Evidence-Based Diagnosis and Treatments of Posterior Tibialis Tendinopathy

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...

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Bibliographic Details
Published in:Current physical medicine and rehabilitation reports 2022-12, Vol.10 (4), p.273-281
Main Authors: Milani, Carlo, Vyas, Krina, Malik, George
Format: Article
Language:English
Subjects:
Ankle
Arthritis
Classification
Diabetes
Disease
Foot diseases
Injuries
Kinematics
Ligaments
Medicine
Medicine & Public Health
Osteoarthritis
Pathology
Rehabilitation Medicine
Section Editors
Sports Medicine Rehabilitation (J Soo Hoo and B Liem
Topical Collection on Sports Medicine Rehabilitation
Trauma
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Summary: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.
ISSN:2167-4833
2167-4833
DOI:10.1007/s40141-022-00366-3