Tibialis posterior tendonitis, anterior tibial tendonitis and peroneal tendonitis all fall into the category of "foot tendonitis."

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The posterior tibial tendon runs along the inside of the ankle and foot and is responsible for raising the arch of the foot. If you have tibialis posterior tendonitis, your foot may hurt when it moves forward to push off the ground or when the heel shifts from side to side.

The anterior tibial tendon helps control the front of the foot when it meets the ground. If you have anterior tibial tendonitis, you may feel pain when you go downstairs or when you walk or run on hills.

The peroneal tendon wraps across the bottom of the foot, from the outside to the inside. If you have peroneal tendonitis, you may feel pain when you stand or push off the ground.

Tibialis posterior tendonitis, anterior tibial tendonitis and peroneal tendonitis are inflammatory conditions very common among active individuals.

The Arthritis Strategy Pack is safe and effective to treat tendonitis that quickly relieves pain without the side effects associated with NSAIDs and other medication remedy methods. 

Arthritin is a specially blended supplement designed to complement the body's natural ability to provide fast, safe and effective comfort. This formula combines nutritional, anti-inflammatory herbs and homeopathic ingredients to reduce the "burn" of target areas while increasing mobility.

The key to this tendonitis treatment is Buffer pH to balance pH levels in the body. An imbalanced pH effects all cellular activity, which can lead to a whole host of degenerative diseases and symptoms. An overly acidic body can inhibit the exchange of nutrients and waste products in your muscle cells and can also cause muscles to constrict. Muscle fatigue, soreness and poor recovery follow.
 

The Arthritis Strategy Pack works well for chronic tendonitis  as well as runner knee pain, tendonitis shoulder pain and other related issues. While Arthritin addressed the immediate pain and inflammation reduction needs, Buffer pH works to address the root cause of symptoms.

Tibialis posterior tendonitis and anterior tibial tendonitis are the inflammation of the tendons connecting muscle to bone in and around the ankle. Tibialis posterior tendonitis and anterior tibial tendonitis can be caused by a number of factors. Some of the more common factors associated with ankle tendonitis include:

• A sudden increase in the intensity of training.
• A rapid increase in the frequency of training.
• Repeated training on rigid surfaces.
• Genetic abnormalities.

Tibialis posterior tendonitis and anterior tibial tendonitis can occur as a result of injury, overuse, or with aging as the tendon loses elasticity. However, injury is the main cause. Most injury is caused from over exertion from sport activity. Injury from impact or fall, walking incorrectly on the inside of the foot (overpronating) and diseases such as arthritis.
 
Symptoms of tibialis posterior tendonitis and anterior tibial tendonitis include:

• Pain and tenderness along a tendon, usually in proximity to the ankle.
• Pain is worse with movement or activity.
• Pain at night.
• Tenderness and swelling over the bit where the tendon inserts onto the ankle.
• Pain when you try to bend the ankle or foot against resistance.
• Stiffness after exercise.

The goals of treatment and rehabilitation include;

• Protection of the injured tissues to allow healing and to control the early inflammatory phase.
• Ice packs or ice massage.
• Rehabilitate flexibility, strength and muscle imbalance, and control physical activities with the aid of taping and splinting.
• Non-impact aerobic conditioning, flexibility training and strengthening exercises.
• Return to full activity as posterior tibial tendonitis symptoms allow.

The goal of rehabilitation should be designed to decrease the symptoms, strengthen the muscles of the tibialis posterior tendonitis or anterior tibial tendonitis region and improve flexibility. The person with tibialis posterior tendonitis or anterior tibial tendonitis must return to sports activity carefully and slowly. Criteria for resuming full physical activity should be based on function, not time.
 
Inflammation can also be treated with non-steroidal anti-inflammatory medications such as Motrin or Advil. These medications can be helpful treatments for posterior tibial tendinitis but do have side effects. Side effects of these medications can include stomach upset and bleeding problems.

Prevention is the best treatment for tibialis posterior tendonitis and anterior tibial tendonitis. The key to avoiding problems is to slowly increase the intensity of your exercise, vary the types of activities you perform, and try not to cycle between periods of activity and inactivity. Follow these guidelines to prevent tendonitis or prevent the recurrence of tendonitis:

• Do not train hard when muscles are stiff from a previous workout.
• Introduce new activities or new training levels gradually.
• Allow ample warming up and cooling off time.
• When competing, check courses beforehand.
• Train on a variety of surfaces.
• Using proper footwear.
• Monitor yourself daily for signs of fatigue. If fatigued, give yourself a break for the day.

Proper conditioning should include aerobic fitness, strength training, and flexibility training. Flexibility is very important in preventing overuse injuries such as tibialis posterior tendonitis or anterior tibial tendonitis.

Gradual progressive stretching increases flexibility and can prevent the injury from returning. Be sure to stretch both before and after all activities. Calf, Achilles, and ankle stretching exercises may be performed daily.

If you experience tibialis posterior tendonitis or anterior tibial tendonitis, you are more likely to have symptoms again down the road, but with an intelligent approach to your exercise or activity routine, this problem can often be avoided.

If you have any abnormal biomechanical problems of the lower extremity, they must be addressed or the tendonitis will recur. The type of running shoe you wear, arch supports and a foot strap should all be considered based on your individual gait evaluation. Consult a qualified therapist for a professional evaluation.

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