monday
pilates
tuesday
30x25m 50-65%
weights
db squat 3:10 45kg
leg extension 3:10 40kg
db full squats 3:6 24kg, 3:6 14kg
"Tibialis-posterior tendinitis:
Like its ‘neighbouring injuries’, Achilles tendinitis and plantar fasciitis, tibialis-posterior tendinitis can plague athletes from a variety of different sports (1). The condition is actually an inflammation of the tendon of the important but relatively little-known tibialis-posterior muscle, which originates on the backs of the tibia and fibula in the lower part of the leg and in the membrane which connects these two bones. The tibialis-posterior muscle is a ‘deep’ sinew which lies underneath the calf’s soleus muscle, which itself rests beneath the gastrocnemius, the fleshy portion of the calf. The oft-troubled tendon of the tibialis-posterior muscle passes behind the medial malleolus (the ‘knob’ on the inside of the ankle) and then inserts on the bottom surfaces of eight key bones which lie just in front of the heel area – the navicular bone, the cuboid bone, the three cuneiform bones, and the second, third, and fourth metatarsals. If you form a mental image of this anatomical positioning, you will realise that a concentric (shortening) action of the tibialis-posterior muscle would plantar-flex your ankle and ‘invert’ your foot (rotate it inward, with the pivot axis at the ankle joint). The tibialis-posterior muscle and its tendon also provide support for the arch of the foot.
Symptoms to watch for
Although the tibialis-posterior tendon can rupture as a result of sudden impact forces on the foot and ankle (more on this in a moment), the most common cause of tibialis-posterior-tendon problems is overuse, which is another way of saying that the tendon was simply not strong enough to stand up to an athlete’s chosen frequency, intensity, and volume of training. Symptoms of tibialis-posterior tendinitis include soreness, pain, and swelling along the inside of the ankle, as well as aching and discomfort along the bottom of the foot. The foot troubled by tibialis-posterior tendinitis is often ‘flatter’ than the other, problem-free foot (ie, the arch is less concave), and an athlete with tibialis-posterior tendinitis may have a fair amount of difficulty carrying out single-leg heel raises on the affected leg.
Definitive diagnosis of tibialis-posterior tendinitis can be accomplished with an MRI exam (2), by means of ultrasound (3), and even with scintigraphy (4). A high-quality scintigraph will usually reveal elongated, increased uptake of the radioisotope along the anatomical course of the tibialis-posterior tendon in the malleolus region, as well as in the malleolus itself and in the navicular bone.
Unfortunately, a rupture of the tibialis-posterior tendon is a diagnosis which is often missed by regular and sports-medicine doctors, as well as by athletic trainers (5). A rupture should be strongly suspected in athletes who have a pronounced history of ankle-twisting injuries, especially when these injuries have been associated with high-impact loading (landing on the floor after a volleyball spike, hitting the basketball court after a dunk, striking the turf after a leap for the soccer ball, etc.). The tibialis-posterior tendon is especially likely to rupture if such landings are associated with ankle eversion (clockwise motion of the right ankle upon landing or counter-clockwise action at the left ankle joint in conjunction with impact). Ruptures are also linked with more-or-less chronic and generalised pain and swelling along the inside of the ankle. A very flat foot will often be present, and the athlete will have unusual difficulty rattling off a series of one-leg heel raises on the foot with the ruptured tendon."
http://www.sportsinjurybulletin.com/archive/tibialis-tendinitis.html