- Physical examination usually reveals tenderness at the navicular insertion or just behind the medial malleolus along the tendon.
- In younger patients, this is caused by an overuse of the posterior tibialis or relative weakness of this muscle.
- In older patients, posterior tibial tendinitis is caused by degeneration of the tendon and is less responsive to conservative treatment.
- Stretching the calf muscle
- Strengthening the posterior tibialis
- Orthotic Support
- A brace type /cast immobilization may be required in severe cases.
- If conservative treatment fails- surgery is required.
- Occurs mainly in patients who have weakness of the medial longitudinal arch (large inner arch) causing over pronation. This condition is helped with proper footwear- arch support and strengthening exercises.