Posterior Tibial Tendon Dysfunction (PTTD) describes the damage to, and inflammation of, the posterior tibial tendon, one of the major supporting tendons of the foot that plays an important role in our ability to walk, holding up the arch and supporting the foot as we walk. As the name suggests, the posterior tibial tendon travels down the back of the tibia (shin bone) and crosses to the inside of the ankle, behind and below the bony bump (medial malleolus) to attach to multiple sites at the bottom of the foot. PTTD is often referred to as Adult Acquired Flatfoot as it is the most common cause of flat feet developed in adulthood. This is because damage to the tendon impairs its ability to support and stabilise the arch.
PTTD
is an overuse condition, caused by overloading and straining the posterior tibial tendon past what it can safely handle, resulting in damage
and inflammation. Contributing factors to the development of PTTD can include:
PTTD often affects one foot, though can develop in both. Without effective management, the symptoms of PTTD tend to progressively worsen resulting in a partial or even complete tear of the tendon. PTTD can be characterised into 4 stages of progression. Symptoms of PTTD can include:
Early intervention is recommended to stop the progression of painful symptoms and further damage to the posterior tibial tendon. The PRICE principles (protection, rest, ice, compression and elevation) can be used initially to help reduce painful symptoms. Treatment then needs to focus on addressing the cause of the PTTD and may include:
If left untreated, symptoms can leave you with not only flat feet but the inflammation and damage of surrounding structures, particularly at the ankle, as well as conditions such as arthritis that can make daily activities like walking painful.
If you’re unsure whether you should wear walking or running shoes when exercising, this article is for you.
We explain the differences between walking and running shoes and how to determine which one is best for your feet. When it comes to buying a new pair of shoes, most people walk into a store expecting to just “find something comfy.” Then, suddenly, you’re asked: Are you looking for
walking shoes or running shoes? And that’s where the confusion begins. Because for many people, the answer isn’t that simple.
You could walk a lot – to work, around the block, chasing after the kids, or while catching up with friends. You could have also just joined
a gym or registered for the Couch to 5km. Or you could be a walker who just wants the option to go for a run if the mood strikes. So, which
shoe do you pick?
Discover why foot health is so important as we age and how Perform Podiatry supports seniors in staying mobile, independent, and pain-free. From diabetic care to personalised treatment plans, we’re here to help keep your feet happy and healthy, every step of the way.
Discover how Class IV Laser Therapy at Perform Podiatry offers powerful, drug-free relief for foot and ankle pain. Backed by science, this advanced treatment helps you heal faster and move better, without the need for surgery or medication.
Keeping your family on their feet and helping them to walk, run, play and exceed their goals is why we love getting up in the morning.
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