Posterior Tibial Tendonitis: Inside Ankle Pain Explained

Quick answer: What Is Inside Of The Ankle Pain Posterior Tibial Tendonitis has multiple potential causes including mechanical, neurological, vascular, and inflammatory. The patterns we see most often are overuse, poorly-fitted shoes, and biomechanical imbalance. Red flags requiring urgent evaluation: warmth/redness (infection), inability to bear weight (fracture), and unilateral swelling without injury (DVT). Call (810) 206-1402.

Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy

MICHIGAN PODIATRIST INSIGHT

The most important clinical decision with What Is Inside Of The Ankle Pain Posterior Tibial Tendonitis isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.

Quick Answer

WHAT is INSIDE of the Ankle Pain [Posterior Tibial Tendoniti relates to tendon injury — typically caused by overuse or sudden strain. Most patients improve in 6-12 weeks with conservative care. Same-week appointments in Howell + Bloomfield Township: (810) 206-1402.

Video by Dr. Tom Biernacki, DPM — Michigan Foot Doctors
Watch: Dr. Tom Biernacki explains the topic in detail · Subscribe to Michigan Foot Doctors on YouTube

✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026

WHAT is INSIDE of the Ankle Pain [Posterior Tibial Tendonitis]

Inside ARCH [ Pain on  INSIDE of ANKLE]

WHAT is INSIDE of the Ankle Pain [Posterior Tibial Tendonitis]

🦶Do you have Posterior Tibial Tendonitis? AKA Inside of the Ankle Pain or Pain on Inside of the Foot? We go over the 4 stages of posterior tibial tendonitis pain! These are The BEST & Most PROVEN Treatment Options! Full Video: https://youtu.be/X1mtD7XUIsc 🦶

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DISCLAIMER:
Dr. Tomasz Biernacki received his Doctor of Podiatric Medicine degree from Kent State College of Podiatric Medicine in 2013; he completed his Surgical Reconstructive Foot Surgery & Podiatric Medicine Residency in 2017; he completed 2x traveling Fellowships in Diabetic Surgery, Skin Grafting & Nerve Surgery. He is double board certified in Podiatric Medicine and Foot & Ankle Surgery. Dr. Biernacki is a licensed podiatrist & surgeon in Michigan. This video should not be used to self-diagnose and is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Biernacki and you. It would be best to not change your health regimen or diet before consulting a physician and obtaining a medical exam & diagnosis. Always seek the advice of a physician or other qualified health provider with any questions regarding a medical condition.

At Balance Foot & Ankle, every Michigan patient receives expert podiatric care delivered with genuine attention to their individual needs and goals. Our podiatrists take time to explain diagnoses clearly, discuss all treatment options honestly, and follow up to ensure treatments are working effectively. We serve patients from Livingston and Oakland counties and the broader Southeast Michigan region from our Howell office at 4330 E Grand River and our Bloomfield Township office at 43494 Woodward Ave #208. New patients are always welcome — call (810) 206-1402 to schedule today.

Michigan patients can count on Balance Foot & Ankle for the full range of podiatric services delivered with clinical excellence and genuine patient care. Whether your concern is a common foot condition that has been bothering you for years or an acute injury that needs prompt attention, our team in Howell and Bloomfield Township is ready to help. We offer in-office diagnostics, evidence-based conservative treatment, and surgical correction when needed — all within a practice that values your time, respects your preferences, and communicates clearly throughout the care process. Call us at (810) 206-1402 to take the first step toward better foot health.

Our podiatric team brings decades of combined clinical experience to every patient encounter. We stay current with the latest evidence in podiatric medicine and surgery, applying emerging treatments — including EPAT shockwave therapy, MLS laser, PRP injection, and minimally invasive surgical techniques — where the evidence supports their use for specific conditions. Michigan patients can trust that the treatment recommendations they receive at Balance Foot & Ankle reflect the current standard of care, not outdated approaches. Call (810) 206-1402 to schedule at our Howell or Bloomfield Township office.


Related Treatment Guides

Insurance questions are easy to address before you schedule — call Balance Foot & Ankle at (810) 206-1402 and our insurance team will verify your specific plan’s coverage for the services you need. We accept Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, Priority Health, HAP, and Medicare and Medicare Advantage plans. Our verification process identifies your copay, deductible status, and any prior authorization requirements in advance, so you can make an informed scheduling decision. Both our Howell and Bloomfield Township locations offer convenient daytime and early morning appointment times to fit busy schedules.


Related Patient Guides

Insurance Accepted

BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →

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Same-week appointments available at both locations.

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In-Office Treatment at Balance Foot & Ankle

When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options — including Flat Feet Treatment Michigan at our Howell and Bloomfield Township clinics.

Same-day appointments available. Call (810) 206-1402 or book online.

Pros & Cons of Conservative Care for foot care

Advantages

  • ✓ Conservative care first
  • ✓ Same-week appointments
  • ✓ Multiple insurance accepted

Considerations

  • ✗ Self-treatment can mask issues
  • ✗ See a podiatrist if pain >2 weeks

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Ready to Get Back on Your Feet?

Same-day appointments in Howell + Bloomfield Township. Most insurance accepted. Dr. Tom Biernacki, DPM & team.

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About Your Care Team at Balance Foot & Ankle

Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.

Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.

Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.

Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Township, MI 48302

Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402

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More questions patients ask

What causes pain on the inside of the ankle?

Pain on the inside (medial side) of the ankle is most commonly caused by posterior tibial tendonitis (PTTD), medial ankle sprain (deltoid ligament), tarsal tunnel syndrome, or flexor hallucis longus tendinitis. Accurate diagnosis is essential since each requires different treatment. Balance Foot & Ankle evaluates inner ankle pain at our Howell and Bloomfield Township offices. Call (810) 206-1402.

What is posterior tibial tendonitis and why does it cause inner ankle pain?

The posterior tibial tendon runs behind the medial malleolus (inner ankle bone) and supports the arch. When inflamed or degenerating, it causes pain and swelling along this path from the inner ankle to the midfoot arch. Balance Foot & Ankle at 4330 E Grand River, Howell and 43494 Woodward Ave #208, Bloomfield Township diagnoses and stages PTTD to guide appropriate treatment.

Can inner ankle pain lead to flat foot if untreated?

Yes — posterior tibial tendon dysfunction, if left untreated, causes the arch to progressively collapse, resulting in acquired adult flat foot. This transformation can occur over months to years. Early treatment of inner ankle pain prevents flat foot deformity. Contact Balance Foot & Ankle at (810) 206-1402 promptly if you have persistent inner ankle pain.

How is posterior tibial tendonitis different from a ligament sprain?

Posterior tibial tendonitis involves the tendon running behind the inner ankle bone, while deltoid (medial) ligament sprains involve the fan-shaped ligament connecting the ankle to the foot bones. Their locations and clinical testing differ. Balance Foot & Ankle examines both structures in all inner ankle pain evaluations.

What treatments are available for posterior tibial tendonitis?

Treatments range from immobilization in a boot, custom orthotics, and physical therapy (Stage 1–2) to surgical tendon reconstruction and hindfoot fusion (Stages 3–4). MLS laser therapy at Balance Foot & Ankle reduces inflammation at any stage. Call (810) 206-1402 to start treatment at our Michigan podiatry offices.

Still have a question about coverage or cost? Book online and we will check your benefits before your visit: Book in Howell · Book in Bloomfield Township. Prefer to talk it through first? Call (810) 206-1402.

Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.