Tibialis Posterior Tendon Reconstruction
Tibialis Posterior Tendon Reconstruction: What to Expect and How Physiotherapy Can Aid Recovery
Tibialis posterior tendon reconstruction is a surgical procedure aimed at restoring function to the tibialis posterior tendon, which runs along the inner side of the ankle and supports the arch of the foot. This surgery is typically recommended for individuals suffering from posterior tibial tendon dysfunction (PTTD), also known as adult-acquired flatfoot. PTTD occurs when the tendon becomes inflamed, stretched, or torn, resulting in the collapse of the foot’s arch and pain during walking or standing.
Why Undergo Tibialis Posterior Tendon Reconstruction?
When the tibialis posterior tendon becomes damaged, it can no longer provide adequate support to the arch of the foot, leading to progressive flatfoot deformity. If left untreated, this condition can cause pain and difficulty with mobility, affecting the quality of life. In severe cases, conservative treatments like orthotics, bracing, or physical therapy may not be enough, and tendon reconstruction is necessary to restore function and relieve pain.
The surgery involves repairing or reconstructing the damaged tendon, often using a graft from another tendon, and may include additional procedures like osteotomies (bone cuts) to realign the foot.
The Role of Physiotherapy in Recovery
After tibialis posterior tendon reconstruction, rehabilitation through physiotherapy is essential to achieve a successful outcome. A physiotherapist will guide you through a structured recovery program, helping you regain strength, flexibility, and function in your foot and ankle.
1. Pain Management and Swelling Reduction
Following surgery, managing pain and swelling is a priority. A physiotherapist will employ techniques such as ice therapy, compression, and manual therapy to control inflammation and promote healing. These early interventions are critical to setting the stage for a smooth recovery.
2. Restoring Mobility
Once the initial recovery phase is complete, your physiotherapist will work on restoring the range of motion in your ankle and foot. Gentle stretching and mobilisation exercises are introduced to ensure the joint doesn’t stiffen and the repaired tendon regains flexibility.
3. Strengthening the Muscles
Strengthening the muscles around the ankle is key to ensuring long-term success after surgery. Your physiotherapist will design a customised program focusing on rebuilding strength in the tibialis posterior, as well as the surrounding muscles like the calves and foot muscles. This will help to stabilise the foot and support your arch.
4. Gait Retraining
Tibialis posterior tendon dysfunction affects your walking pattern, and surgery will alter the biomechanics of your foot. A physiotherapist will help you retrain your gait, ensuring you walk properly without putting undue strain on other parts of the body.
Conclusion
Tibialis posterior tendon reconstruction is a complex procedure, but with the help of a physiotherapist, you can achieve a full and successful recovery. By addressing pain, improving mobility, and rebuilding strength, physiotherapy plays a vital role in helping you return to your normal activities safely and effectively.
