Tibialis Posterior Pain

Tibialis Posterior Pain and How to Obtain Relief

Tibialis Posterior Pain is a common problem that is seen in the Podiatry clinic and if left untreated will usually become chronic.

Where does the Tibialis Posterior muscle originate?

Muscles are attached to bones by tendons. Most of the muscles that move your feet are in the lower legs. The tibialis posterior muscle originates deep in the back of the lower leg and moves your foot inwards.  The tibialis posterior muscle has a tendon that wraps around your ankle bone and connects to the bones that form the arch of your foot. This muscle and tendon work together to support the inside arch of your foot.

Tibialis Posterior Pain is inflammation of the tibialis posterior tendon, most commonly behind the inside of your ankle.

Symptoms of Tibialis Posterior Pain

  • Symptoms may start gradually with a dull, intermittent pain on the inside of your ankle or arch of the foot.
  • Pain, soreness, and swelling along the length of the tibialis posterior tendon.
  • May progress to a continuous sharp pain to the inside of your ankle or arch of the foot.
  • The affected foot tends to be flatter than the other foot.

 Causes Tibialis Posterior Pain

  • Tibialis Posterior Pain may be caused by direct trauma to your ankle or foot, but most commonly it is an overuse injury.

Triggers can include:

  • Exercise such as running, jumping, walking etc.
  • Inadequate warm up prior to exercise.
  • Increasing age is a common cause of Tibialis Posterior Pain
  • Inflexible calf muscles and Achilles Tendon
  • Poor footwear which usually requires Podiatry advice

Treatments for Tibialis Posterior Pain Include:

  • Anti-inflammatory medication
  • Regular icing of the affected area
  • Podiatric treatment is vital to increase strength and flexibility of the affected tibialis posterior tendon
  • Rest from any activity that causes the Tibialis Posterior Pain, to avoid further damage
  • Supportive footwear
  • Shoe orthotics may be of some help
  • Surgery may be needed if all other treatments fail in the case of severe Tibialis Posterior Pain

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