Physiotherapy North Sydney: Ankle Pain – Tibialis Posterior Tendinopathy

Tibialis posterior tendinopathy is an inflammation and/or irritation of the tibialis posterior tendon in the foot. This tendon helps to support and stabilise the foot and ankle. When injured, the increased instability in the area can cause the inside of the foot and ankle to be overloaded which can lead to ankle or heel pain, arch pain, plantar fasciitis and/or heel spurs. Pain will be more severe upon weight bearing, especially while walking or running.

The tibialis posterior tendon extends from the tibialis posterior muscle in the leg. It descends the lower leg and runs along the inside of the ankle, down the side of the foot, and into the arch.

At PHYSIO4ALL we use various techniques to treat tibialis posterior tendinopathy. Some of these techniques include biomechanical lower limb and foot analysis, electrotherapy & Cryotherapy (ice), release to tight tissue structures, acupuncture or dry needling, functional and eccentric strengthening, taping, and assessment of lumbar spine and sacroiliac joint to eliminate referred pain.

Usually the healing process will take 4-6 weeks to settle. During this time graded return to weight bearing exercise will be prescribed by your physiotherapist. In severe cases a Walker/Moon boot may be prescribed, or surgery may be indicated.

Please review our PHYSIO4ALL video footage of level one of the Tibialis posterior tendinopathy rehabilitation program.

Another video showing how to strengthen the Tibialis Posterior (Level 2 Rehabilitation) can be viewed on the following link:

For the Third level of exercise for Tibialis Posterior Tendinopathy, click the following link:

About the author

Steve Felsher Steve is the principal physiotherapist and director of PHYSIO4ALL, and was honoured to treat athletes at the Sydney 2000 Olympic Games, the South African Olympic Soccer team and the Natal Sharks Super 14 Rugby team He is a highly experienced professional having also co-owned a Sports Physiotherapy practice in Durban, South Africa. Steve has had years of experience consulting to the corporate sector in injury management and prevention. You can also find him on , Facebook, and Twitter.

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