TIBIALIS POSTERIOR SYNDROME


WHAT IS TIBIALIS POSTERIOR SYNDROME?

The tibialis posterior muscle comes from behind the shin bone (tibia) and runs into a tendon that passes behind the bony bit on the inside of the ankle (medial malleolus). Inflammation can occur around the medial malleolus and further down under the foot where the tendon attaches. If you over pronate you are more likely to suffer from this injury.
Athletes that are involved in sports where the foot rolls in a lot such as speed skating or running on tight bends are also more prone to this injury.


SYMPTOMS OF TIBIALIS POSTERIOR SYNDROME:

  • Pain over the attachment of the tendon to the navicular bone in the foot.
  • Pain when the tendon slides in the sheath during exercise.
  • Swelling around the medial malleolus (bony bit on the inside of the ankle).



WHAT CAN I DO WITH TIBIALIS POSTERIOR SYNDROME?

  • Rest the foot for a couple of weeks.
  • Apply ice for the first 3 days.
  • After this apply heat and use a heat retainer or support.
  • See a sports injury specialist for advice on rehabilitation and orthotic devices if necessary.


WHAT CAN A SPORTS INJURY SPECIALIST OR PODIATRIST DO?

  • Our recommended, and most effective treatment for any tendinitis in the foot and ankle is Cryoplantalis, a revolutionary procedure for chronic foot and heel pain.
  • Rest
  • NSAID's (non steroidal anti inflammatory drugs) may be prescribed to reduce pain and inflammation.
  • Stretching the calf muscles
  • Deep tissue sports massage to reduce tension and help lengthen the muscles. In severe cases surgery may be required.
  • Custom Foot Orthoses
  • Immobilize in plaster cast for 3 weeks
  • Surgery - especially if the tendon is completely ruptured as it is a very important tendon for supporting the arch of the foot.