Treating Plantar Fasciitis: The Posterior Tibial

Okay. So, the next thing we’re going to
look at as we move up the leg from the
planter fascitis is what we call this
posterior tibial muscle that can cause
some posterior tibial tendinitis. A lot
of times runners will do this and I’ll
just say, “Hey, we’re going to treat the
posterior tibial muscle.” What’s
interesting about this muscle is we go
to the shin bone behind it. It’s not
there. It’s actually up behind it. So,
it’s actually behind the bone going
forward. So, for that one, we can have
the person seated like this.
Make sure the calf is nice and relaxed.
I’ll bring the treatment head around
like this. And again, with the treatment
head, if we imagine the energy comes out
in a cone like this, the treatment’s
going to be at the tip of my finger. So,
in this instance, this spacer would be
too small. We’re going to keep it on
just for just for speed sake. But you
just want to remember too where that
dimple’s at, that’s going to be the
center of where that’s at. So, as we’re
doing this over here, again, I don’t
want to go straight in necessarily on
the muscle. I can, but I want to try to
angle it back up behind that bone as we
go along. Also, if you notice here, half
of the spacer is actually not hitting
anything, which is totally okay because
all the energy is coming out of the tip
there. So, you may find if I want to get
really close to the edge of something
that I need to move that off, even where
some of that spacer looks like it’s off
to the edge. On this one, again, like
all of them, there’s usually one or two
really bad spots. Usually the doctor
will explain to you where to start
because they’ll kind of press, hey,
let’s check this area out. Um, and then
as always, just kind of move up and down
that keeping that angle there. And then
you can also play around different
angles once you find a spot. See if it’s
more intense. So again, posterior tibial
muscle is that one there. Okay.