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.
We Recommend
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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