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Get Rid of Tibialis Posterior Tendinopathy Once and For All

or call us today at 0207 884 0374

Tibialis Posterior Tendinopathy is characterised by pain, loss of function, and occasional swelling around the inside ankle area. Tendinopathy is disease of a tendon, which refers to inflammation, degenerative change. There is debate around this area as to what actually happens to the tendon on a cellular level, but it means the the tendon isn’t healthy and micro tears can develop.  The Tibialis posterior is a very important muscle as it helps maintain the long arch in the foot, controls the foot moving inwards (inversion), and helps raise us up on our toes.

People that develop this issue tend to have ‘flat feet’, excessive pronation, collapsing at the arch. Repetitive activities can cause this, such as running, jumping or even walking.  It’s key to understand why you developed the issue in the first place and that’s where physiotherapy can help. We can look at feet biomechanics, assess the function, strength and length of muscle as well as assess your walking or running.

If you think you may have this condition, try doing a single heel raise on the problem side.  Is it weak compared to the other side or painful?  This quick test may indicate whether this muscle is functioning correctly.

There are lots of treatment options out there, so you could try an ‘off the shelf’ arch support to put in your shoes. However, research shows that carrying out a supervised, progressive eccentric tendon loading and stretching programme significantly improves pain and disability (Kulig. K et al, 2009). Our physios can help to assess and guide you through this in the comfort of your own home and we can set up an initial appointment within 24 hours. Contact us today on 0207 884 0374 or email

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