About this topic
A tendon is a strong band of tissue that connects muscles to bones. The posterior tibial tendon connects your lower leg muscle to the inside of your ankle. It also helps support the arch of your foot. Any injury to this tendon is called posterior tibial tendinopathy. ‚
If the tendon is hurt, the arch of the foot can flatten. This may cause pain and trouble when walking. This problem most often happens on one side. It can happen in both legs. ‚
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What care is needed at home?
- Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
- Rest. Allow your injury to heal before you do slow movements.
- Place an ice pack or a bag of frozen peas wrapped in a towel over the painful part. Never put ice right on the skin. Do not leave the ice on more than 10 to 15 minutes at a time. Ice after activity may help decrease pain and swelling. Never ice before stretching.
- Prop your foot on pillows to help with swelling.
- Use a brace, cast, or tape the foot and ankle if told to do so by your doctor.
- Use crutches or a walker to take pressure off your injured foot for very bad cases or if you have had surgery.
- Try inserts for your shoes if your feet are flat. These are foot orthotics.
- Exercises
What follow-up care is needed?
Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits. Your doctor may also suggest that you see a specialist, such as an orthopedic foot doctor or podiatrist. Your doctor may send you to physical therapy. ‚
What drugs may be needed?
The doctor may order drugs to: ‚
- Help with pain and swelling
The doctor may give you a shot of an anti-inflammatory drug called a corticosteroid. This will help with swelling. Talk with your doctor about the risks of this shot. ‚
Will physical activity be limited?
You may need to rest your foot for a while. You should not do physical activity that makes your health problem worse. If you run, work out, or play sports, you may not be able to do those things until your health problem gets better. ‚
What problems could happen?
- Long-term foot and ankle pain
- Flattened arch
- Arthritis
- More tendon damage
What can be done to prevent this health problem?
- Warm up slowly and stretch your muscles before you work out. Use good ways to train, such as slowly adding to how far you run. Do not work out if you are overly tired. Take extra care if working out in cold weather.
- Stay active and work out to keep your muscles strong and flexible.
- Take breaks often when doing things that use repeat movements.
- Avoid walking or running on uneven surfaces.
- Wear shoes with good support. Do not go barefoot.
- Keep a healthy weight so there is not extra stress on your joints. Eat a healthy diet to keep your muscles healthy.
When do I need to call the doctor?
Health problem is not better or you are feeling worse ‚
Teach Back: Helping You Understand
The Teach Back Method helps you understand the information we are giving you. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚
- I can tell you about my condition.
- I can tell you what may help ease my pain.
- I can tell you what I will do if I am not feeling better.
Where can I learn more?
American Academy of Orthopaedic Surgeons ‚
http://orthoinfo.aaos.org/topic.cfm?topic=A00166 ‚
American College of Foot and Ankle Surgeons ‚
http://www.foothealthfacts.org/footankleinfo/pttd.htm ‚
Consumer Information Use and Disclaimer
This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚
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Copyright ‚ © 2015 Clinical Drug Information, LLC and Lexi-Comp, Inc. ‚