tibialis posterior dysfunction

try this-- http://podiatry.curtin.edu.au/encyclopedia/pt/

try strengthening that muscle w/heel raises or supplying resistances with hand while moving foot.

maybe orthotics/insoles would help as well. maybe even a thin heel lift just for that foot, like 3mm.

Have you treated this successfully before?

never heard of it before

i try anything and everything that might help and doesn't harm

This is the name that others would understand better, I think.

If you want to understand more about the injury, and possible rehab, go to www.OSPT.net and click on the "Patient Education" tab. Follow the links through Foot then Posterior Tibial Tendon Problems, there is even a Patient Booklet you can print off.

This advice is not helpful. I already have the swollen area on the inside of my foot and arch flattening. I'm NOT interested in having surgery when the outcome is for pain relief only.

hello oldlifter, If you're at the stage where all practical "physiotherapy" type treatments haven't made a difference then I would say an orthotic would be beneficial. One thing about orthotics, and the way I work with podiatrists is to use the orthotics as a splint of sorts so that we can work on the foot muscles and control in an atatomically correct position. At the end of it all if that doesn't work then an orthotic or surgery is the way to go. Find a good sports podiatrist that if your lucky works with a sports physio and see how you go.
good luck

Hi Oldlifter,

I have to say, I myself had horrendous problems with running, pain down my shins which I was told was shin splints, aching across and under my arches, my hips felt like they were popping out when I ran ..... and it wasn't until I saw an orthotist (on a trade stand at an exhibition ironically!) who identified using a funky force plate that I had really bad overpronation and something else about my arches (I was more impressed with the technology than the explanation and poking of my foot at the time) which was resulting in a very flat foot.

I didn't even equate the shin/hip pain with the aching feeling I got in my arches, or with the annoying ache in my knees. (This was before I became a physiotherapist I hasten to add!).

The long and the short of it is that I was made up some orthotics, not the padded cushioned type you see only too often in shops, but some made from proper hardened pre-made plastic blocks stuck onto a half-foot plastic plate, which was then attached to a regular insole. The advantage of this type is that they don't need replacing every xx months, because they do not act as shock absorbers.

Of course me being me didn't read the instructions and wore them for the whole rest of the day (and me feet hurt like hell the next day - you are supposed to break them in gently wearing for a few hours at a time) and was about to give them up. I decided to read the info, and obeyed the instructions.

Nowadays I will never wear shoes without my insoles, and very rarely walk around without shoes on. All my aches and pains have been almost completely resolved, and boy do I notice the difference when I am not wearing them!

Perhaps give it a go and see if this helps you at all. Don't do as I did though, and wear any new insoles for a whole day - just an hour or two on your feet per day, and take them out. Then build it up gradually. Be a bit cautious using any insoles in sports trainers, as they may already have some in-built support.

Hope this is of some help?

Ruth Cheesley BSc(Hons) MSc MCSP
Chartered Physiotherapist

find a bone manipulator....chiropractor or better yet an Osteopath that can correct the cuboid bones position.