Introduction: Tibialis posterior tendinopathy is a disabling, frustrating, and progressive musculoskeletal condition commonly seen in middle-aged women. The aetiology of this overuse injury is likely multifactorial, so it is necessary to consider intrinsic and extrinsic risk factors for effective treatment. Evidence of treatment protocol is insufficient and of limited quality. Conservative treatment is generally undertaken in the early stages of the condition. In conservative treatment, physical therapy and a program of eccentric strengthening exercises are especially emphasized.
Case report: We present a case of a 48-years-old woman diagnosed with tibialis posterior tendinopathy. The patient could not participate in recreational sports activities and significantly limited walking. Over five weeks, the patient had ten sessions of physical therapy. The applied individually tailored physical therapy program was based on eccentric strengthening exercises.
Conclusion: The implemented physical therapy program has significantly reduced pain and a return to sports activities. This case report shows that a physical therapy program based on an eccentric exercise regime can relieve symptoms and restore functional ability for a short period in patients with tibialis posterior tendinopathy.
Key words: tendinopathy, tibialis posterior, physical therapy, eccentric exercise
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