Sidelying or sitting
Ask the patient to wear shorts or roll up long pants and remove shoes and socks.
Medial to the foot being examined.
Please lie on your side (or sit down). May I touch the inside of your ankle? (or point to the area). Please lift your bottom foot upward (or demonstrate).
This muscle is known as the posterior tibialis as well as the tibialis posterior. Only the tendon is palpable.
Guide or ask the patient to lie on his/her side. With the patient relaxed and with permission, place your fingers on the posterior aspect of the medial ankle. Ask the patient to invert the foot. This action allows the tensing of the tibialis posterior muscle and tendon. This tendon is the most prominent tendon just posterior to the medial malleolus and is both visible and palpable.
VH - Leg and foot skeleton with Achilles tendon, gastrocnemius and soleus muscles and tendonñ add posterior tibialis, flexor digitorum longus, flexor hallucis longus and peroneus longus and brevis muscles and tendons on one side