Top 3 Treatments for Posterior Tibial Tendonitis (Exercises Included)

Famous Physical Therapists Bob Schrupp and Brad Heineck demonstrate the top 3 treatments for Posterior Tibial Tendonitis. They have included some effective exercises.
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[@suedavis4149]

Great visual w/ red marker & explanation of PTT. This was an old injury that popped back up, and your simple clear instructions delivered w/ a humorous approach were helpful. I’ve followed your advice from other videos on neck / shoulder pain & incorporated your exercises into my daily routine. You guys rock! Thanks a million

[@priest21]

You guys are the best. Between you and my Gray's Anatomy book I was able to diagnosis, rehab, and heal. Many Thanks!!!!!

[@litaperna1128]

I travel all over the web picking up information and always return here 'cause you make me laugh and things don't seem so bad. Thank you.

[@kingsley6236]

Thanks Bob and Brad for this video. I used cross fiber massage on a different tendon a while ago which I saw on one of your other videos. I knew I had Posterior Tibial Tendonitis but didn't know how to use cross fiber massage on it, till i watched this. After only doing it 2 times it has made a huge improvement. The tightness has nearly gone, more movement and little discomfort. THANK YOU SO MUCH! I have learned a lot from you guys!!!

[@haleyd1289]

Hi guys - I was wondering if you could post a video which describes in further detail how to do the cross fiber massage specifically for this issue - what we should be feeling, how to tell if we're correctly getting to the tendon, and how to not grind on the bone. Your videos have been so helpful! Thanks so much.

[@minimallysimplyhappily2675]

You both are fantastic! Just watch 3 of your videos back to back. Genuine knowledge, simple self tests, with possible alternative causes of pain facts dont line up with your symptoms. Before watching, other online doctors had me convinced that I had an arch issues. Come to find out its a muscle group i didnt know made that big of a difference while causing so much pain. Cheers and bless you both!

[@AroBallerina]

Thank you SO much for this video! It described what I was going through perfectly! Did some of the suggestions and affected me immediately! Thank you!!

[@jaywellington6504]

Your channel has helped me and my family to recover from SO MANY issues, I can't count. Thank you so much Bob, Brad and Team! 🤗🙏

[@matthewmain5503]

GREAT summary. Complete with references to the literature. As a primary care physician, I highly recommend this video.

[@leongkeenwai6673]

Thank you so much guys! Easily the most concise and helpful video on PTT I’ve found.

[@saraa7117]

Have seen more than 5 doctors who told me it’s nothing and go home. Thanks a lot

[@thecreatedvoid117]

It’s so sad when doctors don’t listen to their patients. I’m grateful the podiatrist I went to was able to diagnose my PTTD right away, although his means of treatment weren’t the best, I still at least knew what I was dealing with.

[@honeyPooh-cc4bc]

Same i have been in some much pain for past 1 year

[@kamranhussain9798]

@saraa7117 same goes to me?😢 How are you feeling now, tips or something to get rid of this pain 😢

[@mariiiaestevez]

Samee! 6 months with terrible pain and nobody listened to me :(

[@kamranhussain9798]

⁠@@mariiiaestevez how to get in touch with you? I’ll tell you some tips

[@simonfenoulhet9227]

Thank you both, I always end up watching your vids for uncomplicated diagnosis and treatment of my sports injuries. This resource is really valuable. If you were nearby, I would definitely visit for treatment!

[@nemonemo6285]

Thanks Guys. You're helping a lot of people with their lives. Cheers.

[@donniebowers8969]

You guys are great! I've seen a myriad of your videos that have helped. Keep it up!

[@dahlrjay63]

Great advice and even better banter and energy! I just found your channel and videos and I love them! Subscribed!

[@bennylee4366]

You guys are the best. Always cutting through the nonsense and your simple exercises just works.

[@maureengarry]

I'm so grateful for this video! I had a calcaneal spur removed in 1989, along with a chunk of the plantar fascia which the doc said was so thick and immobile it was not useful anymore. BUT, after that surgery my navicular bone dislocated chronically without the support of the tendon. This was discovered by a chiropractor and confirmed by a bone scan grudgingly done by my podiatrist, who would not believe my pain was where I told him it was, since it didn't make sense to him. I've had this tendonitis in ebbs and flows for 29 years and did not know that's what the pain was coming from, I thought it was just that my bone was out of place again and I had to let it move back. UGH. Now I can treat it!

[@ComandanteNissaro]

I sustained a high ankle sprain last year playing hockey. Received excellent physical therapy and your advice was sound and supplemented what I was already doing. Many many thanks gentlemen.

[@DeeDee-pj1bx]

we can't fix a broken heart. Thanks so much! I've watched your shoulder video as well and have gotten rid of my shoulder pain because of your video!!

[@sabrinahandsome8278]

Ya'll have helped me out with so many injuries over the last couple of years lol. Thank you so much!

[@stefanie320]

You guys are the best. I love your videos! Very helpful!

[@FrankTranDesign]

You guys are always saving my feet and lower back--thank you

[@johntracey5366]

Thanks guys, very much appreciated 👍

[@ChristCordogan]

Bob and Brad THANK YOU! Over a year ago I thought I “sprained” my left ankle. No big deal I thought. 🙄 Mistake. Insert long story. I finally saw an orthopedic surgeon a couple of months ago and was diagnosed with tibia tendon insufficiency. More search for help after the doctor’s prescribed orthotics were not helping. I found this video a few days ago and WOW! Finally pain free! I’m now working on stretching and getting the ankle stronger. Thank you!

[@Tenderness53]

You vidéos put😀 me in a good mood! I have such painful shin splints so anything that can add to the exercises that i do is cool! It makes me think of what I need to do to make it better.

[@seretamage4547]

Thank you for uploading this! It helped me!

[@TomofAllTrades]

Thanks for sharing. It was really great info.

[@codjh9]

Thanks for doing this one, guys.

[@shovalkarol1534]

Hi guys, thank you for the videos it help me ALOT! THANK YOU! there is any Ankle Synovitis Exercises and tretment?

[@spicyyahoo]

Great stuff as usual. Could you guys do one on peroneal tendonitis too? Thank you.

[@KieranDesmond]

Great explanation, thanks as always!

[@a.bartlett9898]

Very helpful! Thank you!

[@narayana9081]

Thank you guys ,it cured my pain.

[@Kayerith]

These techniques actually help me a lot in my rehab following Post Tib Tendon reconstruction. Had the surgery in June 2020, boot off at the end of July, and it’s taken me this long to get at least 98% of my full functionality back.. I still struggle with single leg calf raises on the surgical foot. But I find that once I’ve massaged the tendon and the muscle a bit, I am able to do more.. my physio obviously does the massage better 😂

[@audreyc426]

Hi Bob and Brad, thank you so much for this video, I have been doing these exercises as well as your exercises for plantar fasciitis, which I also have and feeling the benefits. This is an occurring problem for me so I will continue daily. I just wondered, would you recommend rebounding for someone with post tib and plantar fasciitis after they recover?? Thanks so much.

[@hiddenrode6014]

You guys are so funny. Thanks. Makes it fun to watch and learn.

[@gailolson8255]

always helpful videos

[@ttsing]

Thank you i love this!!

[@colsomemiah6095]

Most helpful video on Interior tendonitis of ankle I've seen: heard that it can last forever and intermittently crops up when you think it's healed.

[@thecreatedvoid117]

Ugh ain’t that the truth. Didn’t work for about 1 1/2 years thinking it would resolve overtime... nope! Day one of working again, even with appropriate inserts, tons of pain. Feels like it’s never going to go away. 🙁

[@Masterr59]

@@thecreatedvoid117 You're not alone. It started for me when I was 19 and I'm 26 now. It's slowly getting worse. My feet have always been extremely flat so it set me up for always hurting this tendon.

[@sandy949]

I’ve been living it for over two months, feels great one day then hurts the next. It’s slow to heal but I’m going to try the massages they show.

[@TORKiT]

The struggle is real. I injured mine running for exercise. I’m icing, compressing, elevating, massaging and staying off my feet for ten days to heal up. I am hoping for the best.

[@deborahnovak2386]

I’m in agony. Going to do what they say and hope for the best. Two weeks ago my foot dr said i would probably need injections, but i really really don’t want that

[@BloomByCC]

Great video guys!

[@Mr.RodrigoGomez]

Thanks, you guys are amazing

[@eriatarka45]

"The most famous physis therapists on the internet, in our opinion" always makes me lauhg

[@ranjiteduc668]

The greatest physical therapists on the internet 🙏👏

[@clypttn]

I rolled my ankle (lateral) sprain several years ago and received a brostrum reconstruction. Now I have pain on the underside of my arch in the area where the tendon shows to connect in your video as well as instability and discomfort on the lateral side of the ankle. Additionally, I have pain on the lateral side of the knee same leg resembling itb pain. I'm virtually certain the two are connected, but don't know what this is called and/or where I should start before going to see the surgeon again. Please help.

[@larryps]

Thank you guys.

[@diamondemon595]

Wow what an acNice tutorialevent! Best of luck for the rest of your future, I’m looking forward to being able to invest when I turn 21 in November!

[@mihirmukhopadhaya9724]

Physiotherapy via dad jokes. 👍🏽

[@rubenpartono]

Yes! Grampa jokes is what we need nowadays, really.

[@MommaLallah]

I have plantar fasciitis in one foot which is doing much better and healing using your taping method. I have been able to start walking longer distances. I did 3-4 miles a morning pre injury and now I’m back up to about 2. The other ankle is hurting and looks to be the posterior tibial tendinitis. I’m going to try some of these tips. Thank you.

[@maggiekimani3008]

Thankyou so much 🙏🏾

[@MoralesAlex805]

Been dealing with ankle problems for so long but after a few massive rolls in the military it has never been the same.

[@RodneyBrown]

These gentlemen are amazing!

[@abdewahbi]

Thank you very very very much

[@karabaas6468]

Thank you! my Chiropractor recommended this video, what I'm looking for is how to address the connection between waking up with pain in the pelvic floor and the bottom of my feet. I'm pretty aggressive with rolling out the bottom of my feet at night, and the PTT/IT band areas, but I would love info on understanding and addressing the "root chakra" area. Thank you!

[@spinapex2469]

Thank you once again, gentlemen. My post tib tendonitis is from having been on that leg with the crutches during the hip fix .

[@marklewis3993]

Mines the same! Started after hip surgery and hasn't gone since. Have you managed to fix yours?

[@teresaslatteryamin3059]

Mine started right after knee surgery for a meniscus repair on the same leg with hyaluronic acid shots to the knee.

[@MrJtgoetzel]

You guys are awesome! I hope this works.

[@JoanKSX]

Thanks, you two are saint saviors. I'm new to the pain, even changing my super flat shoes to some kind of commercial ready made orthopaedic shoes but the pain isn't going away completely yet (maybe the insole arch is too high LOL) and am planning to go see a doctor. But first of all, I must bring my overweight body weight down to normal =/

[@Gr3atownz]

Hi guys I've been experiencing shin splints (posterior side) back and forth for 3 years. I've noticed along with the shin splints, I also experience pain in the area just above the inside part of the ankle. Is this actual ankle pain or somehow related to my shin splints?

[@buddyrye9190]

Thanks for the vid! Do you think once pain subsides that a runner could try to ease into running with an orthotic in the running shoe?

[@JOSEGOMEZ-ok8jp]

Alll I can say is WOWWWWW THIS WAS amazing!!!! Thank you so so so so much!!!!!!🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽😭😭😭😭🙏🏽🙏🏽🙏🏽💯💯💯💯💯💯

[@isallgod6]

You are so cool !! Thank you

[@dr.atifmushtaqphysiotherap9330]

Good job sir

[@Answarrior]

Lol loved this video! Really helpful and also entertaining 😂

[@ranusieu8667]

Thank you very much guys…. I have had this pain for several weeks No doctor diagnosed the problem. Several X-ray… orthopedic no one gave a diagnosis. The pain swelling redness … I thought I would have to walk with a limp or cane. Thanks 🙏🏼 Thank you 🙏🏼

[@littlewingmyoho]

So grateful as its been difficult to walk

[@MRBJT51]

The insert helps!

[@judithstark-modlin4378]

I have touch tenderness in the area of the PTT. But no problems with the one leg stand. Does the one leg stand test work show results even in the early stages of a PPT issue ?

[@aces0730]

Not only do I have a groin injury, I now have posterior tibial is tendonitis, my physical therapist iced it, and taped it. Next week I will see the doctor. This is unbelievable. You guys give me hope.

[@sssalenzy.2915]

physicaltherapyvideo I cracked my left knee inwords about a month and a half ago. I have a lot of pain in the back of my knee when i try to sit on my legs with my burt touching my heels like i cant bend it 100% maybe 85% and i think its my tibial nerve thats hurting me. I iced it i did everything thing and nothing really made a difference. I also have pain in my the same spot(back of my left knee) when i try to extend my leg full while standing on it. Can some one please help me PLEASE HELP ME

[@Fennecfox10]

M Same! I'm a runner, my right groin (adductor?) has been weak for a while and now my left PTT is sore after doing a fitness class. It's been 3 months no running. Can either of you share your experiences with these injuries?

[@Educating4Success]

@@Fennecfox10 Don't know if these injuries come together, but I've been diagnosed with osteitis pubis (chronic groin pain) and PTT recently. PTT was immediately fixed with proper taping in podiatrist office, followed up by custom orthotics. OP still improving with squats and deadlift strengthening. Just now getting back to marathon training after 6 months.

[@tmoney2462]

Hello bob and brad. What would you guys recommend doing in the instance this becomes a chronic injury (tendinosis)? Does treatment vary from this? I would really appreciate a response.

[@maxmoderator1]

There are so many videos on You Tube for treating PTT but in my case, where my PTT is exacerbated by two stress fractures and oedema (swelling) I find this is one of two TOP sites - really helpful (the other is "Ask Dr. Jo"). It is easy to follow and effective - just one question: how many times a day do I do the execrcises and how many "twists and turns" do I do. THanks for a great site.

[@coleenaleksa1047]

maxmoderator1

[@JEFFREYALANROGER]

I love these guys

[@rhondabrown1258]

I've been suffering with this for over 2 weeks. I have been treating it like it was plantar fasciitis, which I've had before. Thank you for the video. I had instant relief, my pain went from 5 to 0 after doing the transverse friction massage on the tendon and deep massage on the muscle belly

[@aaron2686]

Would you guys consider doing a video on extensor digitorum tendonosis?

[@benhorne1404]

I have Patellar Tibial Tendonitis (multiple ankle sprains in the past years, over-training before fully healing, and maybe some postural/structural issues) and may have sustained some serious damage from a PRP injection. Do you think you could answer these questions based on general knowledge? 1. Is it possible for permanent nerve, tendon, or ligament damage to occur from a PRP injection in or around the tarsal tunnel? 2. Can BPC-157, TB-500, or HGH injections heal serious nerve damage? 3. What else can be done besides surgery, traditional PT, and RICE recommendations? I’m trying everything to get this back in shape because it could honestly be a life altering injury, given my career and dreams.

[@grape2941]

Love you guys

[@randymali]

Hello Docs, many thanks for all your input and efforts to make us feel better. I wonder : can I do a jumping rope programme landing on my front feet during my rehab for my tibial tendonitis ? I already started thai boxing as it has been 9 months without sport and I couldn't bear it anymore. It is going OK and I am careful and following your programme of stretches and exercises. I am also trying to walk barefoot as much as possible. Thanks again

[@sonjalewis3047]

DURING your tibial tendonitis? NO!! That is a percussive exercise. You can get plenty of foot-strengthening exercise without resorting to slamming your foot down repeatedly--which is what jumping rope is.

[@brianakoehler7576]

Have you heard of doing PRP for this? I've been diagnosed with PTT for years, and PRP was recommended by my orthopedist. Don't know too much about it

[@Sarah13Diva]

I'm over the moon to find you guys! I've had this problem for five whole days now - first injury - now learning to be patient.

[@priyankachauhan3239]

+physicaltherapyvideo sir please.... share a video on stress navicular fracture..... your videos are very helpful and simple to understand.👍👍👍

[@-edvins.388]

Hi Sarah, do you mind sharing your rehabilitation time and current state lf your foot?

[@Tomas-ml9nv]

5 days I have it two months little to no improvement

[@truehope09]

THANK you guys!!!!

[@ksmith690]

U guys are funny and informative. Good job. Got PTTD and really frustrated ugh!!! No one wants to be taken out of commission while ur body heals. Smh

[@isntlifebetter]

Thanks guys. I am a delivery person for a liiving and my right was in pain and I was limping. I think my left foot took most of the load because once my leg healed my foot started with this pain. Did some research they said you have Tibialis Posterior Tendinopathy if you cant do a one leg standing lift. I could do it on the right leg but totally not on the left. Sooooo here I am lol

[@chaz__digital]

love it!

[@OyoFesso]

Do you have a video on medial ankle sprains or posterior tibialis strains?

[@carovelasquez11]

Hi, I had a bad fall 7 weeks ago and after an x-ray and ultrasound, I was told I just had a sprain and it would take 4-6 weeks with physio exercises + Ice + Voltaren gel to get better. 7 weeks later it is still annoying, progressing a little bit but not well enough considering it has been over 6 weeks, so I had an MRI done and my regular doctor (GP) told me I have a high-grade tear in the tendon (posterior tibial) and recommended to go on crutches and get the weight off my foot for a few days + continue exercises and physiotherapy. I have made an appointment to see a specialist and the sooner I could get in is in 3 weeks. The GP thinks it is a waste of time to see the specialist and that he is going to recommend the same, exercises, but I would like to know if it worth using an ankle boot in the meantime to minimize wrong movements? continue with crutches and just step on my foot when I have to do the exercises? or is it 2 late for that phase of "immobilization"? Thanks

[@Icanfigureitoutintime]

Thank you fellas. I'm slowly getting back to my workouts after being sick a while. This really helped my spirit. I was pretty convinced I was stuck like this. Thank you again

[@btugrul]

Hi! I've been struggling with this injury and each time I try to get back to running it reoccurs. How about you? Is it completely healed finally? Can you share your experience, if you don't mind. Thanks a lot

[@juniorsarmiento7292]

@@btugrul What type doctor diagnosed it for you? I think this is what bothering me👎

[@btugrul]

@@juniorsarmiento7292 I saw sports medicine as well as an orthopedist, and both diagnosed the same. It seems the key is to be very patient during the recovery and begin to do exercises really slow. Otherwise, it reoccurs very easily.

[@juniorsarmiento7292]

@@btugrul Sounds crazy, my orthopedic doctor hasn't diagnosed me with anything, but I feel like my punture wound got to this tendon. How long she ago did your injury happen? And what doctor is the one helping you with therapy? Thanks

[@btugrul]

@@juniorsarmiento7292 posterior tibial tendonitis has 4 stages, the first stage causing mild symptoms and the fourth being the most severe one with arch collapse and requiring surgery. In case you have it, I assume that yours should be stage 1 or 2 which normally heals itself. If you have pain around the medial side of your ankle, you'd better take sufficient rest stopping any weight bearing physical activity. Apply ice some 3-4 times a day and take antiinflammatory drugs like ibuprofen. After couple of weeks you can gradually begin to do stretching and strengthening exercises. Never hurry otherwise you flare up the tendon and it begins to hurt again. Do you have any sports medicine specialist in your country? Normally tendon-related problems don't appear in x-ray, but a physician or sports medicine specialist easily diagnose it with a MRI scan.

[@vickiharris1482]

Is it common to have sharp pain when adjusting to a new insert and shoes, after being diagnosed for posterior tibial tendonitis?

[@zoeszozo]

Hi guys Could you please make a video on Peroneal Tendonitis?

[@hypotheticalmoggy]

Hi Bob and Brad! Quick question about these treatments. Should the icing be done for however many days it takes until some of the pain subsides, and then move on to the cross tendon massage? Or should they be done together, i.e. one after the other? Basically, what would the progression of the treatments be? Thanks!

[@bethlovesdogs]

Very good question.

[@a.parman9062]

I’ve been in this ptt for six months, I still run regularly, for daily run ( 5 or 6 km) no problem, but the hurt comes in my long run ( usually after 8 km ) though it can still be fixed, I mean I still can run till the distance i want. It also hurt when i push my foot inward. Don’t know if it is really ptt or not, but i ‘ll try these treatment

[@RaulSanchez-ds1of]

Can we have a video on exercise induced compartment syndrome if possible please? 🙏

[@mikeyoconnell8720]

Hey guys I have a ridiculously tender and tight tiabalis exactly where the ankle is. I was using a massage ball but thought as it’s to close to the ankle I thought I shouldn’t be touching it. Now I’m glad I’ve found this video and you confirmed it’s ok to gradually work on it. However my question is if this muscle is so tight could it be causing me to over pronate on the outside of my foot and also force me to turn my foot outwards slightly when placing it down?? Sorry for the essay and any help would be appreciated thanks.

[@russellprice7628]

Hello do you have a video on pes planus bilat. And posterior tibial tendon dysfunction. Thanks

[@starcar1980]

I have that pain in my right foot, but I’ll try this exercise

[@13mrm]

Hello! What's the difference between posterior tibial tendonitis and posterior shin splints? Thank you!

[@anime130]

I get really sore in the front of my ankles from standing all day a work. My toes also get really sore.

[@Jimsranch]

A PT used 'Astym' on this area (inside and outside) - was this the right thing to do? She also put that little tool up and down my 'achilles' - its been weeks and it still is very tender. I'd like to know more about taping this injury- I tried it in a limited way and it seemed to help. Thank you,

[@aprilguthrie447]

Would this cause me alot of pain? debating on going to the doctor tomorrow. been hurting for 2 days below my inner ankle. very stiff, warm to the touch, swollen, and can't walk at all, hurts very bad 😭 should I try these for a few days or should I go in just too be safe? I have insurance but it would be a choice between paying utilities and paying the copay to see the doctor.

[@localmaan]

So i used to play around 12 - 15 hrs of intense basketball a week then i brought it to about medium intensity maybe 2-4 hours a week around 5 weeks ago until about a week ago but my ankle does not seem to have gotten better. Maybe slightly but the pain is still there. I recently went to the park and played about 9 hours over 4 days and sure it does hurt but I'm able to play on it. The test didn't hurt as much but when i point my foot downwards and far as i can i hurts or when i rotate it extremely clockwise. I'm not sure what to do and whether to completely stop basketball for a few weeks. I had about 4 days off and it felt much better but a sudden movement caused the pain to come back and i played 2 hours of basketball the day after and the pain is back to where i was before. Sorry for the essay, will appreciate any help :)

[@Hummel5006]

I know you guys mentioned 3-5 minutes for the massage but what would be a good frequency? Daily? 3 times a week?

[@bethodriscollgage6088]

Hi Bob and Brad, Thanks for all of your wonderfully helpful commentary. I have posterior tibial Tendonitis. Should I only do the exercise in this video on the affected foot? Or should I do both legs? I know the one claf is weaker.

[@MollyDogsm]

Both

[@sahilkohli596]

I had a sprain 3 months back and till now I am having pain while walking. Even the area around dome of talus is inflammed and red colour. Is it ankle tenosynovitis and if yes than what should I do???