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In your calf there are deep layers of muscles; one of these muscles is known as the tibialis posterior muscle. The tendon of this muscle attaches the muscle to the bones on the inside of the foot. This tendon functions to support the arch of the foot, and to support the foot while walking.  If the tendon simply becomes inflamed, you will most likely be diagnosed with posterior tibial tendonitis. In some occasions the tendon can actually tear. A posterior tibial tear is the most common reason for an adult’s flatfoot.

The common symptoms of this tendonitis include pain on the inside of the foot and ankle, this area may also be swollen, and the pain will get worse with activities like walking or running. Sometimes there can also be pain on the outside of the ankle due to the heel bone shifting outwards due to the inflammation of this tendon. This injury is common in runners, basketball players and tennis players. Also women are more likely to get this than men, and people over the age of 40 are at a higher risk for developing this.

If you are experiencing any of these symptoms it is important to make an appointment with a podiatrist at Affiliated Foot and Ankle Care in Edison and Monroe NJ to get a proper diagnosis. Your doctor will do a few things to confirm this diagnosis; they will look for swelling in the indicated area, a change in shape of the foot due to the heel bone moving and a very important test they will do is ask you to stand on your tip toes on one let at a time. When this tendon is healthy anyone should be able to do that without a problem, but when there is tendonitis trying to do this will be painful and most likely won’t be able to do it.

After a diagnosis is made your podiatrist will recommend rest, ice and Tylenol to help with the pain and inflammation. Your doctor will also recommend custom orthotics to help relieve the stress off the tendon so it can heal. In severe cases steroid injections or braces may be required to help the tendon heal.

By: Varun Gujral

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