Tibialis Posterior Tendinopathy

Tibialis posterior tendinopathy is a common condition that affects the tendon that runs behind the inside of the ankle. This tendon is responsible for helping to control the foot and ankle, and it also helps to maintain the arch of the foot. When this tendon becomes overloaded, it can cause pain, swelling, and weakness in the foot and ankle.

There are a number of factors that can contribute to the development of tibialis posterior tendinopathy. These include:

    • Overuse: This is the most common cause of tibialis posterior tendinopathy. Activities that put a lot of stress on the tendon, such as running, hiking, and dancing, can increase the risk of developing this condition.
    • Injury: A sudden injury to the foot or ankle, such as a sprain or fracture, can also damage the tibialis posterior tendon and lead to tendinopathy.
    • Age-related changes: As we age, the tendons in our bodies can become weaker and more susceptible to injury. This can increase the risk of developing tibialis posterior tendinopathy.

The symptoms of tibialis posterior tendinopathy can vary from person to person. However, some of the most common symptoms include:

    • Pain on the inside of the ankle and foot – just behind the inside ankle bone 
    • Swelling 
    • Weakness in the foot and ankle
    • Difficulty and/or pain walking or running
    • Difficulty and/or pain climbing stairs

The treatment for tibialis posterior tendinopathy will typically involve a combination of:

    • Relative rest/deloading period
    • Strengthening exercises to help improve the strength of the muscles around the ankle
    • Foot orthotics to help support the arch of the foot
    • Taping or bracing to help reduce stress on the tendon
    • Modifications to continue to participate in activity/sport if appropriate

With proper treatment, most people with tibialis posterior tendinopathy can recover and return to their normal activities. However, it is important to be patient and be diligent with your rehab. Recovery can take several months, and tendons in general can be very irritable – this means flare ups can happen easily.

Here are some tips to help prevent tibialis posterior tendinopathy:

    • Avoid big peaks or valleys in your training
    • Build your muscles up via regular ankle strengthening exercises
    • Wear supportive shoes and if possible, invest in some good running shoes

By following these tips, you can help reduce your risk of developing tibialis posterior tendinopathy. 

Tom Eather – BeFit Training Physio Double Bay

Tom Eather – BeFit Training Physio Double Bay

Tom Eather, a Senior Physiotherapist based in Double Bay, Sydney, offers effective treatment for musculoskeletal problems. With personalized assessments and evidence-based rehabilitation programs, Tom addresses the root cause of injuries to achieve long-lasting results. Specializing in Golf and sports injury physiotherapy, he emphasizes comprehensive healing over temporary fixes. To book a consultation, click the link below.

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