Posterior Tibial Tendonitis

We are seeing more and more reports of posterior tibial tendonitis becoming more common due to the shift to barefoot and minimalist running. Posterior tibial tendonitis is usually symptomatic either just above or just below the medial malleolus. The probable reason for the recent upsurge in this problem is that to forefoot strike, the posterior tibial muscle has to work harder, hence increasing the risk for posterior tibial tendonitis. It is becoming increasingly clear that barefoot and minimalist running is not the way to reduce the number of running injuries. What it is starting to show that transitioning to those particular running forms does reduce the risk for some running injuries, but it is increasing the risk for other injuries. Whichever running form a runner develops should be based on what the injury history is and which running form best reduces the loads on those tissues.