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| Posterior Tibial Tendonitis |
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Posterior Tibial Tendonitis is a strain of the Posterior Tibial Tendon which runs along
the inside of the ankle and the foot. With Posterior Tibial Tendonitis pain will be more
severe upon weight bearing especially while walking or running. Posterior Tibial
Tendonitis occurs when the muscle is over used and the tendon (soft tissue) that
connects the muscle to your bone is strained. Years of over-pronation (flat feet) can
also lead to Posterior Tibial Tendon dysfunction. If you keep over using the muscle,
damage to the tendon builds up and Tendonitis develops. At first the pain or swelling
may come and go quickly but eventually the problem may become more permanent,
eventually leading to foot collapse. A serious complication of this condition is that if
left untreated the tendon may rupture leading to disability. Early treatment of this
condition is indicated to prevent such problems.
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Treatment Protocol
- The foot must be supported all day, from when you get out of bed until you return in
the evening. We do not recommend walking around barefooted or with just socks,
slippers or sandals. This will only cause further trauma to the tendon.
- Place an ice pack along the tendon and wrap an ace bandage around the ice pack. We
recommend this 2-3dday. Along with icing the area, we also suggest massaging the
area after icing to further facilitate the movement of the inflammation.
- Wearing supportive shoes all day; remember this is a mechanical issue. Weight does
play a role here. We typically recommend New Balance sneakers 600 (608,609,620)
series or higher (700/800). The sneakers are usually available at Dick's Athletic Store,
Sears or JCPenneys. Please call first.
- Orthotics can play a tremendous role in maintaining support.
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