Posterior Tibial Tendinitis - need advice!
Hi, so I started my running journey 2024 November and I quickly ramped up to half marathons (February 2025) and then 20K,25K,30K and 2 50Ks over last summer... I know, there was absolutely no gradual increase. I got pretty bad IT band issues which I could eventually heal from but after my last 50K I was dealing with Achilles tendinitis and then it kind of turned into Posterior Tibial tendinitis which I have had since last December basically.
At that time I couldn't even do a single leg hop without any pain. I had an MRI that confirmed mild tendinitis only and no rupture. I started working with a PT who gave me exercises and I had to cut back on running significantly. Fast forward to current days, I can now do 15-20 miles pain-free during the runs (also 15 single leg hops with no issues), but I still have some buzzing sensation afterwards or the next morning. No significant sharp pain, no swelling, no redness. However, it's really really frustrating how long it takes to fully heal from this. I probably made a mistake and started doing Hyrox workouts for only 3 weeks because I quickly realized the additional high impact workouts were not helping me... I am back to doing PT exercises (calf raises all kinds, glute exercises, balance...).
I guess my question is, I have been showing a lot of progress but the mild discomfort and buzzing still throws me off... like is it supposed to take this long? I want to believe I am doing everything right. Load management is on point, PT exercises are frequent, I stretch all the time...is it time for another MRI or since I have made progress I should trust the process?
All the long distance runners out there, if you have any experience with this, let me know please.
Thanks,
Niki