Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Crepitus of tendon of tibialis posterior

Discussion in 'General Issues and Discussion Forum' started by footfan, Mar 7, 2010.

  1. footfan

    footfan Active Member


    Members do not see these Ads. Sign Up.
    sorry if this seems easy to you guys and girls but im still a student, so hope you can help:

    20 year old male presents:

    CC: Crepitus sensation of tendon of tibialis posterior, distal to flexor retinaculum at night to the L when immobile . No pain or strange sensations on movement or during sport, just at rest.

    HPI: Lasted about two months and came on spontaneously. No history of injury except TA strain 2 months prior which has fully resolved to normal activity.

    PMH: No lower limb injuries other than the TA Strain, and currently in good health.

    PE: No inflammation or tenderness on plapation, gait normal, FPI normal ranges.

    Any advice is great , thanks for any posts =)
     
  2. Andrea Castello

    Andrea Castello Active Member

    Hi Jon

    Have any radiographic or ultrasound tests been ordered??

    If they haven't this might be a good start and give you a clue.

    Regards

    Andrea
     
  3. Pain at night suggests inflammatory cause, treat as per tendonopathy until proven otherwise.
     
  4. "TA"? Tibialis anterior or tendo-achilles? Please, please, please, you are making me sound like Kevin, but ya'll see the point: spell out your acronyms!!!!!!!!!! :hammer:

    Given that both of the above provide internal supination moment, is it so surprising that another internal supination moment generator: tibialis posterior might be complaining?
     
  5. footfan

    footfan Active Member

    Hi Andrea, no images as yet but will investigate if appropriate, Hi Simon sorry I meant Tendo -Achilles, won’t happen again, ill revisit footwear assessment and gait analysis in the short term and proceed with treatment for tendinopathy

    Thank You
     
  6. Simon,

    Now that you have progressed into your fifth decade, you are starting to sound much more like us old guys that hate unintelligible acronyms and abbreviations. Just wait until your sixth decade, that's when people will really think you're old and cantankerous.:rolleyes::drinks
     
  7. Hey, people thought I was angry when I was in my 30's, so I guess cantankerous will be more palatable for them...
     
  8. drsarbes

    drsarbes Well-Known Member

    Hi Jon:

    "CC: Crepitus sensation of tendon of tibialis posterior, distal to flexor retinaculum at night to the L when immobile"

    Can you rephrase this for us? Crepitus when immobile? Doesn't make too much sense. It always helps when stating a CC to use the patients own words where possible.


    Thanks

    Steve
     
  9. footfan

    footfan Active Member

    Hi Steve,

    Yeah I actually questioned myself when writing it, basically he described it as a "twitch" with a “grinding/sticking” sensation, involuntary, he only participates in sport on and off on a weekly basis so I ruled out overtraining and he didn’t present with any inflammation, pain or tenderness on the tendon of tibialis posterior.

    Thanks for all the comments
     
Loading...

Share This Page