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Tibilais anterior pain

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What is tibialis anterior pain?

The tibialis anterior muscle is located at the front of the shin slightly to the outside edge. Its tendon crosses the front of the ankle joint towards the inside. It is this muscle that causes anterior tibial stress syndrome (ATSS).

If the tendon of this muscle becomes strained due to overuse or altered biomechanics, it can become inflamed and painful. This can become a chronic problem over time if the root cause is not addressed.

It often starts with a localised aching and pain in the front of the shin, ankle or top of the foot, which is worse with activity or moving the foot up and down (dorsiflexion and plantarflexion).

How can I help myself?

POLICE and anti inflammatory medication (see important safety information) may be useful in the short term. Addressing the possible footwear or activities that have caused the aggravation is also very important.

When to see a Podiatrist?

If your pain continues or progresses, it is wise to see a Podiatrist to get the problem diagnosed. They will give appropriate advice and offer treatment options to try and prevent the problem becoming chronic. They may consider footwear changes, stretching or strengthening exercises and foot orthoses if appropriate. In severe cases, imaging, injections and shockwave therapy may be offered too.

If you book an appointment, it is a good idea to take the footwear you usually wear, including footwear your use for sports or exercise.