Treatment options may vary depending on the severity of the symptoms and the progression of the condition. If caught at the onset of symptoms, rest, ice, immobilization, and NSAIDs may be enough to reduce swelling and pain. Once inflammation is reduced, your physician may recommend shoe inserts or an orthotic device to properly support the foot and ankle during use. Physical therapy may also be necessary to restore range of movement and flexibility of the tendon.
If the condition is severe or less invasive measures do not help, surgery may be necessary. There are several types of surgery that may be used alone or in combination on the calf muscle, the posterior tibial tendon, or even the bones in the foot and ankle to allow the individual to walk better or to alleviate severe symptoms.