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Posterior Tibial Tendonitis: A Helpful Guide

By Double Bay Podiatry,
Expert Foot Care In Sydney's Eastern Suburbs.

If you're struggling with Posterior Tibial Tendonitis in Sydney's Eastern Suburbs, Dr Emily Alston and her team at Double Bay Podiatry are here to help.

The following guide provides important insights into the causes, symptoms and treatment options for Posterior Tibial Tendonitis, helping you to take the first steps toward recovery. If your pain persists, contact the Double Bay clinic for expert advice and personalised care tailored to your needs.

What Is Posterior Tibial Tendonitis?

Posterior Tibial Tendonitis is a condition affecting the posterior tibial tendon, which supports the arch of the foot and stabilises the ankle. Inflammation or damage to this tendon can cause pain, swelling, and difficulty walking. If left untreated, the condition can lead to flatfoot deformity or chronic ankle instability.

Posterior Tibial Tendonitis can impact your mobility and daily life. Whether your symptoms are new or long-standing, this guide explains the symptoms, causes, treatments, and prevention tips to help you get back on your feet with confidence.

Wishing you a smooth recovery,

The Double Bay Podiatry Team

Diagram showing the areas affected by Posterior Tibial Tendonitis in the foot, provided by Double Bay Podiatry in Sydney's Eastern Suburbs.

What Are the Symptoms of Posterior Tibial Tendonitis?

Recognising Posterior Tibial Tendonitis early can prevent serious complications.

Common symptoms include:

  • Pain and tenderness: Along the inside of the ankle or foot, especially after activity.
  • Swelling: Often around the inner ankle area.
  • Difficulty standing on tiptoes: Indicating tendon weakness.
  • Flattening of the arch: Causing the foot to roll inward.
  • Stiffness or limited range of motion: Making walking and movement challenging.
  • Instability: Particularly when walking on uneven surfaces.

If you experience these symptoms, seeking professional care promptly can prevent long-term damage.

6 Common Causes Of Posterior Tibial Tendonitis

Several factors can cause or contribute to Posterior Tibial Tendonitis, including:

  1. Overuse or repetitive strain: From activities like running, jumping, or prolonged standing.
  2. Trauma or injury: Direct injuries to the tendon can cause inflammation or tearing.
  3. Flat feet or fallen arches: Placing extra strain on the tendon.
  4. Improper footwear: Shoes lacking adequate support increase tendon stress.
  5. Obesity: Additional weight adds pressure on the foot and tendon.
  6. Age-related changes: Tendons lose elasticity and strength with age, becoming more prone to injury.

7 Treatments for Posterior Tibial Tendonitis

Treating Posterior Tibial Tendonitis focuses on reducing inflammation, relieving pain, and restoring tendon strength.

Common treatment options include:

  1. Rest and activity modification: Avoiding high-impact activities to prevent further strain.
  2. Custom orthotics: Supportive insoles designed to reduce pressure and improve foot alignment.
  3. Supportive footwear: Shoes with arch support and cushioning to stabilise the foot.
  4. Anti-inflammatory medications: Managing pain and swelling under professional guidance.
  5. Physical therapy: Strengthening exercises to restore mobility and tendon stability.
  6. Immobilisation: Using a brace or walking boot to allow the tendon to heal.
  7. Surgical intervention: Reserved for severe cases when conservative treatments are ineffective.

Your podiatrist will create a personalised treatment plan based on your specific symptoms and lifestyle needs.

Fit and athletic female stretching before a run in Bondi.

How Can Double Bay Podiatry Help with Your Posterior Tibial Tendonitis?

Dr Emily Alston and the team at Double Bay Podiatry have been providing exceptional podiatry care in the Eastern Suburbs since 1993.

  • Thorough assessments: Detailed evaluations to diagnose the condition accurately and determine its severity.
  • Custom orthotics: Prescribed inserts designed to support the foot and reduce strain on the tendon.
  • Personalised treatment plans: Tailored solutions including physical therapy, orthotic support, and activity adjustments.
  • Advanced therapies: Including immobilisation devices, ultrasound therapy, and guided exercise programs.
  • Rebate programmes: Access to Department of Veteran Affairs (DVA) and Enhanced Primary Care (EPC) plans for eligible patients.

Our dedicated team ensures you receive comprehensive care designed to restore your mobility and enhance your quality of life.

Posterior Tibial Tendonitis FAQ

What are the short term benefits from receiving treatment for Posterior Tibial Tendonitis?

Treatment for Posterior Tibial Tendonitis offers several immediate benefits. Pain relief is often experienced within the first few sessions due to reduced inflammation from medication, rest, and therapy. Custom orthotics and supportive footwear improve stability and reduce stress on the tendon, making walking more comfortable. Activity modifications help prevent further injury, allowing the tendon to heal effectively. These early improvements promote long-term foot health, restoring confidence in daily activities.

Recovery from Posterior Tibial Tendonitis involves multiple stages of care. Initially, rest, anti-inflammatory medications, and orthotic support relieve symptoms and reduce inflammation. As the tendon heals, strengthening exercises restore flexibility and foot stability. Supportive footwear and orthotics prevent strain and promote a healthier walking gait. Regular follow-up appointments allow podiatrists to monitor progress and adjust treatment plans as needed for optimal results.

Delaying treatment for Posterior Tibial Tendonitis can cause long-term complications. Persistent tendon damage can lead to chronic pain, reduced mobility, and flatfoot deformity, making walking difficult. If left untreated, the condition can worsen, requiring more invasive procedures such as tendon repair surgery. Early intervention prevents these complications and supports a quicker, more successful recovery.

Preventing Posterior Tibial Tendonitis involves strengthening the foot and maintaining proper support. Wear supportive shoes with good arch support and cushioning. Use custom orthotics if recommended by your podiatrist. Stretch and strengthen your lower leg and foot muscles regularly. Avoid overloading the tendon by gradually increasing activity levels and alternating high-impact exercises with low-impact activities like swimming or cycling. Routine foot assessments can catch potential issues early, preventing future problems.

Certain habits can worsen Posterior Tibial Tendonitis or increase the risk of developing it. Avoid wearing flat, unsupportive shoes or high heels that strain the foot. Refrain from participating in high-impact activities without proper warm-ups or supportive footwear. Skipping stretching exercises can lead to tight calf muscles, increasing tendon strain. Ignoring symptoms or delaying treatment can result in chronic tendon damage. Proactive foot care and proper footwear choices are essential for maintaining foot health.

Posterior Tibial Tendonitis Treatment in Sydney

"Posterior Tibial Tendonitis can cause significant foot pain and mobility challenges, but with early diagnosis and a tailored treatment plan, recovery is achievable."

At Double Bay Podiatry, we provide expert care, personalised treatment plans, and ongoing support to relieve pain and restore mobility.

Contact us today to begin your journey toward a full and lasting recovery.”

Healthy looking feet after treatment at Double Bay Podiatry in Sydney's Eastern Suburbs
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