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 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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