Posterior tibial tendonitis is a painful condition, affecting the inner side of the foot and ankle.
This condition occurs when the posterior tibial tendon becomes inflamed or happens to rupture.
If you have got this condition, you will know about it.
You will have considerable foot pain and ankle pain.
Another problem you could experience is an unsteady gait.
How to Diagnose Posterior Tibial Tendonitis
To work out if you indeed are suffering from posterior tibial tendonitis you will want to look out for the following symptoms:
Pain on the inside of the foot and ankle.
Swollen and tender at the inside of the foot.
You will not be able to get up or to lean on the affected foot without pain.
Painful when trying to point your toes inward.
When you experience these symptoms, it is definitely time to go to your physician and get things checked out.
An MRI might be needed to understand the damage to the area and to find out if surgery is required or not.
How to Treat Posterior Tibial Tendonitis
Treatment of this injury is initially focused on giving the affected muscle as much rest as possible.
When in pain, you can take ibuprofen or anti-inflammatories to work through it, but you need to take some action to actually give the foot some rest.
You can do this in some of the following ways:
Limit strenuous activity. Yes, that means running!
Place inserts / foam pads in your shoes.
Wear specially fitted walking boots.
Wear a short leg cast.
When a rigid platform is provided for the foot, the boots or inserts will decrease the motion and as a result, the inflammation surrounding the posterior tibial tendon should subside. A short leg cast is more cumbersome than the boots or inserts, but is the most reliable method to use when striving to rest the tendon.
Depending on the severity of the injury, surgery may have to be considered. There are different types of surgery possible. The type of surgery is dependent on the state the posterior tibial tendon is in. It could range from cleaning up the tendon to full scale replacement of the tendon including bony reconstruction.
So, you see that the way of treatment really depends on the severity of the condition.
Therefore you should go to your physician when you are experiencing these symptoms.
Your physician, with or without the help of an MRI scan will be able to work out what you need to do for your feet.