May 2017

 
Posterior Tibial Tendonitis
 
The tibialis posterior is one of the main stabilizers of the medial arch of the foot.  Along with the flexor digitorum longus and the flexor hallicus longus, the tibialis posterior forms the deep calf musculature and helps control pronation during the gait cycle.  Posterior tibial tendonitis is the result of repetitive overload on the tibialis posterior tendon which results in pain, tenderness, and inflammation of the tendon.  The condition of acute tendonitis can progress into a chronic tendonosis which is characterized as a degerative condition if the excessive load is not normalized.  Chronic overload on a degenerated tendon can predispose it to a partial or full-thickness tear. 
 
 
 
Causes:
  • Pronation of medial arch of foot
  • Repetitive strain/overload
  • Standing, walking, running on hard surfaces
  • Improper/worn footwear
  • Muscular imbalances
    • Strength/stability
    • Mobility/flexibility
Symptoms:
  • Pain/swelling inside of ankle
  • Pain with walking or running
  • Flattening of foot (pronation of medial arch)
  • Inversion of ankle (outward tilt of heel)
Treatment:
  • Rest, Ice, Elevation, NSAIDs - acute stages
  • Brace/boot to immobilize - acute stages
  • Assessment/treatment of soft-tissues
    • ART/Sports Massage
  • Functional rehabilitative exercise
  • Orthotics to stabilize medial arch
  • Check and replace shoes
 
 
Active Performance Chiropractic focuses on the diagnosis, treatment, and rehabilitation of athletic-related injuries. Treatment is a unique blend of Active Release Techniques, traditional chiropractic therapy, and physical rehabilitation designed to match each patient’s goals and lifestyle.