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Suggest treatment for posterior tibial tendonitis

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Posted on Mon, 2 Jan 2017
Question: Hello, my 80 year old mother has been diagnosed with posterior tibial tendonitis that the doctor thinks is from a lifetime of pronation. What do you think is the cause of this now, and what relief or correction is the most likely to be successful??
Thanks.
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Answered by Dr. Nishad BN (4 hours later)
Brief Answer:
Wrong foot wear can be the reason.

Detailed Answer:
Hi

Thank you for asking HCM.

I have gone through your query. Using wrong foot wear can be the reason for posterior tibial tendonitis. Consulting a podiatrist and designing a proper suiting foot wear will be helpful.

If pain persists, then I would suggest injection of local corticosteroids like Triamcinolone. You can also apply NSAID gels like ketoprofen or Diclofenac for local application, it'll provide symptomatic relief.

Let me know if anything's not clear.
I am happy to help you.
Thanks.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Nishad BN (38 minutes later)
Thank you. If it's from shoes, then foot pronation would not cause it? Can it be cured permanently?
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Answered by Dr. Nishad BN (3 hours later)
Brief Answer:
Pronation is the most common mechanism.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

Pronation is the most common mechanism for causing posterior tibial tendonitis. But this can be caused by use of wrong foot wear.
It can be permanently cured by using proper foot wear and soles designed for the foot specially. There are specialized shops for designing this.
The acute pain and swelling or redness can be cured by applying ice packs local NSAID gels like ketoprofen and corticosteroid injections.

Let me know if anything not clear.
I am happy to help you.
Thanks.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Answered by
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5233 Questions

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Suggest treatment for posterior tibial tendonitis

Brief Answer: Wrong foot wear can be the reason. Detailed Answer: Hi Thank you for asking HCM. I have gone through your query. Using wrong foot wear can be the reason for posterior tibial tendonitis. Consulting a podiatrist and designing a proper suiting foot wear will be helpful. If pain persists, then I would suggest injection of local corticosteroids like Triamcinolone. You can also apply NSAID gels like ketoprofen or Diclofenac for local application, it'll provide symptomatic relief. Let me know if anything's not clear. I am happy to help you. Thanks.