Posterior Tibial Tendon Rupture
with Rehab
ExitCare ImageTendons are soft tissues that connect muscle to bone. Tendons allow muscles to move the skeletal system. A complete tear of the posterior tibial tendon is known as a posterior tendon rupture. The posterior tibial tendon attaches the posterior muscles on the inner portion of the back of the lower leg (tibialis muscles) to foot. The posterior tibialis muscles help straighten (plantar flex) and rotate the foot inward (medially rotate) the foot. A posterior tibial rupture will result in a decreased ability to perform these tasks.
SYMPTOMS
CAUSES
Tendon ruptures occur when a force is placed on the tendon that is greater than it can withstand. Common mechanisms of injury include:
RISK INCREASES WITH:
PREVENTION
PROGNOSIS
In order to have the highest likelihood of returning to your preinjury activity level, surgery is usually recommended, with 4 to 9 months of rehabilitation afterward.
RELATED COMPLICATIONS
TREATMENT
Treatment initially involves resting from any activities that aggravate your symptoms. Ice, medication, and elevation can be used to help reduce pain and inflammation. In order to have the best results, surgery is recommended. Surgery involves sewing (suturing) the ends of the torn tendon back together. If your surgeon cannot repair the tendon, then a replacement (reconstruction) surgery may be performed to use another tendon to replace the function of the ruptured tendon. After surgery, the ankle is immobilized in order to allow the tendon to heal. After immobilization, it is important to perform strengthening and stretching exercises to help regain strength and a full range of motion. These exercises may be completed at home or with a therapist.
MEDICATION
SEEK MEDICAL CARE IF:
EXERCISES
RANGE OF MOTION (ROM) AND STRETCHING EXERCISES - Posterior Tibial Tendon Rupture
These exercises may help you when beginning to rehabilitate your injury. Your symptoms may resolve with or without further involvement from your physician, physical therapist, or athletic trainer. While completing these exercises, remember:
ExitCare ImageSTRETCH - Gastrocsoleus
Repeat __________ times. Complete this stretch __________.
times per day.
ExitCare ImageRANGE OF MOTION - Dorsi/Plantar Flexion
Repeat __________ times. Complete this exercise __________ times per day.
ExitCare ImageRANGE OF MOTION - Ankle Plantar Flexion
Repeat __________ times. Complete __________ times per day.
ExitCare ImageRANGE OF MOTION - Ankle Eversion
Repeat __________ times. Complete this exercise __________ times per day.
ExitCare ImageRANGE OF MOTION - Ankle Inversion
Repeat __________ times. Complete this exercise __________ times per day.
ExitCare ImageRANGE OF MOTION - Ankle Alphabet
Repeat __________ times. Complete this exercise __________ times per day.
STRENGTHENING EXERCISES - Posterior Tibial Tendon Rupture
These exercises may help you when beginning to rehabilitate your injury. They may resolve your symptoms with or without further involvement from your physician, physical therapist, or athletic trainer. While completing these exercises, remember:
ExitCare ImageSTRENGTH - Dorsiflexors
Repeat __________ times. Complete this exercise __________ times per day.
ExitCare ImageSTRENGTH - Plantar Flexors
Repeat __________ times. Complete this exercise __________ times per day.
ExitCare ImageSTRENGTH - Towel Curls
Repeat __________ times. Complete this exercise __________ times per day.
ExitCare ImageSTRENGTH - Ankle Inversion
Repeat __________ times. Complete this exercise __________ times per day.
 
This information is not intended to replace advice given to you by your health care provider. Make sure you discuss any questions you have with your health care provider.
 
Document Released: 12/18/2006 Document Revised: 01/08/2016 Document Reviewed: 04/01/2010
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