The tibialis anterior tendon runs down the front of the shin bone, down the front of the ankle, and attaches to the inner side of the midfoot (into the first metatarsal and medial cuneiform). It works to help point the foot upwards and inwards. Tibialis anterior tendinopathy (or tendonitis) describes damage or irritation to the tibialis anterior tendon that results in painful symptoms at the tendon.
Tibialis anterior tendinopathy is generally an overuse syndrome. When repetitive strain from strenuous activity is placed on the tendon past the point that it can safely handle, micro-tears and damage occur. This causes the onset of painful symptoms. Overuse may result from:
Footwear that is too tight and compresses the tendon, causing friction and damage, can also result in tibialis anterior tendinopathy.
Symptoms can include:
Because the symptoms of tibialis anterior tendinopathy can gradually worsen if the tendon continued to be overused, it needs to be managed effectively. Initially, treatment focuses on alleviating the pain symptoms following the PRICE principles (protection, rest, ice, compression, elevation). Following this, treatment focuses on facilitating the healing and repair of the tendon, and reducing the likelihood of symptoms returning in the future. This may include:
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