POSTERIOR TIBIAL TENDONITIS

Posterior Tibial Tendonitis PRP Therapy Los Angeles

Tendonitis is a common foot problem as it is in patients who suffer from tendonitis in the knee, elbow or shoulder. We use our feet on a daily basis and over time the major supporting structures of the foot start reacting through inflammation. One of these components of the foot that suffers is the posterior tibial tendon, due to large amounts of force the tendon goes through with walking, standing or jumping the tendon becomes inflamed and degenerates, unless it is treated.

The posterior tibial tendon runs along the inside prominent bone of the ankle and connects with the deepest portion of the calf muscle. The tendon’s purpose is to maintain the arch of the foot and prevent excessive pronation or flattening while in motion. The amount of shock absorption or pressure of the arch varies from patient to patient, but posterior tibial tendonitis can occur with any foot type, patient’s weight or activity level.

Symptoms of Posterior Tibial Tendonitis

While pain and swelling in the foot may be a sign of various injuries, if pain and swelling occur along the inside of the ankle and arch this may be an indication of injury to the tendon. According to the American Orthopaedic Foot and Ankle Society, if the posterior tibial tendon becomes inflamed, overstretched or torn, you may experience symptoms within the inner ankle. As the injury progress, you may lose support on the inner arch on the sole of the foot, which may result in condition known as acquired flatfoot.

Symptoms of Posterior Tibial Tendonitis may include:

  • Pain and swelling along the inside of the ankle and arch
  • Pain while walking, exercising, or extended periods of standing
  • Excessive fluid production while healing
  • Flatfoot deformity due to weakened conditions or rupturing of the tendon.

Causes of Posterior Tibial Tendonitis

Typically, tendonitis occurs in a variety of stages. Irritation of the outer layer of the tendon, called the paratenon, leads to paratendonitis. This is simple inflammation that heals with rest, but as the body ages, the tendons can weaken and degenerate. Degeneration in a tendon usually reveals a loss of the normal arrangement of fibers of the tendon. When the posterior tibial tendon is overused and its tendon is strained that is when tendonitis occurs.

The common contributing factors of Posterior Tibial Tendonitis include:

  1. Injury from excessive physical activity or trauma from high impact
  2. Pronation – walking on the inner portion of the foot (Arch flattens and the foot turns outward)
  3. Natural wear and tear with age
  4. Chronic inflammation
  5. Athletic Injuries
  6. Flatfoot deformity or Pes Planus or Pes Plano Valgus
  7. Accessory Navicular (extra bone at the attachement site of the Posterior Tibial Tendon on the Navicular

Posterior Tibial Tendonitis PRP Therapy

While custom orthotics, medication and other brands of conservative measures help relieve acute pain and stress symptoms, the overall need for treatment depends on the severity of tendonitis and the duration of symptoms. A full physical examination from Dr. Kamran Jamshidinia, board certified foot surgeon, will determine if PRP therapy is the best solution for your case. Various methods of physical therapy modalities and exercises may have been demonstrated, and if these are ineffective then PRP therapy may be the answer to your foot disorder.

PRP therapy is a series of injections utilizing the patient’s own blood platelets. PRP therapy is formulated by drawing out the patient’s blood at our state of the art outpatient facility. The vile of blood is placed in a centrifuge for roughly 5 to 15 minutes to separate the platelets and plasma from the red and white blood cells. While this process takes place, the patient will need no sedated just local local anesthesia so the injection of the patients own blood will not bring about any pain or discomfort. Once the PRP cells are separated, then Dr. Jamshidinia will slowly inject the platelets into the areas of pain and inflammation of the surrounding tissues in the posterior tibial tendon. As a result, these platelets promote a surge of concentrated growth factors to initiate and accelerate healing.

Schedule PRP Therapy for Posterior Tibial Tendonitis with Dr. Jamshidinia and the physicians at JAMfeet/ Tower Foot & Ankle Surgery

There have been many techniques of pain relief for tendonitis in the past, but many patients still experience pain and discomfort after conservative treatment. PRP therapy is designed to decrease inflammation and pain in the tendon and its surrounding areas by initiating rapid healing growths.   Contact our facility at Tower Foot and Ankle Surgery Inc. to discuss your options for PRP therapy. Call (310) 247-9255 or (310) 24-7 WALK.