The posterior tibial tendon is a fibrous cord that extends from a muscle in the leg and runs along the inside of the ankle, down the side of the foot, and into the arch. This tendon is one of the major supporting structures of the arch of the foot. It can become inflamed along the course of the tendon and painful in the instep of the foot where it attaches. It is most common in people who over-pronate (have flat feet) because the tendon is working harder to try to support the arch.
Resting, taking anti-inflammatories, and icing are always a great places to start when trying to reduce pain. Custom orthotics may be necessary to properly support the arch. Another option, but also last resort, is a surgery to place an implant in the foot that prevents the arch from collapsing.
Click here or call our office at 615-452-8899 to have Dr. Mendoza determine which option is best for you!