Tibialis posterior tendinosis and tibialis posterior tenosynovitis


  • Tibialis posterior tendinosis, which is degeneration of the tibialis posterior tendon, and tibialis posterior tenosynovitis are the most common causes of pain behind the medial malleolus.
    (See also Overview of Foot and Ankle Disorders.)
    The posterior tibial tendon lies immediately behind the medial malleolus. Degeneration results from long-standing biomechanical problems, such as excessive pronation (often in obese people) or chronic tenosynovitis.
    Tenosynovitis of the tendon sheath begins with acute inflammation. The tendon can be involved by primary inflammatory disorders, such as rheumatoid arthritis or gout.


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