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Posterior tibial tendinopathy is an injury to the tendon that attaches the calf muscle to the bones on the inside of the foot.
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Causes of posterior tibial tendinopathy include:
This problem is more common in women who are over 40 years of age, especially those who are obese. Other things that may raise the risk are:
Risk factors in athletes may be:
Problems may be:
These symptoms may cause the arch of the foot to become flat over time.
The doctor will ask about your symptoms, health history, and the activities that you do. A physical exam will be done. It will focus on the foot. This may be enough information to suspect the diagnosis.
Images of your foot and ankle may be taken to confirm the diagnosis. This can be done with:
The goal is to ease pain, improve motion, and stop or slow the problem from getting worse. This may be done with:
Some people may need surgery to repair the tendon when other methods do not help.
It may be possible to prevent this problem by getting early medical care to treat any foot deformities.
The American Orthopaedic Society for Sports Medicine
OrthoInfo—American Academy of Orthopaedic Surgeons
Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
Posterior tibial tendon dysfunction. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00166. Updated September 2017. Accessed March 30, 2020.
Posterior tibialis tendon dysfunction. EBSCO DynaMed website. Available at:https://www.dynamed.com/condition/posterior-tibialis-tendon-dysfunction. Updated June 7, 2016. Accessed March 30, 2020.
Tibialis posterior tendinosis and tibialis posterior tenosynovitis. Merck Manual Professional Version website. Available at: http://www.merckmanuals.com/professional/musculoskeletal_and_connective_tissue_disorders/foot_and_ankle_disorders/tibialis_posterior_tendinosis_and_tibialis_posterior_tenosynovitis.html. Updated December 2019. Accessed March 30, 2020.
Yao K, Yang TX, et al. Posterior Tibialis Tendon Dysfunction: Overview of Evaluation and Management. Orthopedics. 2015 Jun;38(6):385-391.
Last reviewed February 2020 by EBSCO Medical Review Board Teresa Briedwell, PT, DPT, OCS, CSCS Last Updated: 3/30/2020