Anyone with experience of this?
After completing 20 weeks of SSBMVI+II and GBMV I reached the much vaunted 4w/kg at 64kg feeling great with no issues, I rode outside in early August. I probably rode out the saddle a bit more than usual. Over the following week I had increasing pain behind my medial malleolus.
I had an MRI showing posterior tibial tenosynovitis after about 2 weeks. The tendon itself is not thickened, just the sheath.
10 weeks since injury and I have seen physios and sports podiatrist and been given orthotics and a medial heel wedge and a list of exercises. I can do 25+ single heel raises on the affected side, but the tendon is still tender and it still tweaks when walking and riding indoors (only riding I’m doing, after a 10 week break). The pain isn’t too severe, but it’s very off putting knowing that there’s something wrong and not wanting to worsen it in the long run.
Most things I’ve read online are from runners and it sounds like a frequent common injury for them due to the overuse. But it’s not very common in cyclists as it probably isn’t overused on the bike and to add insult to injury the triathletes online all say “at least I can still cycle”!
So just wanting to see if anyone has any advice re:
- time course
- operative intervention (last resort of course)
- saddle height
- pedalling technique
- cycling orthotics
- deep tissue massage/shockwave therapy/ultrasound
Appreciate this is quite a niche question, but grateful for any input.
EDIT: Should mention, I’m 30 with no other injuries or health issues