Posterior tibial tendonitis surgery is performed to treat posterior tibial tendon dysfunction, a condition where the tendon that supports the arch of the foot becomes inflamed or torn. The success rate of this surgery can vary depending on the severity of the tendon damage, the specific surgical technique used, and individual patient factors.
- Success Rate:
- The success rate for posterior tibial tendonitis surgery varies, but it is generally considered to be high, often reported in the range of 70% to 90%.
- Success is typically measured by the reduction of pain, improvement in foot alignment and function, and the patient’s ability to return to normal activities or sports.
- Factors Affecting Success Rate:
- Severity of Condition: Earlier stages of tendon dysfunction (where the tendon is inflamed but not severely damaged) often have better outcomes compared to advanced cases where there is significant degeneration or tearing of the tendon.
- Surgical Technique: There are various surgical approaches, such as tendon repair, tendon transfer, osteotomy, or even arthrodesis (fusion of joints) for severe cases. The choice of technique can affect outcomes.
- Patient Factors: Age, overall health, weight, activity level, and adherence to postoperative rehabilitation can significantly impact recovery and success.
- Risks and Complications:
- Potential risks include infection, nerve damage, blood clots, and complications related to anesthesia.
- There’s also a risk of continued pain, overcorrection or undercorrection of the foot alignment, and problems with wound healing.
- Recovery and Rehabilitation:
- Recovery time varies depending on the extent of the surgery. Patients often require a period of immobilization in a cast or boot, followed by physical therapy to regain strength, flexibility, and mobility.
- Full recovery and return to activities can take several months.
- Long-Term Outcomes:
- In the long term, many patients experience significant improvement in symptoms and functionality.
- Ongoing foot care, including the use of appropriate footwear and orthotic devices, may be necessary to maintain foot health and prevent recurrence.
- Patient Satisfaction:
- Most patients report satisfaction with the surgery, particularly in terms of pain relief and improved quality of life.
Patients considering posterior tibial tendonitis surgery should have a thorough discussion with an orthopedic surgeon or a foot and ankle specialist. This discussion should include an understanding of the potential risks, benefits, and expected outcomes based on their specific condition and overall health. It’s important for patients to have realistic expectations about the surgery and to understand the importance of postoperative rehabilitation for achieving the best possible outcomes.
Frequently Asked Questions
When is surgery needed for posterior tibial tendonitis?
Surgery for posterior tibial tendonitis is typically considered when conservative treatments have failed to provide relief or when the tendon damage is severe. This might include situations where there is significant tendon degeneration, a tear, or when the foot has developed a flatfoot deformity due to the tendon dysfunction.
Is posterior tibial tendon surgery successful?
The success of posterior tibial tendon surgery varies depending on the type of surgery, the extent of the tendon damage, and the patient’s adherence to post-operative rehabilitation. Generally, surgical intervention has a good success rate, especially when followed by appropriate rehabilitation to restore strength and function.
What to expect after posterior tibial tendon surgery?
After surgery, patients can expect a period of immobilization in a cast or boot to allow the tendon to heal. This is typically followed by physical therapy, which is crucial for regaining strength, flexibility, and function. The duration of immobilization and the specific rehabilitation protocol can vary based on the surgical procedure and the surgeon’s recommendations.
What is the recovery time for tibialis surgery?
Recovery time varies depending on the specific procedure performed and the patient’s overall health. Generally, it can take anywhere from 6 months to a year for complete recovery. This timeframe includes both the initial healing and the period of physical therapy needed to regain full function.
How long does it take for a leg tendon to heal after surgery?
The healing time for a leg tendon after surgery can vary but typically ranges from 6 weeks to several months for the initial healing phase. Full recovery, including regaining strength and flexibility, can take up to a year or more.
How do you rehab a tibialis posterior?
Rehabilitation for the tibialis posterior tendon typically involves a combination of rest, ice, compression, and elevation (RICE) in the initial stages, followed by physical therapy. Therapy focuses on exercises to improve strength and flexibility in the foot and ankle, along with balance and proprioception exercises.
How I cured my posterior tibial tendonitis?
Individuals may report success with various treatments for posterior tibial tendonitis, including rest, orthotics, physical therapy, and in some cases, corticosteroid injections. It’s important to note that what works for one person may not work for another, and a healthcare provider can offer guidance tailored to the individual’s condition.
Is it OK to walk with posterior tibial tendonitis?
Walking with posterior tibial tendonitis is generally okay if it’s not causing pain. However, it’s important to avoid overuse and to consider supportive footwear or orthotics to reduce stress on the tendon.
Does walking help posterior tibial tendonitis?
Light to moderate walking, especially with supportive footwear or orthotics, can be part of a rehabilitation program, but excessive walking or walking without proper support may aggravate the condition.
Does posterior tibial tendonitis ever go away?
With proper treatment and management, symptoms of posterior tibial tendonitis can improve significantly or even resolve completely. However, it’s important to address the underlying causes and adhere to recommended treatment plans to prevent recurrence.
What is the fastest way to heal posterior tibial tendonitis?
The fastest way to heal posterior tibial tendonitis involves early intervention with rest, ice, compression, and elevation (RICE), followed by physical therapy and possibly orthotic support. It’s also crucial to avoid activities that worsen the condition during the healing process.
How bad does posterior tibial tendonitis hurt?
The pain from posterior tibial tendonitis can vary from mild to severe and is typically felt on the inside of the foot and ankle. The pain may worsen with activity, especially activities that involve pushing off or bearing weight on the foot.
What can be mistaken for posterior tibial tendonitis?
Conditions that can mimic posterior tibial tendonitis include tarsal tunnel syndrome, arthritis of the foot or ankle, and other tendon injuries such as flexor tendonitis.
What kind of doctor treats posterior tibial tendonitis?
Posterior tibial tendonitis is often treated by orthopedic surgeons, particularly those specializing in foot and ankle surgery, or by podiatrists. Physical therapists also play a key role in the rehabilitation process.
What aggravates posterior tibial tendon?
Activities that place repetitive or excessive stress on the tibialis posterior tendon can aggravate the condition. This includes running, jumping, walking on uneven surfaces, or wearing unsupportive footwear.