Physiotherapist coaching an older patient on a weights machine in the clinic gym

Tibialis Posterior Tendinopathy Treatment in Romsey

Assessment of the tendon that supports your arch, and a plan to load it safely.

Podiatrist assessing a patient's standing posture and foot position at NK Active
Background

What Is Tibialis Posterior Tendinopathy?

The tibialis posterior tendon runs along the inside of the ankle and attaches into the foot.

When overloaded, the tendon can become painful and less effective at supporting the arch.

Symptoms

Common symptoms include:

  • Pain along the inside of the ankle
  • Arch pain
  • Swelling around the tendon
  • Reduced walking tolerance
  • Weakness during activity
  • Increased pain after exercise

Causes

Common contributing factors include:

  • Flat feet
  • Foot biomechanics
  • Reduced calf strength
  • Training errors
  • Excessive loading
  • Previous injury

Assessment and Diagnosis

Assessment includes:

Treatment Options

Rehabilitation

Targeted strengthening is often highly effective.

Orthotic Therapy

Orthoses may help support the tendon and reduce loading.

Gait Analysis

Biomechanical assessment can identify contributing movement patterns.

Footwear Advice

Supportive footwear often plays an important role in treatment.

Shockwave Therapy

May be appropriate for selected persistent cases.

Fitting a custom orthotic into a patient’s shoe
Common Questions

Frequently Asked Questions

Can tibialis posterior tendinopathy lead to flat feet?

Long-term dysfunction can contribute to progressive flattening of the arch.

Is surgery usually required?

Most patients improve with conservative treatment.

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