Posterior Tibial Nerve Injury

Definition:
Damage, harm, or loss to the posterior tibial nerve particularly as the result of external force.

Symptoms
  • Peripheral neuropathy
  • Sensation changes in the bottom of the foot and toes
  • Burning sensation
  • Numbness, tingling, or other abnormal sensations
  • Pain
  • Weakness of foot muscles
  • Weakness of the toes or ankle
  • Inability to curl the toes, push the foot down, or twist the ankle inward
Causes
  • Direct trauma
  • Pressure on the nerve for a long period of time
  • Pressure on the nerve from nearby body structures
  • Tumor
Treatment
  • ROM and stretching exercises
  • Lower extremity strengthening
  • Foot intrinsic muscle strengthening
  • Gait program
Posterior Tibial Nerve Injury Phase I

Purchase Phase

  • Foot Wedge
  • 3-d Runners Stretch
  • 100s
  • Passive Ankle Inversion
  • Passive Ankle Eversion
  • Windshield Wipers
  • Single Leg Balance
  • Toe Yoga
  • Tri Planar Knee To Wall
  • Nose To Wall
  • Stationary Bike
  • Contrast Bath

Posterior Tibial Nerve Injury Phase II

Purchase Phase

  • Heel Raises
  • Heel Offs
  • Slips Rocker
  • Step Overs In Mase
  • Step Downs
  • Backwards Step Ups

Posterior Tibial Nerve Injury Phase III

Purchase Phase

  • Heel Offs
  • German Dance
  • Heel Raises
  • Step Overs In Mase
  • T Band Walks In Mase
  • Tennis Ball Push
  • Jump Rope Routine
  • Toe Hops