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	Systemic
	Health
	Treatments
	Exercise
	For Physicians

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• Ankle Sprains/Instability
• Fractures (Broken Bones)
• Achilles Tendonitis and Rupture
• Plantar Fasciitis
• Stress Fractures
• Tibialis Posterior Tendonitis

• Overview
• Treatments
• Goals
• Resources

Tibialis Posterior Tendonitis

This often occurs in overweight, middle aged women and men as a result of degenerative changes in the tendon. The rupture may be partial or complete with pain below or behind the inside ankle bone (medial malleolus). A flattened arch is common. Anti-inflammatory treatment (physical therapy modalities), orthoses, and surgical debridement are common treatments.

Possible Treatments

• Aerobic/Endurance Exercise 
• Cryotherapy or Cold Therapy 
• Electrotherapeutic Modalities
• Gait or Walking Training 
• Isometric Exercise 
• Proprioception Exercises 
• Physical Agents
• Soft Tissue Mobilization 
• Stretching/Flexibility Exercise 

Possible Treatment Goals

• Improve Balance
• Improve ability to bear weight/stand on the leg(s)
• Decrease Risk of Reoccurrence
• Improve Fitness
• Improve Function
• Improve Muscle Strength and Power
• Increase Oxygen to Tissues
• Improve Proprioception
• Improve Range of Motion
• Self-care of Symptoms
• Improve Tolerance for Prolonged Activities

Additional Resources

• 3d Anatomy of the calf and foot
• Ankle/Foot from Medline Plus
• Tibialis Posterior Tendonitis

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The information within this Medical Library does not represent the views, opinions, advice, or treatment philosophy of E6 Physical Therapy. Any reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise, does not constitute or imply its endorsement, recommendation, or favoring by E6 Physical Therapy or its employees/affiliates and any such reference shall not be construed as advertising or product endorsement.