Don’t ignore inner ankle pain!

Lincoln Physiotherapist Jack Shaw during his pennine barrier race

June 23rd saw one of our physiotherapists, Jack, complete the Pennine Barrier Ultra Marathon. The 50 mile race incorporated many of Yorkshire’s natural wonders, including the three peaks; Pen-y-Ghent, Whernside and Ingleborough.


The race was highly challenging and such endurance events require a post run recovery as follows:

  • Short walks, gentle and often.
  • Gentle turbo training to keep the legs going.
  • Hot baths, stretching and foam rolling to release sore muscles.  


As can be the case with any physical activity, Jack unfortunately picked up an injury along the way,  Tibialis posterior tendinopathy.


What is it?


The Tibialis posterior is a muscle in the lower leg and it’s tendon passes behind the bony bump on the inside of the ankle. Tibialis posterior tendinopathy is the inflammation of this tendon and normally presents itself as pain within the inner ankle.

The injury arises when the tendon mentioned is over-used or over-stretched, causing multiple tears, the body then produces inflammation to protect itself. If left without treatment the arch of the foot can weaken and foot deformities can occur.  It is therefore vitally important not to ignore the pain and return to sport too quickly as this will cause further damage. 


How is it treated?


Tibialis posterior tendinopathy does not tend to get better on its own and requires physiotherapy for a full recovery. 

As with most soft tissue injuries the initial treatment is the RICE principle. Rest, Ice, Compression & Elevation. The next stage is to slowly regain full motion in the ankle through appropriate stretches and exercises.

It may be necessary to begin using inserts within your shoes, particularly if poor foot biodynamics contributed to the initial problem. Finally, if you wish to return to sport, you will need a specific training programme which gradually prepares you for high intensity activity and increased pressures and strain on the ankle/foot.  All of the above can be thoroughly addressed in a treatment plan devised especially for you from a physiotherapist.

How can we help?


If you fear you are suffering from Tibialis posterior tendinopathy then please do not hesitate to book a consultation with one of our experienced physiotherapists. We will be able t0 diagnose and devise an appropriate treatment plan.


Please see our clinics page to find your closest practice & their contact details.

If you are due to partake in an upcoming endurance event please see our previous blog where Jack shares his pre-race top tips.