What is posterior tibial tendonitis, and how is it treated?
Posterior tibial tendonitis (also known as posterior tendon dysfunction) is a common foot and ankle problem. Posterior tibial tendonitis occurs when the posterior tibial tendon, located in the foot, gets torn or inflamed.
Posterior tibial tendonitis usually causes pain in the foot and ankle.
In addition, it may result in adult-acquired flat foot deformity because of the inability of the posterior tibial tendon to provide support and stability for the arch of the foot.
If you are experiencing pain in your ankle or foot that interferes with mobility, then schedule a consultation with the team at OrthoNeuro.
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The posterior tibial tendon is an important tendon in the leg.
A tendon (strong cord-like tissue) attaches muscles to bones. The posterior tibial tendon attaches the calf muscle to the bones in the foot.
The posterior tibial tendon extends from the calf down to the inside of the ankle and the bones of the foot.
The posterior tibial tendon is important for walking as it supports the stability and arch of the foot.
Tibial tendonitis is often caused by repetitive use of the posterior tibial tendon.
This condition is common in people with obesity as well as those who participate in sports that involve a high impact on the ankle and foot, such as dancing, basketball, soccer, and tennis.
The signs and symptoms of posterior tibial tendonitis are:
If you have the symptoms mentioned above, it is important to see your doctor.
Posterior tibial tendon dysfunction can get progressively worse if untreated.
As the condition progresses, the arch in the foot begins to flatten, which causes more pain.
A flattened arch may also cause the ligaments inside the ankle to stretch and the joints to become misaligned, leading to ankle arthritis.
A foot and ankle specialist usually makes the diagnosis of tibial tendonitis.
To diagnose this condition, the specialist will ask about your medical history and your level of physical activity.
Your healthcare provider might also ask you to stand on your toes (single-limb heel-rise) to see if you have lost the arch of your foot.
To confirm a diagnosis of tibial tendonitis, a doctor will also take imaging tests such as x-rays and MRIs.
Most patients can be treated for posterior tibial tendonitis without surgery using foot braces and orthotics.
Non-surgical treatments are usually used with patients who are in the early stages of posterior tibial tendon degeneration.
Posterior tibial tendon dysfunction usually takes around 6 to 8 weeks to recover fully.
The non-surgical treatment methods used for tibial tendonitis include:
Surgical treatment is usually recommended for patients with advanced stages of posterior tibial tendon dysfunction or those who haven’t recovered using conservative treatments within six months.
Posterior tibialis tendon surgery involves foot and ankle surgeons removing inflamed or torn tissue from the foot.
Then, another procedure replaces the damaged posterior tibial tendon with a healthy tendon transfer from the foot.
With more advanced cases of tibial tendonitis, a foot and ankle surgeon may realign the foot by fusing the joints in the foot together using plates and screws.
If you have been suffering the symptoms of posterior tendon dysfunction, schedule an appointment with one of our Board Certified Foot and Ankle Specialists at one of our 7 convenient locations throughout Greater Columbus.
Best of all, most patients can be seen within 24 hours of making an appointment.
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