Two people’s lower legs and shoes beside an enclosed anti-gravity treadmill

Tibialis Posterior Tendon Dysfunction Treatment in Romsey

Assessment and management when the tendon supporting the arch is no longer coping.

A podiatrist holding a foot and ankle skeleton model
Background

What Is Tibialis Posterior Tendon Dysfunction?

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

Its role is to support the arch, control foot movement and provide stability during walking. When the tendon becomes weakened or damaged, it can gradually lose its ability to support the foot effectively.

Over time, this may lead to flattening of the arch, changes in walking mechanics and increasing difficulty with activity.

Symptoms of Tibialis Posterior Tendon Dysfunction

Common symptoms include:

  • Pain along the inside of the ankle
  • Pain or aching through the arch of the foot
  • Swelling around the tendon
  • Progressive flattening of the foot
  • Difficulty walking long distances
  • Reduced balance and stability
  • Pain during activity
  • Increased fatigue in the foot and ankle

Many patients notice symptoms worsening gradually over months or years.

What Causes Tibialis Posterior Tendon Dysfunction?

Several factors may contribute, including:

  • Age-related tendon degeneration
  • Repetitive overload
  • Flat feet
  • Previous ankle injuries
  • Reduced calf strength
  • Biomechanical abnormalities
  • Excessive loading through the foot

Early diagnosis is important because the condition can become more difficult to manage as it progresses.

Assessment and Diagnosis

At NK Active, we carry out a comprehensive assessment that may include:

This allows us to understand how the tendon is functioning and identify the factors contributing to overload.

Treatment Options

Podiatry Assessment

Accurate diagnosis is essential to determine the stage of dysfunction and guide treatment.

Custom Orthoses

Orthotic therapy often plays a key role in supporting the arch and reducing strain on the tendon.

Rehabilitation

Targeted strengthening exercises help improve tendon capacity and lower limb function.

Gait Analysis

Understanding walking mechanics helps identify movement patterns contributing to symptoms.

Footwear Advice

Appropriate footwear can improve support and reduce stress through the foot and ankle.

Strength Testing

Identifying deficits in strength helps guide a more personalised rehabilitation programme.

Why Choose NK Active?

We combine specialist podiatry expertise with advanced biomechanical assessment and rehabilitation strategies to help patients manage this condition effectively.

A clinician holding a custom orthotic insole
Common Questions

Frequently Asked Questions

Is tibialis posterior tendon dysfunction the same as tendinopathy?

No. Tendinopathy describes tendon pain and degeneration, while dysfunction refers to progressive loss of tendon function and support.

Can the condition be reversed?

Early-stage cases often respond very well to conservative treatment. More advanced cases may require long-term management strategies.

Do orthotics help?

Yes. Orthoses are often an important part of treatment because they help reduce stress on the tendon.

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