Posterior Tibial Tendonitis

Posterior tibial tendonitis is inflammation of a tendon that supports the arch of the foot. It can lead to progressive flattening of the foot if untreated.

⏱️

Typical Recovery Time

Recovery varies from 6 weeks to several months depending on severity.

Symptoms

•Inner ankle pain
•Foot flattening
•Swelling
•Difficulty walking
•Fatigue with standing

Common Causes

•Overuse
•Flat feet
•Aging tendon
•Obesity
•Prior injury

Treatment Options

1Orthotics

2Physical therapy

3Bracing

4Activity modification

5Anti-inflammatory medication

When to See a Doctor

See a doctor if the arch is collapsing or walking becomes difficult.

Frequently Asked Questions

What is posterior tibial tendonitis?

Posterior tibial tendonitis is irritation of the tendon that supports the arch on the inside of the foot. This tendon helps maintain foot alignment and stability. When inflamed, it can lead to pain and flattening of the arch.

What causes posterior tibial tendonitis?

It is often caused by overuse, repetitive stress, or foot mechanics such as flat feet. Running, walking long distances, or standing for long periods can contribute. Prior injuries may also increase risk.

What are the symptoms?

Symptoms include pain and swelling along the inside of the ankle and foot. Some people notice a flattening of the arch over time. Pain may worsen with activity or prolonged standing.

How is it treated?

Treatment includes rest, supportive footwear, orthotics, and physical therapy. Strengthening and improving foot mechanics are important. More severe cases may require bracing or further evaluation.

When can I return to activity?

Return depends on symptom improvement and arch stability. Many patients improve over several weeks with proper support and rehab. Gradual progression helps prevent worsening of the condition.