We Treat

Posterior Tibial Tendon Dysfunction

Posterior tibial tendon dysfunction (PTTD), also known as adult-acquired flatfoot, is a condition that involves the gradual weakening and degeneration of the posterior tibial tendon. This tendon plays a critical role in supporting the arch of the foot and stabilizing the ankle during walking and other weight-bearing activities. As PTTD progresses, the tendon may become inflamed, stretched, or even torn, leading to a flattening of the arch of the foot and altered foot mechanics. This can result in pain and difficulty with walking and other activities.

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Symptoms of Posterior Tibial Tendon Dysfunction

  • Pain and swelling along the inside of the ankle and arch of the foot
  • Flattening of the arch of the foot, resulting in a "fallen arch" appearance
  • Overpronation, where the foot rolls inward excessively
  • Difficulty with walking and other weight-bearing activities
  • Pain that worsens with activity and improves with rest
  • Tenderness to the touch along the course of the posterior tibial tendon

Treatment of Posterior Tibial Tendon Dysfunction

  • RICE: Rest, ice, compression, and elevation
  • Custom orthotics with arch support to prevent the foot from collapsing
  • Orthopedic shoes with optimal support, depth, and width
  • Ankle bracing to support and relieve the tendon
  • Walking boot in more severe cases to immobilize the joint, if necessary

Ready to Get Started On Your Path to Comfort?

Schedule an appointment with our certified pedorthist for a personalized assessment. We offer a variety of tailored orthotics, braces, and footwear modifications to meet your specific lifestyle needs.

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woman slipping on foot orthotic