Tibialis Posterior Tendinopathy
Tibialis posterior tendinopathy is a condition that affects the tibialis posterior tendon, which plays a crucial role in supporting the arch of the foot and stabilizing the ankle. When this tendon becomes irritated or weakened, it can lead to pain and dysfunction, often resulting in a gradual flattening of the arch.Symptoms are typically felt along the inside of the ankle and foot, sometimes extending up the lower leg. The pain may worsen with activities that put stress on the tendon, such as walking, running, standing for long periods, or going up and down stairs. As the condition progresses, it can become difficult to maintain balance, push off the foot when walking, or participate in high-impact activities, significantly affecting mobility and daily function.Left untreated, tibialis posterior tendinopathy can significantly affect mobility and daily life, but with the right treatment, symptoms can be effectively managed and resolved. If this painful condition is limiting your activities, specialist physiotherapy can help by accurately diagnosing the condition, providing a structured rehabilitation plan, and guiding you through a safe and effective recovery.

How Solent Specialist Physiotherapy Can Help Manage Tibialis Posterior Tendinopathy
Managing tibialis posterior syndrome effectively requires a specialist approach that focuses on accurate diagnosis, evidence-based rehabilitation, and a structured treatment plan tailored to your individual needs. Our expert physiotherapists will assess the severity of your condition, identify contributing factors, and guide you through a progressive rehab program designed to restore function and reduce pain. Treatment focuses on strengthening the tibialis posterior tendon, improving foot and ankle mechanics, and gradually increasing load tolerance. If conservative management options are exhausted, we can also provide referrals for further investigations.
How Your Personalised Treatment Plan May Look:
1.Comprehensive Assessment – A detailed examination to confirm the diagnosis and assess factors such as foot posture, biomechanics, and muscle imbalances.
2.Pain Management Strategies – Advice on activity modification, footwear recommendations, and orthotics if needed to reduce strain on the tendon and improve foot support.
3.Targeted Strengthening Exercises – A graded rehabilitation program focusing on strengthening the tibialis posterior tendon and surrounding muscles to improve support and function.
4.Gradual Load Progression – Monitoring and adjusting exercise intensity to build resilience in the tendon without overloading it.
5.Gait and Biomechanical Training – Addressing any walking or movement patterns that may be contributing to the condition.
6.Taping and Supportive Strapping – Where appropriate, taping techniques may be used to provide temporary relief and support during daily activities.
7.Return to Activity Plan – A structured program to safely reintroduce walking, running, and sport-specific movements while preventing recurrence.
8.Referral for Imaging – If symptoms persist despite a structured rehab plan, we can arrange imaging (such as ultrasound or MRI) to help further guide your treatment.
Having this condition doesn't mean you have to give up the things you love. By following our structured approach, we ensure a safe and effective recovery, helping you return to daily activities and sport with confidence.
