Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Tibialis Posterior Tendinopathy
What is tibialis posterior tendinopathy?
The tibialis posterior is a key muscle located in the lower leg, running behind the inner ankle bone. Tibialis posterior tendinopathy occurs when the tendon of this muscle becomes irritated, thickened, or swollen. This condition can cause pain along the inner side of the ankle and arch. Physiotherapy is often highly effective in managing and treating this tendon problem.
How does tibialis posterior tendinopathy occur?
Tibialis posterior tendinopathy develops due to repetitive strain or overstretching of the tibialis posterior tendon. This muscle plays a vital role in controlling foot movements and maintaining the arch. Repeated stress can cause tiny tears in the tendon, and the body responds with inflammation to repair these micro-injuries. This inflammation and tendon degeneration together are known as tendinopathy.
What are the symptoms of tibialis posterior tendinopathy?
Tibialis posterior tendinopathy typically causes a slow, gradual onset of pain along the inner ankle, just behind the bony bump. Initially, the tendon may only hurt after activity, and you may notice stiffness or tightness in certain ankle movements. These early symptoms often improve with movement, massage, or heat, which can make them easy to ignore. However, if the tendon continues to be stressed, the pain can gradually worsen and eventually become constant. Other signs may include:
- Weakness in the foot or ankle
- Changes in foot shape or arch collapse
- Difficulty walking or altered gait
- Balance problems
What should I do if I have tibialis posterior tendinopathy?
Tibialis posterior tendinopathy usually does not improve on its own if the underlying cause is not addressed. If you suspect you have this condition, it is important to book a physiotherapy appointment promptly. While waiting for treatment, you can start some initial care:
- Rest the affected leg and avoid activities that aggravate the pain
- Apply ice to the inner ankle for 15–20 minutes every couple of hours using a bag of frozen peas or crushed ice wrapped in a damp cloth
What shouldn’t I do if I have tibialis posterior tendinopathy?
Do not ignore the pain. Even if it eases with movement or exercise, continuing to stress the tendon may worsen the condition and delay recovery.
Could there be any long-term effects from tibialis posterior tendinopathy?
If diagnosed and treated correctly, tibialis posterior tendinopathy usually does not cause any long-term problems. Early management is key to preventing chronic pain or dysfunction.
Physiotherapy treatment for tibialis posterior tendinopathy
Physiotherapy plays a central role in treating tibialis posterior tendinopathy. A physiotherapist can confirm the diagnosis, assess the severity, and develop a tailored treatment plan. Treatment may include:
- Joint manipulation or mobilisation to improve ankle movement
- Electrotherapy to reduce pain and inflammation
- Hydrotherapy to gently strengthen the tendon in a low-impact environment
- Specific exercise programmes to restore strength, flexibility, and functionafely return to sports or daily activities
Your physiotherapist will also identify the underlying cause of your tendinopathy and address it during your recovery. This helps reduce the risk of recurrence and ensures a safe return to daily activities and sports.
To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.
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