Identifying the underlying problem can at times be difficult and thorough clinical examination plus scanning of the relevant part of the ankle/foot will provide the information needed. Thereafter it is crucial to start conservative treatment including physiotherapy and avoiding excessive stress to the tendon. At times stretching and strengthening exercises will give good relief but relative rest and footwear adjustments/insoles will further help. Depending which tendon is affected conservative treatment will most of the times be sufficient (eg tibialis anterior tendon). Peroneal tendons might present at a later stage and therefore often only get better when the tendons are “cleaned up” and brought into shape again. Problems of the tibialis posterior tendon are often associated with a flat foot deformity and taking care of the tendon only will not be sufficient. One has to address the underlying malalignment and support the injured tendon with another tendon to regain full function of the foot.
Tendon problems (Tendinopathy)
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Foot and Ankle Conditions
Mr Klinke treats a range of common foot and ankle conditions. You can view the conditions and treatments by selecting from the list below.