Tendonitis of the Foot

Introduction to Tendonitis (Posterior Tibial Tendon Dysfunction)

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.

Understanding this condition

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.

Tendonitis Causes

Causes of Tendonitis

  • 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 which is why orthotics such as the Dr Foot Pro Insoles are essential. They help reduce stress at key weight points, keep each foot properly aligned and cradle and stabilize your feet which enables them to help relieve tendonitis
  • 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.
Tendonitis Treatment

Treatments for Tendonitis

  • Rest
  • Ice
  • Compression
  • Anti-inflammatory medication.
  • Cease all sporting activities and try and stay off your feet as much as possible.
  • Orthosis is necessary. They will help to support the arch region of the foot. In our experience, this is the most effective form of treatment.
  • View recommended custom orthotics here These unique heat mouldable insole provides customised support with added thickness and optimum support to treat a variety of foot and leg conditions. You get the perfect amount of arch support you need as the insoles mould to your feet
  • In severe cases surgery may be necessary to repair the tendon.



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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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