WHAT IS AN EFFECTIVE TREATMENT OR PHYSICAL THERAPY FOR POSTERIOR TIBIAL DYSFUNCTION?: HARVARD HEALTH PUBLISHING WEIGHS IN.

Answered by Dr. Robert H. Shmerling

M.D. Senior Faculty Editor, Harvard Health Publishing · 30 years of experience · USA

Treatment options for posterior tibial dysfunction include: • Rest, avoiding activities that worsen symptoms, and avoiding high impact activities; in some cases, a walking boot or cast may be recommended to rest the posterior tibial tendon • Shoe insert (called an orthotic) or an ankle brace • Ice (wrapped in a towel) or other cold compress applied to the sore area • Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen • Physical therapy to stretch and strengthen the tendon (once the initial injury or inflammation has improved) • Though not routinely offered, some doctors recommend a steroid injection around the posterior tibial tendon to help reduce inflammation • Surgery – a number of procedures are available but may cause complications (such as infection or lost motion around the ankle) and are not always effective so surgery is typically considered a last resort The best treatment varies from person to person so it’s important to review specific options, including which particular exercises are best, with your doctor or physical therapist.

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2024-04-19T16:03:38Z dg43tfdfdgfd