Posterior Tibial Tendon Dysfunction (PTTD)
A condition where the posterior tibial tendon becomes inflamed or torn, leading to flatfoot deformity.
Symptoms
- Pain along inside of ankle
- Flat foot
- Swelling
- Weak push-off while walking
Causes & Risk Factors
- Obesity
- Overuse
- Previous ankle injuries
- Age-related degeneration
Diagnosis
- Single heel raise test
- MRI for tendon evaluation
- Visual observation of foot arch
Effective Treatment Options
- Orthotics for arch support
- Strengthening of tibialis posterior
- Activity modification
- Surgical tendon repair if severe
Frequently Asked Questions
Can PTTD be reversed?
In early stages, yes—with orthotics and strengthening.
Is surgery required?
Only in late-stage tendon dysfunction or collapse.
