Posterior tibial tendinopathy: pain and instability in the arch of the foot
The posterior tibial tendinopathy It is a condition that affects the tendon responsible for maintaining the arch of the foot. Over time, its weakening can cause the fall of the arch and the appearance of flat feet acquired in adults.
Causes and Risk Factors
- Tendon degeneration with age.
- overweight and obesity, which increase the pressure on the tendon.
- Diabetes and inflammatory diseases, which affect the quality of the collagen of the tendon.
- Improper footwear use with little support or arch support.
Symptoms of posterior tibial tendinopathy
- Pain in the inner face of the ankle and foot, especially when walking or standing for a long time.
- ankle weakness, with a feeling that it “gives” or moves inward.
- Abnormal wear of shoes, with inclination towards the inner side.
- Progressive deformity, with flattening of the plantar arch.
Treatment
- Strengthening exercises and physiotherapy to improve tendon function.
- Personalized orthopedic templates to correct the tread and avoid the collapse of the arc.
- Platelet Growth Factors (PRP): They help regenerate the tendon and reduce inflammation in early stages.
- Surgery in advanced cases to correct deformity and restore ankle function.
Dr. Narvaez Clinic Approach
When to consult?
If you experience persistent ankle pain, walking instability, or progressive stiffness, it is important to make a proper diagnosis.
