Jordi Sanchez-Ballester
FRCSEd FRCS Trauma & Orth
Consultant Foot, Ankle & Knee Surgeon
Fairfield Independent Hospital, St Helens
Spire Cheshire
Bone-Surgeon.co.uk
Fairfield Independent Hospital
Crank Rd
St Helens
Merseyside WA11 7RS
01744 739311
Spire Cheshire Hospital
Chris Davies
Fir Tree Close
Warrington WA4 4LU
0845 602 2500
Tibialis Posterior Pathology Transfer
Post-op Days 1 – 6 Weeks
Immobilized in equinus and valgus
Crutches – non weight bearing (NWB)
Active range of motion (AROM) hip and knee
Wiggle toes
Straight leg raises (SLR) x 4 directions
Short arc quad (SAQ)
Upper body exercises (seated or bench only – no pushups)
LE stretches – Hamstring, quads, ITB, hip flexors
Elevation
Goals
Pain management
Prevent swelling
Weeks 6 – 10
Cam walker – full weight bearing (FWB)
Continue appropriate previous exercises
Scar massage/mobilization with oil/cream
Ankle AROM – Calf pumping, alphabet, rotations
Light Theraband ex x 4
Towel crunches and side-to-side
Steamboats (Theraband x 4 while standing on involved LE) in cam walker
Mini-squats, Wall squats, Total gym
Proprioception ex – Double leg BAPS
Gastroc/Soleus stretching
Goals
Full DF / PF
No adhesions
Weeks 10 – 16
Transition from cam walker to ankle brace
Continue appropriate previous and following exercises without brace
Strengthening ex, emphasize medial ankle mm
Theraband with increasing resistance
Elgin
Double leg heel raises – emphasize involved side
Leg press, knee ext, Hamstring curl, hip weight machines
Forward, retro and lateral step downs
Proprioception ex – single leg BAPS, ball toss, body blade
Stationary bike
Pool therapy
DOWNLOAD: Tibialis Posterior Pathology Transfer Protocol leaflet