UNDERSTANDING PTTD

Posterior tibial tendon dysfunction (PTTD) is a progressive deformity caused by weakening of the posterior tibial tendon which begins in the back of the leg and extends down to the inside of the ankle and attaches at multiple sites in the foot to support the arch.  As PTTD progresses, the arch begins to collapse leading to instability and a severe flat foot condition. 

Causes of PTTD can be

  • Trauma, 
  • Poor biomechanics, 
  • Obesity 
  • Other pre-disposing foot conditions 

Treatment for PTTD varies depending upon the severity of the condition.

  • For a mild to moderate stage, we'll use a combination of anti-inflammatories, strapping, bracing, custom orthotics and physical therapy. 
  • For moderate to more severe cases we'll utilize more agressive bracing techniques such as ankle foot orthoses which provides additional support to the posterior tibial tendon to improve function and correct the faulty biomechanics of your foot.
  • For the more severe cases of PTTD,  surgical intervention may be necessary.

If you're experiencing any of these symptoms make an appointment so that we can diagnosis your condition and determine the best mode of treatment