Orthotics to reposition the affected foot and take the strain off the tendon may be required and should be worn in the supportive shoe. Often wearing a supportive lace-up shoe like a running shoe is helpful to reduce symptoms. Sometimes a walking boot is needed for a few weeks to rest the tendon. Initial treatment may include the RICE regimen:Īnti-inflammatory medicines are often required to reduce pain and inflammation. Treatment for posterior tibial tendon injury Your sports doctor or orthopaedic surgeon should perform the appropriate assessment and investigations. Diagnosisĭiagnosis is often possible just from the signs and symptoms and a physical examination, but sometimes imaging, such as X-ray, ultrasound or MRI is needed to assess the injury or to rule out other conditions. Overuse may be caused by walking, running, hiking, stair-climbing or high-impact sports, such as tennis and basketball. Arch pain is usually located in the inside of the foot between the arch and ankle. Dysfunction usually occurs in older people, particularly women and is progressive. ARCH PAIN (TIBIALIS POSTERIOR TENDONITIS). Sudden injuries usually occur in athletes from a distinct injury, but may occur as an overuse injury in people with poor lower limb alignment. Posterior tibial tendon injury can result from overuse of the tendon or from a specific incident such as a fall. The result is pain and a loss of arch support, making it difficult to run. People who play high-impact sports often injure or tear this tendon. It provides support to the foot's arch, especially when you are walking.
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