Tibialis Posterior Tendinopathy | Tendinitis | Dysfunction | Pain (Exercises, Rehab, Strengthening)

Summary by Krater

This video provides a comprehensive guide on tibialis posterior tendinopathy, covering its anatomy, diagnosis, load management, shoe and foot orthoses considerations, and a progressive exercise program ranging from foot adduction to single-leg balance.

From the video

Answers: How do I diagnose and rehabilitate tibialis posterior tendinopathy?

• tibialis posterior anatomy and function
• tibialis posterior tendinopathy clinical presentation
• load management for tendon recovery
• effects of shoes and foot orthoses
• exercise rehabilitation for foot strength and stability

Exercises

• Foot Adduction · resistance band · 3-4 sets of 12-15 reps, 2-3x/week
• Heel Raise · ball · 3 sets of 20-25 reps
• Single Leg Heel Raise · dumbbell · 3-4 sets of 8-15 reps, 2-3x/week
• Y Balance · 3-4 sets of 45-60 sec each, 2-3x/week
• Single Leg Rotations · 3-4 sets of 45-60 sec each, 2-3x/week
• Squat to a Chair · chair · 3-4 sets of 12-15 reps each, 2-3x a week
• Single Leg Sit to Stand · chair · 3-4 sets of 12-15 reps each, 2-3x a week
• Single Leg Box Squat · chair · 3-4 sets of 12-15 reps each, 2-3x a week
• Split Squat · pad · 3-4 sets of 8-15 reps each, 2-3x a week
• Dumbbell Reverse Lunge · dumbbells · 3-4 sets of 8-15 reps each, 2-3x a week
• Single Leg Deadlift · dumbbell · 3-4 sets of 6-12 reps each, 2-3x a week
• Foot Intrinsic Strengthening · towel
• Toe Curls · towel
• Toe Yoga
• Short Foot
• Single Leg Balance · 3-4 sets of 60 sec each, 2-3x a week

What it concludes

• Tibialis posterior tendinopathy is best conceptualized as a load-related issue where the tendon is loaded beyond its current capacity.
• A single leg heel raise is the most reliable test for diagnosing tibialis posterior tendinopathy.
• Supportive athletic footwear and inverted foot orthoses help decrease the tibialis posterior electromyography and supination moment during walking.
• The primary goal of rehabilitation for tibialis posterior tendinopathy is load management and progressive exercise, rather than changing the structure or appearance of the foot.