

Posterior Tibial Tendonitis
The posterior tibial tendon supports your arch and helps you walk.
Posterior tibial tendonitis is a common condition that affects the tendon responsible for supporting the arch of the foot. This tendon runs along the inside of the ankle and foot, playing a crucial role in walking and maintaining balance.
When the posterior tibial tendon becomes inflamed or injured, it can lead to pain, swelling, and difficulty with movement. This condition is often associated with overuse, improper footwear, or underlying foot deformities.
Diagnosing
To diagnose posterior tibial tendonitis, our providers conduct a thorough exam of the foot and ankle, including various tests to assess the tendon’s function. X-rays or MRIs may be ordered to evaluate the extent of the injury and rule out other conditions.
Symptoms
Our patients with posterior tibial tendonitis often relay the following symptoms:
Pain along the inside of the ankle and foot.
Swelling and tenderness near the tendon.
Difficulty standing on tiptoe or walking on uneven surfaces.
A feeling of instability in the ankle or foot.
Treatment
Treatment for posterior tibial tendonitis typically focuses on reducing pain and inflammation, as well as restoring function. Common approaches include:
Rest: Avoiding activities that exacerbate the pain.
Physical Therapy: Exercises to strengthen the tendon and improve flexibility.
Orthotics: Custom foot supports to relieve strain on the tendon.
Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and swelling.
Prevention
To help prevent posterior tibial tendonitis, our providers discuss the following strategies:
Wear supportive footwear that fits properly.
Gradually increase the intensity of physical activities.
Maintain a healthy weight to reduce stress on the feet.
Incorporate stretching and strengthening exercises for the feet and ankles.