| Anterior Tibial Tendonitis – Causes, Signs, Treatment
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Anterior Tibial Tendonitis – Causes, Signs, Treatment

Anterior Tibial Tendonitis – Causes, Signs, Treatment

Anterior Tibial Tendonitis refers to inflammation within the anterior tibial tendon. It occurs mainly due to overuse. This tendon runs from the front of the shin, across the ankle to the inside of the foot.


  • Overuse of the tendon
  • Excessive Training
  • Running on uneven surfaces
  • Kicking with toes pointed
  • Repetitive movements
  • Tight foot or ankle wear
  • High Heels
  • Poor foot/ankle biomechanics – pronated feet


The symptoms of Anterior Tibial Tendonitis develop gradually with pain or stiffness along the front of the ankle. They worsen when trying to lift the foot or toes up or in activities like walking or running up or down a slope.

Swelling, stiffness and weakness are common. It can progress to ‘foot drop’ in severe cases.


Conservative treatment options include –

  • Rest/Ice
  • Massage
  • Avoid barefoot walking
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Immobilization
  • Ankle Brace
  • Custom Orthotics
  • Bracing
  • Physical Therapy to stretch and strengthen the tendon
  • Platelet Rich Plasma (PRP) Injections

If conservative treatment fails, surgery may become necessary. Tendon Repair procedure may be performed to remove damaged tendon and repair the remaining good tendon. Sometimes, a tendon transfer or tendon graft may be needed.

Anterior Tibial Tendonitis is a common condition associated with the overuse of the tendon. It may take anywhere from a few weeks to months to improve. Early diagnosis and treatment can speed up recovery and help you return to a normal life sooner. Talk to a foot and ankle specialist if you are experiencing any pain or discomfort in your foot or ankle.


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