What is Tibialis Posterior Tendinopathy?
Tibialis posterior tendinopathy refers to a condition where there is damage, inflammation, or degeneration of the tibialis posterior tendon. This tendon is located on the inner side (medial aspect) of the ankle and foot. It plays an important role in supporting the arch of the foot and inverting (turning inward) the foot.
Tendinopathy can occur due to repetitive stress, overuse, or sudden injury to the tendon. It can also result from age-related degeneration or chronic conditions like rheumatoid arthritis. Some common causes and risk factors for tibialis posterior tendinopathy include:
Overuse or repetitive strain: Activities that involve repetitive or prolonged stress on the tibialis posterior tendon, such as running or walking long distances, can lead to tendinopathy.
Flat feet or fallen arches (pes planus): Individuals with flat feet may be more susceptible to tibialis posterior tendinopathy because the tendon has to work harder to support the foot's arch.
Age-related degeneration: As people age, tendons can degenerate and become less flexible, increasing the risk of tendinopathy.
Trauma or sudden injury: An acute injury to the tibialis posterior tendon, such as a sprain or tear, can also lead to tendinopathy.
Symptoms of tibialis posterior tendinopathy may include:
Pain and tenderness along the inner side of the ankle and foot, especially near the medial malleolus (inner ankle bone).
Swelling or thickening of the tendon.
Difficulty or pain with walking, especially during push-off or when walking on uneven surfaces.
Progressive flattening of the foot arch.
Weakness or loss of function in the affected foot.
Treatment for tibialis posterior tendinopathy depends on the severity of the condition and may include:
Rest and activity modification: Avoiding activities that aggravate the tendon and giving it time to heal.
Physiotherapy: Strengthening and stretching exercises to improve the flexibility and strength of the tibialis posterior tendon and surrounding muscles.
Ice: Applying ice to the affected area to reduce pain and inflammation.
Pain relief medication: Over-the-counter pain relievers such as ibuprofen may help alleviate pain and inflammation.
Orthotic devices: Custom-made shoe inserts (orthotics) can help support the foot arch and relieve stress on the tibialis posterior tendon.
It's important to seek medical attention if you suspect you have tibialis posterior tendinopathy or if you experience persistent pain, swelling, or difficulty walking. Early diagnosis and treatment can help prevent further damage and improve outcomes.
