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Alternative Therapies For Posterior Tibialis Tenosynovitis

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Alternative Therapies For Posterior Tibialis Tenosynovitis

The posterior tibial tendon (or tibia posterior muscle) runs down the inside of your ankle and inserts into multiple bones beneath your foot, supporting its arch, pointing it down, and inverting it inward (inversion).

Ankle and foot pain on the inside may indicate posterior tibialis tenosynovitis. You may also experience swelling and tenderness around where the tendon inserts into your shin bone, sometimes extending up several inches from your ankle.

Early diagnosis and treatment are critical to avoid a tear from occurring. Usually, symptoms improve within 6-8 weeks; however, if these don’t improve with conservative treatments, surgery may be necessary.

Alternative treatments for tibial posterior tenosynovitis can help reduce inflammation and pain without the risks associated with surgical treatment. A combination of rest, non-steroidal anti-inflammatory drugs, and physical therapy is usually recommended to treat mild to moderate symptoms.

Cortisone injections can be an effective treatment for some patients with posterior tibialis tenosynovitis. However, they carry the risk of tendon rupture and should only be used in severe cases or those unable to benefit from other therapies.

Lace-up ankle braces can provide extra support and take tension off of the posterior tibial tendon, especially in flatfoot patients. Furthermore, they may be beneficial to those with stiff or arthritic flatfoot as well as those who have had a tendon injury.

Physical therapy and a lace-up brace can be extremely helpful for patients with mild to moderate symptoms. To improve flexibility and reduce pressure on the tendon, the calf muscles must be trained to stretch out and lengthen.

Exercises can be done at home to strengthen the calf muscles and posterior tibial tendon. These should be performed at least 2 or 3 times a week, including walking, running or bicycling.

Ice packs and cold compression can also be applied to the most painful areas of your ankle for up to 20 minutes three or four times a day. However, if this doesn’t provide relief from your discomfort, speak with a healthcare provider.

Your doctor can order an ultrasound to measure the size and shape of your tendon as well as any swelling or degeneration that may take place. This helps detect early warning signs of a posterior tibialis tendon tear, which is an emergency condition best treated by a podiatrist or orthopedic surgeon with expertise in feet and ankles.

Inflammation can develop when a tendon is torn or damaged due to overuse, falls, or other trauma.

Women and older individuals are at higher risk for developing this condition, as are those with a history of chronic health conditions such as diabetes, rheumatoid arthritis or gout.

X-rays can be taken to identify any deformity or bone damage. They also serve to estimate your likelihood for developing a tendon tear or other injuries that might necessitate surgery.

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