Tibialis Posterior Dysfunction

Tibialis Posterior Dysfunction Treatment in Dubai at Emirates Hospitals Group. We are proud to have the best foot and ankle surgeons in Dubai, specializing in the management and treatment of tibialis posterior dysfunction (TPD). This condition affects one of the key muscles and tendons in the lower leg, crucial for maintaining proper foot function and arch stability. Our expert team is dedicated to diagnosing and treating TPD with advanced techniques to restore mobility and alleviate pain. With a focus on personalized care, we provide effective solutions to improve your quality of life.

• About Tibialis Posterior Dysfunction
• Causes & Symptoms
• Treatment

About Tibialis Posterior Dysfunction

Tibialis posterior dysfunction is a condition that occurs when the tibialis posterior tendon, which supports the arch of the foot, becomes weakened or damaged. This tendon runs along the inside of the ankle and helps maintain the foot’s arch and stability. When it is compromised, the foot can develop an abnormal flattening of the arch, leading to difficulties with walking and standing. TPD can significantly impact an individual’s ability to perform daily activities and may lead to other complications if left untreated.

Causes of Tibialis Posterior Dysfunction

1. Overuse and Repetitive Strain
   • Repetitive stress or overuse of the tibialis posterior tendon, particularly from activities that involve excessive walking or running, can lead to tendonitis or degeneration.
2. Age-Related Degeneration
   • As individuals age, the tendons can lose elasticity and strength, making them more susceptible to injury and dysfunction.
3. Trauma or Injury
   • Acute injuries, such as an ankle sprain or direct trauma to the foot or ankle, can damage the tibialis posterior tendon.
4. Biomechanical Imbalances
   • Structural imbalances in the foot and lower leg can place excessive strain on the tibialis posterior tendon, leading to dysfunction.
5. Underlying Medical Conditions
   • Certain medical conditions, such as diabetes or rheumatoid arthritis, can affect tendon health and contribute to tibialis posterior dysfunction.

Symptoms of Tibialis Posterior Dysfunction

1. Pain
   • Pain along the inside of the ankle and foot, particularly near the tibialis posterior tendon, is a common symptom. The pain may worsen with activity and improve with rest.
2. Swelling
   • Swelling around the inner ankle may occur, often accompanied by tenderness in the affected area.
3. Foot Arch Collapse
   • A noticeable flattening or collapse of the foot’s arch can occur, leading to a change in foot alignment and gait.
4. Difficulty Walking
   • Individuals with TPD may experience difficulty walking, especially on uneven surfaces, due to reduced support from the tendon.
5. Instability
   • A feeling of instability or weakness in the foot and ankle can occur, making it challenging to maintain balance.

Treatment for Tibialis Posterior Dysfunction

Non-Surgical Treatments:

1. Rest and Activity Modification
   • Reducing activities that exacerbate symptoms and providing adequate rest to the affected tendon can help alleviate pain and prevent further damage.
2. Physical Therapy
   • A tailored physical therapy program can strengthen the tibialis posterior tendon and improve foot mechanics and flexibility.
3. Orthotic Devices
   • Custom orthotics or supportive shoe inserts can help redistribute pressure and provide additional support to the foot arch.
4. Medications
   • Nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation associated with TPD.
5. Footwear Modification
   • Wearing supportive and properly fitted footwear can reduce strain on the tibialis posterior tendon and improve overall foot function.

Surgical Treatments:

1. Tendon Repair or Reconstruction
   • In cases where conservative treatments fail, surgical repair or reconstruction of the tibialis posterior tendon may be necessary to restore function and alleviate pain.
2. Osteotomy
   • An osteotomy involves altering the alignment of the bones in the foot to improve function and reduce strain on the tibialis posterior tendon.
3. Tendon Transfer
   • In severe cases, a tendon transfer may be performed to replace the function of the compromised tibialis posterior tendon with a healthy tendon.