Tibialis Posterior Tendinitis/ Tendinopathy is also know as Posterior Tibial Tendon Dysfunction (PTTD). The tendon of Tibialis posterior muscles is one of the most important supporting structures for the arch of the foot. This muscle originates from fibula & inserts over the medial cuneiform & navicular bone.
When the function of this tendon is impaired, it alters the walking pattern & is unable to provide adequate support to the arch. If left untreated overtime this muscle loses it's integrity & the arch collapses. This is termed as 'Adult acquired
flat feet.
If the person continues to walk in this pattern it leads to outward deviation of toes & rolling inwards (Pronation). Therefor early treatment is advisable.
Treatment
- Reduction of inflammation over the tendon.
- Use of ankle brace while walking during the initial period to support the tendon & allow it to heal.
- Physical Therapy exercises to reduce pain & strengthen the muscle to prevent further complications.
- Use of corrective orthotics to prevent the arch from collapsing completely.
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