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Tibialis anterior tendonitis is a condition characterised by damage to the tibialis anterior tendon with subsequent degeneration. Tibialis Anterior Tendonitis may occur due to activities such as excessive fast walking or running and typically causes pain at the front of the foot or ankle.
1 Long term, it can cause the tendon to deteriorate, lengthen, and even completely rupture. 2  If that happens, the foot flattens. 3  This condition is called flatfoot deformity. 4  Aging. 5  With age, the posterior tibial muscle and tendon may become weaker and cause flattening of the arch.he posterior tibialis tendon helps maintain the arch of the foot and is used to turn the foot in (the medical term for this is âinversionâ) and to help flex it (plantar flexion). Injury to this tendon can result in loss of function, primarily affecting push off from the ground with walking and running.