Your job should be able to accommodate you if not get an doctors order requiring light duty. Your job should give you a desk position per dr orders or cut your work hours.
I would try different avenues, especially if it's a job you need for livelihood instead of quitting..
Your diagnosis is inflammation of the tendon. Estim, ultrasound in the area should help in time to heal the tendon.
1) My question to you is, where is the exact location of your pain your pain?
2) Is your pain located at the FRONT PORTION of your ankle?
3) Did the pain arise gradually over time or or was the onset of your pain more sudden? Does any activity with prolonged weightbearing always bring on the pain?
4) What are the factors that bring on the pain? What have you done to find relief?
5) Have you ever experienced any similar incidence prior to this episode?
6) Is it affecting only one side or is it affecting both sides?
7) Is the pain localized to one specific area of the foot or does it radiate to another area causing a generalized pain and tenderness?
8) In your own words, how would you characterize the pain that you are experiencing? This is a very important question because the different foot disorders all have their specific character of pain.
9) Does it hurt when you attempt to flex your foot upward towards your shin?
10) Have you noticed any signs of acute inflammation? Redness, painful to touch, warmth over the area of involvement and swelling.
These are some of the more important questions that I would ascertain prior to arriving at any definitive diagnosis. Certainly I would have a small list of differential diagnosis as a possibility, which would include:
1) Plantar Fasciitis
2) Tibialis Anterior strain
3) Achilles Tendonitis
4) Premature Degenerative Joint Disease of the Foot
5) Posterior Tibial Tendonitis vs. Anterior Tibial Tendonitis
After ruling out all of the other common causes of foot and ankle pain in which I would rule in only one to arrive at a definitive diagnosis, depending on which one it is, then I would plan and treat the condition accordingly.
Let's just say that the diagnosis of Anterior Tibial Tendonitis is correct for education sake. Understanding the fact that patients with "high arched" feet are more prone to suffer from this particular condition then a custom foot orthotic would certainly serve to benefit you to find relief. If that is not sufficient then a walking boot is the next option.
If, however, neither of these options are helpful, then a Podiatric consult or a Surgical consult would be warranted for sure.
chiropractic or physical therapy I would try to do that route if you like the type of work you do. Also, there is a condition called compartment syndrome that happens in the lower legs and requires surgery which is usually sucessful. So make sure you know your options for treatment before leaving a job, especially if you need it and/or enjoy it.
Dr David Leonard
perhaps even resolve. It's a difficult area to stretch without hurting your ankle, so the foam roller is a good alternative. Also perhaps some tissue work, massage.
Hope I helped. Got your back!
Dr. Todd Gewant
You are important to me as a person and a patient.
Dr. Phil Convertino
Do you live in the Rockford area?
You can always visit www.nextlevelhealth.com for updated info and to make an appointment with me.
If your job requires you to stand for long periods of time you might consider asking your bosses for a cashiers mat to stand on.