Shin Splints Tibialis Posterior Syndrome

The tibialis posterior muscle & tendon complex runs down the inside of the lower leg and attaches to the medial side of the foot. The tibialis posterior muscle & tendon complex is important in controlling excessive pronation of the foot and ankle. Repetitive use and overuse of the muscle/tendon can contribute to pain and inflammation and the onset of shin splints – ‘Tibialis Posterior Tendinopathy/Syndrome’.

Causes: Continuous stress place upon the tibialis posterior muscle during prolonged walking, running and sports exerts repetitive stress and pressure within the tissue which may cause pain and inflammation. Biomechanical implications are commonly associated with the condition in conjunction with overuse training. The onset of the problem may also be associated with a direct force to the ankle or foot or muscle/tendon itself.

Symptoms & Diagnosis: The most common symptom is pain along the inside of the shin and the medial side of the foot. Symptoms are normally made worse during exercise when there is repetitive supination and pronation action of the foot and ankle. In acute phases, the inability to walk on the affected leg may take place due to the pain, inflammation and swelling.

Management: A skilled physiotherapist will provide the correct form of treatment and advice to reduce the pain and inflammation and allow an efficient return to full function and sport. A biomechanical assessment may be required to investigate whether the onset of the problem is associated with lower limb foot function. Footwear advice, strengthening and the correct stretching exercises should be advised. Early management is recommended to prevent the possible onset of a stress fracture.

Please feel free to contact the G4 Clinic to speak to a member of the team for any questions that you may have.