Tibialis Posterior Sprain

Home / Treatments & Conditions / 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.