1. Injuries within cross-country

2. Cross-Country Athlete needs endurance to run distance.
Common injuries include:
"Runners Knee"
"Achilles Tenditis"
Posterior Tibial Tendon Dysfunction"

3. Posterior tibial tendon dysfunction (pttd)
Definition 
Progressive degeneration of posterior tibial tendon
MOI
Direct tendon fall
Inflammatory joint disease
Excessive overwork

4. Signs and symptoms of the injury
Pain where tendon lays on ankle
Foot collapse
Standing with foot introverted

5. Questions Affect Other Body Systems If the athlete counited to play?
Flat feet
If the athlete counited to play? 
Injurie and pain worsens 
Affects who more? 
The older the more at risk

6. Assessment/ Diagnosis
MRIS, XRAYS, CT SCANES & ULTRASOUNDS
Swelling along posterior tibial tendon.
Limited flexibility & range of motion.
Top) An x-ray of a normal foot. Note that the lines are parallel, indicating a normal arch. (Bottom) In this x-ray the lines diverge, which is consistent with flatfoot deformity.

7. Treatment/ rehabilitation
NONSURGICAL  
Rest, Ice, Braces, Storied injections, Immobilization  PT
SURGICCAL 
Tendon Transfer, cleaning of tendon 
Osteotomy (cutting of bone) 

8. Physical Therapy Low intensity 3-4 days a week
Calf Stretching, Toe Walking, 
TheraBand 
                   Dorsiflexion , Inversion , Eversion, 

9. PREVENTION Stretching prior to running Is key
Rest and get evaluated after any fall 

10. Works Cited
Kadakia, A. (2011, December 01). Posterior Tibial Tendon Dysfunction. Retrieved May 13, 2017, from
4 Ways to Prevent and Treat Posterior Tibial Tendon Pain. (2016, November 09). Retrieved May 14, 2017, from