S/P Posterior Tibialis Reconstruction

Definition:
Many cases of adult flat foot are caused by a rupture of the posterior tibial tendon, the structure that travels through the ankle and is responsible for creating the arch in our feet. Overweight women are at an increased risk of developing this condition, as are patients whose flat foot has been present since childhood. As the tibial tendon tears, patients often experience pain as the foot gradually rolls inward and flattens. Over time, the supporting ligaments in the foot begin to stretch and tear as well. Surgery often involves a calcaneal osteotomy, which cuts and shifts the heel bone in order to transfer another tendon to be used in place of the torn tibial tendon. This procedure is consider the most common treatment for this condition and offers highly effective results with a low risk of recurrence.
Purchase 3 Phases

Symptoms
  • Fallen arch
  • Pain in the medial ankle
  • Swelling in the medial ankle
  • Pain worse with activities
  • Pain with walking or standing
  • Point tender with palpation to the medial ankle
Causes
  • Overuse- high-impact sports, such as basketball, tennis, or soccer
  • Muscle imbalance
  • Degeneration
Treatment
  • Non-weight bearing x 4 weeks
  • Period of immobilization
  • Passive ROM , then progress to active ROM
  • Ankle stabilization exercises
  • Lower extremity strengthening
  • Gait program
S/P Posterior Tibialis Reconstruction Phase I

Purchase Phase

  • Crutch Walking
  • Straight Leg Raise
  • Clams
  • Prone Glute Max Knees Bent
  • Big Toe Curls
  • Standing Hip Extension
  • Standing Hip Abduction
  • Weight Bearing Restrictions
  • DVT Clot Instructions

S/P Posterior Tibialis Reconstruction Phase II

Purchase Phase

  • Slant Board Straight Knee
  • Slant Board Bent Knee
  • Sit On Feet
  • Passive Ankle Inversion
  • Passive Ankle Eversion
  • Foot Ankle Prevention Program Yoga
  • Heel Raises
  • Step Overs
  • Tri Planar Knee To Wall
  • Posterior Tib Retraining
  • Toe Yoga
  • Gait II

S/P Posterior Tibialis Reconstruction 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