Posterior Tibial Tendon Dysfunction

Posterior Tibial dysfunction is associated with the loss of function of the Posterior Tibial Muscle resulting from a repetitive strain or overuse of this muscle. The Posterior tibial muscle is the main muscle which supports the arch of the foot.

Posterior Tibial Tendon Dysfunction

Posterior Tibial Tendon Dysfunction Symptoms

  • Diffuse swelling on the arch of the foot
  • Tenderness and warmth on the medial side of the ankle along the course of the tendon
  • A gradual loss of the arch of the foot
  • Excessive heel wear on the medial side of the shoes
  • Gait can become unsteady
  • Difficulty rising onto the toes

Main contributing factors

  • Repetitive activity or motion that causes strain on the muscle and tendon
  • Direct Trauma
  • Poor foot structure causing excessive midfoot collapse
  • Tight calf muscles
  • Inflammatory processes such as Rheumatoid Arthritis
  • More prevalent in Females over the age of 40 years
  • Sudden increase in activity level
  • Increased BMI

Treatment for Posterior Tibial Tendon Dysfunction

  • RICE – rest, ice, compression & elevation
  • Non-steroidal anti-inflammatory drugs  (Nurofen etc)
  • Strapping
  • Activity modification or reduction
  • Footwear modification
  • Orthotic therapy for long term repositioning of the foot.
  • Possible immobilization in casts or walking boots
  • Muscle strengthening exercises

What can you do?

  • Reduce or modify current activities
  • Gradually resume normal activity as symptoms resolve
  • Ice after training/ activity 15 minutes on, 2 hours off, 15 minutes on
  • Footwear assessment – it may be time for a new pair
  • Eccentric strengthening of the posterior tibial muscle.

Take the first step towards happy and healthy feet.

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