 A tendonopathy is a problem where there is an irritation, inflammation or degeneration of a tendon. This is very common in athletes who do repetative movements with the feet and ankles, and is therefore very common in dancers. Symptoms include pain and loss of movement. Palpable nodules may even appear within the tendon. Within the ankle region the tendons most commonly affected are that of Tibialis Posterior, which controls the arch, the Achilles tendon and the FHL (Flexor Hallucis Longis) if the big toe is overused. It is a condition that is treated with great effect with physiotherapy and guided exercise. It is however essential to have a thorough assessment of posture, leg and foot placement, strength and control when on one leg as weaknesses in these areas can delay healing enormously. Treatment should included a release of muscle tension and then a strengthening program incorporating correct posture. Correct core activation and leg strength from foot to hip will need to be addressed. We may also look at your footware and determine whether any support, taping or corrective devices need to be used.
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