Doctor insights on:
Posterior Tibialis Tendonitis
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor 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
Severe infection: warrants prompt medical evaluation.Get a more detailed answer ›
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 ›
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 moreSee 1 more doctor 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 moreSee 1 more doctor answer
Are there 6 or 4 compartments in the lower leg? And has anyone heard of isolated posterior tibialis compartment syndrome?
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
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? ...Read more
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
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