The anterior tibial tendon runs down the front of the shin, just on the outside of the shin bone. Anterior tibialis tendinitis is an inflammation of this tendon that may result from injury by trauma or overuse over time.

Individuals with this type of tendinitis often experience dull aching pain along the front of the ankle or the lower shin, on the outside of the leg. Left untreated, it can lead to thickening within the tendon as well as fraying and pain. In cases of major trauma, this tendon may also split or rupture.

Conservative treatment by the foot and ankle team at Lancaster Orthopedic Group may include complete rest of the tendon in a special walking boot, along with physical therapy. Custom molded orthotics can ease the pressure on the tendon and support the arch to help prevent recurrence.

Severe cases of anterior tibialis tendinitis may require surgical repair of the tendon. Surgery removes the damaged portion of the tendon and repairs any splits and tears. In cases of a complete rupture, surgical repair is always indicated.