Posterior Tibialis Tendinitis

What is Posterior Tibialis Tendinitis?

Like most forms of tendinitis, posterior tibialis tendinitis is swelling or irritation of the tendon.  This tendon helps support the arch of the foot and is more prevalent in people with flat feet.   This injury results from overuse, high impact, trauma or mechanical dysfunction.  Healing can sometimes be problematic due to the lack of blood supply to the tendon and additional risk factors including diabetes, obesity and high blood pressure.


  • Pain around the instep of the foot
  • Possible swelling along the area of the tendon
  • In some cases, the tendon will rupture which will cause difficulty when raising up on to your toes
  • Worsening pain with activity; such as running or walking for a long time

How can Physical Therapy Help?

In order to treat posterior tibialis tendinitis effectively, it is important to complete a thorough examination of the entire lower extremity.  Once the true cause is identified, a comprehensive treatment program can be initiated to reduce inflammation and improve any faulty lower extremity biomechanics.

Treatment options may include:

  • Modalities for pain and inflammation (i.e. ultrasound, iontophoresis, electrical stimulation, ice)
  • Taping or orthotics to aid faulty mechanics
  • Joint mobilization/manual therapy
  • Proprioceptive/gait training
  • Strengthening/flexibility exercises
  • Home exercise program
  • Education about lifestyle changes (i.e. proper shoes, weight management program)
Outpatient Physical Therapy