What are Posterior Tibial Tendonitis, What Causes Posterior Tibial Tendonitis,and What is the Treatment for Posterior Tibial Tendonitis?
Posterior tibial tendonitis is an inflammation of the posterior tendon that extends from the calf muscle and inserts in several areas of the medial arch of the foot. In this condition, the tendon is irritated and inflamed resulting in pain. This condition is usually a result of over pronation and poor medial arch support. The symptoms of posterior tibial tendonitis are:
Pain in the medial arch and or inside of the ankle
Overall foot pain and/or heat
Pain that is usually worse when walking of standing for long periods of time.
Pain that increases over a period of months
The pain is often worst after walking or standing for long periods of time. Many people experience pain in the medial arch of the foot and on the inside of the ankle. They also tend to notice a significand degrees in the arch as the foot changes due to the posterior tibial tendon being stretched. For some people swelling is also noticed.
The most common cause of posterior tibial tendonitis relates to faulty structure of the foot that cause the medial arch to drop and excessive prolonged stress be placed on the posterior tibial tendon. This condition can also be caused by trauma to the foot resulting in structural change to the bone structure or soft tissue. For example, a sever eversion strain can over stretch the posterior tibial tendon. Tight calf muscles that limit how far you can flex your ankles can also cause the condition. Wearing non-supportive footwear on hard, flat surfaces puts abnormal strain on the posterior tibial tendon and can also lead to posterior tibial tendonitis. This is particularly evident when a person's job requires long hours on their feet. Obesity also contributes to posterior tibial tendonitis.
Custom foot orthotics help correct the underlying structural abnormalities, support the medial longitudinal arch and control the hind foot. Stretching exercises and physical therapy may be used to help provide relief. Avoid going barefoot and putting undue strain and stress on your posterior tibial tendon. Ice packs on your heel may help reduce inflammation. Cut down on extended physical activities to give your heel a rest. Wearing shoes that provide a comfortable environment for the foot. Certain anti-inflammatory drugs. Lose weight. Extra pounds put extra stress on your posterior tibial tendon. Injections may be used to help reduce the inflammation and relieve pain.