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Ankle Pain

Posterior Tibial Tendonitis and Sport

Minute Read


2 months ago


by james



Can I still run with Posterior Tibial Tendonitis?

In the acute stage 0-72 hours of Posterior Tibial Tendonitis, it is not recommended to run. However, after this stage, it is important to strengthen the tendon to stop it from deconditioning. One way to do this is by continuing to run.

It is ok to have a low-level pain once it settles within 24 hours post-run. Try to give 3-4 days of rest between runs and if there is a flare-up of your pain, wait until this settles before running again. Posterior Tibial Tendonitis likes a consistent steady pace of running and try to avoid hill running or interval sessions.

Is it OK to walk with Posterior Tibial Tendonitis?

You can continue to do short, frequent walks with Posterior Tibial Tendonitis. We recommend walking 15-30 minutes, 2-3 times a day rather than one long walk. If you have increased pain the following morning then this is a sign of an overload. In this instance reduce the time or amount of walks the following day.

Try to keep your step count consistent on a day-to-day basis as fluctuations on these can lead to irritation of the tendon.


Can I cycle with Posterior Tibial Tendonitis?

Posterior Tibial Tendonitis is typically aggravated by impact activities such as walking or running therefore cycling is a good alternative for cardiovascular exercise. When cycling with Posterior Tibial Tendonitis we recommend the following:


  • High cadence with low Resistance
  • Wear Cleats
  • Cycle on flat surfaces where possible
  • Stay in the saddle

Can I do weightlifting with Posterior Tibial Tendonitis?

Yes, you can continue to do weightlifting with Posterior Tibial Tendonitis as it is mostly aggravated by impact activities or prolonged amounts of time on your feet. Consider avoiding deep squats or the leg press machine as the high dorsiflexion angle can irritate the Posterior Tibial Tendon as it wraps around the fibula.

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