{"id":703,"date":"2025-07-06T11:07:25","date_gmt":"2025-07-06T11:07:25","guid":{"rendered":"https:\/\/podcare.gr\/?post_type=pathology&#038;p=703"},"modified":"2026-03-28T19:12:40","modified_gmt":"2026-03-28T19:12:40","slug":"posterior-tibial-tendinitis-dysfunction","status":"publish","type":"pathology","link":"https:\/\/podcare.gr\/en\/pathology\/posterior-tibial-tendinitis-dysfunction\/","title":{"rendered":"Posterior Tibial Tendinitis \/ Dysfunction"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p><strong>Posterior tibial tendinitis<\/strong> is an inflammation and\/or degeneration of the tendon located on the inner side of the ankle. If not treated early, it may lead to posterior tibial tendon dysfunction, a condition that causes flatfoot deformity and difficulty walking.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>Causes and Risk Factors<\/strong><\/p>\n\n\n\n<p><strong>1. Overuse and injuries<\/strong><\/p>\n\n\n\n<p>\u2013 Prolonged standing or intense physical activity (e.g. running, jumping).<\/p>\n\n\n\n<p>\u2013 Poor foot mechanics causing increased load on the tendon.<\/p>\n\n\n\n<p>\u2013 Repetitive microtrauma or direct injuries to the ankle or foot.<\/p>\n\n\n\n<p><strong>2. Structural and anatomical abnormalities<\/strong><\/p>\n\n\n\n<p>\u2013 Flat feet, which increase strain on the tendon.<\/p>\n\n\n\n<p>\u2013 An excessively flexible arch, which weakens support of the foot.<\/p>\n\n\n\n<p><strong>3. Degenerative and systemic conditions<\/strong><\/p>\n\n\n\n<p>\u2013 Age: The tendon undergoes natural wear over time.<\/p>\n\n\n\n<p>\u2013 Arthritis, which affects foot stability.<\/p>\n\n\n\n<p>\u2013 Diabetes mellitus and obesity, which increase the risk of tendon degeneration.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Symptoms<\/strong><\/p>\n\n\n\n<p><strong>1. Posterior Tibial Tendinitis (Early Stage)<\/strong><\/p>\n\n\n\n<p>\u2013 Pain along the inner side of the ankle and the foot.<\/p>\n\n\n\n<p>\u2013 Tenderness and swelling on the inside of the ankle.<\/p>\n\n\n\n<p>\u2013 Difficulty raising the heel (e.g. when standing on tiptoe).<\/p>\n\n\n\n<p><strong>2. Posterior Tibial Tendon Dysfunction (Advanced Stage)<\/strong><\/p>\n\n\n\n<p>\u2013 Progressive collapse of the arch of the foot (adult-acquired flatfoot).<\/p>\n\n\n\n<p>\u2013 Pain extending to the outer side of the ankle due to imbalance.<\/p>\n\n\n\n<p>\u2013 Difficulty walking or standing for long periods.<\/p>\n\n\n\n<p>\u2013 Foot deformity.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Diagnosis<\/strong><\/p>\n\n\n\n<p>Diagnosis is made through:<\/p>\n\n\n\n<p>\u2013 Clinical examination, during which tendon mobility and strength are assessed.<\/p>\n\n\n\n<p>\u2013 <strong>Single Heel Raise Test:<\/strong> Inability to perform the test suggests tendon dysfunction.<\/p>\n\n\n\n<p>\u2013 Ultrasound or Magnetic Resonance Imaging (MRI), to identify possible tendon tear or degeneration.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Management and Treatment<\/strong><\/p>\n\n\n\n<p><strong>1. Conservative Methods (For Mild to Moderate Cases)<\/strong><\/p>\n\n\n\n<p>\u2013 Rest and avoidance of intense activities.<\/p>\n\n\n\n<p>\u2013 Cryotherapy (ice for 15\u201320 minutes, 3\u20134 times a day) to reduce inflammation.<\/p>\n\n\n\n<p>\u2013 Anti-inflammatory medication (ibuprofen, naproxen) to reduce pain.<\/p>\n\n\n\n<p>\u2013 Use of specialised footwear or orthotic insoles.<\/p>\n\n\n\n<p>\u2013 Insoles with arch support to reduce pressure on the tendon.<\/p>\n\n\n\n<p>\u2013 Use of a brace or walking boot in severe cases for temporary immobilisation.<\/p>\n\n\n\n<p>\u2013 Physiotherapy and strengthening exercises<\/p>\n\n\n\n<p>\u2013 Stretching of the posterior tibial tendon and calf muscles.<\/p>\n\n\n\n<p>\u2013 Eccentric exercises to improve tendon strength and endurance.<\/p>\n\n\n\n<p>\u2013 Balance and foot stabilisation exercises for better weight distribution.<\/p>\n\n\n\n<p><strong>2. Minimally invasive treatments (if the condition does not improve)<\/strong><\/p>\n\n\n\n<p>\u2013 PRP (Platelet-Rich Plasma) injections, which help promote tendon healing.<\/p>\n\n\n\n<p>\u2013 Cortisone injection: Caution is required, as it may weaken the tendon.<\/p>\n\n\n\n<p><strong>3. Surgical Treatment (in severe cases of dysfunction)<\/strong><\/p>\n\n\n\n<p>When the tendon has undergone severe degeneration or rupture, surgery may be required.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Prevention<\/strong><\/p>\n\n\n\n<p>\u2013 Avoidance of excessive strain on the foot, especially during sports activities.<\/p>\n\n\n\n<p>\u2013 Use of appropriate footwear with good arch support.<\/p>\n\n\n\n<p>\u2013 Regular stretching and strengthening exercises to maintain tendon resilience.<\/p>\n\n\n\n<p>\u2013 Weight management, to reduce pressure on the tendon and the arch of the foot.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>When to Visit the Podiatrist<\/strong><\/p>\n\n\n\n<p>\u2013 If the pain persists for more than 2 weeks despite rest and conservative treatment.<\/p>\n\n\n\n<p>\u2013 If there is progressive foot deformity or difficulty walking.<\/p>\n\n\n\n<p>\u2013 If the pain affects your daily life and activities.<\/p>\n\n\n\n<p>\u2013 If you feel weakness or instability while walking or when rising onto your toes.<\/p>\n<\/blockquote>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-text-align-left has-gray-100-background-color has-background\">Posterior tibial tendinitis is a condition that can be managed effectively if diagnosed early. In the early stages, conservative treatments help restore function, while in more advanced cases, surgical intervention may be necessary.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Posterior tibial tendinitis is an inflammation and\/or degeneration of the tendon located on the inner side of the ankle.<\/p>\n","protected":false},"featured_media":946,"parent":0,"menu_order":44,"template":"","meta":{"_acf_changed":false},"category":[34],"class_list":["post-703","pathology","type-pathology","status-publish","has-post-thumbnail","hentry","pathology_category-myoskeletikes-pathiseis"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Posterior Tibial Tendinitis \/ Dysfunction - podcare<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Posterior Tibial Tendinitis \/ Dysfunction - 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