Posterior Tibial Tendon Dysfunction Treatment in Kansas City, Lenexa, and Independence, MO
What Is Posterior Tibial Tendon Dysfunction?
Posterior tibial tendon dysfunction, often referred to as PTTD or adult-acquired flatfoot, is a progressive condition that affects the tendon located along the inside of the ankle and foot. This tendon plays an essential role in supporting the arch and stabilizing the foot with every step. When the tendon becomes inflamed or weakened due to injury, overuse, or degeneration, the arch may begin to collapse, leading to pain, foot flattening, and difficulty walking or standing. Early diagnosis and treatment are essential to prevent long-term structural changes in the foot and ankle. The expert staff at Orthopedic Health of Kansas City is here to help you with symptoms of PTTD.
What Causes Posterior Tibial Tendon Dysfunction?
The condition often develops gradually, especially among individuals who spend long hours on their feet or engage in high-impact activities. Repetitive strain can weaken the tendon, reducing its ability to support the arch. Patients with inflammatory conditions such as rheumatoid arthritis may also be more prone to developing PTTD. In some cases, a fall or acute ankle injury may trigger symptoms. As the tendon weakens, the foot may roll inward, leading to progressive flattening and increased strain on surrounding joints and ligaments.
Symptoms of PTTD and When to Seek Help
Symptoms typically begin as pain or tenderness along the inside of the ankle, especially during walking or activity. Over time, the pain may worsen, and swelling may be present. Patients often notice difficulty standing on tiptoes or may feel that the arch is “collapsing” when weight is placed on the foot. As the condition advances, the foot may visibly flatten, and discomfort may spread to the outer ankle as the foot rotates inward. Early recognition is essential because PTTD can progress from a mild tendon injury to a significant foot deformity if untreated.
How Posterior Tibial Tendon Dysfunction Is Diagnosed
Diagnosis begins with a physical examination of foot alignment, walking motion, and tendon function. Your physician may ask you to stand on one foot or raise your body onto your toes. Imaging, such as X-rays, helps evaluate bone alignment, while MRI or ultrasound may be used to assess tendon inflammation or tearing. Identifying the stage of dysfunction is critical for guiding treatment.
Treatment Options for Posterior Tibial Tendon Dysfunction in Kansas City
Mild to moderate cases often respond well to non-surgical treatment. Rest, activity modification, and physical therapy can help strengthen the tendon and restore stability. Supportive footwear or custom orthotics are frequently recommended to improve arch position and reduce stress on the tendon. In more advanced or painful stages, bracing or immobilization may be necessary to allow healing.
When conservative treatments no longer provide relief, surgical reconstruction may be recommended to restore alignment and function. Our foot and ankle orthopedic specialists provide skilled surgical and non-surgical care tailored to your stage and lifestyle needs. Schedule an appointment online or visit one of our orthopedic urgent care locations.
FAQ
Is Posterior Tibial Tendon Dysfunction Reversible?
Early stages are often treatable without permanent damage, but advanced stages may require surgical correction.
Can Orthotics Help PTTD?
Yes, custom orthotics support the arch and reduce stress on the tendon.
When is Surgery Necessary for PTTD?
Surgery is considered when pain persists despite conservative treatment or when the arch collapse becomes progressive.