About Posterior Tibial Tendon Dysfunction

PTTD is a progressive condition where the posterior tibial tendon (PTT), which normally supports the medial longitudinal arch of the foot, becomes injured—through overuse, degeneration, or sometimes acute rupture. Over time, the tendon’s ability to support the arch is compromised, leading to the collapse of the medial longitudinal arch, hindfoot (heel) valgus, forefoot abduction, and often pain and dysfunction of the foot/ankle.

Risk Factors of Posterior Tibial Tendon Dysfunction

The posterior tibial muscle is located in the back part of the lower leg. It travels behind the inner ankle bone, makes a noticeable turn, and attaches to several areas in the foot, including a spot on the navicular bone and the bottom surfaces of other foot bones. Because of its path and the way it moves, this muscle can experience stress and strain, especially at the point where it bends.

Repetitive strain leads to degeneration of tendon fibers, potential tendinopathy, tendon elongation or partial tearing.

As PTT weakens, the spring ligament and other medial soft tissues compensate; this increases stress andleads to arch collapse.

Pain and tenderness is palpable along the posterior tendon.

It often presents as an inability to balance well while walking on uneven surfaces as well as not being able to tip toe properly without support.

How DC Podiatry Can Help You With Posterior Tibial Tendon Dysfunction

DC Podiatry offers personalized foot care solutions for individuals experiencing foot pain and discomfort.

Our experienced podiatrists provide expert guidance on choosing the right footwear to enhance support and reduce stress on your feet. Through our tailored orthotics, precise taping techniques, and targeted therapeutic exercises, we alleviate pain and enhance function.

Our comprehensive approach includes modifying daily activities and training regimes to ensure gradual and safe progression, preventing overload and ensuring long-term foot health.

Discover a path to pain-free movement and enhanced lifestyle with DC Podiatry’s specialized care.

Goal

Alleviate pain and enhance function.

1

Footwear Advisory

Consideration of the right footwear to help support your feet, absorb shock and reduce the overall load and stress through the heel and foot. We advise based on your individual activity to fit your lifestyle and working needs.
2

Custom Orthotics

General orthotics or custom orthotics prescribed to contour to your feet can further alleviate foot pains and increase the overall re-distribution of the stress from the feet.
3

Taping Techniques

Taping techniques can give short term symptomatic relief and are reasonable adjuncts while rehabilitation progresses.
4

Therapeutic Exercise Programme

Stretching and progressive strengthening programs reduce pain and improve function. Slowly pre-loading the achilles tendon and strengthening the calf muscle to better withstand load, stress and increased activity.
5

Modification of Daily Activity, Training Regime and Adequate Rest

Gradual increment of intensity of training to re-load the posterior tibialis tendon. Loading it too fast will cause an overload and intensify the pains experienced.

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Need help with your foot health? Our experts at DC Podiatry are here to help!

At DC Podiatry, we believe that a fulfilled life starts with healthy feet. We provide personalized care and cutting-edge treatments to ensure your feet are ready for life’s adventures.

To book an appointment with us, click “Book Appointment” or call/whatsapp us at our hotline at +65 9366 8855

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