What is Posterior Tibial Tendonitis?

Posterior tibial tendonitis is an inflammation of the posterior tibial tendon, which runs along the inside of the ankle and foot. This tendon is crucial for maintaining the arch of the foot and supporting movement. When it becomes irritated or damaged, it can lead to pain, swelling, and difficulty walking.

Causes of Posterior Tibial Tendonitis

  • Overuse: Repetitive activities, especially those involving running or jumping, can strain the tendon.

  • Foot Structure: Flat feet or high arches can place additional stress on the tendon.

  • Injury: Acute injuries or trauma can lead to tendon inflammation.

  • Age: Tendons can weaken over time, making them more susceptible to injury.

Common Symptoms

  • Pain and tenderness along the inside of the ankle and foot

  • Swelling around the ankle

  • Difficulty walking, especially on uneven surfaces

  • Flatfoot deformity or a collapsed arch

How a Podiatrist Can Help

Podiatrists are experts in diagnosing and treating posterior tibial tendonitis. Here’s how they can assist:

  1. Diagnosis: A thorough examination of the foot and ankle, along with imaging tests like X-rays or MRIs, to assess tendon damage.

  2. Non-Surgical Treatments:

    • Rest: Taking a break from activities that aggravate the condition.

    • Physical Therapy: Customized exercises to strengthen the tendon and improve flexibility.

    • Ice and Compression: To reduce swelling and pain.

    • Orthotics: Custom shoe inserts to support the arch and relieve stress on the tendon.

  3. Minimally Invasive Treatments: Corticosteroid injections may be used to decrease inflammation and alleviate pain.

  4. Surgical Options: If conservative treatments do not work, surgery may be necessary to repair the tendon or correct structural issues in the foot.

Why Seek Help?

If you’re experiencing pain along the inside of your ankle or foot, seeing a podiatrist can help you manage your condition effectively. Early intervention is essential for preventing further damage and getting you back to your normal activities!