Fallen Arches?????

The posterior tibial tendon serves as one of the major supporting structures of the foot, helping it to function while walking. Posterior tibial tendon dysfunction (PTTD) is a condition caused by changes in the tendon, impairing its ability to support the arch. This results in flattening of the foot.

PTTD is often called “adult acquired flatfoot” because it is the most common type of flatfoot developed during adulthood. Although this condition typically occurs in only one foot, some people may develop it in both feet. PTTD is usually progressive, which means it will keep getting worse, especially if it isn’t treated early.

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.
These symptoms include pain, swelling, flattening of the arch, and an inward rolling of the ankle. As the condition progresses, these symptoms will change. With onset of PTTD, pain is experienced on the inside of the foot and ankle (along the course of the tendon) with possible associated redness, warmth and swelling. As PTTD progresses the arch begins to flatten and the foot and toes begin to turn outward and the ankle rolls inward. As PTTD becomes more advanced, the arch flattens even more and the pain shifts to the outside of the foot, below the ankle.

Because of the progressive nature of PTTD, early treatment is advised. Early treatment includes custom orthotics and bracing to give your arch the support it needs, immobilization via short leg cast or boot to immobilize the foot and allow the tendon to heal, physical therapy to help rehabilitate the tendon and/or nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, to help reduce the pain and inflammation. If treated early enough, symptoms will more then likely resolve without the need for surgery and progression of the condition will be arrested.

In contrast, untreated PTTD could leave you with an extremely flat foot, painful arthritis in the foot and ankle, and increasing limitations on walking, running, or other activities which more then likely will require surgical intervention.

If you or someone you know is suffering from a condition, please do not hesitate to give our office a call to set-up a consultation, 440-946-5858.