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Inside Of Foot And Ankle Pain

Inside of Foot Pain and Posterior Tibial Tendonitis Treatment Seattle Foot

Hi. So today I want to talk about pain on the inside of the foot and the ankle. What I’m talking about is right along here underneath your ankle bone and cruising down attaching to the inside of your foot. That’s actually the attachment of a muscle or tendon that’s called the posterior tibialis, and it’s one of the most hardest working tendons in your foot. It helps to slow you down as you hit the ground and helps to push you forward as you go forward. So if either of those activities are being done a lot during exercise, for example, that tendon can getover worked. Also if your foot is flattening out too much, that tendon works very hard to try and support your foot.

Now if you look over at this picture you can actually see that tendon attaching to the back of your leg, cruising on down underneath your ankle bone and they’re attaching the inside of your foot. So if you think about that tendon like this rubber band here attaching in there, if anything puts tension on it, it’s going to start to get painful over time. So our whole goal when we treat this problem, just like we take this rubber band and we make it tight there or we make it loose here, our goal is to reduce tension on that tendon. And this is where a lot of treatments fail. They don’t do enough to try and reduce tension on the tendon. So there’s several different.

Ways to do that. Now one of the simplest ways is to just make sure you’re wearing a stable shoe. A stable shoe will help stop you from rolling in. If you go to our website and search for shoe lists, we have a list of shoes that you can download that fit that criteria. Number two is to use a good arch support inside your shoe. This is just an overthecounter arch support, fairly inexpensive. By going underneath the arch here helps stop it from going down. That takes tension off of the tendon. You can again find a list on our website. Just go to the website, do a search for posterior tibial tendonitis or posterior tibial, and that will pop right.

Up. You can even look for inside of foot pain. Now if that ‘s not enough we can use a custom orthotic. Custom orthotics work better because they conform tighter to the arch of the foot. So that if somebody has chronic pain, not just a short term condition, they’re a more chronic condition then we may use a custom orthotic simply to take more tension off that tendon. Finally even for around the house, using a flip flop or a sandal like this that has really good arch support, this one has really exceptional arch support, stops it from going down. If you’re having this type of pain try to avoid going barefoot. Now if you initially have.

The pain and it’s not getting better and especially if these simple things are not working, definitely come in and see us. What we may need to do is put you in a waking boot like this one for a week or two just to take more tension off of there and to allow the tendon to heal. Again tension is really key. If you just imagine that tendon as a rubber band, anytime that you are pulling on it, it has more potential to get injured. So don’t live with this problem. Anytime you have pain on the inside of the ankle it’s usually very treatable. Either if you’re in our area make an appointment to see us, if you’re not go to the website, do a search for posterior tibial tendoitis and you’ll find all the information you need.

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KT Tape Distal Posterior Tibial Tendonitis

This application is for Posterior Tibial Tendonitis where pain often presents on the inside or medial portion of the lower leg near the ankle, this is often caused by inflammation of the posterior tibialis tendon which decelerates the foot after heel strike when running, so it is a fairly common injury this is how we tape for it. The first piece in this application is going to be an Istrip. tear the paper.

Down by the logo end of the tape and I’m going to position the foot in dorsiflexion and inversion as I lay this portion down just along the lateral or outside portion of the heel rubbing that down no stretch on that piece. As I bring the.

Tape around the heel again I’m laying this down with no tension, no stretch on the tape and laying that all along the inside or medial portion of the foot. For the second step of this application I’m going to tear another Istrip.

And placing the foot in dorsiflexion inversion, if you can. I’m going to tear off the anchor and here I’m going under the calcaneus the heel for the anchor I’m going to try to get on as much skin as I can laying that down with no stretch.

Ok, now I’m going to come around and as I lay this piece down where I want to run this is right up behind that medial ankle bone, or that medial maleolus so I’m applying this with no stretch on the tape following that line staying behind that bone.

Now I’m just laying the anchor down again no stretch while I was applying this, that foot should still be in dorsiflexion I am now going to rub that tape on using the paper backing, create some friction, some heat that causes it to adhere better and if that is not relieving your symptoms, you may actually add a third piece by tearing an Istrip.

Again creating an anchor and where I am going to place this now is again, on the outside or lateral portion of the foot, laying that anchor down trying to get as much skin as I can without any tension on that anchor.

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