Anterior Tibial Tendonitis Treatment in Los Angeles

What is Anterior Tibial Tendonitis?

The anterior tibial tendon is located on the inner front of the ankle, with its corresponding muscle positioned along the front of the shin. This muscle-tendon unit plays a crucial role in foot movement, allowing the foot to flex upward while walking. Without the proper function of this tendon, the foot and toes may drag during gait.

Anterior tibial tendonitis is inflammation of the tendon caused by trauma or overuse. If left untreated, it can lead to split tears, thickening of the tendon, and worsening pain. In severe cases, major trauma can even result in a complete rupture. Diagnosis is made through a thorough clinical examination, often supplemented by an in-office diagnostic ultrasound or MRI.

If you’re suffering from tendonitis of your inner ankle, we’re the home of the leading foot and ankle specialist in Los Angeles, Dr. Soomekh. Under his guidance, our team is dedicated to ensuring you recover swiftly and your mobility is restored.

Signs and Symptoms of Anterior Tibial Tendonitis

The most common symptoms of ankle tendonitis may include any of the following:

• Deep, achy pain at the front of the ankle, especially during walking or activity
• Weakness in foot movement
• Tendon strain, fraying, or tearing
• Possible rupture in severe cases
• Patients with nerve damage may experience muscle weakness, leading to “drop foot”
• Higher susceptibility in individuals with high-arched foot types

Causes of Anterior Tibial Tendonitis

Some common causes of anterior tibial tendonitis may include:

• Repetitive stress or overuse of the tendon, often seen in rigorous sports or prolonged walking
• Acute trauma to the tendon, such as a direct impact or sudden twist
• Poor foot biomechanics, particularly in individuals with high arches
• Underlying nerve damage leading to weakness in foot movement, which can exacerbate tendon inflammation

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Anterior Tibial Tendonitis Treatment Options

Conservative Treatments:

• Rest and Immobilization: Early diagnosis allows for conservative treatment, including complete rest of the tendon, using a special walking boot.
• Physical Therapy: Rehabilitation exercises help restore strength and mobility.
• Custom Orthotics: Specially molded orthotics redirect tendon pull, provide arch support, and help prevent recurrence.

Advanced Therapies:

• Platelet-Rich Plasma (PRP) Therapy: PRP injections stimulate the tendon to promote healing, especially in chronic cases.

Surgical Intervention:

• Tendon Repair Surgery: If conservative treatments fail or if the tendon completely ruptures, surgery is necessary to remove damaged portions and repair splits or tears.
• Tendon Transfer Surgery: In cases of significant weakness, a tendon from another part of the foot may be redirected to help restore function.
• Tendon Augmentation: In severe cases, donated human tendons, PRP, and stem cells may be used to strengthen and support the repair.