TENDONITIS OF THE FOOT

(POSTERIOR TIBIAL TENDON DYSFUNCTION)

INTRODUCTION

Tendonitis in the foot is a common problem amongst hard working people. This is a classic over use injury and affects a particular tendon in the foot, the posterior tibial tendon. This tendon helps to hold the arch of the foot and prevents your feet from rolling in too much. The patients in step of the foot may appear inflamed and may have a pronounced flat foot deformity.

Symptoms include pain at the in step of the foot, especially along the course of the tendon. There may be burning, tingling, shooting or stabbing pain present in the foot. This is due to the inflammation of the nerve that surrounds the tendon. If a patient is asked to stand on their toes, intense pain will be present in the arch of the foot.

CAUSES

• Tendonitis of the posterior tibial tendon can be caused due to initial strain, minor degeneration and a rupture of the tendon. The inflammation of the tendon is a secondary reaction.
• Initially, there is irritation of the outer covering of the tendon. This is called paratendonitis. This leads to degeneration of the tendon, which causes the tendon to become thicker. The tendon then becomes weaker and loses its strength; this can lead to a complete rupture of the tendon.
• Flat foot types are at risk
• Tight heel cords (Achilles Tendon) can lead to tendonitis of the foot.
• Walking or running up hill, i.e. golf courses or marathon running can be the catalyst for tendonitis in the foot.

TREATMENT OF TENDONITIS

• Rest
• Ice
• Compression
• Anti-inflammatory medication
• Cease all sporting activities and try and stay off your feet as much as possible.
• Orthosis (insoles) may be necessary. This will help to support the arch region of the foot. In our experience, this is the most effective form of treatment.
• In severe cases surgery may be necessary to repair the tendon.

 

 

Dr Foot Recommends

Review: This Insole provides a unique foot support system that re-aligns the lower body. The major cause of tendonitis is over pronation (rolling over of the feet) which causes excessive pressure on the foot bones and ligaments. This insole treats the underlying cause of tendonitis and prevents future occurrences of the condition. Patients have reported relief of symptoms within 30 days of using this product.

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Customer Review

"Service was easy and safe via the website. My order arrived witthin a few days and to my surprise the insoles actually helped my tendonitis condition tremendously. I had almost given up all hope of trying to find something to ease the pain until I found your website."

R James
Manchester, U.K

 

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