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Tibialis Posterior Tendinopathy, Sports Medicine

Alicia Chitanand, DO and Kenneth P. Barnes, MD, MSc, CAQSM, FACSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Overuse injury resulting in tendon degeneration with pain typically located posterior to the medial malleolus

  • Various presentations of condition divided into three stages:

    • Stage 1: mil...

DIAGNOSIS

HISTORY

  • Pain along the length of the posterior tibialis tendon, particularly near the medial malleolus

  • May relate to a recent change in activity frequency, type, and intensity

  • Medial arch pain

  • O...

TREATMENT

  • Early treatment is essential to prevent progression of stage 1 to 2 or 3.

  • Use the Education, Unloading, Reloading, and Prevention (EdUReP) model for nonsurgical management of tendinopathy 2[A...

REFERENCES

1
Arnoldner MA, Gruber M, Syrè S, et al. Imaging of posterior tibial tendon dysfunction—comparison of high-resolution ultrasound and 3T MRI. Eur J Radiol.  2015;84(9):1777–1781.
2
Davenpo...

ADDITIONAL READING

  • Alvarez RG, Marini A, Schmitt C, et al. Stage I and II posterior tibial tendon dysfunction treated by a structured nonoperative management protocol: an orthosis and exercise program...

CLINICAL PEARLS

  • Posterior tibialis tendinitis is caused by overuse and needs relative rest. This can be done by orthotic use, bracing, or cam walker. A home exercise program and cross-training with po...

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