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Posterior Tibial Tendon Dysfunction (PTTD) is also known as adult acquired flatfoot, or progressive flatfoot. The posterior tibial tendon is the tissue that connects your calf muscle to the ankle and the bottom of your foot. It is vital to the structure of your leg and foot. If the tendon becomes inflamed and irritated, it can compromise the strength and support in your leg, ankle, and foot. The lack of arch support leads to the flattening of the feet or fallen arches.

This is painful and the flatfoot that it leads to is also painful as well. Both problems can lead to problems walking and balance issues. Posterior Tibial Tendon Dysfunction treatment options usually include rest and custom orthotics to reinforce support to your foot arch and ankle. If you are concerned that you might have PTTD, call us at 561-793-6170 today to schedule a consultation with one of our experienced podiatrists in River Park and across South Florida.

What is Posterior Tibial Tendon Dysfunction?

Posterior Tibial Tendon Dysfunction is a condition affecting the tendon that runs from your calf through your ankle and attaches to the bones in the bottom of your foot. The Posterior Tibial Tendon plays an important role in the support of your ankle and especially the arch of your foot. When this tendon becomes inflamed or irritated, it compromised the support structure of the lower leg and foot and the arch in your foot can become flattened; this can lead to pain, discomfort and problems walking. This condition is also called progressive flatfoot or adult onset flatfoot. In most cases, patients with flatfoot were born with the condition. However, Posterior Tibial Tendon Dysfunction can be caused by overuse or weight gain.

Symptoms of Posterior Tibial Tendon Dysfunction

Posterior Tibial Tendon Dysfunction symptoms include swelling and irritation that leads to pain. The pain is usually felt in the bottom of the foot, but can also radiate up through the ankle and the calf. If the PTTD continues to advance, symptoms can include flatfoot and balance problems when walking. Posterior Tibial Tendon Dysfunction treatment is necessary or it can lead to more problems including tibial nerve pain and tibial tendon tears. Flatfoot can also lead to other symptoms if left untreated.

Treatment of Posterior Tibial Tendon Dysfunction

Treatment options depend on the stage of Posterior Tibial Tendon Dysfunction. Early stages of Posterior Tibial Tendon Dysfunction may just require rest and icing to reduce the inflammation. In most cases that we see patients, they are at a stage that will require custom orthotics to be built to offer support to the ankle and foot arch. Our doctors might recommend comfortable shoes with extra support and prescribe pain medication and anti-inflammatories. More advanced stages of PTTD might require immobilization or casting to give the tendon time to rest and recover. Severe cases where you are experiencing tibial nerve pain or a tibial tendon tear or other complications associated with flatfoot might require surgery for full relief.

Diagnosing Posterior Tibial Tendon Dysfunction

What should you expect when visiting the South Florida Foot & Ankle Centers for Posterior Tibial Tendon Dysfunction? We understand that there can always be a bit of apprehension when visiting a podiatrist in order to find out what is causing your foot pain or discomfort. The South Florida Foot and Ankle Centers doctors’ first priority is to address your area of concern and make you feel comfortable. All of our doctors have specialized training and have a great deal of clinical experience so they are able to give you all of the information that you need to help you make an informed decision, understand the options, and be a part of the treatment plan. Diagnosing Posterior Tibial Tendon Dysfunction is done during a physical examination of your feet, ankles, and legs. X-rays or other imaging tests might be necessary to get a better picture of internal swelling and inflammation. You should be prepared to answer a few questions about the level of pain you are experiencing, when it started and what activities you normally participate in.


The podiatrists at South Florida Foot & Ankle Centers have extensive training and clinical experience when it comes to evaluating, diagnosing patients and providing Posterior Tibial Tendon Dysfunction treatment. We understand that you do not like being sidelined from your favorite sports and activities and we will get you back on your feet. Remember that patience and following the doctor’s orders are vital to preventing further injury. Our doctors will concentrate on relieving pain and discomfort and getting you back to health. We pride ourselves on providing a good experience during your office visits where you are involved in our plan of care.

Do these symptoms sound familiar? Contact South Florida Foot & Ankle Centers today for a comprehensive examination and treatment for PTTD. Schedule an appointment with a podiatrist in River Park or at any one of our six locations throughout Palm Beach. Call 561-793-6170 to speak with a staff member.

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