Tendonitis Specialist

Portland Foot & Ankle Institute -  - Foot & Ankle Surgeon

Portland Foot & Ankle Institute

Foot & Ankle Surgeon located in Portland, OR

Your feet play a central role in how you move throughout the day, so it’s no surprise that tendonitis of the foot and ankle is very common. Highly trained foot and ankle surgeon Michael A. Gentile, DPM, FACFAS, and his team at Portland Foot & Ankle Institute diagnose and treat tendonitis at their practice in Portland, Oregon. For expert care of foot and ankle tendonitis, call or book an appointment online today.

Tendonitis Q & A

What is tendonitis?

Tendons are thick, fibrous bands of tissue that connect muscle to bone. Tendonitis occurs when one or more tendons become irritated and inflamed. Tendonitis can happen to any tendon in your body. Due to heavy use of your feet, the ankles are especially vulnerable to this condition. If left untreated, the tendon may become damaged or even tear.

What is posterior tibial tendonitis?

Posterior tibial tendonitis is one of the most common types of tendonitis. This condition affects your posterior tibial tendon, which runs along the inside of your ankle. The posterior tibial tendon supports the arch of your foot and helps to prevent your ankle from rolling, which sometimes leads to a sprain.

Increasing age, obesity, and overuse are common causes of degeneration in the posterior tibial tendon. This may lead to tendinosis, a chronic condition that causes tendon weakness and tearing.

What are the symptoms of posterior tibial tendonitis?

Pain and swelling are the primary symptoms of tendonitis. If you have posterior tibial tendonitis, you may notice pain in the instep of your foot. Without proper treatment, the tendon may continue to weaken until it tears. At this point, the arch of the foot may collapse.

Tendonitis causes pain that worsens with activity. It may be very difficult to perform high-impact activities like running. As the tendon becomes more damaged, pain can be present with the first steps in the morning.

It’s important to seek early treatment at Portland Foot & Ankle Institute when you experience foot pain that lasts more than a few days.

How is tendonitis diagnosed and treated?

First, Dr. Gentile takes a complete medical history and asks you to describe your symptoms. He carefully examines your foot, ankle and legs, and checks for signs of tendonitis, such as swelling or changes in the shape of your foot, like a fallen arch. He may also take X-rays, perform an ultrasound, or get an MRI to fully understand your problem and to rule out other causes of foot pain, like arthritis.

Then, Dr. Gentile recommends the best course of treatment for your specific condition. Treatment for tendonitis may include:

  • Rest and ice
  • Orthotic devices like an arch support
  • An ankle foot orthosis (AFO) brace
  • Nonsteroidal anti-inflammatory medications
  • Specialized physical therapy

If your condition is severe or your tendon ruptured, surgery may be necessary to repair the damage. Dr. Gentile is board-certified in foot, rearfoot, and reconstructive ankle surgery. He performs minimally invasive arthroscopic surgeries whenever possible.

For high-quality treatment of tendonitis, call Portland Foot & Ankle Institute or book an appointment online today.