Flat Feet: Posterior Tibial Tendon Dysfunction (PTTD)
Our Foot and Ankle Services
The posterior tibial tendon serves as one of the major supporting structures of the foot, helping it to function while walking.
What is PTTD?
Overuse of the posterior tibial tendon is often the cause of PTTD. In fact, the symptoms usually occur after activities that involve the tendon, such as running, walking, hiking or climbing stairs.
The symptoms of PTTD may include pain, swelling, a flattening of the arch and an inward rolling of the ankle. As the condition progresses, the symptoms will change.
- Orthotic devices or bracing. To give your arch the support it needs, your foot and ankle surgeon may provide you with an ankle brace or a custom orthotic device that fits into the shoe.
- Immobilization. Sometimes a short-leg cast or boot is worn to immobilize the foot and allow the tendon to heal, or you may need to completely avoid all weight bearing for a while.
- Physical therapy. Ultrasound therapy and exercises may help rehabilitate the tendon and muscle following immobilization.
- Medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation.
- Shoe modifications. Your foot and ankle surgeon may advise changes to your shoes and may provide special inserts designed to improve arch support.
When is Surgery Needed?
Idaho Foot & Ankle Center
IDAHO FALLS OFFICE
1540 Elk Creek Dr. Idaho Falls, ID 83404
MON 8AM-5PM | TUES 7AM-3PM
WED-THURS 8AM-5PM | FRI 8AM-12PM
393 E 2nd N
Rexburg, ID 83440