Tibialis Posterior Tendinopathy Treatment in Mona Vale
Tibialis posterior tendinopathy is a common cause of pain along the inside of the ankle and foot. It often develops gradually and may make walking, running, hiking or prolonged standing uncomfortable. If left untreated, symptoms can progress and begin to affect the foot's ability to support the arch during movement.
At Helix Recovery, we'll identify the source of your pain and develop a personalised treatment plan to reduce symptoms, restore strength and help you return to the activities you enjoy.
What is Tibialis Posterior Tendinopathy ?
The tibialis posterior is an important muscle that helps support the arch of the foot and controls foot movement during walking and running. Its tendon runs behind the inside of the ankle before attaching to several bones within the foot.
Tibialis posterior tendinopathy occurs when the tendon is overloaded beyond its current capacity. This may lead to pain, reduced strength and difficulty tolerating activities that place repeated stress on the tendon.
Early management can help improve symptoms and restore normal function.
Common Symptoms
Pain along the inside of the ankle or foot
Tenderness behind the inside ankle bone
Pain during walking, running or hiking
Pain when standing on one leg or performing a calf raise
Morning stiffness
Swelling along the tendon
Reduced ability to support the arch during activity
How We Assess Tibialis Posterior Tendinopathy
Pain on the inside of the ankle can arise from several different structures, including the tibialis posterior tendon, ankle ligaments, the tibial nerve or surrounding joints.
Your assessment may include evaluating the location of your symptoms, tendon function, calf strength, foot posture, walking mechanics and activities that reproduce your pain. This helps determine the most likely source of your symptoms and guides your treatment plan.
How We Treat Tibialis Posterior Tendinopathy
Treatment depends on how long symptoms have been present, their severity and the activities you want to return to.
Treatment may include:
Osteopathic manual therapy
Shockwave therapy
Progressive exercise rehabilitation
Activity modification and load management
Progressive strengthening of the tibialis posterior and calf muscles
Foot and ankle strengthening
Advice regarding footwear and orthotics where indicated
Gradual return to work, walking and sport
Shockwave Therapy for Tibialis Posterior Tendinopathy
Shockwave therapy may be incorporated into your treatment plan to help reduce pain and support tendon healing. It is commonly used alongside osteopathic manual therapy and progressive exercise rehabilitation to improve the tendon's capacity to tolerate load and assist your return to everyday activities and sport.
Common Questions
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Most people experience pain behind the inside ankle bone, although symptoms may also extend into the arch of the foot.
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In many cases, yes. Activities may need to be temporarily modified while maintaining an appropriate level of loading through a structured rehabilitation program.
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Some people benefit from temporary arch support or orthotics, while others improve with strengthening, footwear advice and progressive rehabilitation alone. Recommendations are made on an individual basis following your assessment.
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Recovery depends on the severity of the tendinopathy, how long symptoms have been present and your activity goals. Most people improve with a consistent rehabilitation program, although recovery may take several weeks to several months.
Ready to Get Back to Pain-Free Movement?
Pain along the inside of your ankle doesn't have to keep you from doing the activities you enjoy. We'll identify the cause of your symptoms and develop a treatment plan tailored to your goals.