Anatomy of the Posterior Tibial Tendon

Injuries to the posterior tibial tendon on the inside (medial) aspect of the ankle include: posterior tibial shin splints, posterior tibial tendinitis, posterior tibial tendon dysfunction, os tibial externum syndrome, and arch pain. In fact, the posterior tibial tendon can even be involved with tibial stress fractures. It is the body's strongest defense against over pronation and arch collapse. When a patient pronates excessively, the weakest link in the chain is affected. It is very important that the anatomy of the posterior tibial tendon from origin to insertion is understood when treating pain along its course, since other structures with different treatment regimens can be painful and many misdiagnoses occur. I hope this video clearly demonstrates the anatomy of this frequently injured structure.