Tibialis Posterior Tendon Pain
Tibialis posterior tendon pain often causes aching along the inner side of the ankle. Some patients notice flattening of the arch over time, while others first feel discomfort after long walks or standing for extended periods. Early stages are frequently missed, which can lead to ongoing pain and reduced function.
Assessment at The London Ultrasound Clinic
Your appointment includes a hands-on assessment to evaluate how well the tendon is supporting the arch and ankle mechanics. High-resolution ultrasound is then used to assess the tendon for inflammation, thickening, or small tears, allowing us to understand the cause of your symptoms clearly.
Conservative Management
Initial management often includes:
- Targeted strengthening of the tibialis posterior tendon
- Footwear advice and orthotic support to reduce strain
- Activity modification to avoid movements that aggravate the tendon
- Education and reassurance about expected recovery and long-term outcomes
These approaches often reduce pain, improve function, and support the long-term health of the tendon.
Ultrasound-Guided Injection
For persistent or particularly painful cases, an ultrasound-guided injection may be offered. Using local anaesthetic and steroid, the medication is delivered precisely to the affected tendon or surrounding tissue. This helps reduce inflammation, ease discomfort, and allows rehabilitation exercises to progress more effectively.
Recovery and Ongoing Care
Following assessment and any injection, a structured plan of exercises and load management is provided. This focuses on rebuilding tendon strength, maintaining arch support, and improving overall ankle stability. Many patients notice gradual improvement in pain, function, and confidence when walking, standing, and performing daily activities over time.
