Tibialis posterior tendinopathy refers to the inflammation, degeneration, or injury of the tibialis posterior tendon, which is responsible for supporting the arch of the foot. Here are 10 effective ways to treat tibialis posterior tendinopathy:
1. Rest and immobilization: Avoid activities that exacerbate the pain and provide ample rest to allow the tendon to heal. Immobilization through the use of a brace or walking boot may be necessary in severe cases.
2. Physiotherapy: Seek the help of a qualified physiotherapist who can guide you through a customized rehabilitation program. This may include exercises to strengthen the muscles supporting the tendon, as well as stretching and range-of-motion exercises.
3. Orthotic devices: Consider using orthotic devices, such as arch supports or custom-made shoe inserts, to provide additional support and stability to the foot. These devices can help relieve stress on the tibialis posterior tendon.
4. Massage: Massage can help improve blood circulation, reduce muscle tension, and promote healing. A registered massage therapist (RMT) can target the affected area to alleviate pain and promote recovery.
5. Chiropractic care: Chiropractic treatment may involve adjustments and manipulations of the foot and ankle joints to improve alignment and reduce stress on the tibialis posterior tendon. Additionally, chiropractors may recommend exercises and stretches to strengthen the surrounding muscles.
6. Non-steroidal anti-inflammatory drugs (NSAIDs): Over-the-counter medications like ibuprofen or naproxen can help reduce pain and inflammation associated with tendinopathy. However, it’s important to consult with a healthcare professional before using these medications.
7. Iontophoresis: This treatment involves the application of a mild electrical current to the affected area, allowing medications, such as corticosteroids, to penetrate deeper into the tissues. It can help reduce inflammation and relieve pain.
8. Extracorporeal shockwave (ESWT): ESWT utilizes shockwaves to stimulate the healing process. This non-invasive treatment has shown promising results in managing tendinopathies and promoting tissue repair.
9. Cryotherapy: Cold can help reduce pain and inflammation. Applying ice packs or using cold compression devices on the affected area for 15-20 minutes at a time, several times a day, can be beneficial.
10. Strengthening and stretching exercises: Gradually reintroduce specific exercises targeting the tibialis posterior tendon and the surrounding muscles under the guidance of a healthcare professional. These exercises can help improve strength, flexibility, and overall function.
Remember, it’s essential to consult with a healthcare professional, such as a physiotherapist or sports medicine specialist, to receive an accurate diagnosis and develop an individualized treatment plan tailored to your specific needs.
Tibialis posterior tendinopathy can be a frustrating and painful condition. However, knowing the best treatment methods can help reduce pain, improve your range of motion, and enable you to return to your daily activities. Rest and ice, physiotherapy, medication, and surgery are the most effective treatments. Proper diagnosis and treatment of this condition can help you get back to your active life quickly and effectively. If you have symptoms of tibialis posterior tendinopathy, seek medical help and treatment early to avoid complications.
If you have any questions or would like to explore further, please book a free, no-charge online appointment with either myself, Nitin Nair, BPT, R/TRO DIP, PT, or another Kitchener physiotherapy practitioner at CARESPACE. We are happy to listen and are here to help!
