Tibialis Posterior Tendinopathy: Assessment and Treatment Strategies

Course overview

Module 1: Principles of Tendinopathy in Foot and Ankle This module will describe the aetiology and pathophysiology of tendinopathy as it relates to tibialis posterior. Consideration of these principles will guide our management. Module 2: Tibialis Posterior Anatomy and Patho-mechanics The efficient lever action of the foot in the late stance phase of gait requires integrated function of the dynamic and static stabilisers for medial longitudinal arch integrity. Understanding this co-dependence establishes the pathway between tibialis posterior tendinopathy and progression to acquired adult flat foot deformity. Module 3: Assessment and Diagnosis of Tibialis Posterior Tendinopathy A high index of suspicion is required to effectively assess Tibialis Posterior Tendinopathy in its various forms. Recognising typical patterns of patient presentation will assist in focusing your clinical assessment. Appropriate imaging will assist in refining and grading the diagnosis. Module 4: Physiotherapy for conservative management of tibialis posterior tendinopathy Load management is at the heart of tendinopathy treatment. Learn how to off-load and re-integrate loading tolerance in tibialis posterior tendinopathy. Identifying and managing a patient's modifiable tendinopathy risk factors will integrate maximum overall health benefits in this cohort. Understanding the need for the various components to "rear-foot reconstruction for tibialis posterior tendinopathy" provides a pathway to effective management of these cases. Post operative management in latter stages will coalesce with conservative management of tibialis posterior tendinopathy. Cases will illustrate this management.