Tuesday, June 7, 2011
Posterior Tibial Tendon Strengthening Exercises
Dear Dr. Blake,
Please post the link to the specific exercises that isolate and gradually strengthen the posterior tibial tendon. Any exercises (resisted adduction, e.g.) that I've tried hurt.
Dear Yvonne, Thanks for the email. I hope the above video helps you understand the 4 basic forms of strengthening exercises used in the treatment of posterior tibial tendon dysfunction. Gradually the patient is progressed from Active Range of Motion to Isometric to Progressive Resistance to Functional. Heat (in the form of warm water soaks, heat linaments, or heating pads) is used often to loosen up the tendon before exercise for 10 minutes. If walking is not painful, 5 minutes of walking can get the blood pumping. Ice should be used after for 10 minutes, normally an ice pack over the sore area. NO Pain can be experienced during the exercise. If you are still having trouble strengthening without pain, try the numbing effects of ice. Ice the area for 5 minutes, then let the tissue unthaw for 20 minutes, and then try the exercise. Should work until the tendon is significantly damaged. Then ice 20 minutes afterwards. I sure hope this helps. Rich