musculoskeletal and connective tissue disorders
Tibialis Posterior Tendinosis and Tibialis Posterior Tenosynovitis
Treatment
Orthotics and braces or surgery Complete rupture of the tibialis posterior tendon requires surgery if normal function is the goal. Surgery is especially important in young active patients with acute tears. Conservative therapy consists of mechanically off-loading the tendon by using orthotics modified with a deepened heel cup and appropriate medial wedging or posting in less severe pathology. Custom-molded ankle and foot bracing that extends the leg for added stability is indicated in more severe pathology. Corticosteroid injections exacerbate the degenerative process (see Considerations for Using Corticosteroid Injections ). For tenosynovitis, rest and aggressive anti-inflammatory therapy are warranted. 