Posterior Tibial Tendon Dysfunction (PTTD)

Winter is the prime time to be a resident in the Phoenix area. With the comfortable temperatures and many activities, it’s no wonder we get so many visitors in the winter! One attraction you may find yourself visiting is the Desert Botanical Gardens to see the native desert plants and many walking trails. However, if you suffer from posterior tibial tendon dysfunction (PTTD), enjoying the gardens may be difficult.

PTTD is a condition that affects the posterior tibial tendon, which is a major supporting muscle and tendon of the foot, especially while walking. If you suffer from this condition, you may have noticed that your once normal arched foot now appears flat. This condition typically occurs when the tendon becomes torn or inflamed.  PTTD can be caused by an abrupt injury or can be caused by overuse.

Symptoms of PTTD include:

  • Swelling
  • Pain that is worse with activity
  • Flat arch
  • Inward rolling of the ankle

Risk Factors:

  • Diabetes
  • Obesity
  • Hypertension

Treatment is typically non-surgical but if the condition is progressed enough, surgery may be needed. Non-surgical treatments include rest, ice, braces/orthotics, physical therapy, NSAIDS, steroid injections, immobilization, and possibly shoe modifications.  Surgical treatment option can address both the bones and soft tissue structures of the foot. If surgery is indicated your Podiatrist will perform at thorough workup and evaluation to ensure the proper surgical correction.

Phoenix offers a multitude of winter activities, including visiting the Desert Botanical Gardens. PTTD makes enjoying these activities difficult. If you or someone you know has any foot issues, please consider making an appointment  with Dr. Jay C. Larson at Sole Foot and Ankle Specialists in Glendale, Arizona.

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