Tendonitis of the Foot
(Posterior Tibial Tendonitis)
Tendinitis can affect four different tendons of the foot - the achilles tendon, the posterior tibial tendon, the anterior tibial tendon and the peroneal tendon. The posterior tibial tendon assists in holding the arch of the foot also prevents your foot from rolling.
Posterior tibial tendonitis is a common overuse injury that affects the inside arch of the foot. The inflammation can be caused by irritation and tiny tears in the posterior tibial tendon over time (referred to as chronic tendonitis) or due to an immediate traumatic strain or tear (referred to as acute tendonitis).
If a person has tendonitis of the foot, he or she may have inflammation at the in-step area of the foot and also have a flat foot deformity. If posterior tibial tendonitis goes untreated you may experience flattened arches and your toes will begin to point outward as the tendon is no longer able to support your arch.
Symptoms of an inflamed posterior tibial tendon may include:
- Pain along the in-step of the foot.
- Shooting, stabbing or burning pain in the foot.
- If standing on their toes, the patient will feel intense pain in the arch of their foot.
Treatment - What You Can Do!
Initially, treatment of posterior tibial tendonitis focuses on cold compression therapy for pain relief and to minimize swelling and tissue damage. The trick to getting rid of tendonitis of the foot is getting it to heal with minimal scar tissue formation and with as much realignment of the tendon fibres as possible - something ultrasound therapy is great at!
Even with optimum healing, there is always less elasticity in a previously injured posterior tibial tendon. This will cause the tendon to hurt during daily activities and exercise. However, if you heal your posterior tibial tendon efficiently and quickly, your chance of re-injury later on is much lower than average. Following up your posterior tibial tendon treatments with Blood Flow Stimulation Therapy will help to strengthen your tendon tissue and complete the healing process.
Allowing your posterior tibial tendon to rest is always recommended if you are suffering from tendinitis. Avoid all activities that may have caused the injury or irritation and begin cold compression treatments as soon as possible. The posterior tibial tendon is difficult to rest completely as it is an essential tendon for arch support during walking and other daily activities. During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort in your ankle until the pain and inflammation settle.
Cold Compression Therapy
Doctors recommend using cold compression as soon as possible following an acute posterior tibial tendon injury, like a sprain, and after any re-injury. This will reduce pain and swelling and minimize tissue damage that occurs with soft tissue injuries like tendon tears and tendinitis.
The Ankle/Achilles Freezie Wrap® allows you to treat your posterior tibial tendonitis in an effective and convenient way.
Cold Compression Therapy works by interrupting and slowing nerve and cell function in the injured area and reducing swelling that can block blood vessels. This is important because once blood vessels are blocked or damaged, they can no longer carry oxygenated blood through the posterior tibial tendon and tissue cells begin to break-down.
Without cold compression therapy cellular break-down and tissue damage continues as the cells do not get the oxygen they need to survive. By limiting the amount of damage, you also limit the amount of healing that needs to occur. This is a very important step to heal your posterior tibial tendon faster and with less pain!
The deep cooling effect provided by the Ankle/Achilles Freezie Wrap® slows cell metabolism thereby reducing cellular break-down and tissue damage. Furthermore, because the cold wraps serve to numb the nerves, the wraps also reduce pain! The Ankle/Achilles Freezie Wrap® uses a supercharged cooling gel pack and is an adjustable wrap that allows you to control the compression to a level that is comfortable for you. The gel packs are chilled in the fridge not the freezer. This eliminates the risk of cryoburn, or 'cold burns', on your skin that can be cause by ice and freezer gel packs. You can also wear the Freezie Wrap® for longer treatments so you can enjoy even more relief from your tendon pain.
Ultrasound therapy is the most effective and pain-free way to reduce inflammation, soften scar tissue and promote faster healing of your posterior tibial tendon.
During the healing process, scar tissue builds on your posterior tibial tendon and can attach the tendon to other tissue. This limits the flexibility and movement of the tendon and other tissue in your foot and increases the amount of pain you will experience. Fortunately, you can treat your scar tissue with therapeutic ultrasound to improve the elasticity and flexibility of your ankle.
Not only does ultrasound reduce inflammation, soften scar tissue and speed up the healing process, it also helps to prevent long term complications. Pain, lack of mobility, tendinosis, or a complete posterior tibial tendon tear are some of the more common long term complications that can occur when tendinitis (tendonitis) goes untreated. By treating your posterior tibial tendon with ultrasound, scar tissue becomes softer and the tissue becomes stronger reducing the risk of chronic problems in the future.
For those who suffer from long term tendon tears or strains, ultrasound can help. Ultrasound therapy can help to break up scar and fibrous tissue that has built up over time on the posterior tibial tendon and restore elasticity to the tissue and flexibility in your ankle.
Ultrasound can also be used to administer therapeutic medicines into the body. This is a process known as phonophoresis. Ultrasound with phonophoresis is rapidly becoming more popular than ultrasound therapy alone.
Using the MendMeShop® Lavender Infusion Gel during your ultrasound therapy gives you 2 therapies in 1. You get the benefit of the regenerating sound waves from the ultrasound device itself AND the added bonus of the therapeutic ingredients inside the gel being delivered into the tissue where it is most effective.
Lavender Infusion Ultrasound Gel contains the natural essential oils of Bulgarian lavender, peppermint, eucalyptus, and menthol and is exclusively available from MendMeShop®. These ingredients reduce inflammation, relieve pain and improve blood circulation to your posterior tibial tendon. 1 bottle of MendMeShop® Lavender Infusion Ultrasound Gel comes FREE with every MendMeShop® Ultrasound System so you get unbeatable ultrasound therapy for your injured ankle ligaments and tendons.
MendMeShop® ultrasound therapy with phonophoresis is safe, convenient, and easy and generally requires between 5 - 10 minutes per treatment. It is based on a form of deep tissue therapy, which is generated through high frequency sound waves (that we can not hear). These waves send vibrations deep into your body and slightly increase the temperature of your soft tissue cells. The waves are delivered through a hand held transducer and conductive gel that are used together in a slow, circular motion on your skin over the injured ankle.
Blood Flow Stimulation Therapy
Once the posterior tibial tendinitis inflammation has been reduced, nourishing and strengthening the tissue in the tendon and surrounding area is recommended.
Using Blood Flow Stimulation Therapy, or BFST®, will speed your recovery and heal your posterior tibial tendon more completely preparing them for strengthening exercises. BFST® increases the amount of blood that flows naturally to your ankle to nourish your posterior tibial tendon and ligaments, improving elasticity and accelerating the healing process.
By treating your ankle with Blood Flow Stimulation Therapy you can increase your body's blood supply to your posterior tibial tendon and increase your body's natural healing power. In addition, the fresh blood flow whisks away dead cells and toxins that have built up from tendonitis and tissue damage leaving the area clean and able to heal faster. Our Ankle/Achilles Inferno Wrap® provides effective, non-invasive, non-addictive pain relief and healing with no side effects.
With these 3 easy therapies you will notice incredible improvement in your posterior tibial tendon. You will reduce your pain and strengthen your tendons to get yourself back on your feet again. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!
Remember: We recommend that you consult your doctor and/or physiotherapist before using any of our outstanding products, to make sure they're right for you and your condition.