Glossary of Podiatric Terms
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.
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 and 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, and 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 rear foot posting and longitudinal arch support to reduce strain on the post tibial tendon and 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 recurring:
If the problem persists, consult your foot doctor.
This information is for educational purposes ONLY. Only a qualified Doctor can make a medical recommendation for treatment or diagnosis. We do not claim that our products cure any medical condition. The foot has very complex anatomy so there can be many different reasons to explain what is causing your feet to hurt, and some problems can cause more to arise. For this reason, you should always consult a doctor for a correct diagnosis or recommendation for insoles, especially if your pain is severe, worsens, or persists, even with the aid of insoles.