Tibialis Posterior Sprain

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Patient Information


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

  • 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.
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