Posterior Tibial Tendonopathy
(Posterior Tibial Tendonitis; Posterior Tibial Tendonosis)
- Tendonitis—an inflammation of the tendon
- Tendonosis—tiny tears in the tendon with no significant inflammation
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- Overuse of the tendon
- Poor blood supply to the tendon
- Biomechanics that cause degeneration of the tendon, such as over pronation of the foot
- Flat feet
- High blood pressure
- Previous surgery or trauma
- Local steroid injections
- Pain and swelling near the arch of the foot and on the inside of the ankle
- Pain that increases when standing on the ball of the foot or if the foot is flexed
- Pain that increases with activity
- Tiredness in the foot after little activity
- Pain that becomes more disabling
- Later in the course of the tendonopathy, a flattening of the arch of the foot and pronation
- An inability to push off well when running
- Rest—Avoid activity that causes pain. Reduce shock or vibrations to the foot and ankle.
- Ice—Ice therapy may help relieve swelling.
- Compression—Compression bandages can provide gentle pressure to help move fluids out of the area.
- Elevation—Keeping the foot elevated can help fluids drain out or prevent fluids from building up.
- A strap or tape for your foot
- A brace or cast
- Custom-made orthotics
- Avoid activities and sports that repeatedly stress the foot and ankle.
- Maintain proper muscle strength.
- Gradually increase the frequency and intensity of exercise.
- Wear good, supportive shoes that provide arch support.
- Use proper technique for sports and dance activities.
The American Orthopaedic Society for Sports Medicine http://www.sportsmed.org
OrthoInfo—American Academy of Orthopaedic Surgeons Ortho Info http://www.orthoinfo.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Gluck GS ,et al. Tendon disorders of the foot and ankle, part 3: the posterior tibial tendon. Am J Sports Med. 2010;38(10):2133-2144.
Mazieres B, et al. Topical ketoprofen patch in the treatment of tendinitis: a randomized, double blind, placebo controlled study. J Rheumatol. 2005;32(8):1563-1570.
Posterior tibial tendon dysfunction. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00166. Updated December 2011. Accessed March 9, 2015.
Posterior tibialis tendinopathy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 29, 2014. Accessed March 9, 2015.
Tibialis posterior tendinosis and tibialis posterior tenosynovitis. Merck Manual for Health Care Professionals website. Available at: http://www.merckmanuals.com/professional/musculoskeletal%5Fand%5Fconnective%5Ftissue%5Fdisorders/foot%5Fand%5Fankle%5Fdisorders/tibialis%5Fposterior%5Ftendinosis%5Fand%5Ftibialis%5Fposterior%5Ftenosynovitis.html. Updated October 2014. Accessed March 9, 2015.
- Reviewer: Teresa Briedwell, PT, DPT, OCS
- Review Date: 03/2015 -
- Update Date: 04/29/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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