by TigerFan » Mon Jun 28, 2010 1:36 pm
Is the "doc" you mention your primary care physician or a specialist that you saw (e.g. orthopedic surgeon)? If you can ask for and get a referal to see an orthopedic surgeon who is associated with a sports medicine clinic/practice or a physical therapist who specializes in sports medicine, I think you'll get more detailed and aggressive strategy toward getting you ready for the hike. Doctors who care for atheletes often have to work within time and performance requirements and will look beyond "ice and rest."
I can't offer any experience with tendonitis but, last fall, my 11 year-old son fractured two toes a week before a 5-day Grand Canyon hike. His pediatrician basically told me to cancel the hike. I have several friends who are in sports medicine and they sent us to a pediatric orthopedic surgeon who had a completely different attitude. She had me bring in my son's hiking boots, which she examined, she asked very specific questions about the hike and we talked about what we can do on the trail -- ibuprofin, soaking in streams each afternoon, taping if necessary, etc. Her top recommendation was a stiff supportive hiking boot.
You may also be able to explore direct shots into the area right before the hike. My husband got one for his knee. I'm assuming they're some sort of steroids. It's not for masking the pain, but for keeping internal swelling down.