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It's no surprise that our feet often hurt considering that an average day of walking exerts a force on the feet that's equal to several hundred tons. All that rushing around makes our feet more prone to injury than any other part of the body. Your feet mirror your general health. Conditions such as arthritis, diabetes, nerve and circulatory disorders can show their initial symptoms in the feet - so foot ailments can be your first sign of more serious medical problems.

Studies show that 3 out of 4 Americans experience serious foot problems in their lifetime. Despite the millions of aching feet out there, many of us don't seek the medical attention we need for relief. Foot pain is never normal, and you shouldn't be resigned to teetering around on sore feet.

The conditions listed below and to the left are some of the most common foot ailments. No matter what causes your feet to ache, we can help.

The "foot conditions" section of this Web site is maintained to provide general information about foot health. The materials, information, and answers provided by and through this Web site are not intended to replace or to be a substitute for medical advice provided by a qualified physician or other appropriate health care professional based on individual patient evaluation. You should consult with our practice or other appropriate health care professional on specific medical questions, including matters requiring diagnosis, treatment, therapy or medical attention. click here for New Patient Form





Post-Tib Tendonitis

Post-Tib Tendonitis

Definition

Post-Tib Tendonitis is a strain placed on the posterior tibial tendon.  The posterior tibial tendon runs along the inside of the ankle and the foot.  When there is post-tibial tendon disfunction, the tendon does not function to hold up the arch, resulting in flat feet.  This can lead to heel pain, arch pain, plantar fasciitis and/or heel spurs.  With post-tib tendonitis, pain will be more severe upon weight bearing, especially while walking or running.

Cause

Post-Tib Tendonitis occurs when the muscle is overused and the tendon (soft tissue) that connects the muscle to your bone is strained.  Years of over-pronation (flat feet) can also lead to posterior tibial tendon dysfunction.  If you keep overusing the muscle, damage to the tendon builds up and tendonitis develops.  At first the pain or swelling may come and go quickly, but eventually the problem may become more permanent.

Treatment & Prevention

To treat post-tib tendonitis, you can reduce your symptoms by limiting activity to control the pain and swelling.  Stay off your feet a few days, then slowly increase your activity.  Rest allows the tissues in your foot to heal.

Conservative treatments (non-surgical treatments) include wearing a foot orthotic with rearfoot posting and longitudinal arch support, to reduce strain on the post tibial tendon reduce strain on the post tibial tendon prevent excessive stretching of the plantar fascia.  The orthotic should also be designed with materials to comfort the foot and absorb shock.

Listed below are tips to prevent Post-Tib Tendonitis from reoccurring:

  1. Wear the shoes that provide cushioning, support and shock absorption.

  2. Use orthotics with sufficient arch support that are constructed from shock absorbing, cushioning materials.

  3. Vary exercise routines.  The variety will keep one set of muscles from being under continuous stress.

If the problem persists, please call us to schedule an appointment.



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