Tibialis Posterior Tendinopathy | Tendinitis | Dysfunction | Pain (Exercises, Rehab, Strengthening)
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- เผยแพร่เมื่อ 5 มิ.ย. 2024
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Struggling with tibialis posterior tendinopathy? Check out this video for a comprehensive rehab plan and discussions about flat feet, pronation, shoewear, orthotics and much more!
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Intro (0:00)
Anatomy & Function (0:20)
Diagnosis (1:46)
Load Management (3:56)
Shoes & Foot Orthoses (6:20)
Exercises (7:38)
Exercise Progression #1: Foot Adduction (8:56)
Exercise Progression #2: Heel Raise (10:04)
Exercise Progression #3: Single Leg Balance (11:50)
Exercise Progression #4 Squat/Lunge/Split Squat (13:47)
Exercise Progression #5 Deadlift (14:55)
Foot Intrinsic Strengthening (15:37)
Guidelines, Not Rules (16:05)
Other Interventions (16:33)
Summary (16:57)
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Podcast episode with Dr. Megan Ross: open.spotify.com/episode/4CW9...
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Disclaimer: The information presented is not intended as medical advice or to be a substitute for medical counseling but intended for entertainment purposes only. If you are experiencing pain, please seek the appropriate healthcare professional.
![Posterior Tibial Tendonitis Treatment [FIX Inside of the Ankle Pain!]](http://i.ytimg.com/vi/bkiRUlAfnZo/mqdefault.jpg)
![Posterior Tibial Tendonitis Treatment [FIX Inside of the Ankle Pain!]](/img/tr.png)
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Thanks for watching! Here's the blog with all the references if you're interested: e3rehab.com/blog/tibialisposterior
And the podcast episode with Megan Ross herself was a great resource as well. Thank you!
Thank you for your help
How often is exercise #2 ( double heel raise) performed per day/week??
What shoes are you wearing in this video?
I don’t ever comment on TH-cam videos, but this one almost made me cry with how clearly you explained everything and how well thought out the drills were presented. Thank you!
You nearly cried ? Wow
Did it really make you cry?
I m sure he cried in appreciation of the efforts tkn by you..thankyou frm d bottom of my heart too‼️
My foot hurt too! I thought I was crazy!
Yall don't know how disabling this foot issue is
Did these exercises help you?
69 Year old MD and distance runner. Just finished first watch. Can’t tell you how much I appreciate the time and effort you put in to make this superb video. Quality stuff!
Much appreciated!
This is one of the best PT/exercise/diagnosis videos I have ever seen on youtube, the fact that you have all of the exercises explained so clearly and all of the studies included in the video just show how much effort was put into it, fantastic job.
Thank you!
Great commendation. I concur.
@@E3Rehab My foot is exactly as same as in the thumbnail . Will these exercises form arch in my foot , i'm now 19 years old . Please reply 🥺🥺
Totally agree! Thank you for this.
This is literally the most helpful video on the internet.. just started training for a half marathon & didn’t know what was going on.
Thanks guys, it's hard to find good info about the tibialis posterior!
Probably the most informative and evidence-based physio video I have ever seen. I only wish the rest of the Internet was like this. Well done, Mark!
I’m a long distance runner for many years now and this year looking to hit a sub 3 hour marathon. But middle miles often cause a burn along this ankle tendon which then fades as the run progresses. The next day it’s usually a little sore but after a day is fine again. Been this way for some weeks.
Started to work through these exercises which I find surprisingly awkward and believe some strengthening will really help overcome some instability - particularly on hills which acts as a trigger for the burn.
Really appreciate the advice in this video. A lot of effort clearly went in to it!
God bless you! You are incredible for putting this together and share it for free with us. Thank you so so so much
One of the top 3 PT educational channels on YT. Keeping being a nerd and an awesome therapist. Cheers
This is hands down the absolute best video I have seen on the subject. Now I have a game plan I can follow.
You made probably one of the most informative and useful on Internet! Many thanks from a giù suffering of tibialis and tensosinovitis
Literally the BEST and most helpful video I have seen on PTTD and I am sincerely so grateful. Thank you.
The amount of information you have provided in your one video is commendable, couldnt find a video so far with that much detail, will definitely try all these tips now to heal my year old injury
This level of info and the effort put in is superb.
This is the ENCYCLOPEDIA video on PTTD till date....! Tons of information and help put forward so well... Salute to all the efforts you and the team put in creating this Masterpiece! 👍🙏👏👏
My foot is exactly as same as in the thumbnail . Will these exercises form arch in my foot , i'm now 19 years old . Please reply 🥺🥺
Appreciate your video full of details and amazed the way you are explaining the issue and remedies. No doctor will discuss this issue like you. Thank you.
Thank you so much. I can't express how grateful I am to come across this info. Very helpful 🙏
Thank you. I have been going through rehab for this and found how you structured the exercise plan incredibly helpful.
Best video on the subject by far. Outstanding job and thank you for your help! :)
Hello!
This is by far the best video i've seen about this topic. I thank you for the quality of this content.
I suffered an ankle sprain playing sports nearly a year ago and my ankle is still sore today. Thank you for this great resource, I will adopt these into my training.
What are the results please ❤
Thank you so much! I have been suffering from PTTD for 4 years. It is a really helpful video for me.
Very thorough! Thanks for making this video. This is exactly what I’ve been looking for. Ready to start these exercises ASAP!
Really well made thanks for your work.
This video is EVERYTHING! Thank you!
Thank You!!!!!!! You have No idea this was something I should have watched years ago. Now, I finally know what to do to recover and prevent in future. God Bless
fully complete video, just what I was looking for!
This is the best video on this subject. Absolutely superb in every way. Cause, effect and remedy - all covered and at a really good level. Thank you.
Thank you so much for this video. I am severely flat footed and my work requires me to be on my feet most of the time. Thanks for all your effort for this video.
This is the most educated ,informed video I’ve yet to run across! I’m experiencing sharp pain in ankle/swollen muscle & want to decrease pain/immobility. Thk you do much!
This video is pure gold as is others from this channel
The best video I have seen on TH-cam regarding this
I’ve had ankle problems for YEARS that I put down to overuse from playing basketball multiple times a week. I’ve been powering through for years until I recently got a navicular stress fracture on the same ankle from quickly jumping into a half marathon obstacle course race with little running training. Something tells me the injuries are linked because of years of having a weak tendon. Thank you for shedding light on the exact thing that’s been plaguing me. I’m going to take this time to incorporate these exercises now that I am forced to give sports a break while I heal. Appreciate it 🙌🏽
These are the best rehab videos I've found. They explain everything so well and give exactly what's needed to improve. I started having pain here after favoring one foot due to another injury. Going to start with ice and move to strengthening when the pain subsides. Luckily it's still minor so hopefully rehab isn't too long.
As someone who suffers from tendonitis this video is the best in the business.
全ては理解できなかったけど多くの人間のためになる動画です
素晴らしい！
Best video I have come across regarding post tib tendopathy, thanks!!
Thank you folks! That was a great informative video.
Dude thank you so much for making this. I have joint Hypermobility and it’s so reassuring to see someone with similar feet and learning all about it. Really excellent and much appreciated.
What a great find! Concise and well made. Thank you from a DPT student. Look forward to more videos.
This has to be the best video I've come across so far about this. I'm a heavier guy that has started doing triathlons and this has been a major issue for me. I'm hoping all these exercises help!
This is a great video and exactly what I needed!
Wow, this is such a thorough video on this topic. Thanks!! Very helpful!!
This video solved my 63 years old mother’s 8 month old pain in one exercise set ... she had the same pain and the exercises worked like magic trick .... I can’t thank you enough for this ... big love big hug from india ...
gratitude gratitude gratitude 🙏🙏🙏
Where was her pain specifically how did she get better ?
Lol no way. This bullshit leads to false hope. Reality it takes months of dedication to the exercises.
35yo skateboarder and hard living person. My ankles are so probated that random people will ask what’s wrong with my foot if I’m wearing shorts. This is the most helpful video I’ve found so far. Overloading and a lifetime of wearing shoes with no support is most likely the cause, as well as excessive loading during times when my stenosis has caused partial paralysis of the muscle groups that surround the ankle.
Thanks a lot for so clear, well structured explanation!
Please tell your mom and dad they raised a great son!!! You are answer to my prayers. This video took my ankle pain from a 9.8 to a 2!!! God bless you dear!!!🙏👍👍👍😘😘😘
Thank you so much, I have been experiencing a chronic sprain for 7 months, I began physical therapy 3 months ago and stopped but continued to do the prescribed exercises. however, in using a machine in the gym where I didn't have sufficient balance I caused an overload on the ankle and now have pain (Tibias Posterior Tendinopathy un diagnosed). This is an excellent video. Thank you I am enjoying learning and benefiting much from your programs. Thank You. I wish I was in one of the locations of you or your partners for therapy.
This video has been and will be super helpful.. thank you!! Going through this now. The focus on load management and working on these functional exercises is key for me.
Absolutely fantastic video! Very detailed and super clear to understand! Thank you very much!!!
Dear Sir, your sharing of knowledge, physiotheraphy and details of diagnosis is incredibly valuable. thank you.
extremely well explained & well presented, thank you !
This is the best exercise I have seen for this condition. 2 yrs ago I slightly tore that side tendon. Wore a boot for 12 wks & had PT. It's better but then got plantar fasciitis & slightly tore it. I just subscribed & gonna binge watch your other video's.
Excellent video! I am suffering from this for one year now with continuous pain in my right foot...it has been since it happened.
I am extremely thankful for your brilliant efforts. You are doing exceptional work brother. Regards.
Wow! This video is amazing! Informative . Professionally put together. Captivating. ❤❤
My gratitude is beyond imagination! ❤ thank you!!❤❤❤
Finally a well researched guide
Well, I watch these kinds of videos all the time because I've had this problem for 3 months now. This video is the best explained reason for pain and how to lessen the pain. Best of all are the actual exercise he gives as guidance to use. Thank you doctor. I now understand how i can help myself better.
this is by far the most comprehensive and informative video i've seen to date. thank you so much. injured my post -tib tendon training for 2019 nyc marathon and it hasn't been the same ever since. hoping this will help.
Quite the teacher you are. Well done and very instructive.
Thank you!
Thank you so much for these great and helpful exercises!
I'm going to start implementing your advice. Thank you in advance.
Hit the nail on the head… mine has been giving me hassle since increasing my training for the London marathon… now it’s out of the way I can try to implement these ideas and hopefully resolve the issue so I’ll be back training for another marathon asap. Thanks for the super detailed explanations. 🤙
Very helpful in terms of exercise management. Thankyou!!
Phenomenal video. The very best I have watched. Detailed and educative. I really felt that now I know what I need to do to help myself, And also what to look out for in a therapists knowledge. Thanks
I have this issue and you explain it so well. Now I understand my condition better. Will try the exercises
Excellent information! I thought I had stress fractures...so I started to run on soft but uneven surfaces, that made my ankle hurt. Thought it was broken, stayed off it for 2 months, started running on soft uneven surface, pain came back....so switched to hard but even surface, and now much better!
Trail/long distance runner here. Amazing stuff. Those heel raises seem to really push me in a difficult spot. Will be doing this exercise for the time to come.
Thank you very much, my brother. This is the best explanation I wanted. You know very well what you are talking about
You are a gift from God. I have been struggling for a over a full year with my ankle and no doctor have been able to help me. This is the only thing that actually works. Thank you so much. Thank you so much. Thank you so much. God bless you God bless you.
Thank you so much for such detailed well explained video
I'm a PT and this is an excellent video. Very well done. You've described the dysfunction, the research and an exercise progress. Thank you.
Thanks!!!!!!!!!!!!!! excellent video!!!! it's pure gold for me!!
amazing videos. cant wait to incorporate to my rehab. keep it up!
Excellent video, accessible, useful info. Thanks!
Thanks for the video, will follow every exercise, wish all the best
This was very thorough and helpful thank you!
Shortly: I am doing it for about 2 months now (every 3d day) and it works. Thank you for this
I was at the podiatrist recently for this problem. He sold me insoles, but never explained the condition and what can be done.
I give you a triple A plus for your video 18:23 . It has given me hope!
So well researched and presented!
Thank you for taking the time to explain this. I'm excited to work on this and get some relief!
Thank you. I’ve had 3 surgeries after a tib-fib orif closed. Ended up also having some posterior tib tearing and severe tendinothapy which was reinforced in the last surgery. Thank you for not just throwing a bunch of exercises but instead explaining the progression needed. I’ve had pt’s try to have me doing everything including squats right after surgery which was very demotivating and counter productive because I couldn’t do it yet of course. Thank you
Leg press instead of Squat. Look up Doug Brignole.
Excellent thorough video - thank you
thank you for this video! so well explained and concise
I wished I found your video earlier when I got my ankle injury. Thank you very sharing such a great video
I'm newly diagnosed with PTTD, and this is the second video I watch on social media. Thank you for being so precise and detailed on the subject. This is helpful. I'm seeing a local podiatrist (first visit yesterday) and I like to come in to our next appointment with a better understanding of this painful condition. Thank you so much. Quality stuff, like Lamar Howard said below.
Felicidades, finalmente se que me pasa en al rededor de mi tobillo y que puedo hacer. Gracias x tu tiempo y por esta explicación tan maravillosa 🥰🥰🥰🥰🥰
thank you so much for sharing.explain clearly,good info 🙏🏻❤️
Thank you for a lot of information and thank you for not say to us to have supporting shoes as a way of saying "that is all we got" like doctors do instead you give a lot of tips, advices and information to fix problems and pain and not "hide" them by to taking painkillers and having things that have temporarily relief which arent fixing anything,so good job and thanks.
I just started to move up from my 30 mins morning jogging to 45 mins for 5 days and it almost hurt my tibial tendon. I could really feel the incoming pain and the heat right the area but luckily I stopped before that happens and do some searching stuff. Glad I found your vid, thank you.
7:36 You weren't kidding when you said you had flat feet. This coming from a fellow Flat footed PT 🤣 great content as always!
I needed this video very important, i am suffering a long time, nothing helped me realistic, but these exercises are really helpful. Thank you fir uploading this video
Wow. Really amazing video. I have been battling with this for months. Also have flat feet but I think mine was caused by driving for extended periods with a bad clutch. I didn't know what it is called so happy to finally know tha name of it. My pain has already improved by driving less and practicing some of the exercises
Amazing video quality. Thank you!
Excellent evidence based video. Thank you
A really very helpful and well made video.
Thanks very much
This video was so informative and helpful! Thanks so much for all the tools to help with this nagging injury! Definitely liked and sub'd!
I got this when did bare foot single leg hopping on sandy beach. The tendon compression during big dorsiflexion has been very provoking for me. Thanks for the advice.
Thanks a lot for such informative stuff ! I incurred inner ankle pain. Could be a tursle issue as well. Yet I watched this video and obtained great insight ....!!