Osteomyelitis - cause, treatment, measures and stretching.
The retina sits in between the two tibia in the leg; tibia and fibula. Overloading or malfunctioning can cause an inflamed reaction in the tissue, which reproduces pain when applying pressure to the foot / ankle. Meningitis most often affects athletes, but the condition also affects those who suddenly become very good at training and do not give themselves enough rest or recovery in between workouts. Mistakes in the foot, such as overpronation or collapse of the arch of the foot, may predispose you to meningitis. It is therefore important to work on strengthen the muscles that stabilize the arch of the foot, as well as tight plantar fascia.
Osteomyelitis - medial variant - Photo Wikimedia
Symptoms of meningitis
Tenderness over the tibia's inner lower edge. Some swelling can most often be felt. The pain comes from activity and disappears at rest. The pain is triggered by bending down the toes or ankle. Reduced sensitivity and force in the ankle joint may also occur.
Causes of osteitis
Overloading the legs, especially with more jogging than the body has tackled, increases the load on the structures (eg muscles and tendons) which attaches to the lower legs. This is an inflammatory reaction in the attachment points of the structures. Misalignment of the feet can cause overloading, among other things anterior tibialis.
Treatment of osteitis
Painfully, meningitis is treated with heat / ice, massage, muscle stretching and exercise. But you should also evaluate walking and running patterns to find which joints do not perform optimally and cause the overload. Therapeutic anti-inflammatory laser therapy may also be useful in the treatment of meningitis.
Some other treatment measures against this include compression clothing (read: compression sock for osteomyelitis?), Pressure wave treatment, needle treatment and musculoskeletal work.
RELATED PRODUCT / SELF-HELP: - Compression sock
Anyone with foot and leg problems may benefit from compression support. Compression socks can contribute to increased blood circulation and healing in those affected by reduced function in the legs and feet.
Exercise and movement are good for body and soul:
- Chin-up / pull-up exercise bar can be an excellent exercise tool to have at home. It can be attached and detached from the door frame without the use of a drill or tool.
- Cross-trainer / ellipse machine: Excellent fitness training. Good for promoting movement in the body and exercising overall.
- Grip-cleaning tools can help strengthen relevant hand muscles and thus help to work out muscle dysfunction.
- Rubber exercise knit is an excellent tool for you who need to strengthen the shoulder, arm, core and more. Gentle but effective training.
- Kettlebells is a very effective form of training that produces fast and good results.
- Rowing Machines is one of the best forms of training you can use to get good overall strength.
- Spinning ergometer bike: Good to have at home, so you can increase the amount of exercise throughout the year and get better fitness.
Hey,
every time I run or jog on a treadmill I get very great pain in the tibialis anterior is not quite sure what this is called in good Norwegian but it is in front of the leg in the muscle next to the sharp leg.
Have had this ever since I started training ie about 2 years. Have not bothered me before as I have not been active on the treadmills but thought I should start training fitness.
The pain feels like strong lactic acid and is unbearable. They occur after about 3-4 minutes of jogging and the pain stops right after I have stopped jogging.
Hope you can help me.
Hi Mohamed,
Thank you for contacting us.
It sounds as if you have overloaded the tibialis anterior and got what we call a bone irritation or inflammation of the bone:
https://www.vondt.net/hvor-har-du-vondt/vondt-leggen/benhinnebetennelse/
The periosteum sits between the two shin bones in the calf; tibia and fibula. Overloading or improper loading can lead to an inflamed reaction in the tissue, which reproduces pain when pressure is applied to the foot / ankle. Meningitis most often affects athletes, but the condition also affects those who suddenly become very good at training and do not give themselves enough rest or recovery between training sessions. Foot misalignments, such as overpronation or collapse of the arch, can predispose you to shin splints. It is therefore important to work on strengthening the muscles that stabilize the arch of the foot, as well as stretching the plantar fascia.
Exercises to strengthen the arch of the foot:
https://www.vondt.net/ovelser-og-uttoyning-av-plantar-fascia-haelsmerter/
Some follow-up questions:
1) Do you know if you overpronate in your feet?
2) What kind of footwear do you use for regular and training?
3) Do you stretch before you start training?
Looking forward to hearing from you to try and help you further with this issue.
Regards.
Alexander v / Vondt.net
Understood. I am being treated by a Naprapat, and he believes that it indicates that I have lodging syndrome. This means that the membrane is too tight around the muscle and creates pressure. When I load the calf. While those at Ullevål Hospital have measured the pressure in both my calves and they believe that it does not indicate that I have no bed syndrome and that the pressure is completely normal. But they stumbled upon something else. They found out that when I strained my calf muscles, I got a drop in pressure, which is not so normal at my age. So yeah.
I'm also stiff in the calf muscle. Have used foam roller and this has helped me a bit, with loosening knots.
Something I forgot to write in the first email was that I also get pain in the lower leg. Especially when I go up stairs.
1) Do you know if you overpronate in your feet?
Yes I have. More on the left than on the right. Maybe that's why the left hurts more.
2) What kind of footwear do you use for regular and training?
Uses very comfortable shoes both at work and at training. Which is for people who have overpronate. At the same time, I also use specially made soles.
3) Do you stretch before you start training?
No. do not do it since I do not train legs. But sets aside about 20 min almost every day with stretching, off leg. And use of foam roller e.
Hello again Mohamed,
Ok, good to hear that you are going for treatment - on such a problem I think it is important that you get intramuscular needle treatment, as this can help to break up the muscular error loads and increase blood circulation to the area, which in turn leads to increased healing and recovery.
It may be helpful to try a chiropractor or manual therapist who has more education (they have more neurology in their studies) when it comes to nerve-related ailments, and thus may have a different approach. All due respect to naprapaths, but in your case it may be helpful to try an interdisciplinary approach.
When you say you get pain in the lower leg, do you mean inside? There is the tibialis anterior, which I personally think you have overloaded quite heavily.
Measures based on the report so far:
1) Increase daily stretching of legs. Cloth gastrocnemius daily (60 seconds x 3 sets / daily)
2) Get a public (not private, as this is very expensive) referral (chiropractor, manual therapist or doctor) to sole adaptation that can lead to better foot function and thus less misalignment in overloaded areas. This can have a good, long-term effect. Or have you already gone through such a process? If so, do you use these soles when exercising?
3) Cool down the legs after physical exertion (especially cardio), especially towards the inside of the legs.
Follow up questions:
- What kind of imaging has been performed? Has a diagnostic ultrasound or MRI been taken of your legs?
- Where do you live? If you need any recommendations regarding therapists or the like, I will be happy to find one for you.
Looking forward to hearing from you. Have a nice day still.
Regards.
Alexander v / Vondt.net
Hi, sorry for the late reply.
I also think I have overloaded the Tibialis anterior quite heavily.
But yes, this is a little strange. When I go up stairs I get pain in the lower back. While when I try to run, the pain comes first. Both up and down the tibialis anterior, in both legs.
Was playing football on Monday, and the next day I noticed that it was uncomfortable to walk. There was a mixture of numbness and pain in the lower front of the tibialis anterior.
Yes, I have been through such a process. And I use those soles everyday both at work and at training. Have not noticed any effect of it.
Will now on Friday to Aker Hospital and get an MRI of my legs.
Ultrasound was done both at Naprapaten and at Ullevål hospital. As I mentioned in the last email, the naprapath thought that the membrane around the Tibialis anterior was tight and put pressure, maybe this was the cause of my pain. While those at Ullevål disagreed. They believed that the pressure around the Tibialis anterior was normal.
I live in Bøler in Oslo. Yes, I have very light on recommends to skilled chiropractor, physiotherapist, etc. And who has dealt with such injuries. Because I spend an incredible amount of money on treatment, without getting any effect out of it.
If you want, I can try to send you an MRI of my legs I will take on Friday. Maybe you have some comments on that.
Hello again, Alexander
Yes have received the results on the MRI images. But the problem was that this was only MRI for blood vessels / arteries.
A few days later I received confirmation that the arteries are normal. And the reason why I still have a small pressure drop in the calf is still unsolved. But in a month's time, I'm going to unilabs to get an MRI, maybe they'll find something then.
But Alexander, I have a little question.
If you are weak in the thigh muscles will this go over the calf muscles and be loaded then? If so, then I may have found the reason why I have so much pain in the calf muscles.
I have NEVER in my life trained my thighs before. On Tuesday, I decided to try the squat exercise.
After I had run the exercise 2 × 10, I became very upset. But it was very delicious. Why? because it felt like I had managed to activate the thigh muscles back to life again. The next day, I was extremely numb, could barely lift my thighs.
Later in the day, I took a trip to the gym. After I had finished training my upper body, I tried a jog on the treadmill. It was difficult in the beginning because of the stiffness, but I managed it in the end. But what was a bit strange was that I actually didn't have as much pain in my calf when I jogged, and the pain came and went. And I could actually last a little longer than what I could do 2 weeks ago.
Shouldn't I try to focus on strengthening the thigh muscles for a month? And see how it goes? Does not take anything on it…