The Posterior Tibial Tendon supports your foot’s arch and helps stabilize your foot during movement. When this tendon becomes inflamed, torn, or weakened, it can cause the arch to collapse, leading to adult-acquired flatfoot deformity (AAFD)
This condition typically develops gradually and, if left untreated, can result in chronic pain and mobility challenges.
Who Is at Risk for PTTD?
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Repetitive stress from activities like running or jumping
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Obesity, which places extra strain on the feet
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Aging as tendons naturally weaken over time
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Injuries to the foot or ankle, such as sprains or trauma
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Arthritis or other inflammatory conditions
If you experience pain or swelling near your ankle or notice changes in your foot’s shape, it’s essential to seek help early.
Signs and Symptoms of PTTD
Early Stages
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Pain and swelling along the inside of your ankle
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Difficulty standing on tiptoes
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Tenderness near the posterior tibial tendon
Later Stages
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Flattening of the foot’s arch
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Pain shifting to the outer side of the ankle or foot
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Increased difficulty walking or balancing
Diagnosis
A podiatrist can diagnose PTTD through:
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Physical exams to assess pain, swelling, and range of motion
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Imaging tests like X-rays, MRIs, or ultrasounds to check for tendon damage or foot deformities
Treatment Options
1. Non-Surgical Approaches (Early Stages):
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Rest: Avoid high-impact activities to reduce strain on the tendon
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Orthotics or braces: Support the arch and limit stress
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Physical therapy: Strengthening exercises to improve tendon function
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Medication: Anti-inflammatory drugs or icing to alleviate pain and swelling
2. Surgical Options (Advanced Stages):
If non-surgical treatments don’t provide relief, surgery may be necessary to repair the tendon or correct foot deformities.
How to Prevent PTTD
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Wear supportive shoes that provide adequate arch support
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Maintain a healthy weight to reduce stress on your feet
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Avoid repetitive stress by cross-training or mixing up your workout routine
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Strengthen foot and ankle muscles with targeted exercise
Take the First Step Toward Pain-Free Movement. Don’t let PTTD hold you back from the activities you love. Our team at Elevate Foot and Ankle is here to provide expert guidance and treatment options tailored to your needs.
Book your telehealth appointment today!
Dr. Thurmond Lanier
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