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Flat Feet & Posterior Tibial Tendon Dysfunction
Understanding, Diagnosing, & Treating
Flat Feet & Posterior Tibial Tendon Dysfunction
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Flat Feet, Posterior Tibial Dysfunction
Posterior tibial tendon dysfunction (PTTD) is a common cause of adult-acquired flat feet. It occurs when the tendon that supports the arch of the foot becomes weakened or damaged, causing the arch to gradually flatten.
This can lead to pain, changes in the way you walk and reduced mobility. Early assessment and treatment can help relieve symptoms and prevent the condition from progressing.
Signs & Symptoms of Flat Feet, Posterior Tibial Dysfunction
Symptoms usually develop gradually and may include:
- Pain along the inside of the ankle or arch of the foot
- A flattening of the foot arch
- Swelling or tenderness along the tendon
- Difficulty walking or standing for long periods
- Pain on the outside of the ankle as the condition progresses
What Can Cause Flat Feet, Posterior Tibial Dysfunction?
PTTD develops when the posterior tibial tendon becomes overloaded or degenerates over time.
Risk factors include repetitive strain, existing flat feet, age-related tendon changes, excess body weight and inflammatory conditions such as rheumatoid arthritis.
Treatment Options For Flat Feet, Posterior Tibial Dysfunction
Treatment focuses on reducing pain, supporting the arch and improving foot function.
Treatment may include:
- Activity modification and advice to reduce tendon strain
- Manual therapy where appropriate
- Progressive strengthening exercises
- Orthotic insoles or supportive footwear
- Bracing for more advanced cases
- Referral for further assessment if surgery is required
At Balanced Physiotherapy, we’ll assess your foot and ankle, identify the cause of your symptoms and create a personalised treatment plan to improve strength, support your recovery and keep you moving comfortably.
