Posterior Tibialis Tendon Dysfunction (PTTD)

Posterior Tibialis Tendon Dysfunction (PTTD) is a condition that occurs when the posterior tibialis tendon, which runs along the inside of the ankle and helps support the arch of the foot, becomes inflamed or damaged.

Contributing Factors

There are several factors that can contribute to the development of Posterior Tibialis Tendon Dysfunction (PTTD). Some of the most common causes include:

  • Overuse or repetitive strain on the tendon, which can occur from activities such as running or jumping.
  • Trauma or injury to the ankle or foot, which can damage the tendon.
  • Age-related wear and tear on the tendon, which can cause it to weaken over time.
  • Genetic predisposition or a pre-existing structural abnormality in the foot or ankle.
  • Medical conditions such as obesity, diabetes, and hypertension, which can increase the risk of developing PTTD.
  • Improper footwear or inadequate arch support, which can place extra strain on the posterior tibialis tendon.

It’s important to note that PTTD can develop gradually over time, and may not always have a clear or specific cause.


PTTD Symptoms

Before treatment, PTTD can cause pain, swelling, and a progressive flattening of the foot’s arch. This can make it difficult to walk or stand for long periods and may cause a visible deformity in the foot.


After Treatment

The goal is to reduce pain and inflammation, restore the function of the posterior tibialis tendon, and prevent further damage. Treatment options can include rest, physical therapy, Custom orthotics, medications, and in severe cases, surgery.

With proper treatment, many people with PTTD can experience a reduction in symptoms and an improvement in their ability to walk and perform daily activities.

Custom orthotics

Custom orthotics can be a helpful treatment option for people with Posterior Tibialis Tendon Dysfunction (PTTD). Orthotics are shoe inserts that are designed to provide support, cushioning, and stability to the foot, and can be customized to the individual’s specific needs.

In the case of PTTD, custom orthotics can help to reduce the strain on the posterior tibialis tendon by providing additional support to the arch of the foot. This can help to alleviate pain, reduce inflammation, and prevent further damage to the tendon.

Additionally, custom orthotics can help to correct any structural abnormalities or imbalances in the foot that may be contributing to the development of PTTD. For example, if a person has a flat foot or a high arch, custom orthotics can be designed to provide the necessary support and cushioning to help distribute weight evenly across the foot and reduce the strain on the posterior tibialis tendon.

It’s important to note that custom orthotics should be created while weight bearing and fitted by our qualified staff to ensure that they fit specific needs, conditions and shoes.