Posterior Tibial Tendonitis

Posterior tendon problems usually occur just underneath the prominence of teh inner side of the ankle, called the medial malleolus.  This area is prone to problems because of a lack of blook supply.  Therefore, when the tendon becomes injured, as a result of trauma or overuse, the body has difficulty delivering the proper nutrients for healing. 

Most commonly, patients with posterior tibial tendonitis complain of pain in the inside of the foot and ankle, and occasionally have problems associated with an unsteady gait.  As posterior tibial tendonitis progresses, the arch of the foot can flatten, and the toes begin to point outwards. This is the result of the posterior tibial tendon not doing its job to support the arch of the foot.

The initial treatment of posterior tibial tendonitis if focused on resting the tendon to allow for healing. Unfortunately, even normal walking may not adequately allow for the tendon to rest sufficiently. Custom Foot Orthotics provide a stiff platform for the foot, preventing  motion between the midfoot and hindfoot.  Preventing this motion will decrease the inflammation associated with posterior tibial tendonitis.