Posterior Tibial Insufficiency Treatment (5): correction for one sided posterior tibial insufficiency
If you have Tibialis Posterior Tendonitis, be aware that there is nothing deficient about your
Tibialis posterior tendon or muscle....
...The real problem is that the
Posterior Tibial tendon and muscle are being overloaded by
faulty patterns of
alignment and muscle tensioning.
If Tibialis Posterior Rehab is to work, you must correct these things.
Visual Demonstration of Postural Realignment
In the animation to the right, when the hand is across the body, the ankle and total body alignment is
(more or less) corrected. To achieve this improvement:
The left instep lifts, while the right instep lowers
The legs and hips sway a little toward the left
The knee caps both look a little to the left
The left shoulder moves backward, while the left hip moves forward
Not shown in this diagram
The line from the hand on the breast down to the opposite hip should relax and lengthen.
This releases habitually tight muscles on this diagonal of the body.
These diagonals (one from each breast down to the opposite hip) are called the anterior
oblique slings of Vleeming and they are often unequal in tension.
Now you do it!
(all instructions apply to a left posterior tibial tendonitis)
Place hand on left breast "like Napolean" (or other marshall figure)
Send the left breast backward and the left hip forward
Picture 32: Animation of Full Postural Correction to de-load the Instep of the Left foot.
See text for full description
Relax on a line from the hand to the opposite hip
Re-adjust by:
relaxing and lengthening through both sides of the body
lengthen the small of the back (imagine a weight hooked into the back of your belt).
