Posterior Tibial Tendonitis
In this episode: Posterior Tibial Tendonitis. It is the 26th most common running injury though running is not the only cause.
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Brief overview of the episode:
Posterior tibial tendonitis or is it posterior tibialis tendonitis? Now a days its often referred to as posterior tibialis syndrome because there is often no swelling though the rest of the symptoms are the same or at least closely similar.
The posterior tibialis muscle sits on the inside of you tibia. This is the deepest muscle of the lower leg. The tendon runs along the inside of you ankle and connects to the underside of your foot. It is often said that the posterior tibialis is responsible for suporting your arch. This occurs because the muscle performs both inversion of the foot as well as plantar flexion.
If this muscle is injured you will have pain on the inside of your foot, ankle and lower leg. There is sometimes swelling on the inside of the ankle or lower leg. Pain is usually worse with running, longer duration walking or standing. In later stages the arch of the foot could collapse and pain can be present on the outside of the foot as well. In most cases there is at minimum pain but often times significant difficulty performing a single leg heel raise. This will present as difficult or pain pushing off when running or walking.
There is usually range of motion loss in the ankle or at least restriction. Most often this is with dorsiflexion (pulling the foot upward). This is a chicken or egg situation. It is not fully known if poor dorsiflexion is a cause of or response to injury to the posterior tibialis.
Because of the similar location of pain often time plantar fasciitis is thought to be the early diagnosis. This is fairly easy to differential diagnose during an evaluation.
Posterior tibial injuries are more common in women. People over 40 and other risk factors include being overweight, diabetes and hypertension. Here at Rebound Therapy and Wellness Clinic we tend to see it most often in people whom run a lot or with individuals who have recently increased the amount of running they are doing.
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