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Evidence-Based Diagnosis and Treatments of Posterior Tibialis Tendinopathy

  • Sports Medicine Rehabilitation (J Soo Hoo and B Liem, Section Editors)
  • Published:
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Abstract

Purpose of Review

The posterior tibialis is essential for foot and ankle stability. Understanding the pathophysiology and pathomechanics of posterior tibial tendinopathy is fundamental for preservation of foot and ankle biomechanics. This review provides a summary of current diagnosis and treatment paradigms for posterior tibial tendinopathy.

Recent Findings

The most recent consensus classification scheme describes posterior tibialis dysfunction as a spectrum of progressive collapsing foot deformity. Physical therapy, orthoses, and bracing are still mainstays of non-operative treatment; however, emerging treatments including platelet rich plasma and extracorporeal shockwave therapy have demonstrated promise with various tendon pathologies and are being incorporated into a growing number of treatment plans. For progressive ankle and foot deformities and refractory pain, surgical intervention is recommended.

Summary

Earlier and more aggressive management may limit progression to chronic pathologic foot and ankle deformities resulting from posterior tibialis tendinopathy.

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  1. Hospital for Special Surgery, 770 Lexington Ave, New York, NY, 10065, USA

    Carlo Milani, Krina Vyas & George Malik

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Milani, C., Vyas, K. & Malik, G. Evidence-Based Diagnosis and Treatments of Posterior Tibialis Tendinopathy. Curr Phys Med Rehabil Rep 10, 273–281 (2022). https://doi.org/10.1007/s40141-022-00366-3

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