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Doctor insights on: Posterior Tibialis Tendonitis

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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

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Dr. Jimmy Bowen
822 doctors shared insights

Tendinitis (Definition)

The inflammation of a tendon, ...Read more


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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

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Is it alright to ski if I am overcoming tibialis anterior tendonitis and just sprained my ankle today?

Is it alright to ski if I am overcoming tibialis anterior tendonitis and just sprained my ankle today?

Fine once recovered: I recommend obtaining medical clearance from at least your physical therapist and your treating physician. Ski boots tend to put considerable pressure directly over the area of your foot and ankle that is home to your tibialis anetrior tendon. Skiing is a great sport, but chronic tendinitis may diminish the fun due to pain. Swelling around your ankle will potentially make boot fitting difficult. ...Read more

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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

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How do you treat posterior tibial tendinitis?

How do you treat posterior tibial tendinitis?

RICE: Rest, ice, compression, elevation and then support and anti-inflamatory medication. ...Read more

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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

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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

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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

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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

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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

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Where can I get a walking boot for posterior tibial tendinitis?

Where can I get a walking boot for posterior tibial tendinitis?

Aircast: Look on the internet for an aircast boot. Specifically you need a curved (rocker) bottom boot. (i have no affiliation with aircast ). ...Read more

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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

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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

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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

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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

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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