A tendon is a structure that is made up completely of highly organized collagen strands that connects a muscle to bone. Although any tendon in the body is susceptible to injury, the Achilles’ tendon happens to be the one that is injured most often.
We understand the concerns of the injured patient with an active lifestyle. Our treatment goals are patient-centered and we work to provide a safe return to your chosen activity. Our physician is an active athlete who has a personal appreciation for the rewards of goal-setting and competition. Dr. Segler has lectured on running […]
San Francisco Podiatrist and Marathon Runner Explains
San Francisco, CA – March 31, 2010
The vague stinging and burning sensation emanating from a blister can easily detract from your focus during a marathon. The more you think about it, the worse it gets. The next thing you know, your pace is off, you speed up and slow down because of this unpleasant distraction. When you walk through a water station, it just gets worse, and you start to limp. After the race, running is out of the question. You may even limp for days while back at work. This is almost always preventable.
This article will explain everything you need to know about how sports medicine podiatrists diagnose stress fractures in the foot. – by San Francisco Sports Medicine Podiatrist, Dr. Christopher Segler.
If you are reading this right now you are probably a runner or triathlete. Or maybe you just started running and are in training for your first marathon. Or maybe you are a seasoned Ironman triathlete trying to qualify for a Kona slot. But no matter how long you have been running, one thing is for sure… your foot is aching and you are worried that you have a stress fracture in one of the bones in your foot.
Like any other type of pain, a sharp or aching pain in the ball of the foot can be distracting when you run. Although there are many conditions that can cause pain in the ball of the foot, there are only a few that are common among runners. Stress fractures are frequent, and may be worrisome, but differ from some other conditions. Unlike stress fractures that often seem to be related to more diffuse pain, several other conditions are easier to localize.
Posterior Tibial Tendonitis and Tendinosis for Runners
By Dr. Christopher Segler
When you run, your foot hits the ground, you pronate to absorb impact and then you supinate to push off again. All of this is possible because of a muscle in your leg call the tibialis posterior. This muscle deep in the back of your leg forms a tendon call the posterior tibial tendon that attaches to your foot. It attaches to the navicular bone in the instep of your foot, right at the top of your arch.
In the very simplest of terms, this tendon helps to hold up the arch. It is really much more complex than that, but we won’t bore you with the details. All you really need to know about this is that when you get posterior tibial tendinitis it can quickly progress and become a surgical problem.
Shin splints are the most common overuse injury among runners. Either you, or someone you run with, have likely suffered from this painful malady. Like most running injuries, shin splints are largely preventable. However, if not prevented, they can derail your training program and put your dream race in jeopardy.
According to Greek mythology, when Achilles was born his mother tried to make him immortal by dipping him in the river Styx. However, when she dipped him in, she forgot the spot on the heel she held him by, which left one small area unprotected. In the end, Achilles was struck by an arrow in his vulnerable heel and was killed. Achilles shares his vulnerability with the rest of us entirely mortal runners, and that is why the tendon which connects the calf muscles to the heel bone bears his name today. The Achilles tendon is the largest tendon in the entire human body and is very strong, but it is also the tendon we rupture the most often. Anyone who is active can suffer from Achilles tendonitis, a common overuse injury and inflammation of the tendon.
It’s a warm afternoon and Kendra is out for a run. Not a long run, just a few miles, a moderate pace. She has been training religiously. After work she likes to run along the Marina Green. There is something serene about the sound the boats, the wind off the Bay. The prefect way to leave the stress of work behind, and think about her upcoming marathon. Visualizing the finish, picturing in her mind’s eye the finish clock; just ahead of her goal time, getting that medal, all the work paid off. Suddenly her day-dreaming is interrupted by a vague ache in her left foot. It seems in perfect cadence with the sound of that foot hitting the sidewalk. She wonders what happened. It isn’t bad though, and she finishes her run.