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Chronic Tibialis Posterior Tendonitis

Discussion in 'Ask your questions here' started by Unregistered, Aug 8, 2012.

  1. Unregistered

    Unregistered Guest

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    I have had Tibialis Posterior Tendonitis for over a year now which has been confirmed by ultra sound. I have worn orthotics for about a year with no result. I have seen another Podiatrist recently who has advised me that I do not need orthotics as my arches are quite high. He has tried acupuncture & given me stretches, told me to ice 4 times a day for 2 weeks which didnt help and even strapped but still no improvement. I'm wondering if ibuprofen would be helpful at this stage. I can't see any other way of getting rid of the inflammation. I have been a very active person and now I can't even go for a decent walk. Any ideas PLEASE.
  2. Jim PT

    Jim PT Guest

    1) Try some soft tissue work to address the tissue quality and pain
    a) First you can start by seeing a massage therapist
    b) You should also begin doing your own soft tissue work, manually, and using different
    tools (e.g. using a ball and rolling over it with the bottom of your foot). Do this 2 to 3
    times per day
    2) You've already gotten rid of the orthotics, right? Good. Now address your shoe situation.
    Begin your move toward minimalist footwear
    3) Stop the stretching. The tissue is already beaten up and inflammed. Don't continue to
    stretch and tear it even more
    4) Barefoot walking - find somewhere nice and clean like a manicured football field and begin to
    activate these dead and forgotten muscles by walking barefoot. Yes, barefoot. Years of
    wearing improper footwear, and shoes in general (i.e. get out of the high heels and thickly
    cushioned Nikes). And, address the real issue here... WEAKNESS
    5) This process will take some time. Be patient
  3. Admin

    Admin Administrator Staff Member

    That has got to be the worst advice I have ever seen in this forum. Do not do that, it is destined to fail and will make you worse. With forefoot striking the posterior tibial muscle will work harder! How is that going to help tendonitis if the muscles attached to the hurt tendon has to work harder? Don't fall for all the nonsensical rhetoric and propaganda that Jim PT has fallen for. Use your common sense.

    Forefoot striking/minimalist running has become one of the more common causes of posterior tibial tendonitis!!! Just ask anyone who treats a lot of running injuries. Go hang out on some of the barefoot running forums and see how many are asking about posterior tibial tendonitis problems!
  4. Unregistered

    Unregistered Guest

    Thanks for your replies to my Chronic tendonitis. It was so good to get a response. I forgot to mention that I am female and 57 years young. I am now even more confused as to the best treatment to opt for. As I have had different treatments from physios and podiatrists I now feel I need to manage this somehow myself. I have read so many things about this condition on the internet and I wonder if I will ever rid myself of this.

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