There are three tendons that run around the inside of the medial ankle bone. Front front to back it is Tibialis Posterior, Flexor Digitorum Longus and Flexor Hallucis Longus.
They sit in grooves behind the ankle bone.. This is a common place to get issues as the tendons have to change direction and pull hard against bone. They run in sheathes or fibrous tunnels and have synovial sheathes around them to allow easy passage but they can become overloaded and inflamed.
They are sore and tender to press as well as use. Especially for stairs, or tip toes. They can become swollen and creak – something called ‘crepitus’.
Treatment is local to improve the mobility and slide and glide. Chronic tendinitis can become set in and need encouragement to get the healing process going. This can be with deep manual therapy as well as Shockwave when necessary.
Underlying these issues are usually poor bio mechanics. It is important to treat the cause as well as the symptom and that is what we do best!