March 2, 2017

What is posterior tibial tendonitis?

Diseases and Conditions | Foot and Ankle


One of the most common problems of the foot and ankle, posterior tibial tendonitis or posterior tibial tendon dysfunction, occurs when the posterior tibial tendon becomes inflamed or torn. Left untreated, it can gradually result in flatfoot.


The posterior tibial tendon attaches the calf muscle to the bones on the inside of the foot. The main function of the tendon is to hold up the arch and support the foot when walking.


The posterior tibial tendon can tear due to overuse such as athletes who participate in high-impact sports including: basketball, tennis or soccer. An acute injury, such as a fall, can also cause posterior tibial tendonitis. Once the tendon becomes inflamed or torn, the arch will slowly fall over time.

Posterior tibial tendonitis is more common in women and in people over 40 years old. Obesity, diabetes and hypertension are additional risk factors related to posterior tibial tendonitis. This is the more common situation and usually develops with a clear injury.


  • Pain along the inside of the foot and ankle
  • Pain that is worse with activity
  • Pain on the outside of the ankle
  • Occasionally swelling will occur on the outside of the ankle

Physician examination

To determine whether you have posterior tibial tendonitis, your physician will ask you for a complete medical history, have you describe your symptoms and conduct a physical examination. An X-ray, CT scans or an MRI may be necessary to rule out other problems and confirm the diagnosis.


What is the treatment for posterior tibial tendonitis?

In most cases, posterior tibial tendonitis is initially treated without surgery. Nonsurgical treatment options include: rest, ice, medication such as ibuprofen, immobilization, orthotics or braces. Pain may last longer than three months even with early treatment

Surgery is only necessary in cases when nonsurgical options have not provided relief after several months or if there is a tear of the tendon. Your physician will determine the best surgery option for you depending on where the tendonitis is located and how much the tendon is damaged.
At-home treatment for foot and ankle injuries

Schedule an appointment

Your well-being is important to us. Click the button below or call us to schedule an appointment with one of our orthopedic specialists. If your injury or condition is recent, you can walk right into one of our OrthoIndy Urgent Care locations for immediate care. For rehabilitation and physical therapy, no appointment is needed to see one of our physical therapists.

Schedule an Appointment Call OrthoIndy 317.802.2000
Megan Golden

By Megan Golden

Megan Golden worked at OrthoIndy from 2012 to 2019, where she wrote a variety of content for our blog, magazines and inbound campaigns. Megan graduated from Ball State University in 2012 with a bachelor’s degree in public relations and advertising and communications studies minor.

Related Posts

More from OrthoIndy

Sign up for the Indy 500 Mile Virtual Challenge, benefiting the 500 Festival

Sign up for the Indy 500 Mile Virtual Challenge, benefiting the 500 Festival

The  500 Festival, a nonprofit organization providing life-enriching events and programs that celebrate the spirit and legacy of the Indianapolis 500®, launched the  Indianapolis 500 Mile Challenge, benefiting the 500 Festival.   This…


What is adult acquired flat foot?

What is adult acquired flat foot?

There are several causes for adult flatfoot, but most often flat feet is caused by posterior tibial tendon dysfunction, which is when the posterior tendon that supports your arch becomes stretched out, irritated and worn down.


What are the most common injuries in track and field?

What are the most common injuries in track and field?

THIS POST IS PART OF THE ULTIMATE GUIDE TO FOOT AND ANKLE INJURIES Track and field is a sport that has been around for years. In fact, the first college track meet…


Get stories and News in your inbox

Subscribe to our weekly articles