Top
30
Doctor insights on: Exercises For Posterior Tibialis Dysfunction

Share
2

2
What are the best stretches, exercises, and other preventative measures for tibialis posterior tendinitis?

What are the best stretches, exercises, and other preventative measures for tibialis posterior tendinitis?

PREVENTING: First, I congratulate you on using the correct terminology; tibialis posterior, not posterior tibial. Second, do you really want to stretch a tendon whose job it is to maintain the integrity of the arch; a TP tendon that lengthens only 2cm can cause pathology. Third, prevention. There are many causes; the most common may be an intrinsic abnormality within the tendon itself. Age, BMI, steroids also ...Read more

3

3
Hello, and I am suffering from posterior tibialis inflammation. Since almost 1 year, I am taking given rapudus 50, can I take it all my life?

Hello, and I am suffering from posterior tibialis inflammation. Since almost 1 year, I am taking given rapudus 50, can I take it all my life?

Not a great idea: Generally, no. Rapidus (diclofenac) is a potent anti-inflammatory which is very effective for relieving inflammation of tendons/ligaments especially after injury. It's usually prescribed for up to 6 weeks, and while sometimes it is needed long-term, this comes with high risk of developing stomach ulcers or kidney disease. Naproxen or meloxicam are similar but have a little less long-term risk. ...Read more

4

4
What is posterior tibialis tendonitis?

What is posterior tibialis tendonitis?

Treatment options: My suggestions to patients w/ tendonitis consist of rice, anti-inflammatories (oral/ topical), strengthening/ stretching. I also may suggest massage or bracing. If the above list does not help then you may want to consider discussing injections (cortisone or prp), oral/ topical prescriptions, or even orthotics with your physician. ...Read more

5

5
How can the tibialis posterior be damaged in a subtalar lateral subluxation?

How can the tibialis posterior be damaged in a subtalar lateral subluxation?

Post tibialis: In order for the post tibialis to be injured there was an over pronation or eccentric loading of the tendon if an acute injury. Can also occur through attrition if chronically stress in the same fashion. ...Read more

7

7
Has anyone ever heard of tibialis posterior spasticity from long term ssri use?

Has anyone ever heard of tibialis posterior spasticity from long term ssri use?

No: Ssris have been known to worsen spasticity in some cases and cause other muscle problems in others but not spasticity. Spasticity isolated to one muscle would be rare too. Muscle symptoms usually resolve when the medication is stopped. I see many patients with spasticity and they all have a neurological injury/disease. ...Read more

9

9
Just like night splints stretch the calf is there a night splint that can stretch the tibialis posterior?

Just like night splints stretch the calf is there a night splint that can stretch the tibialis posterior?

Not aware of any: The tibialis posterior contracts to produce inversion & assists the gastroc/ soleus (calf) in the plantar flexion of the foot/ ankle. With that being said, I do not believe there is commercialized splint marketed specifically for the tibialis posterior, but a generic night splint may help some. You may also be able to have someone fashion a splint for you at your ortho office. ...Read more

10

10
My tibialis posterior tendon has come out of its groove behind the medial malleolus is this even possible?

My tibialis posterior tendon has come out of its groove behind the medial malleolus is this even possible?

Anything is possible: This would be very uncommon. The tibialis posterior tendon is held in place by a very broad, strong compartmentalized ligament. It is possible you have ruptured the tendon or ligament. Do you have weakness on that side? Are there any other symptoms. Posterior tibial dysfunction is a serious problem. You should have a professional exam and imaging if necessary. ...Read more

11

11
Are there 6 or 4 compartments in the lower leg? And has anyone heard of isolated posterior tibialis compartment syndrome?

Are there 6 or 4 compartments in the lower leg? And has anyone heard of isolated posterior tibialis compartment syndrome?

4: There are 4 compartments (anterior, lateral, superficial and deep posterior). Theoretically it's possible to have only one with increased pressure. ...Read more

13

13
Tibialis posterior myoclonus that comes on w/running-where are the likely places on body that nerve is being compromised? Brain? Hip?

Tibialis posterior myoclonus that comes on w/running-where are the likely places on body that nerve is being compromised? Brain? Hip?

Central: Isolated myoclonus from a peripheral nerve impingement would be very uncommon indeed. Sure it isn't a task-specific dystonia? That would be due to a problem in the central nervous system (brain, spinal cord). ...Read more

14

14
What would the implications be of a very tight tibialis posterior? I have chronic hip/back pain, and massaging this muscle has helped drastically...

What would the implications be of a very tight tibialis posterior? I have chronic hip/back pain, and massaging this muscle has helped drastically...

Low back nerve root: Tibialis posteriior is supplied by the L5 nerve root. Usually more than one muscle will be tight due to multiple nerve root irritation fron a chronic basis with elements of acute irritation. Massage is best done on the lower back to involve the entire lower limbs, down to the calves. Massage should involve the trigger points that feel good since these are the most irritable trigger points. ...Read more

15

15
How concerning is a tibialis posterior tendon strain and will I be able to run again?

How concerning is a tibialis posterior tendon strain and will I be able to run again?

Yes: A strain is usually just an overuse injury, it should heal up with rest and strengthening and you should be able to get back to running, it is important that you attempt to figure out what biomechanically caused this injury in the first place.
...Read more

16

16
Pain in LT ankle/foot x 1 year. Posterior tibialis tear...surgeon wants to do surgery. Not sure as pain is on side of foot and not along the tendon..

Pain in LT ankle/foot x 1 year. Posterior tibialis tear...surgeon wants to do surgery. Not sure as pain is on side of foot and not along the tendon..

It is important: That you are clear where the pain is...when you say "on the side of the foot" can you be more specific?
...Read more

17

17
Can an MRI reveal scar tissue deep in the calf caused by overuse injury of the soleus/tibialis posterior?

Can an MRI reveal scar tissue deep in the calf caused by overuse injury of the soleus/tibialis posterior?

Yes: One should be able to see scar tissue if it is present. Though, I am not sure an overuse injury would cause scar tissue. ...Read more

18

18
Soft lump on tibialis posterior near inner ankle. Painless there 7 months. Doctor said it was just muscle (hypergole). Should I worry it's cancer?

Soft lump on tibialis posterior near inner ankle. Painless there 7 months. Doctor said it was just muscle (hypergole). Should I worry it's cancer?

Watch it, if it grow: You should check it to see if it is getting bigger. If it is cancer, it will grow and increase in size. Then you need to get it removed. ...Read more

19

19
Why pain in facialis posterior tibialis diaphysis after stretching in post-trauma lower-leg? NSAID takes pain/stiffness off. Muscle, joint trauma?

Why pain in facialis posterior tibialis diaphysis after stretching in post-trauma lower-leg? NSAID takes pain/stiffness off. Muscle, joint trauma?

Plus tendinitis: You are right this can be a combination of symptoms and findings. It can involve all the bones, muscles, the tendons and even Cartilage you will also benefit from having some physical therapy. Ask your physician ...Read more

20

20
What would cause the anterior tibialis to get very tight with minimal exercise (10-15 reps of sitting heel lifts) and remain tight? Other leg fine.

What would cause the anterior tibialis to get very tight with minimal exercise (10-15 reps of sitting heel lifts) and remain tight? Other leg fine.

Sounds strained...: At times it can be strained by wearing shoes without a back as that tendon will work harder to pull the bottom of your heel to the shoe during gait. Your sit-up position may have further aggravated it ...Read more

21

21
I have a lump on my tibialis interior and I wanted to know what that is?

I have a lump on my tibialis interior and I wanted to know what that is?

Work up: This cant be answered on the internet You need an exam and radiology studies if deemed necessary. The results of that will determine if a biopsy is warranted. That is the only way to have a real diagnoses ...Read more

22

22
What does "trace reactive fluid versus tenosynovitis at the tibialis tendon " mean?

What does "trace reactive fluid versus tenosynovitis at the tibialis tendon " mean?

Report: Sounds like an MRI report. It means the radiologist physician sees fluid around that tendon and he or she is clinically correlating it with your clinical story. It may be inflammation generally in the area or s tendonitis. Fluid is different than an immune infiltrate that has a lot if white blood cells that's fluid vs. tenosynovitis - inflammation where the tendon attaches to bone. ...Read more

24

24
Is it possible to have compartment syndrome and a herniated tibialis anterior?

Is it possible to have compartment syndrome and a herniated tibialis anterior?

Yes: Yes whatever trauma caused the herniation of the muscle could also cause compartment syndrome. Or herniation of the muscle could cause swelling of the muscle that leads to compartment syndrome. ...Read more

25

25
How rare is anterior tibialis muscle herniation? And how long after surgery to repair should I experience pain?

How rare is anterior tibialis muscle herniation? And how long after surgery to repair should I experience pain?

Rare: Anterior tibialis muscle rupture is rare.
The surgery to repair this will depend on how much separation there is between the two ends of the muscle. The larger the separation the more work and exposure will be required.
I would expect this to cause you pain for 3 weeks with several months of sore recovery. ...Read more

27

27
Insect bite on anterior tibialis muscle, should I be concerned?

Insect bite on anterior tibialis muscle, should I be concerned?

Location matters not: I would get concerned if there are signs of an infection (increasing redness, swelling, pus, fever, or worsening pain). ...Read more

30

30
My son has an asymtomatic anterior tibialis hernia. Is it ok to continue running? He has no pain at the moment. Thank you.

My son has an asymtomatic anterior tibialis hernia. Is it ok to continue running? He has no pain at the moment. Thank you.

Hernia?: If there is no pain, probably ok to keep running. If you're not already doing so, a consultation with a sports medicine doctor is in order. The term hernia usually refers to the abdominal wall, and not the leg. Hope this helps! ...Read more