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Common Foot Conditions

Tendonitis

Tendonitis in the foot is a common problem amongst hard working people. This is a classic over use injury and affects a particular tendon in the foot, the posterior tibial tendon. This tendon helps to hold the arch of the foot and prevents your feet from rolling in too much. The patients in step of the foot may appear inflamed and may have a pronounced flat foot deformity.

Symptoms include pain at the in step of the foot, especially along the course of the tendon. There may be burning, tingling, shooting or stabbing pain present in the foot. This is due to the inflammation of the nerve that surrounds the tendon. If a patient is asked to stand on their toes, intense pain will be present in the arch of the foot.

Causes

  • Tendonitis of the posterior tibial tendon can be caused due to initial strain, minor degeneration and a rupture of the tendon. The inflammation of the tendon is a secondary reaction.
  • Initially, there is irritation of the outer covering of the tendon. This is called paratendonitis. This leads to degeneration of the tendon, which causes the tendon to become thicker. The tendon then becomes weaker and loses its strength; this can lead to a complete rupture of the tendon.
  • Flat foot types are at risk
  • Tight heel cords (Achilles Tendon) can lead to tendonitis of the foot.
  • Walking or running up hill, i.e. golf courses or marathon running can be the catalyst for tendonitis in the foot.

Treatment of Tendonitis
 		  
 
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