Non-operative posterior tibial tendonitis treatment

Posterior tibial tendonitis is the inflammation of the posterior tibial tendon, which is the tendon that supports the arch of your foot. It connects the calf muscle to the bones on the foot. Resting and a brace or cast are non-surgical treatment steps.

When the posterior tibial tendon gets irritated, it can cause pain in the arch of your foot, foot swelling, and can make it difficult to stand or walk. A fall or using it too much can cause the irritation or even tearing of the tendon. Once the tendon is affected, slowly the arch of your foot will collapse.

Non-surgical treatment helps many patients. Stopping activities that bother the tendon, such as running and sports that require a lot of sharp movements like basketball, is the first step. Applying ice and taking non-steroidal anti-inflammatory drugs (NSAIDs) can also help.

A short leg cast or a walking boot can help for a few weeks, but can’t be used long-term. An orthotic (shoe insert) and a brace are good longer-term treatment options. Physical therapy can help strengthen the tendon.

If these treatments don’t help, surgery may be needed.

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