), I have a tibialis anterior hernia. Can they spread? Lots of pain associated post exerci
Shouldn't spread: A muscle herniation happens when the fibrous covering over it (fascia) is damaged. It probably can't be repaired but it also shouldn't spread. ...Read more
Anterior ligmanet fibers attenuated mean? What is abnormal focal region of the articular surface of the medial tibial? Displacement mean tear?
In trigger finger, also known as steno sing, one of your fingers or your thumb gets stuck in a bent position and then straightens with a snap — like a trigger being pulled and released. If trigger finger is severe, your finger may become locked in a bent position.
Thank you. ...Read more
PTT kinesiology:: Posterior tibial tendinitis could result from an anterior ankle injury when there is excessive demand placed on the tibialis posterior muscle due to anterior ankle laxity. When one part of a joint becomes weak another part becomes overworked to compensate. This is one reason that ankle injuries need thorough evaluation, diagnosis, and treatment by a qualified doctor. ...Read more
Hernia on anterior tibialis. Caused by 2 prev surgeries on tibial plateau. Causing great pain and swelling. Can anything be done? See ortho fri
Muscle hernia: Treatment for tibialis anterior muscle herniation is controversial. Asymptomatic hernias require reassurance, but no specific treatment. Minimally symptomatic hernias may respond to conservative treatment with restriction of exercise and the use of an elastic support]. Traditional surgical options involve direct closure of the defect. ...Read more
Sports med/ortho please advise: why would lunge cause pain at base of anterior tibial on only one leg? Deconditioned by desk job so just started program.
Can't tell what: Base of anterior tibial refers to. Lunges put quite a bit of stress on your knee caps and where the knee cap connects to you tibia or shin bone. If your quads are weak, this further increses the force. Most likely, you should seek lower inpact exercises to strengthen your quads first before loading the knee cap so much. I would suggest cycling or rowing to begin. ...Read more
Yes: The anterior tibial tendon is a major tendon from the leg that supports the midfoot or arch area. If this tendon looses function the foot can flatten and this will increase tension or stress on the plantar fascia or increase the likelihood of plantar fasciitis. In addition to addressing the tendon rupture, foot orthotics can help improve the biomechanics of the foot. ...Read more
Is there an artery between the anterior tibial tendon and the medial ankle? I can feel a rhythmic pulse (in a line) about 3.5" in length w/o touch
Are the medial/lateral tarsal, dorsal metatarsal, anterial tibial and arcuate, the only arteries on the front of the leg and foot?
Sounds like a question for school. Anyway, here goes: ant. Tibial, dorsalis pedis, perforating peroneal, ant. Lat. Malleolar, ant. Med. Malleolar, lateral tarsal, arcuate, 1st prox. Perforating, dorsal metatarsal, dorsal digital, medial tarsal. Hope that's all.
Dr. Latva ...Read more
What to do if I'm depressed fracture involving lateral tibial plateau, grade-iii tear involving anterior horn of lateral miniscus?
Find activities: To engage in while you are laid up. Enjoy the company of others. And above all else, comply with your orthopedic surgeons directions. Take care. ...Read more
Mri says partial tear of anterior, posterior cruciate ligament, grade3 chondromalacia, subchondral cysts in medial tibial condyle, is operatn right thng?
See good knee...: This is purely an MRI reading of your knee.'partial' acl and PCL tears in your age group means very little to me unless you had a very significant, recent knee injury w/ a hemarthrosis. (which u don't have).'chondromalacia' (of what. Mfc, lfc, patella?) means you have a component of arthritis in your knee. See a qualified, respected knee surgeon to discuss your options. Best of luck! ...Read more