Inflammation of the tibialis posterior tendon

Chronic, pathological incorrect loading or foot malpositions lead to constant overloading and incorrect loading of the feet. The muscles involved react with pain, hardening and shortening. In the area of the tendon of the M. tibialis posterior, massive swelling and inflammation initially occurs. If these are not treated quickly and adequately, small longitudinal tears form in the tendon over time, which ultimately leads to its rupture. In this case, the longitudinal arch of the foot collapses completely and the acquired flat foot develops.

Diagnosis of Tibialis posterior syndrome

For diagnosis, a precise clinical examination of the affected foot is of enormous importance. The practitioner pays particular attention to the prevalent, known foot malpositions, painful pressure points and swelling of the tendon. In addition, an X-ray examination under stress should be performed, as this will reveal irregularities in the anatomy of the foot as well as malpositions.

Treatment of tibialis posterior syndrome

Treatment and therapy depend on the extent of the damage. Basically, protection, cooling and a reduction of the load are recommended. Furthermore, an individual insole fitting of the patient is important to correct existing foot malpositions.

Physiotherapy, targeted muscle building training of the calf and shin muscles as well as cold therapy can contribute to an improvement of the symptoms. The use of anti-inflammatory, decongestant drugs such as ibuprofen is helpful in the acute phase. The injection of cortisone directly into the affected tendon should only be done once, if at all, as this can further damage and weaken the tendon and its structure. Care should also be taken to wear sturdy shoes.If all conservative, non-surgical methods do not lead to any improvement, a surgical intervention is the last alternative.

Exercises for tibialis posterior syndrome

Special exercises for the entire foot and lower leg muscles can have a positive effect on the course of a tibialis posterior syndrome. These should be individually tailored to the patient and should be supervised and controlled by an experienced physiotherapist at the beginning of the treatment. In principle, a well developed musculature protects the musculoskeletal system from damage.