Post-Tib Tendonitis is a strain placed on
the posterior tibial tendon. The posterior tibial tendon runs along the
inside of the ankle and the foot. When there is post-tibial tendon
disfunction, the tendon does not function to hold up the arch, resulting
in flat feet. This can lead to heel pain, arch pain, plantar fasciitis
and/or heel spurs. With post-tib tendonitis, pain will be more severe upon
weight bearing, especially while walking or running.
Post-Tib Tendonitis occurs when the muscle
is overused and the tendon (soft tissue) that connects the muscle to your
bone is strained. Years of over-pronation (flat feet) can also lead to
posterior tibial tendon dysfunction. If you keep overusing the muscle,
damage to the tendon builds up and tendonitis develops. At first the pain
or swelling may come and go quickly, but eventually the problem may become
Treatment and Prevention
To treat post-tib tendonitis, you can
reduce your symptoms by limiting activity to control the pain and
swelling. Stay off your feet a few days, then slowly increase your
activity. Rest allows the tissues in your foot to heal.
Conservative treatments (non-surgical
treatments) include wearing a foot orthotic with rearfoot posting and
longitudinal arch support to reduce strain on the post tibial tendon and
prevent excessive stretching of the plantar fascia. The orthotic should
also be designed with materials to comfort the foot and absorb shock.
- Listed below are tips to prevent Post-Tib
Tendonitis from recurring:
- Wear shoes that provide cushioning,
support and shock absorption.
- Use orthotics with sufficient arch
support that are constructed from shock absorbing, cushioning materials.
Vary exercise routines. The variety will
keep one set of muscles from being under continuous stress.
If the problem persists, consult your