Posterior Tibial Tendonitis Causes & Risks

Causes

The tendinopathy is caused by overuse of the posterior tibialis tendon. This most often occurs due to:

Running and jumping
Dancing, for example ballet pointe work and excessive foot rotation
Trauma with high impact

Risk Factors

Factors that increase your chance of posterior tibial tendinopathy include:

Chronic inflammation—history of rheumatoid arthritis or other arthritic conditions
Obesity
Diabetes
Hypertension—high blood pressure
Previous surgery or trauma
Local steroid injections
Having pronated feet (rolled outward)
Aging—tendons may become weaker with age

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Copyright © 2026 EBSCO Publishing All rights reserved.