Posterior tibialis tendinopathy — DVA SoP factors

Reasonable Hypothesis (RH) — Statement of Principles No. 45 of 2021

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting posterior tibialis tendinopathy or death from posterior tibialis tendinopathy with the circumstances of a person's relevant service:

1. (1)
   running or jogging an average of at least 30 kilometres per week, for at least the four weeks before the clinical onset of posterior tibialis tendinopathy;
2. (2)
   undertaking weight bearing exercise involving repeated activity of the ankle joint of the affected leg: (a) at a minimum intensity of five METs; and (b) for at least four hours per week; and for at least the four weeks before the clinical onset of posterior tibialis tendinopathy;

   Note: MET is defined in the Schedule 1 - Dictionary.

3. (3)
   increasing the frequency, duration or intensity of weight bearing activity involving the ankle joint of the affected leg: (a) by at least 100 percent; and (b) to a minimum intensity of five METs; and (c) for at least two hours per day; and within the seven days before the clinical onset of posterior tibialis tendinopathy;

   Note: MET is defined in the Schedule 1 - Dictionary.

4. (4)
   having trauma or surgery involving the affected posterior tibialis tendon within the 30 days before the clinical onset of posterior tibialis tendinopathy;
5. (5)
   having an infection of the affected posterior tibialis tendon at the time of the clinical onset of posterior tibialis tendinopathy;
6. (6)
   having gout involving the affected posterior tibialis tendon at the time of the clinical onset of posterior tibialis tendinopathy;
7. (7)
   having an autoimmune disease from the specified list of autoimmune diseases at the time of the clinical onset of posterior tibialis tendinopathy;

   Note: specified list of autoimmune diseases is defined in the Schedule 1 - Dictionary.

8. (8)
   running or jogging an average of at least 30 kilometres per week, for at least the four weeks before the clinical worsening of posterior tibialis tendinopathy;
9. (9)
   undertaking weight bearing exercise involving repeated activity of the ankle joint of the affected leg: (a) at a minimum intensity of five METs; and (b) for at least four hours per week; and for at least the four weeks before the clinical worsening of posterior tibialis tendinopathy;

   Note: MET is defined in the Schedule 1 - Dictionary.

10. (10)
    increasing the frequency, duration or intensity of weight bearing activity involving the ankle joint of the affected leg: (a) by at least 100 percent; and (b) to a minimum intensity of five METs; and (c) for at least two hours per day; and within the seven days before the clinical worsening of posterior tibialis tendinopathy;

    Note: MET is defined in the Schedule 1 - Dictionary.

11. (11)
    having trauma or surgery involving the affected posterior tibialis tendon within the 30 days before the clinical worsening of posterior tibialis tendinopathy;
12. (12)
    having an infection of the affected posterior tibialis tendon at the time of the clinical worsening of posterior tibialis tendinopathy;
13. (13)
    having gout involving the affected posterior tibialis tendon at the time of the clinical worsening of posterior tibialis tendinopathy;
14. (14)
    having an autoimmune disease from the specified list of autoimmune diseases at the time of the clinical worsening of posterior tibialis tendinopathy;

    Note: specified list of autoimmune diseases is defined in the Schedule 1 - Dictionary.

15. (15)
    inability to obtain appropriate clinical management for posterior tibialis tendinopathy;

Aggravation-only factors: the factors in subsections 8(8) to 8(15) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.