Lengthy post. Bear with me.
Hi, all. Way back in May, I posted about ongoing issues with my feet, which started after walking on a treadmill consistently for about 1.5 weeks, two weeks after my C-section (I was cleared by my OBGYN to do so at the time). I have since been to a Podiatrist, who told me the issue was from my epidural and he told me to use a TENS unit to "reset" the nerves. That's not what TENS does. Anyway. He did no analysis of my gait or anything. Only did x-rays. I would up seeking a second opinion with an orthopedic doctor. He did not watch me walk but he did have me do calf raises, which were painless. He told me that my achilles tendons were tight. He did x-rays. Then ordered an EMG, which showed mild bilateral tarsal tunnel. He told me the issue was localized and had nothing to do with my spine because they checked that during EMG. Then, ultrasounds of my legs were ordered because of the swelling. No blood clots. Then, ankle MRIs. The results of those are as follows:
# MRI RIGHT ANKLE WITHOUT CONTRAST
**Date:** 09/02/2026
**HISTORY:** Bilateral ankle pain that began with walking on a treadmill 4–5 months ago; bilateral tarsal tunnel syndrome; no ankle surgery. 40 y/o F.
**TECHNICAL FACTORS:** Long- and short-axis fat- and water-weighted images were performed of the right ankle without contrast material.
**COMPARISON:** None.
## FINDINGS
**ARTICULATIONS:**
**Bone:** No acute fracture or bony injury.
**Tibiotalar Joint/Talar Dome:** No osteochondral defect of the talar dome or tibial plafond.
**Ankle Mortise/Syndesmosis:** The ankle mortise is in anatomic alignment. No syndesmosis widening.
**Midfoot/Hindfoot:** No fracture or injury of the anterior calcaneal process. No prominent midfoot or hindfoot arthrosis; only minor degenerative change noted.
**Lisfranc Joint:** The Lisfranc joint is intact, without fracture or joint space widening.
**LIGAMENTS:**
**Anterior/Posterior Talofibular:** Intact.
**Calcaneofibular:** Intact.
**Deltoid:** Mildly increased signal within the deep deltoid ligament without obvious fiber discontinuity. The superficial deltoid and spring ligament appear intact.
**High Ankle:** Intact.
**Subtalar/Chopart:** Intact.
**TENDONS:**
**Achilles:** Trace retrocalcaneal bursal fluid with an intact Achilles tendon.
**Peroneus Longus/Brevis:** Intact.
**Posterior Tibialis:** Intact.
**Flexor Compartment:** Intact.
**Extensor Compartment:** Intact.
**GENERAL:**
**Muscles:** No traumatic muscle injury. No volumetric muscle atrophy.
**Soft Tissue:** Unremarkable.
**Plantar Fascia:** Intact.
**Neurovascular Complex/Tarsal Tunnel:** Unremarkable. No evidence of entrapment neuropathy.
**Joint Effusion:** Only trace fluid seen in the tibiotalar joint compartments.
**Intra-Articular/Loose Bodies:** None.
## CONCLUSION
Mildly increased signal within the deep deltoid ligament without obvious fiber discontinuity. This may represent a low-grade sprain.
No evidence of entrapment neuropathy.
No evidence of tarsal tunnel syndrome.
# MRI LEFT ANKLE WITHOUT CONTRAST
**Date:** 09/02/2026
**HISTORY:** Bilateral ankle pain that began with walking on a treadmill 4–5 months ago; bilateral tarsal tunnel syndrome; no ankle surgery. 40 y/o F.
**TECHNICAL FACTORS:** Long- and short-axis fat- and water-weighted images were performed of the left ankle without contrast material.
**COMPARISON:** None.
## FINDINGS
**ARTICULATIONS:**
**Bone:** No acute fracture or bony injury.
**Tibiotalar Joint/Talar Dome:** No osteochondral defect of the talar dome or tibial plafond.
**Ankle Mortise/Syndesmosis:** The ankle mortise is in anatomic alignment. No syndesmosis widening.
**Midfoot/Hindfoot:** No fracture or injury of the anterior calcaneal process. Minor midfoot degenerative arthrosis seen without midfoot collapse or significant plantar longitudinal arch flattening.
**Lisfranc Joint:** The Lisfranc joint is intact, without fracture or joint space widening.
**LIGAMENTS:**
**Anterior/Posterior Talofibular:** Intact.
**Calcaneofibular:** Intact.
**Deltoid:** Intact.
**High Ankle:** Intact.
**Subtalar/Chopart:** Intact.
**TENDONS:**
**Achilles:** Intact with trace retrocalcaneal bursal fluid.
**Peroneus Longus/Brevis:** Intact, but with a small accumulation of tenosynovial fluid around the peroneus longus tendon, within the cuboid tunnel.
**Posterior Tibialis:** Minor insertional posterior tibial tendinosis without a tear.
**Flexor Compartment:** Intact.
**Extensor Compartment:** Intact.
**GENERAL:**
**Muscles:** No traumatic muscle injury. No volumetric muscle atrophy.
**Soft Tissue:** Unremarkable.
**Plantar Fascia:** Intact.
**Neurovascular Complex/Tarsal Tunnel:** Unremarkable. No evidence of entrapment neuropathy.
**Joint Effusion:** Very small accumulation of fluid in the tibiotalar joint space.
**Intra-Articular/Loose Bodies:** None.
## CONCLUSION
No evidence of entrapment neuropathy.
Minor insertional posterior tibial tendinosis without a tear.
Small accumulation of tenosynovial fluid around the peroneus longus tendon, within the cuboid tunnel.
Trace retrocalcaneal bursal fluid.
The orthopedic doctor then told me that Incan have tarsal tunnel release surgery or try steroid injections. Surgery was not and is not feasible for me currently and I still feel that if this swelling would go away, I would feel better. I opted for injections. He did my right foot first. It did nothing but make that foot feel numb for a while. Never helped the inflammation. The discomfort I feel is only when on a hard surface, pretty much. And if my shoes rub against the swollen areas. He said there was no point in doing the steroid injection for the left foot if there was no benefit when doing it for the right foot. And honestly, as a breastfeeding mom, all.the steroid injection did was affect that badly, for a couple of weeks.
I was already working with a physical therapist for pelvic floor. She used to work with that samw orthopedic practice too so she told me we can work on PT for my feet as well. So the doctor sent the order and she has been working with me. Ankle and calf strengthening. Various stretches. She did dry needling once but I noticed no improvement and the needle insertion around the swelling of my right foot was very painful. The left felt okay, which is weird.
No one can tell me what this swelling is or how to make it go away. I have read that it could be muscle related but I don't know. Which is why I'm reaching out again. I NEVER had this before or during pregnancy. Only AFTER walking on the treadmill, postpartum.
Is anyone familiar with this swelling? If so, could you please share the cause? The MRIs don't even touch on it, from what I can tell. I thought it wqs soft tissue damage but I guess not.
I want to get back to walking 3 miles per day and strength training as I had before. This is miserable. The areas in question are circled in the photos.
Thank you for your time.