Foot-Ankle
Posterior Tibial Tendonitis

Posterior Tibial Tendonitis is inflammation of the posterior tibial tendon, which is the tendon that runs along the arch of your foot. Inflammation in a tendon can be temporary or long-lasting (chronic). Over time, if condition is not treated, the tendon can become weakened and may break down, leading to a more severe condition known as posterior tibial tendon dysfunction (PTTD).

  • Pain along the arch of the foot or the inside of the foot or ankle that starts gradually
  • Tenderness to touch along the inside or the arch of the foot or in the ankle
  • Swelling along the path of the tendon, especially in the inner ankle
  • Weakness in the foot or ankle, especially when "pushing off"
  • Aching pain along the inner foot or ankle that starts gradually
  • Pain gets worse during activity like jumping, running, or walking/standing for long periods of time
  • Feeling weakness in the arch of the foot
  • Stiffness
  • Repetitive strain injuries caused by activites such as working out too hard without warming up or cooling down or sports that require using the same motion repeatedly
  • Is there aching pain along the arch of the foot, inner foot, or ankle?
  • Is there weakness in the foot or ankle?

Educational only — not a medical diagnosis.

  1. 1Rest and decrease repetitive activities such as running and jumping
  2. 2Ice the affected area for short intervals
  3. 3Elevate affected foot
  4. 4For more severe cases, wearing a cast or boot may be required
  • Pain becomes constant
  • Pain worsening over time
  • Sharp pain develops
  • Visible or noticable flattening of the foot
  • Avoiding repetitive motions during the time of recovery prevents further damage to the tendon
  • Extended periods of standing or walking can strain the inflamed tendon, so minimize as much as possible
  • Apply a cold compress to the affected areas for up to 20 minutes a day for the first few days
  • Elevate affected foot above the heart to reduce swelling

For educational purposes only. Not a substitute for medical advice.

Tracks symptoms over time (not a diagnosis).