Posterior Tibial Tendon Dysfunction (PTTD): Causes, Symptoms, and Treatment
Posterior Tibial Tendon Dysfunction (PTTD) is a condition that affects the tendon responsible for supporting the arch of the foot. When this tendon becomes inflamed, stretched, or torn, it can cause pain, instability, and even flatfoot deformity. At the Foot Care Center, we provide advanced diagnosis and treatment for PTTD in Billings, MT and Sheridan, WY to help patients restore function and reduce pain.
What Is Posterior Tibial Tendon Dysfunction?
The posterior tibial tendon runs along the inside of the ankle and foot, helping support the arch. When it weakens or fails, the arch may collapse, leading to flatfoot. This condition often worsens over time if left untreated.
Causes of Posterior Tibial Tendon Dysfunction
- Overuse from repetitive activities such as running or walking
- Acute injuries like falls or ankle sprains
- Degenerative changes due to aging
- Obesity, which increases strain on the tendon
- Chronic inflammatory conditions such as arthritis
Symptoms of Posterior Tibial Tendon Dysfunction
- Pain and swelling along the inside of the ankle
- Loss of arch height (flatfoot development)
- Difficulty standing on tiptoes
- Weakness and instability when walking
- Outward rolling of the ankle
Diagnosis of Posterior Tibial Tendon DysfunctionY
At the Foot Care Center, diagnosis may involve:
- Physical examination to assess arch support and tendon strength
- X-rays to evaluate foot alignment
- MRI or ultrasound to check for tendon inflammation or tears
Treatment Options for Posterior Tibial Tendon Dysfunction in Billings, MT and Sheridan, WY
Non-Surgical Treatments in Billings, MT and Sheridan, WY
- Rest, ice, compression, and elevation (RICE)
- Anti-inflammatory medications
- Custom orthotics or ankle-foot orthoses (AFO) for arch support
- Immobilization with a walking boot or cast
- Physical therapy to strengthen the tendon and surrounding muscles
Surgical Treatments in Billings, MT and Sheridan, WY
For advanced cases of PTTD, surgery may be recommended. Surgical options include:
- Debridement or repair of the posterior tibial tendon
- Tendon transfer to restore arch support
- Osteotomy (bone realignment) for severe flatfoot
- Fusion procedures for advanced deformity or arthritis
Complications of Untreated Posterior Tibial Tendon Dysfunction
- Progressive flatfoot deformity
- Chronic pain and swelling
- Severe ankle instability
- Arthritis in the ankle and foot joints
Why Choose Foot Care Center for PTTD Treatment in Billings, MT and Sheridan, WY
At the Foot Care Center, we specialize in diagnosing and treating PTTD with both conservative and surgical methods. Our experienced team provides customized treatment plans to relieve pain, restore arch function, and prevent further complications.
Final Thoughts
If you are experiencing persistent ankle pain or signs of flatfoot, the Foot Care Center in Billings, MT and Sheridan, WY can provide expert care to restore stability and prevent long-term damage.
