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Pain while walking and swelling

by Sudip
(Florida)

While walking around, I tend to experience a dull pain on the inside of my foot. There has also been swelling along that area of my foot (the inside of the foot). I've done some research, and it seems to me that I have posterior tibial tendinitis, but I would like to know your opinion. Also, in the case that it is tendinitis, what sort of treatment would you recommend, and on average, how long does this condition take to heal?





Hi Sudip,
A posterior tibialis tendinitis is certainly a possibility. However, many people have an accessory bone known as a os tibiale naviculare which may be part of the problem, so that has to be ruled out. Read my section on accessory navicular
In most cases of this condition, with or without the accessory bone, if there is no history of trauma, then the problem is usually due to a foot that flattens out too much thus putting tremendous pressure on the tibialis posterior muscle where it inserts into the bone.
Use of an arch support on a constant basis can be very helpful in eventually relieving the problem. I do not know your age, activity level or your weight so I cannot answer how long it will take to heal.
You can try an arch support for a couple of weeks and if you notice you are getting better then you can continue with it, but, if the arch support does not help at all, you should see a foot specialist who will be able to make a more accurate diagnosis and offer some definitive treatment.

Marc Mitnick DPM
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