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    Includes Expert Content
    Inflammation of Tendon Sheath in Foot
    An_247537 posted:
    I am currently training for an Ironman that I will compete in the upcoming month of November. I was recently diagnosed with an inflammed tendon sheath in my foot. I was told that this was a minor injury and that I could continue running. However the actual motion my foot makes while trying to run makes it almost unbearable. Does any one have any idea how long this type of injury takes, and suggestions to speed up the process for healing?
    Anything would Help.
    deadmanwalking57 responded:
    If not aggravated by swimming and bicycling, the obvious thing is to take a break from running. You would normally taper before a race, to be fully healed and energized. In this case, you only need to back off the running to help the foot rest and heal. You will lose no speed or endurance with a week off. With two, maybe 2%. But if you train against an injury, you may not be able to compete at all, essentially a 100% loss of ability, yes ?

    Is your goal a worse injury, or compete in the Ironman ?

    Stay off you foot, let it heal. If walking is painful, using crutches to stay off it even more is a good idea.
    Mary Ann Wilmarth, PT, DPT, OCS responded:
    Because there is inflammation involved there is a need to rest in some way in order to decrease the inflammation. With training for an Ironman, this could mean changing the amount that you are running for example. If this is caused strictly from overuse, then rest and ice are warranted. However, it could be due to some mechanical issue, for example, a shoe that is too tight.

    It is critical to determine why this inflammation is occurring. I would recommend seeing a physical therapist so that they can help you find out where the issue is coming from in your training.

    Another example would be a mechanical issue with kicking during your swimming. Therefore, doing more swimming to 'rest' your foot would not help if the inflammation is actually coming from the swim.

    So, the bottom line is to get to a biomechanical expert who can assist you as soon as possible since the race will be soon.

    Go to
    and look under orthopedic or sports specialists with "Find a PT'.

    Best of luck,

    Dr. Wilmarth

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