Condition guide

Posterior Tibial Tendon Dysfunction (PTTD) - Overview

A condition where the posterior tibial tendon becomes inflamed or torn, leading to flatfoot deformity.

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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.

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