Tibialis
Posterior Pain & Football

Tibialis Posterior Pain Explained
An injury prevalent in running activities, Tibialis
Posterior pain can lead to Acquired Flat Feet and Foot Pain.
The severity of the injury may vary, with damage
ranging from inflammation to partial or complete ruptures
in the Tibialis Posterior tendon. As a result to the damage
in the Tibialis Posterior tendon, the player will experience
pain on the inside of his ankle, specifically in the area
behind the bony prominence. Football players may acquire this
condition as a result of a direct blow to their Tibialis Posterior
Tendon.
The Tibialis Posterior Muscle originates from
the back of the shin bones. As a tendon, the Tibialis Posterior
Muscle runs the length of the inside of the ankle before it
eventually reaches the middle of the foot, inserting itself
into the tarsal bones.
Football players who regularly run on roads
with tight bends or steep slopes may also develop this condition.
Injuries of this kind do not manifest immediately but rather,
they develop through time due to an overuse of the foot. With
this condition, every step the player takes will put incredible
strain on the tendon. Inflammation may soon follow, along
with pain felt at the inside of the ankle.
This condition may be caused by Tibialis Posterior
Dysfunction. Tibialis Posterior Dysfunction is basically flat
feet or fallen arches.
Tibialis Posterior Pain Signs &
Symptoms
Inflammation in the Tibialis Posterior Tendon
and its surrounding sheath will make movement painful. Pain
can especially be felt in movements that require pushing the
foot downwards or turning it inwards. These movements are
referred to as plantar flexion and inversion, respectively.
The Tibialis posterior may be sore to touch.
However, the attachment of the tendon to the Navicular bone
in the foot may also experience pain. The Navicular bone is
located at the area where shoe laces are tied. The soreness
typically originates from the medial malleolus, the bony prominence
on the inside of the ankle. Sometimes, motion will cause this
area to produce creaking sounds.
Podiatrists and Chartered physiotherapists can
easily diagnose Tibialis Posterior Syndrome. However, they
may need to convince the player that the pain is not really
caused by the medial malleolus itself. An MRI scan will help
eliminate the possibility of damage in the ankle joint and
other bony structures within the foot.
Tibialis Posterior Pain
Treatment
What you can do
Initially the ideal treatment must be guided
with the P.R.I.C.E protocol: - protection, rest, ice,
compression and elevation. However, ice must be applied
with care since its direct contact with the skin can cause
ice burns. The swelling within the Tibialis Posterior Sheath
can be controlled and managed using this treatment. To relieve
pain, reusable ice packs can be applied to the injury every
two hours, for twenty minutes each time. Doctors may also
prescribe Non Steroidal Anti Inflammatory Drugs (NSAIDs) in
order to address the inflammation. Anti-inflammatory gels
can also be used.

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Reusable ice packs
Doctors may recommend for the foot to be immobilised
for a couple of weeks. In any case, the player must have a
period of complete rest to allow the tendon to heal properly.
People who suffered from Tibialis Posterior
Pain cannot simply go back to football after recovery. Podiatrist
assessment must be conducted first since tendon problems usually
result in abnormal mechanics in the lower leg. Common complications
include over pronation in which the forefoot
rolls over, causing the Tibialis Posterior Tendon to get overworked.
In some cases, the strain on the Tibialis Posterior
may be attributed to ligaments which are unable to properly
support the inside arch of the foot. Both of these conditions
can be improved by using the
Dr
Foot Sports Insoles.
By providing the inside arch with sufficient
support, the Dr
Foot Sports Insoles can reduce the strain on the Tibialis
Posterior tendon.




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the Dr Foot Sports Insoles
Tibialis Posterior Pain
Prevention
What you can do
Tibialis Posterior Pain can result from untimely
participation in excessive physical activity. Physical activity
must always increase gradually especially when starting or
altering a fitness regime. For instance, when a footballer
suddenly decides to run for 10 miles a day even though his
usual routine calls for only 2 miles of running, he inevitably
puts his body at risk. Such a danger can be prevented through
the maintenance of a training log.
To reduce strain on the Tibialis Posterior,
footballers must wear quality football shoes with shock absorbing
insoles. Correction of conditions like flat feet and fallen
arches may also prevent the development of Medial Tibial Stress
Syndrome. With insertion of Orthotics
into the footwear, pressure may be relieved from the Tibialis
Posterior Tendon.