The tibialis posterior tendon is a large tendon connected to the posterior tibialis muscle which is located on the inside of the calf. The tendon comes around the inside of the ankle and inserts into the arch of the foot. The posterior tibialis tendon is responsible for maintaining the arch of your foot and because of its function it is susceptible to trauma and injury.
Posterior tibial tendon dysfunction (PTTD) is a condition where there is an over use of the posterior tibial tendon and this usually presents with pain and swelling on the inside of the ankle. The posterior tibial tendon can over stretch and elongate when weight bearing causing micro trauma and swelling of the tendon, damaging the tendon structure. This causes ankle weakness and can cause a collapse of the arch and foot profile. PTTD is the main cause of the Adult Acquired Flat Foot Deformity.
Same presentation as stage 3 with inclusion of:
During an initial consultation with your Podiatrist, they will establish if you have PTTD and discuss the specific treatment programme for your condition. Treatment may consist of:
Imaging including X-ray, MRI or ultrasound can also be useful.
