Posterior Tibial Tendon Dysfunction (PTTD) is a common yet often overlooked condition affecting the foot and ankle. Known as one of the leading causes of adult-acquired flatfoot deformity, PTTD occurs when the posterior tibial tendon—essential for supporting the arch and stabilizing the foot—becomes damaged or inflamed. Without proper treatment, the condition can progress, leading to significant discomfort and difficulty in walking.
At Cella Foot & Ankle Specialty, we specialize in diagnosing and managing conditions like PTTD to restore comfort and mobility. Below, we delve deeper into the causes, symptoms, and treatment options for PTTD and answer some frequently asked questions to provide a comprehensive understanding of this condition.
What is Posterior Tibial Tendon Dysfunction?
PTTD is a condition where the posterior tibial tendon, which runs along the inside of the ankle and foot, becomes weakened or torn. This tendon plays a critical role in maintaining the arch of the foot and facilitating normal walking mechanics. When it is not functioning properly, the arch can collapse, causing flatfoot and additional strain on the foot and ankle structures.
Causes of PTTD
PTTD is typically caused by:
- Overuse or repetitive stress: Common in athletes or individuals with physically demanding jobs.
- Injury or trauma: A sudden twist, fall, or direct impact can damage the tendon.
- Chronic conditions: Diabetes, obesity, or inflammatory arthritis can weaken the tendon over time.
- Aging: Tendon elasticity and strength naturally decrease with age, making older adults more susceptible.
Symptoms of PTTD
The symptoms of PTTD often progress in stages:
- Stage 1 (Mild): Pain, swelling, and tenderness along the inside of the ankle. The tendon may still function normally.
- Stage 2 (Moderate): The arch begins to flatten, and walking becomes painful. You may notice difficulty standing on your toes.
- Stage 3 (Severe): Advanced flatfoot deformity develops, accompanied by chronic pain and stiffness in the foot and ankle.
- Stage 4 (Critical): The condition affects the ankle joint, leading to severe disability and pain.
Diagnosing PTTD
Early diagnosis is key to preventing the progression of PTTD. At Cella Foot & Ankle Specialty, we use a combination of:
- Physical Examination: Assessing the range of motion, tenderness, and arch stability.
- Imaging Studies: X-rays, MRI, or ultrasound may be used to evaluate tendon damage and identify structural changes.
Treatment Options
Treatment for PTTD depends on the stage of the condition:
Non-Surgical Treatments
- Rest and Activity Modification: Reducing physical activity to allow the tendon to heal.
- Orthotics or Braces: Custom orthotics or ankle braces can support the arch and reduce strain on the tendon.
- Physical Therapy: Exercises to strengthen the tendon and improve foot mechanics.
- Medications: Anti-inflammatory drugs or corticosteroid injections to manage pain and swelling.
Surgical Treatments
If non-surgical methods are ineffective, surgery may be required. Common procedures include:
- Tendon repair or reconstruction.
- Joint fusion for severe deformities.
- Osteotomy (realignment of bones) to restore arch support.
Why Choose Cella Foot & Ankle Specialty?
At Cella Foot & Ankle Specialty, we are dedicated to providing personalized care for each patient. Our experienced team of podiatric specialists employs the latest diagnostic tools and treatment techniques to ensure optimal outcomes. Whether you’re experiencing mild discomfort or severe symptoms, we are here to help.
FAQs About Posterior Tibial Tendon Dysfunction
Q: What are the risk factors for developing PTTD?
A: Risk factors include obesity, diabetes, previous foot injuries, and activities that place repetitive strain on the feet, such as running or standing for long periods.
Q: How can I prevent PTTD?
A: Maintain a healthy weight, wear supportive footwear, and avoid repetitive strain on your feet. Regular stretching and strengthening exercises for the lower legs can also help.
Q: Can PTTD go away on its own?
A: No, PTTD typically requires medical intervention to prevent progression. Early treatment can significantly improve outcomes.
Q: Is surgery always necessary for PTTD?
A: No, many cases of PTTD can be managed with non-surgical treatments, especially if diagnosed early. Surgery is generally reserved for advanced or severe cases.
Q: How long does it take to recover from PTTD?
A: Recovery depends on the severity of the condition and the treatment approach. Non-surgical recovery may take weeks to months, while surgical recovery may require several months of rehabilitation.
Contact Us
If you are experiencing symptoms of posterior tibial tendon dysfunction or have concerns about foot and ankle health, don’t wait to seek help. The earlier the intervention, the better the chances of preventing complications.
Cella Foot & Ankle Specialty
19-21 Fair Lawn Avenue, Suite 2A
Fair Lawn, NJ 07410
Phone: (201) 773-6557
Call us today to schedule an appointment and take the first step toward healthier, pain-free feet!
