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Post Tib Tendonitis
Post-Tib Tendonitis is a
strain placed on the posterior tibial tendon. The posterior tibial tendon
runs along the inside of the ankle and the foot. When there is post-tibial
tendon dysfunction, the tendon does not function to hold up the arch, resulting
in flat feet. This can lead to heel pain, arch pain, plantar fasciitis
and/or heel spurs. With post-tib tendonitis, pain will be more severe upon
weight bearing, especially while walking or running.
CAUSE
Post-Tib Tendonitis occurs when the muscle is overused and the tendon (soft
tissue) that connects the muscle to your bone is strained. Years of
over-pronation (flat feet) can also lead to posterior tibial tendon dysfunction.
If you keep overusing the muscle, damage to the tendon builds up and tendonitis
develops. At first the pain or swelling may come and go quickly, but
eventually the problem may become more permanent.
TREATMENT &
PREVENTION
To treat post-tib tendonitis, you can reduce your symptoms by limiting activity
to control the pain and swelling. Stay off your feet a few days, then
slowly increase your activity. Rest allows the tissues in your foot to
heal.
Conservative treatments (non-surgical treatments) include wearing a foot
orthotic with rearfoot posting and longitudinal arch support, to reduce strain
on the post tibial tendon reduce strain on the post tibial tendon prevent
excessive stretching of the plantar fascia. The orthotic should also be
designed with materials to comfort the foot and absorb shock.
Listed below are tips to prevent Post-Tib Tendonitis from reoccurring:
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Wear the
shoes that provide cushioning, support and shock absorption.
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Use
orthotics with sufficient arch support that are constructed from shock
absorbing, cushioning materials.
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Vary
exercise routines. The variety will keep one set of muscles from being
under continuous stress.
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