From Diagnosis To Recovery: Navigating Your Journey With Posterior Tibial Tendonitis

Posterior tibial tendonitis is a painful condition that affects the posterior tibial tendon, which runs along the inside of the ankle and connects to the foot. It can be caused by excessive activity, overuse injuries, or even age-related changes to the tendon. While it can be debilitating, there are steps you can take to manage your pain and work towards recovery. In this article, we will discuss navigating your journey from diagnosis to recovery with posterior tibial tendonitis.

The first step for managing posterior tibial tendonitis is getting an accurate diagnosis. You should consult a medical professional who is experienced in treating musculoskeletal conditions such as this one. They will be able to review your symptoms and medical history and recommend treatments that are tailored specifically for you.

Once you’ve been diagnosed with posterior tibial tendonitis, you can begin exploring treatment options that may help reduce pain and inflammation while promoting healing in the affected area. These treatments may include physical therapy, medications, bracing, orthotics or injections. With proper management and care, you can make significant progress in your journey towards recovery from posterior tibial tendonitis.

What Is Posterior Tibial Tendonitis?

Posterior tibial tendonitis is a condition that causes pain and swelling in the foot, specifically around the area of the posterior tibial tendon. It’s typically caused by overuse or strain of the tendon, which can happen with activities such as running, jumping, or walking on uneven surfaces. It can also be caused by an injury to the ankle or foot.

The posterior tibial tendon is a tendon that attaches to a bone in the foot called the navicular.  The posterior tibial muscle starts deep in the lower leg and wraps around the inner part of the ankle and then attaches to the navicular tuberosity.  The posterior tibial tendon is important for stabilizing the arch and is known to be a “dynamic stabilizer “of the arch.  Certain individuals can be a risk for overuse, degeneration, tearing and rupture of the tendon.  The most obvious example would be patients that have flatfoot deformity.  Because the foot is flatter, the tendon has to work harder to keep the arch supported.  With over utilization of the tendon, it can became inflamed, degenerated, develop tears and potentially rupture.

Symptoms of posterior tibial tendonitis include swelling in the inner part of your foot and ankle, tenderness and pain when you press on your inner ankle, difficulty moving your foot up or down, walking with a limp, and pain that gets worse when you walk or stand for long periods of time. If left untreated, it can lead to chronic pain and deformity.

Treatment for posterior tibial tendonitis usually involves rest and avoiding activities that cause pain. Icing several times a day may help reduce inflammation and discomfort. You may also need to wear custom orthotics or a brace to provide support for your feet or take anti-inflammatory medications to reduce swelling and discomfort. Physical therapy may be recommended as well in order to help strengthen the affected area and improve range of motion. With proper treatment and care, it is possible to manage this painful condition effectively and return back to normal activities.

Causes Of Posterior Tibial Tendonitis

Posterior tibial tendonitis is an inflammation of the tendon that runs into the arch of your midfoot. It’s a common cause of inner ankle pain and can be caused by overuse, running on hard surfaces, or wearing shoes that don’t fit properly. Understanding the causes of posterior tibial tendonitis can help you prevent it from occurring in the first place.

One of the most common causes is repetitive strain on the tendon due to running and walking activities. This happens when you overload your feet with too much exercise or wear shoes that don’t fit properly. You may also be at risk if you have flat feet, as it places more strain on the tendon than if you have an arch in your foot.

By recognizing these causes, you can take steps to reduce your risk of developing posterior tibial tendonitis and keep yourself healthy and active.

Symptoms Of Posterior Tibial Tendonitis

Posterior tibial tendonitis is a type of foot injury that causes pain and inflammation in the ankle. Symptoms of this condition can range from mild to severe, and it’s important to be aware of them so you can seek treatment right away.

The most common symptom of posterior tibial tendonitis is pain on the inner side of your ankle or lower leg. You may also feel tenderness or swelling when you press on this area. Other symptoms include difficulty walking up stairs or hills, limping during activities, and an inability to flex your ankle as much as usual. Pain often worsens with activity and improves with rest.

If you’re experiencing any of these symptoms, it’s important to make an appointment with your doctor for an evaluation. Your doctor will be able to determine if you have posterior tibial tendonitis and recommend a treatment plan tailored to your needs. Early diagnosis and treatment can help reduce the severity of symptoms and aid in faster recovery times.

Diagnosis Of Posterior Tibial Tendonitis

The diagnosis of posterior tibial tendonitis is key to finding the right treatment plan and beginning your journey towards recovery. To diagnose this condition, a doctor will first review your medical history and perform a physical exam. They may then order imaging tests such as an x-ray or MRI to look at the structures in your foot and ankle in more detail.

Once these tests are performed, the doctor can make a diagnosis based on what they find. This could be anything from mild inflammation to a full tear of the tendon. It’s important to note that any signs or symptoms that you have will be taken into account when making the diagnosis, so it’s vital to be honest with your doctor about how bad your pain is and how it affects your daily life.

Your doctor will then use their findings to come up with a treatment plan for you that best fits your needs and goals. Treatment may include rest, ice packs, physical therapy, medications for pain relief or even surgery if necessary. The goal of treatment is always to reduce pain and improve function so you can get back to living an active lifestyle again.

Treatment Options For Posterior Tibial Tendonitis

When it comes to treating posterior tibial tendonitis, there are a variety of options available. Depending on the severity of the condition, different treatments may be necessary. It’s important to consult with a foot and ankle specialist in order to determine the best course of action for you.

Treatment for this type of tendonitis can range from simple lifestyle changes to more invasive procedures. Commonly recommended lifestyle modifications include rest and avoiding activities that aggravate the condition. Additionally, physical therapy is often suggested as a way to improve mobility and strength in the affected area. Anti-inflammatory medications such as ibuprofen may also be prescribed by a doctor in order to reduce discomfort and swelling.

In more severe cases, a physician might suggest surgical intervention. This could involve repairing or reconstructing the tendon in order to improve function and relieve pain. Surgery is usually considered only after other forms of treatment have been unsuccessful, so it should always be discussed with your doctor before making any decisions. Surgery comes in many forms for posterior tibial tendonitis. Typically, as stated above, this tendon will develop issues in the setting of a flatfoot deformity. In most cases, the flatfoot deformity will need to be corrected in addition to the posterior tibial tendon. Sometimes the tendon can not be salvaged so will either be left alone, or another tendon can take its place through a tendon transfer procedure (usually the flexor digitorum longus).

No matter what treatment plan you decide on, it’s essential to follow your doctor’s instructions closely in order to ensure optimal recovery and long-term success. With proper care and diligence, you can move forward on your journey towards healing from posterior tibial tendonitis.

Physical Therapy For Posterior Tibial Tendonitis

Physical therapy is an essential part of the treatment plan for posterior tibial tendonitis. It’s important to understand how physical therapy can help, and what to expect during the process. Physical therapy can help reduce pain, improve strength and flexibility, and restore normal movement in the affected area.

The goal of physical therapy for posterior tibial tendonitis is to restore normal range of motion, reduce inflammation, rebuild muscle strength, and improve balance and coordination. This is achieved through a combination of stretching exercises and strengthening exercises. Stretching helps to increase flexibility in the ankle joint while strengthening exercises focus on building strength in the muscles that support it. Your physical therapist will also provide instructions on proper body mechanics to reduce strain on your foot while walking or running.

Depending on your individual condition, your therapist may also suggest other treatments such as ultrasound or laser treatments to reduce inflammation and improve healing. The length of treatment depends on the severity of your condition; some people may need multiple sessions over weeks or months before seeing full results. With a consistent effort and dedication, you can experience relief from pain and improved mobility in your foot with physical therapy for posterior tibial tendonitis.


When it comes to treating this medical problem, there are several options available. One of them is surgery. This option may be recommended after other treatments have failed or if the condition is severe.

Surgery for posterior tibial tendonitis can involve a variety of procedures depending on the individual’s specific situation and needs. It may involve repairing the affected tendon, releasing tight structures around the ankle joint, or removing inflamed tissue and scarring. After surgery, physical therapy will be necessary to help restore strength and flexibility to the area.

Recovery from surgery can take anywhere from a few weeks to several months, depending on the type of procedure performed and how quickly the patient is able to heal. During this time, it’s important to follow your doctor’s instructions for post-operative care and rehabilitation exercises in order to ensure a full recovery.

Risks Of Not Treating Posterior Tibial Tendonitis

When it comes to posterior tibial tendonitis, it’s important to be aware of the risks associated with not treating it. If left untreated, the condition can become worse and cause more harm than good. Unfortunately, this is a common occurrence as many people may not even realize they have the condition until it has already progressed significantly.

If you’re living with condition and haven’t sought treatment yet, it’s important to understand the consequences of delaying care. Without proper diagnosis and treatment, the pain and swelling associated with this condition could worsen or become chronic. Not only that, but you may also experience difficulty walking or even standing due to weakened muscles in your foot and ankle caused by the injury. In some cases, untreated posterior tibial tendonitis can lead to arthritis or other serious issues that can limit mobility for life.

Thankfully, there are ways to manage this diagnosis without surgery. It’s important to seek medical advice as soon as possible in order to find an appropriate treatment plan that best fits your needs and lifestyle. With rest, physical therapy exercises, medications, orthotics or other treatments such as shock wave therapy or PRP injections, you can start down the path towards recovery and reduce your risk of developing more serious complications from the condition.

Tips For Long-Term Management

Management is essential for a successful recovery. The long-term outlook depends on how quickly and correctly the condition is treated. Here are some tips to help you manage your posterior tibial tendonitis in the long run.

Firstly, it’s important to begin a rehabilitation program as soon as possible, following your doctor’s recommendations. This should include stretching exercises that focus on the calf muscles and Achilles tendon, which will help reduce pain and inflammation while improving mobility. Additionally, strengthening exercises can be useful to rebuild strength in the weakened area around the tendon, helping to prevent further injury or re-injury.

In addition to physical therapy, proper footwear is key for managing posterior tibial tendonitis. Wearing extra arch support or customized orthotics can help reduce strain on the affected area and provide better balance when walking or running. Also, avoid activities that put too much stress on the affected foot until it has healed completely.

It may take time for symptoms of posterior tibial tendonitis to improve, but with diligent treatment and careful management of risk factors like proper footwear and exercise habits, you can decrease your chances of re-injury and set yourself up for a successful recovery.


Posterior tibial tendonitis can be a difficult condition to manage, but with proper diagnosis and treatment it is possible to make a full recovery. The most important thing is to be proactive when you suspect that you have posterior tibial tendonitis and seek help from your healthcare provider. With the right combination of physical therapy, lifestyle changes, and potential surgery, you can successfully manage your condition and return to pain-free activities without further injury.

It is essential to recognize the signs and symptoms of posterior tibial tendonitis early on in order to start the healing process as soon as possible. Early diagnosis and treatment can help avoid long-term complications such as permanent deformity or chronic pain. As you progress through your treatment plan, remember that it’s important to take things slowly and not push yourself too hard.

Navigating your journey with posterior tibial tendonitis requires patience and dedication, but it is possible to make a full recovery if you follow the recommended course of treatment. With the right combination of medical care, lifestyle modifications, and physical therapy, you can heal your body and get back out there enjoying life pain-free once again.