What Is Tibialis Posterior Tendonitis?

Tibialis Posterior Tendonitis is a common cause of foot and ankle pain caused by an Tibialis Posterior Tendonitis irritation or inflammation of the Tibialis Posterior tendon. This tendon is responsible for flexing the toes downward and enabling normal foot movement. Overuse of this tendon and its associated muscles, due to improper footwear or bearing too much weight on the affected area, can cause significant discomfort and impair an individual’s ability to perform everyday activities. Symptoms of Tibialis Posterior Tendonitis include painful swelling at the inner ankle and lower calf, tenderness along the course of the tendon, and difficulty flexing the affected foot downward when standing or walking. Treatment may include rest, immobilization, physiotherapy, and orthotics or bracing. In more serious cases, surgery may be required to repair the tendon. It is important to seek professional medical advice if symptoms of Tibialis Posterior Tendonitis persist to identify the best available treatment options.


Causes of Tibialis Posterior Tendonitis

Tibialis Posterior Tendonitis causes can be multi-faceted and can arise from a variety of factors. Common culprits leading to Tibialis Posterior Tendonitis include overuse of anterior tibialis. Other conditions such as diabetes, arthritis, and trauma have all been found to be associated with the condition. Other possible causes of Tibialis Posterior Tendonitis include poor foot mechanics, abnormal running/walking patterns, and poor foot alignment. Anterior Tibialis Muscles that are over-tight or weak can cause inflammation of the tibialis posterior tendon. Strain on the tendon from increasing activity levels, too much direct pressure, or repeating motions can also cause Tibialis Posterior Tendonitis. The condition can also be triggered by inflammatory conditions such as rheumatoid arthritis or systemic infections. Wearing shoes with worn or non-supportive cushion padding may lead to Tibialis Posterior Tendonitis as well. Additionally, individuals who are overweight may be at a higher risk for developing Tibialis Posterior Tendonitis. Moreover, age and genetics can play a role in the development of Tibialis Posterior Tendonitis, as connective tissue becomes weaker over time. It is important to analyse the source of the condition in order to find the most appropriate approach to treatment.


Symptoms of Tibialis Posterior Tendonitis

Tibialis Posterior Tendonitis is an inflammatory condition of the Tibialis Posterior tendon which typically causes discomfort, pain and difficulty in movement. Common symptoms of this condition include pain during activities such as walking, running and jumping; swelling in the back of the ankle; tenderness and stiffness in the tendon; pain when the toes are pointed upward; and difficulty flexing the foot down. Additional common signs of Tibialis Posterior Tendonitis may include decreased strength in the foot and ankle, swelling in the outside of the ankle, noticeable flattening of the arch of the foot, and numbness and tingling in the foot and toes.

In more severe cases of Tibialis Posterior Tendonitis, inflammation can become more prominent, causing the tendon to become thick, swollen, and painful. In some cases, there may also be a deformity in the foot, known as pes planus, caused by the tendon stretching and weakening over time. It is also possible to experience nerve entrapment in the region, which can cause burning and radiating pain in the foot and ankle.

Tibialis Posterior Tendonitis can be effectively managed through conservative treatments such as rest and ice, anti-inflammatory medication, physical therapy, and orthotics. If the condition does not respond to these treatments, a doctor may suggest surgery to repair any tears in the tendon or to break up any adhesions that have developed in the tendon over time. It is important to consult a doctor for an accurate diagnosis of Tibialis Posterior Tendonitis and to follow treatment plans accordingly for positive results and optimal care.


Diagnosis of Tibialis Posterior Tendonitis

Accurate diagnosis of Tibialis Posterior Tendonitis is essential for successful treatment, but can be challenging for clinicians to diagnose. Tibialis Posterior Tendonitis is a condition which refers to the inflammation of the tibialis posterior muscle, which is located at the back of the lower leg and runs down the inside of the calf, connecting to the bones and tendons in the foot. Symptoms include pain in the back and bottom of the foot and ankle, as well as swelling in the calf, tingling sensations and reduced mobility in the foot and ankle. Additionally, Tibialis Posterior Tendonitis can cause what is known as anterior tibialis subluxation, which is an instability of the ankle which causes it to roll outward. The diagnosis of Tibialis Posterior Tendonitis usually begins with a physical examination. In order to properly diagnose the condition, clinicians must consider the patient’s medical history, their daily activities and the severity of the symptoms they are experiencing. Additional tests to diagnose Tibialis Posterior Tendonitis may include x-rays, ultrasound, magnetic resonance imaging (MRI) or electromyography (EMG). Once a proper diagnosis is made, appropriate treatment to manage Tibialis Posterior Tendonitis can begin. This typically includes rest, ice, stretching exercises, physical therapy and orthotics to support the foot. In some cases, medication or surgery may be necessary. With an accurate diagnosis, the chances of successful treatment increase significantly.


Treatment of Tibialis Posterior Tendonitis

Treatment of Tibialis Posterior Tendonitis is an important part of preventing the further deterioration of this condition. Pain relief and improving range of motion is key for those suffering from tibialis posterior tendonitis. While rest is typically recommended as the first line of defense, there are more comprehensive approaches that can be employed to ensure lasting relief and greater mobility. Alternative treatments such as physical therapy, laser therapy, and stretching exercises are all commonly used to treat tibialis posterior tendonitis. Furthermore, bracing can help to reduce stress to the tendon without limiting mobility and can prove beneficial for tibialis posterior tendonitis. Finally, for those suffering from a severe case of tibialis posterior tendonitis, the injection of corticosteroids may be recommended in conjunction with exercise, stretching, and physical therapy to reduce inflammation. Ultimately, a combination of treatments is often used to provide relief and improve mobility for those suffering from tibialis posterior tendonitis.



SportsMD Virtual Care

Talk to a Sports Specialized Doctor anywhere you are by phone or video.

Learn More

Orthopedic Virtual Care