Tibialis Anterior Tendinopathy
Definition:
Also known as shin tendonitis or tibialis anterior tendonitis, is a condition characterized by inflammation or irritation of the tibialis anterior tendon, which runs along the front of the shin and attaches to the top of the foot. This tendon is responsible for dorsiflexing the foot (lifting the foot upwards) and controlling the movement of the ankle and foot during walking, running, and other activities.
Principal causes:
Overuse: Repetitive activities that involve dorsiflexion of the foot, such as walking, running, or climbing stairs, can strain the tibialis anterior tendon and lead to inflammation and tendonitis.
Biomechanical factors: Abnormalities in foot structure, such as flat feet (overpronation) or high arches (supination), as well as improper footwear or running technique, can increase the risk of developing anterior tibial tendonitis.
Muscle imbalances: Weakness or tightness in the muscles of the lower leg, particularly the tibialis anterior muscle and other muscles that support the foot and ankle, can alter biomechanics and lead to increased stress on the tendon.
Sudden increase in activity: Rapidly increasing the intensity, duration, or frequency of physical activity, or suddenly changing training surfaces, can strain the tibialis anterior tendon and contribute to tendonitis.
Symptoms:
Pain: Pain or tenderness along the front of the shin, near the ankle, where the tibialis anterior tendon inserts into the foot. The pain may be dull or sharp and may worsen with activity or pressure on the tendon.
Swelling: Mild swelling or inflammation around the front of the shin or ankle, particularly after exercise or prolonged standing.
Stiffness: Stiffness or tightness in the muscles of the lower leg, particularly the tibialis anterior muscle, which may affect mobility and flexibility.
Weakness: Weakness or decreased strength in the muscles of the lower leg, particularly when lifting the foot or dorsiflexing the ankle.
Diagnosis of anterior tibial tendonitis typically involves a physical examination, evaluation of symptoms, and may include imaging studies such as X-rays or MRI to rule out other conditions and assess the severity of inflammation.
Our Treatment in EvivaPHYSIO:
Taking a break from activities that aggravate symptoms and allowing the affected tendon to rest and heal.
Ice therapy: Applying ice packs to the affected area for 15-20 minutes several times a day to reduce pain and inflammation.
Gradual return to activity: Gradually reintroducing physical activity once symptoms improve, starting with low-impact exercises and gradually increasing intensity and duration.
Stretching and strengthening exercises: Specific exercises and stretches to improve flexibility, strengthen the muscles of the lower leg, and correct muscle imbalances that contribute to tendonitis.
Orthotics: Wearing supportive footwear with adequate cushioning and arch support, as well as using orthotic inserts or shoe inserts, can help reduce strain on the tibialis anterior tendon and promote proper alignment of the foot and ankle.
Physical therapy: Working with a physical therapist to develop an individualized rehabilitation program tailored to address muscle imbalances, improve biomechanics, and prevent future episodes of tendonitis.
In most cases, anterior tibial tendonitis improves with conservative measures and self-care strategies. However, it is important to seek medical attention if symptoms persist or worsen, or if they are accompanied by signs of a more serious injury, such as tendon rupture or stress fractures. Early intervention and appropriate management can help alleviate pain, promote healing, and prevent long-term complications.