Posterior Tibial Tendonitis
Expert Care for Posterior Tibial Tendonitis
Comprehensive Treatment for Inner Ankle and Arch Pain
Posterior Tibial Tendonitis is the inflammation of the tendon that runs along the inside of the ankle and arch, which is crucial for maintaining the arch and preventing excessive foot flattening (pronation). Continuous stress from walking, standing, or running makes this tendon prone to injury, and if left untreated, tendonitis can lead to the more severe Posterior Tibial Tendon Dysfunction and progressive arch flattening.
The specialists at Missouri Foot & Ankle are equipped to provide comprehensive care. Symptoms include pain and swelling along the inside of the ankle and arch, which initially occurs during exercise or extended activity but can progress to pain even at rest. The tendon sheath surrounding the injury produces fluid, causing visible swelling. We diagnose this condition by evaluating your history, performing a physical exam (including a "tip of the toes" strength test), and using advanced imaging like MRI or ultrasound to determine the extent of the damage.
Treatment depends on the duration of symptoms and any loss of tendon strength. Initial non-surgical treatment typically includes non-steroidal anti-inflammatory medication, physical therapy, rest, and the use of orthotics to decrease stress on the tendon. In more severe cases, immobilization using a cast from the knee down may be utilized for four to six weeks to allow complete rest. If these conservative measures fail or if progressive weakness occurs (PTTD), surgical intervention may be necessary to clean around the tendon and repair any defects.
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What is Posterior Tibial Tendon Tendonitis?
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