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Posterior Tibial Tendon Dysfunction

Posterior Tibial Tendon Dysfunction, also known as PTTD, is a condition that affects the foot and ankle. It happens when the posterior tibial tendon, which helps support the arch of your foot, becomes inflamed or injured. PTTD is a common injury caused by overuse or acute trauma, which can lead to pain and flatfoot, as the arch may collapse over time. It's more common in adults and can make walking difficult, causing more issues if not treated properly.


What Causes Posterior Tibial Tendon Dysfunction?

  • Repetitive tension on the posterior tibial tendon from overusing and straining.
  • Exercise or activity that puts stress on your feet, such as running or standing for long periods.
  • Carrying excess body weight disproportionate to your height will put an excess load on the tendon.
  • Being overweight as it puts extra pressure on the tendon. 
  • Acute injuries involving the foot or ankle twisting or rolling can bring it on suddenly or contribute to its development.
  • Flat feet or having certain health conditions, such as diabetes or high blood pressure, can contribute to PTTD development.
  • Ageing, as tendons can weaken over time.
  • Wearing footwear that is not supportive or suitable for your feet.

How Does Feet Option Podiatry Treat Posterior Tibial Tendon Dysfunction?

Our team of professionals will assess your ankle and foot to ensure the correct diagnosis of posterior tibial tendon dysfunction. With an in-depth assessment, they will determine the extent of the condition and the best course of action to get your tendon repaired effectively. Depending on the severity of the condition, your podiatrist may require you to get an MRI scan to check for any other abnormalities or concerns. Tailored treatments that our podiatrists may recommend could include:

  • Ice Therapy: Applying ice packs to the inflamed or painful area to reduce pain and swelling
  • Rest and activity modification: Minimising weight-bearing activities that are causing more pain or stress to the tendon.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs): over-the-counter medications such as ibuprofen to limit inflammation
  • Orthotic devices: Custom shoe inserts may be given to support the arch and reduce stress on the tendon.
  • Physiotherapy: Tailored exercises to strengthen the tendon and improve flexibility.
  • Immobilisation: Using a walking boot or cast to allow the tendon to heal.
  • Weight management: A plan to assist with weight loss, if necessary, to reduce foot stress.
  • Corticosteroid injections: As a short-term solution for severe cases, injections may be prescribed to reduce inflammation.
  • Surgery: Consider surgical options if conservative treatments do not work.

Suspecting You Have Posterior Tibial Tendon Dysfunction?

Limit weight-bearing activities, rest and elevate your ankle until a podiatrist can see you if you suspect you have posterior tibial tendon dysfunction. If your ankle is swelling, ice the area intermittently to help reduce the inflammation. Limiting the stress on the tendon is essential to reduce the chances of further injuring the tendon and to kick-start the healing process. Have peace of mind by seeing a podiatrist to diagnose, treat, and recover PTTD correctly.

Book An Appointment

Call our friendly team or schedule a consultation online via our booking portal to be seen by our podiatrists. If you have any questions about posterior tibial tendon dysfunction, feel free to leave a message on our contact page, and we will get in touch as soon as possible. We look forward to helping get your ankle back on track!

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