Doctor insights on:
Exercises For Posterior Tibialis Dysfunction
Posterior tibialis dysfunction on left ankle and rt hip impingement, can not walk a lot, recumbent bike > hip pain for me, exercise allowed?
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
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
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
Severe infection: Warrants prompt medical evaluation.Get a more detailed answer ›
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
What does "insertional partial-thickness tear of posterior tibialis tendon" mean? Can this heal or does it need surgery?
See oethopedics: Please see an orthopedician.Get a more detailed answer ›
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
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
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
Posterior tibialis pain that's comes and go with rest for a long time in one leg PLUS that leg's posterior muscles are much softer than the other leg?
Tibialis posterior myoclonus that comes on w/running-where are the likely places on body that nerve is being compromised? Brain? Hip?
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
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?
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
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?
Why pain in facialis posterior tibialis diaphysis after stretching in post-trauma lower-leg? NSAID takes pain/stiffness off. Muscle, joint trauma?
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.
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
How rare is anterior tibialis muscle herniation? And how long after surgery to repair should I experience pain?
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
Please let me know if there is a difference between anterior tibialis tendon and anterior tibialis muscle?
See below: The anterior tibialis tendon is an extention of the anterior tibialis muscle and inserts into the bone. ...Read more
My son has an asymtomatic anterior tibialis hernia. Is it ok to continue running? He has no pain at the moment. Thank you.
- Talk to a doctor online
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- Stretch posterior tibialis