Tibialis Posterior Tendinopathy

Tibialis posterior tendinopathy is a condition that affects the tibialis posterior tendon, which runs from the lower leg down to the inside of the foot. The tibialis posterior is responsible for supporting the arch of the foot and controlling the foot’s movement during walking and running. When this tendon becomes inflamed or damaged, it can lead to tibialis posterior tendinopathy.

What Causes Tibialis Posterior Tendinopathy?

Tibialis posterior tendinopathy can be caused by overuse or injury to the tibialis posterior tendon. It is most common in athletes who engage in activities that involve repetitive jumping, running, or walking. People with flat feet or high arches are also at a higher risk of developing this condition.

Common Signs and Symptoms of Tibialis Posterior Tendinopathy

The most common symptom of tibialis posterior tendinopathy is pain and swelling on the inside of the ankle or foot. The pain may be worse with activity and may improve with rest. Other symptoms may include difficulty walking, stiffness in the foot or ankle, and a decrease in the arch of the foot.

How Can Tibialis Posterior Tendinopathy be Treated?

Treatment for tibialis posterior tendinopathy involves resting the affected foot, applying ice to reduce swelling, and taking anti-inflammatory medication to reduce pain. Physiotherapy exercises may also be recommended to improve the strength and flexibility of the foot and ankle. In severe cases, surgery may be necessary to repair or replace the damaged tendon.

Preventing Tibialis Posterior Tendinopathy

Preventing tibialis posterior tendinopathy involves taking steps to reduce the risk of injury to the tibialis posterior tendon. This can be achieved by wearing proper footwear that provides adequate support and cushioning, avoiding activities that put excessive stress on the foot and ankle, and maintaining a healthy weight to reduce the strain on the feet and ankles.

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Scientific References
Malliaras, P., & Maffulli, N. (2015). Tibialis posterior tendinopathy: a review. Journal of Foot and Ankle Research, 8(1), 5. https://doi.org/10.1186/s13047-015-0065-5
Mann, R. A., & Holmes, G. B. (2014). Treatment and prevention of posterior tibial tendon insufficiency. Clinics in Podiatric Medicine and Surgery, 31(1), 105-114. https://doi.org/10.1016/j.cpm.2013.09.003
DiGiovanni, B. F., Fraga, C. J., Cohen, B. E., Shereff, M. J., & Kuo, R. (2016). Associated injuries found in chronic plantar heel pain. Foot & ankle international, 37(3), 239-246. https://doi.org/10.1177/107110071561259