How to Get Rid of Posterior Tibial Tendonitis

Tib post tendinopathy can be tricky to treat. In this video, Maryke explains what causes the tib post tendon to become painful and what treatment our patients find useful.
🌟Need more help with your injury? You’re welcome to consult one of the team at SIP online via video call for an assessment of your injury and a tailored treatment plan: www.sports-injury-physio.com/
-------------------
🖥️Some of the software we use to run our online physiotherapy practice:
➡️ Website hosting and management - Wix: geni.us/AFJ8LK
➡️ Appointment scheduling - Acuity: geni.us/zf6t
➡️ Video consultations - Zoom One (Pro): geni.us/MXVy6
➡️ Rehab exercise library - Wibbi: geni.us/5QVD1 (Free trial plus discount via this link)
➡️ Patient satisfaction survey - Typeform: geni.us/nddjZ
➡️ In-house task planner - Notion: geni.us/W2JanX
➡️ Patient notes - Cliniko: geni.us/3LLu7Km (Get £30 off your subscription via this link)
➡️ Bookkeeping - FreeAgent: geni.us/Vk0UHec (Get 10% off your subscription via this link)
➡️ Taking online payments - Square: geni.us/YhkAHO (Sign up with this link to get a choice of rewards from Square)
----------------------------------------------------------------------------------------------------------------------------------------------------
If you want to show your appreciation for the advice you found here, you can support my channel by making a donation via PayPal: bit.ly/SIP-channel
----------------------------------------------------------------------------------------------------------------------------------------------------
👉Some links here are to places where you can buy something relevant to this video. If you do, we may get a small commission at no extra cost to you.

[@snickeysnack5000]

Not even 9 minutes in and she gave me more info then my orthopedic that i paid $200 for

[@Joel-sr9qh]

Same here!

[@stevetoews871]

I second that

[@ginagina2706]

Same

[@zamuelito8266]

Same

[@MrsSpcDomo]

I’m right there with you! Frankly, its a damn shame and VERY frustrating that we can get more help from ppl on KZbin than right where we live in front of the damn doctor or PT therapist. They just want to bill us and our insurance and medicate us and send us on our way only to return and repeat!

[@mattskin1991]

The information in this video is golden, very specific to what I’m going through rn. Thank you for this

[@heatherwoollard1179]

Absolutely brilliant thank you. The most informative and helpful video I have watched.

[@roffiluca]

Comprehensive and clear ..you can not get better then the ones you find out in this video ...really professional and clear

[@joshuasloan8434]

Found my issue - downhill running. Glad I found this video

[@jemimajones3512]

What a great resource! Clear, well-informed, helpful. Thank you very much!

[@TheDanrach]

I'm so glad I came across this video. The information is so intelligently and thoroughly presented. You cleared up a lot of questions for me and I now realize how some of the things I'm doing might be preventing the injury from healing completely. So very grateful to you, thank you from the bottom of my heart.

[@kirbster1977]

What a great video on this, thanks so much for this.Your mention of different terrain, camber and hills is spot on. I find running XC and up a slight incline is much better for me and less harsh than the road. I have also stuck in a superfeet insole and what a difference. At 1st when walking I hated the feeling of it pushing on the arch, but once i started running i felt so much more secure and i ran 6 miles without any pain. By the end of the run i did not even notice the insole. So anyone watching and suffering with this get an insole in your shoe as it def helps. Thanks again.

[@ruslanrin4416]

Great video, I find it to be the most useful on youtube in regards to the subject!

[@ryanodonnell1007]

This is the 2nd video of yours I've watched. Seen one a few days ago. I'm a physio myself and enjoy broadening my knowledge by working through KZbin videos. Brilliant breakdown. Nice to help my clinical reasoning and excellent explanations about load management in a way that people can relate to.

[@jayantiramesh6385]

Excellent video with very useful info ! Best I have come across dealing with this issue. Thanks so much 👍🏼

[@mishaberger1718]

Most helpful PT video I’ve seen on any subject. I feel so fortunate to have found it! It’s long but not one minute is wasted. Lots of practical wisdom that clearly comes from experience. Thank you so much! I tried to book a consultation with you on your website to diagnose something else that’s not urgent but it looks like you’re booked for the next month or two. I’ll check again later :)

[@moggridge1]

The orthotics advice was spot-on in my experience - as indeed was the rest. Thanks. 👍

[@achilles1001]

You are absolutely the best, thank you! Very informative and practical.

[@AX7razor]

This is quite useful! This has encouraged me to just perform some self analysis on my injuries before I run off to visit the doctor

[@LucasDalhart]

This is exactly what I’ve been struggling in. That exact movement is what hurt my foot, thank you

[@jamesnguyen1187]

Excellent advice! I liked how thorough it was.

[@ratnaniranjan]

wish I had seen this months ago. She has given more info than my orthopaedic

[@apollard91]

I've been suffering with tib post issues for two weeks. This is an oustanding video. Very informative and practically useful. I will be implementing these exercises over the coming weeks!

[@camirawlins5498]

Excellent information! Way more detailed than anything my doctors have given me.

[@brendonchase9460]

You're awesome. Solid information and delivery. So helpful.

[@marciabreiter2309]

Great video. Explanation and recommendations! Very thorough

[@victoriali6630]

Thank you so much for this video. I finally can understand my injury and get to try to cure it. So grateful!

[@sitagourishankar3453]

absolutely amazing explanation - please keep posting these types of videos

[@tobiaskrips8432]

Thanks a lot for the information. I have been suffering from that injury since 5 years and had a surgery last year. After 5 months it was back on fire and still is. With your video I learned something about the mechanism behind the aggravation and can try to reduce stress there.. Thanks from Ulm, Tobias

[@davidf1211]

I just want to say that this injury started when I was a teenager and I'd been compensating for it for over 20 years while doing extreme physical activity in my personal life and in the military. It wasn't until I started practicing martial arts, meditation/mindfulness and breathwork did I have the awareness to realize that this was even an issue for me! Turns out, it's HUGE issue and this discovery has been a game changer. Thanks for this video!

[@DaniilDimitrov]

Wtf, how do you have this problem for so many years. Doesn't it gets fixed by itself

[@VFam21]

I’ve been struggling with this injury for a few weeks now. I was ready to ask my primary for a referral but this video was so informative that I skip that and save my money!Thanks so much for all the insights! Subscribed because I’m sure more of your videos will be useful to me!

[@stevekastama1014]

I appreciate the direct applications to running/jogging. The variable of compression was important in that I was practicing some the tactics that were exacerbating my symptoms(hard orthotics, aggressive massage and stretching, ankle brace). I have been a barefoot runner for about 3 years (20 miles a week) and have found that shortening my stride length and increasing cadence(from 156 steps/minute to 193 steps per minute) really made a difference with my flat feet. This problem always pops up when my cadence slows and my strides open up. I appreciate the strengthening exercises you suggested.

[@drmatt1984]

You gave me my sanity back with something to look forward to. Hearing I might be able to run before it's not quite healed if I run with the right camber absolutely made my day

[@leonietoohey5031]

Very informatve

[@kashifmiro]

Thank you for the information and I look forward to working on this project.

[@watchmaniswatching7240]

Thank you! This is what I needed to hear! I have this right now!

[@davidmorello6031]

I find this video very helpful and for me, it's the gold standard. You have a very good way of explaining things which makes things easy to understand. As I write, I have ice on my posterior tibial tendon which has flared up after being on my feet a lot yesterday. Thanks for your help.

[@DaniilDimitrov]

This woman is very good at what she does! Thank you.

[@jhanssenfavaro]

Thank you, it was the best video I saw about it and congrats by the job and content.

[@georgebonilla2904]

Great video about my issue. Wish I would have founded a year ago when I was in intense pain. I now know how to care for my tendon. Thank you Maryke!

[@SportsInjuryPhysio]

Glad your found it useful George. xm

[@michaelcox5091]

So pleased I found this video. Spent over 300e plus more on pain killers. Finally after over a year with pain on the left foot, and now last few weeks on my right foot. more information in this video than any osteopath, podiatrist, MRI scan, x rays, GP in the past. Thank you..off to buy inner sole gels now.

[@Caroblue36]

Thank you for all your information, it has been very helpful for my injury.

[@matijatadic895]

I been struggling for 2years with an ankle injury and I'm having a hard time to recover. A lot of useful information in this video..thank you so much :)

[@anandsobti1766]

Excellent analysis and guidance to get rid of this injury. Thanks a lot. GOD BLESS YOU.

[@myriamkfoury5419]

Thank you so much for this, this video really helped me understand my injury better

[@dizungu8547]

Thank You!!!! This is a great video to help heal my injury. God Bless

[@AmbutuMalone]

You are a gem! The explanation and instruction is clear and concise. Thank you very much!

[@SportsInjuryPhysio]

You're welcome!

[@Fredrickhair]

Thank you for the video....I took a week off and used your stretches and the tendon has calmed down a bit. I am going to go on a run tomorrow!

[@sp-sp18]

Maryke is the best PT i have found best among anyone in youtube. She is so genuine to share information to people. I just watched her when her other video finished but she explained every issue with so much detail to people suffering out there. God bless you Maryke!

[@SportsInjuryPhysio]

Thank you!

[@nigel9533]

All around great video. Very informative and explained easily for your average joe

[@hilltribelife3843]

The best video on the subject. You have confirmed everything that I have suspected during my recovery. A v. helpful video. Thanks so much.

[@SportsInjuryPhysio]

Glad you found it useful xm

[@cw_uk]

honestly, what a brilliant informative video, thank you very much

[@lluviag.5041]

I’ve been looking for an explanation and relief for some time now and you did the most amazing job explaining all of it! 🏆 thank you!

[@SportsInjuryPhysio]

You're very welcome!

[@kitwood917]

​@@SportsInjuryPhysiothis video is beyond helpful. Do you have a video with exercise recommendations for glutes strengthening?

[@keight007]

Thank you very much for such an understandable and informative video presentation. I have started cross rope jumping a few months ago and last week this started to hurt. Im sure it has to do with my shoes and my flexible feet. I’m definitely going to follow your advice and hopefully can get back to some kind of normal soon. Again thank you and look forward to joining your group on fb. Kind regards to you and stay safe.

[@juanitajames8443]

She gave more thorough explanation of my injury then my podiatrist did. I had to ask him to show me what was going on in my foot and he draws a little picture of it. He also charged me $259! 😡 Grateful for this video. Thank You!!!!

[@crislozano]

I've had PTT for more than 8 months, I've probably seen all youtube videos on this condition and this is the best one by far

[@SportsInjuryPhysio]

Great to hear!

[@leeannm.947]

I'm not a runner and think I have this from inflammatory arthritis. The activity modification info was so helpful.

[@davidkaiser2233]

Thank you so much. Great to hear from someone who has dealt with this and has a realistic approach to solving it. Much better than anything I have learned from a doctor or physical therapist.

[@SportsInjuryPhysio]

You're welcome!

[@taariqhendricks7590]

Absolutely amazing delivery, you are seriously skilled in explaining and delivering information. Thank you for this video I feel I understand.

[@SportsInjuryPhysio]

I appreciate that!

[@aylishtate7743]

Wow! This video was so informative and helpful. I have the beginning of this issue and was afraid that I would have to stop all running. Thank you very much. Subscribing.

[@fitnesswithtajura308]

Amazing video with great insights 👏🏽 2 weeks into recovering from an eversion ankle sprain from football. Really appreciate how you made the technical concepts simple and digestible. Keep up the great work 🙌🏽💪🏽

[@SportsInjuryPhysio]

Great to hear!

[@carajames4032]

Brilliant video. I was captivated from the start. Mine is an accidental injury. Had to run after my dog after a thunder clap scared him. I am not a runner so running in full water proofs and mountain boots caused me major problems with my feet. Thank you for this help and guidance. The rehab information has been particularly helpful as I got a diagnosis from a friend who is a podiatrist who helped me greatly but this video has been helpful from beginning to end. Thank you. 😊

[@SportsInjuryPhysio]

I'm glad you found it useful Cara. Yes, I also had a moment during my own recovery where I ran for a train in very flat shoes and it caused me a massive increase in pain. xm

[@Acrow.]

Great video. I haven't watched a video this long in ages. Great explanation with important details about each section.

[@SportsInjuryPhysio]

Glad you enjoyed it!

[@desaigomes9936]

This video was MOST informative. I am currently experiencing this problem and it's a pity I didn't watch this video at the onset. I have flat feet and foolishly I did quite a few of the tip toe stretches at the start of my pain, which I now realize aggravated the tendon more. I eventually visited a physiotherapist who advised the towel exercise, so I'll continue with that, purchase some orthotic insoles (only now) and follow your guidelines. Thank you so much.

[@Ronald-tx3bh]

Very informative, I gathered so much information finding my root cause of the injury. Thank you very much.

[@SP-qi3lt]

Very grateful for your insight. My symptoms match exactly and tye only option I was offered was surgery!

[@ARB826]

Thank you for this, your real-talk answered some big questions that I've been struggling to understand for a month. This deserves an award. Awesome!

[@martinallmostt1527]

and how is your injury now? i've had it 2 months

[@joel553009]

@@martinallmostt1527 how is yours now? Same i about 2 months in and it feels the same since week 4

[@martinallmostt1527]

@@joel553009 I have completely stopped running and am cycling a ton, it's quite fun. I figure it's not tendinitis and actually stress fractures, in both legs. I came back to running, when not fully healed, did a total of maybe 150 miles over 2 months and the pain returned. It's been really depressing and stressful dealing with it but I've finally accepted that it's gonna take as long as it takes. I won't run at all until there has been no tenderness. I'm making the most of cycling and the gym for now. Maybe yours is fractures too, otherwise it might have healed by now.

[@martinallmostt1527]

@@joel553009 my advice would be, don't run until your legs are 100% healthy, then ease into it in a similar way to 'couch to 5k'

[@angelikalanger699]

Perfekt explanation , helped me very much, i can understand your english perfectly.thank you

[@nomadicgenes8064]

superb video. I have been trying to treat this since november and still suffering. I was referred to NHS (UK) physio and was told to immediately stop running and was given some very aggressive stretching exercises. I felt like it was recovering but seemed to keep 'flaring' again. My ankle feels very stiff and I struggle to walk after being in bed. Interestingly I spend a lot of time standing with my job and this is ringing a bell in my head from what you've said. Thank you so much for this, it's so good to hear from a runners perspective.

[@jeremiahbanda7534]

I currently have the exact same problem. so I tried stretching it helped a bit but the flaring up keeps coming back. this video helped in a sense that now I literally know my mistakes and can get on to fixing it.

[@lemonadeslices]

this is so incredibly useful; thank you!!!

[@anbarazen]

I was going through many videos on this issue... This is simply superb... Very good

[@SportsInjuryPhysio]

Glad to hear that! xm

[@iwandevisser6684]

Maryke thanks SO much, this sounds exactly like the issue i'm struggling with. Will follow up on your advise and make a donation to you if it helped!

[@SportsInjuryPhysio]

You are welcome!

[@omartaha1400]

You are very thorough and clear. I benefitted from this. Thank you.

[@SportsInjuryPhysio]

You are welcome

[@mindymcquivey3692]

Very helpful - I’ve watched 5 videos on this. Yours is the best!

[@doyinoluwole9652]

I second that!

[@bytpranks8089]

True story !!!

[@dangelotd2678]

15 years, miss I thank you so much you saved my soccer career

[@RedHeadNInja]

This is so helpful. As a very active middle aged adult, being diagnosed with PTTD seemed like a death sentence. This video helped me realize that one can live with it with some reasonable modifications.

[@SportsInjuryPhysio]

Glad it was helpful!

[@lauramcclellan]

This was super informative! Thank you!

[@ivanabubamaric]

Wow, after so many video's watched, you actually opened my eyes. Very very good video!

[@SportsInjuryPhysio]

Glad to hear it!

[@Lastboyscout77]

This is great! Thank you so much.

[@lynnchasan6339]

I love your videos - so clear, so well demonstrated

[@SportsInjuryPhysio]

Glad you like them!

[@vickymenendez4239]

Great information!! I have been dealing with the pain for a while. Dr suggested surgery if it doesn’t get better but with your suggestions and explanation I know I will see it getting better. Thank you!!

[@SportsInjuryPhysio]

You're welcome!

[@kavitajoshi1329]

I appreciate your efforts for this video😊

[@dawnridgers6530]

The best video I’ve seen on this condition. Thank you

[@SportsInjuryPhysio]

Glad you found it useful Dawn. xm

[@youreworthyourweightinavoc7189]

What an informative and easy to digest video. Thanks!

[@SportsInjuryPhysio]

Very welcome!

[@numaanhuda8621]

I love this lady..thank you for the most perfect video 😊

[@SportsInjuryPhysio]

😄👍

[@andrew-xr1de]

Very, very good! My first time injuring it and very easy to look up on what happened. Your video was the best out there! Thanks!

[@someone-ji2zb]

Just curious, did it ever heal? I am on 8 months and it still hasn't fully tightened up

[@debhamwood]

Thank you Maryke, this all makes perfect sense. I have found my issue is my glute is weak on the same side. Wonderful information - doing the supination with a band made my ankle feel much better too.

[@SportsInjuryPhysio]

You are welcome!

[@1stetson57]

Thanks for your video!!! I am a Concrete Mixer Truck Driver and using the clutch as much as I have to to deliver the product at a rate that the contractors can use and be happy with is causing a lot of PTTD in my left foot. I will try some of what you suggest and I have an appointment with my Podiatrist. I have very flat feet. Thanks again. At least now I understand what is happening!!!

[@dsolocyclist4299]

Thank you. Very informative. I love your channel. May u live long and prosper.

[@SportsInjuryPhysio]

Thank you xm

[@AnjuliMack]

Very excited for this! Been to a podiatrist and have been strapped plus got proper shoes

[@EarthaClit88]

Great video, I remember this first hurting when I jumped a fence at school maybe 10-15ft drop and landed on my feet. It went for many years and I was later diagnosed with Ehlers Danlos syndrome then the last two years it’s been constant, even wearing socks hurts and it comes on with zero warning even when I’m on rest for my joints and mr arches are pretty high as noted by my surgeon but he refused surgery from the EDS but my arches goes flat when it flares up and the pain even reaches the inside of my knees. In March I was listening to some Megan thee stallion with the girls and decided to prove I “had dem knees and ankles like hot girl meg” then smoked a joint whilst doing it with no hands then the next day my ankle flared up and only settled down last week 🙃 my feet are super flexible and my surgeon is one of Europe’s top 5 ankle specialists and even he was confused after moving my ankles and seeing the range they had

[@gonzalomazali3174]

Very helpfull indeed to understand how this patology works.Thank you.

[@SportsInjuryPhysio]

Glad it was helpful!

[@kittinplus4]

excellent presentation, everybody kept pointing me to its more famous cousin plantar fasciitis but symptoms point clearly to tibialis posterior, a bit further up (and a lot more obscure)!

[@glhernan1]

Thanks so much! Great information

[@michaels2219]

Thanks for your great video. Can you give a little more specific guidance on which Glut strengthening excercises to do?

[@user-hc1nd9fj8q]

Very informative. Nurse that walks 12 hours! Side of foot hurts exactly where you pointed out. Have had an ankle injury where the right ankle turned inward. I have wide feet and I tend to take the insoles out because it makes my foot feel like I have a little more space in width. May have to do with the fact that I also have a high instep. Anyway..wonderful video! You obviously understand and like what you do! Wish there were more like you!

[@lucyvorster883]

Many thanks for excellent information! Best video I have come across to help me understand my problem. Best wishes and kind regards..

[@SportsInjuryPhysio]

Great to hear!

[@saultyotter]

Thankyou for this! It's the most helpful and informative video on this injury that I've seen. I will follow your points and hopefully get back to running real soon!

[@SportsInjuryPhysio]

It's a pleasure! Good luck with your recovery! xm

[@Defasse]

This vid was amazing! Bob and Brad better watch out

[@kizarumelon2477]

Thank you Maryke!!!!! i finally understand the entire map now

[@SportsInjuryPhysio]

You're welcome!

[@munirakarim345]

This is very helpful may God bless u I m very bad with this now m sure it's going to help me thanc alot

[@millakyngas30]

@sportsinjuryphysio Thankyou so much for this video. I injured my ankle badly while running, a few weeks ago. I am not able to walk with it and the pain is just like in this video. The causes too. Ground shapes, shoes, faulty form.. The nurse just called and said it is not guaranteed will my foot ever be painless or better again. The doctor was very unprofessional and would have sent me home without any treatment or help. I basically made him sent me to MRI. So there's a tear, small cartilage damage and tenosynovitis. I have been left with only these pieces of knowledge. As I said, the pain in my ankle is just like you describe in this video and I am so grateful of everything you have just told me! I feel kind of hopeless, but try to start some kind of self learned rehab for it.

[@claire9894]

Excellent informative video. Thank you so much for sharing your knowledge

[@SportsInjuryPhysio]

Glad it was helpful! xm

[@mikeshimer9912]

Excellent. Thank you!

[@user-eu6ne3lq1u]

Indeed I really enjoyed your presentation but my concern you have solved half of the issues I have the cause or genesis of my problem results from back and pelvic girdle pain