Pain or swelling on the inside of your ankle—especially when walking, running or standing for long periods—may be a sign of tibialis posterior tendinopathy. If left untreated, this condition can lead to progressive flatfoot and longer-term mobility issues.
At Move4 Physio, our sports podiatrist provides targeted, biomechanically-informed treatment to address the root cause, reduce pain, and help you rebuild strength, function and confidence in your foot.
The tibialis posterior tendon runs along the inside of your ankle and supports the arch of your foot. When this tendon becomes overloaded—due to poor biomechanics, flat feet, or a sudden increase in activity—it can become painful and inflamed.
Common symptoms include:
Pain or swelling on the inside of the ankle or arch
Pain that worsens with walking, running or prolonged standing
A feeling of weakness or instability in the foot
Arch flattening or progressive loss of foot shape
Difficulty standing on tiptoes on the affected side
At Move4 Physio, we identify the underlying mechanical and loading issues that are putting your tibialis posterior tendon under stress. From there, we build a personalised treatment plan that focuses on both symptom relief and long-term recovery.
Your plan may include:
✅ Gait and foot posture analysis
✅ Strengthening and progressive loading exercises
✅ Custom orthotics to support the arch and reduce tendon strain
✅ Footwear advice for work, walking, or sport
✅ Activity modification and return-to-load planning
✅ Joint mobilisation or soft tissue techniques
✅ Collaboration with our physio team for full rehab support
We don’t believe in just “resting it.” We help your tendon adapt, strengthen, and support your goals—whether that’s walking pain-free or returning to sport.
Tibialis posterior tendinopathy is often linked to foot structure, gait and load management—all areas where podiatrists excel. We combine detailed assessment with hands-on and orthotic interventions to offload the tendon while promoting active recovery.
Not sure if your pain is from tibialis posterior tendinopathy—or how to treat it safely? Book a free 5-minute phone call with our podiatrist. We’ll talk through your symptoms, answer your questions, and guide your next steps.
👉 Click here to book online or give us a call.
Support your arches. Strengthen your step. Recover with confidence.
