skip to main content

Tibialis posterior tendinopathy — MRCGP AKT MCQ

Instant feedback + full explanation. One question, done properly.

ModerateAnkle and FootTibialis posterior tendinopathyMRCGP AKT

A 29-year-old runner has medial ankle pain and progressive flattening of the arch during longer runs. Single-leg heel raise is painful and weak, with tenderness along the tibialis posterior tendon. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Tibialis posterior tendinopathy

Medial ankle pain, loss of arch control and pain with single-leg heel raise suggest tibialis posterior tendinopathy. Early treatment focuses on load management, orthoses when helpful and progressive strengthening. Advanced dysfunction may cause fixed deformity and needs specialist input.

Reference: NICE CKS foot pain; Brukner & Khan