Tibialis Posterior Sprain

Patient Information

https://www.mydr.com.au/sports-fitness/posterior-tibial-tendon-injury

GP Information

Background Information

• Advise patients that ligaments may take longer to recover than fractures

Investigation Guidelines

• Investigations are usually not required for diagnosis, management, or referral.
• An USS investigation is indicated in severe cases or suspected rupture.
• Patients will usually have a history of an eversion injury with pain behind the medial malleolus.

Management Recommendations

Conservative measures include

• PRICE
• NSAIDs
• Avoid activities that exacerbate symptoms
• Patient education
• Shoe wear advice – avoid totally flat, high, or tight shoes. Trainers are appropriate.
• OTC orthotics if flat footed.

Referral Indications

• Diagnostic uncertainty
• Recent or worsening flat foot deformity.
• Failure of conservative measures after a minimum of 6 weeks.
• Results of diagnostics indicate specialist assessment required.