Are you experiencing pain and swelling by the inner ankle bone or arch of yourfoot??? You probably are suffering from Posterior Tibial Tendonitis.
So what is posterior tibial tendonitis?
Posterior tibial tendonitis is a common and potentially disabling
condition of the foot. The posterior tibial tendon arises from a large
muscle on the inner portion of the lower leg and travels over the
inner ankle bone attaching to the arch of the foot. The tendon is the
most important soft tissue structure in the foot for support of the
arch of the foot while standing and walking.
Include pain and swelling by the inner
ankle bone and arch of the foot. The pain often comes about without a
specific trauma to the foot and pain may radiate up the leg. The
condition is more common in middle aged women, overweight individuals
and those with flatter feet. The pain is frequently brought on by
increased activity, prolonged periods of standing and walking, wearing
non supportive shoes (flip flops, flats, etc.) and attempting to stand
on ones toes.
Early diagnosis and treatment for this condition is critical to
improve long- term function for the patient. This problem can be
progressive, with chronic inflammation of the tendon leading to
weakening of the tendon and progressive flattening of the foot. This
can eventually lead to arthritis and chronic pain in the foot. PT
tendonitis can be diagnosed in the office by examination and
performing an ultrasound exam of the painful region. Short term
treatment to reduce pain and inflammation may include rest,
anti-inflammatories, modification of shoe gear and activity and
bracing of the foot. Custom made orthotics to support the tendon
are critical to avoid future deformity of the foot and chronic pain.
ESWT is a non-invasive treatment offered in our office which increase blood flow to the painful area to stimulate the body's natural healing process. A combination of these treatment options frequently produces excellent results for patients in our office.