Ways To Treat Posterior Tibial Tendonitis

Activity Modification

Activity modification is central to the treatment of posterior tibial tendonitis. To do this, patients must identify the activities that contributed to their condition and then find ways to modify these so they do not trigger symptoms or pain again. For example, patients whose posterior tibial tendonitis was caused by participation in sports may cut down on the number of hours they spend playing that sport. They may also need to stop performing certain exercises or movements that cause them pain during practice. Physical therapists, sports medicine doctors, orthopedists, and team coaches can all provide suggestions on appropriate activity modification practices patients may want to implement. Modification often involves the use of supportive bandages or other aids that can make movement less painful, and it is typically combined with a course of physical therapy to strengthen the affected muscles and tendons.

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Take Recommended Anti-Inflammatory Medication

Posterior tibial tendonitis often requires the use of several medications, including anti-inflammatory medication. Over-the-counter doses may be effective for mild cases of this form of tendonitis, and stronger prescription anti-inflammatory medicines can also be prescribed as needed. These are often combined with pain relievers. Patients may also wish to try pain-relieving topical gels.

Since long-term use of anti-inflammatory medicines can cause liver or kidney damage, patients are typically recommended to take the lowest effective dose for as short of a time as possible. While taking anti-inflammatory medication, patients should be aware of the potential for serious side effects. These include stomach ulcers, stomach pain, heartburn, ringing in the ears, and high blood pressure. Patients may also experience swelling in the legs and headaches. The risk of side effects from these medications is higher in patients who are over sixty years old and in individuals who smoke. Patients who need long-term anti-inflammatory medication may also be prescribed a drug that blocks stomach acid to reduce the risk of heartburn and stomach bleeding. Doctors typically recommend patients take anti-inflammatory medicines with food to reduce the severity of potential side effects.

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