Tibialis posterior

• Tibialis posterior (posterior tibial tendon dysfunction) - Incidence:

  • Overweight - high BMI, more common in females
  • Low profile/unsupportive shoes
  • Diabetes and hypertension
  • Overload episode or chronic development
• Tibialis posterior (posterior tibial tendon dysfunction) - Subjective:

  • Medial foot and ankle pain
  • Weight bearing/high impact activity/stairs - trailing leg
• Tibialis posterior (posterior tibial tendon dysfunction) - Objective:

  • Local pain around medial malleolus
  • Flat foot deformity
  • Swelling
  • “Too-many-toes” sign (forefoot abduction)
  • Inability to heel rise - weak, inhibition
  • Imaging shows tendon degeneration and sheath inflammatory changes