Posterior Tibial Tendon Dysfunction

What is a Podiatrist?

When to Call A Doctor


Foot Problems
General Statistics


Achilles Problems
Achilles Tendonitis | Peroneal Tendon DislocationXanthomas of the Achilles Tendon


Ankle Problems
Ankle Sprain | Chronic Lateral Ankle Pain | Osteochondritis


Arch and Ball Problems
Flat Feet | Metatarsalgia | Plantar Fibromas | Sesamoiditis


Common Foot Injuries
Ankle Sprain Injuries | Broken Ankle | Fractures | Osteochondritis | Osteochondromas | Shin Splints | Sports Injuries


Deformities
Amniotic Band Syndrome | Bunions | Claw Toe | Clubfoot Dysplasia |  Flat Feet | Gordon Syndrome | Haglunds Deformity | Hallux Limitus | Hallux Rigidus | Hallux Varus | Hammertoes | Jackson Weiss Syndrome | Mallet Toes | Metatarsalgia | Osteomyelitis | Overlapping or Underlapping Toes | Peroneal Tendon Dislocation | Posterior Tibial Tendon Dysfunction | Sesamoiditis | Spurs | Tarsal Coalition

Diabetes and Your Feet

Diseases of the Foot
Arthritis | Cancer | Charcot Foot | Freiberg's Disease | Gout | Kaposi's Sarcoma | Kohler's Disease | Maffucci's Syndrome | Ollier's Disease | Raynaud's Disease | Severs Disease


Fungus Problems
Common Fungal Problems | Athletes Foot | Fungal Nails | Other Tips | Prevention


Heel Problems
Haglunds Deformity | Heel Callus | Heel Fissures | Plantar Fasciitis


Nail Problems
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Skin Problems
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Toe Problems
Bunions | Claw Toe | Digital Deformity | Hallux Limitus | Hallux Rigidis | Hallux Varus | Hammertoes | Intoeing | Overlapping or Underlapping Toes | Subungal Exotosis | Turf Toe


Vascular/Nerve Problems
Acrocyanosis | Alcoholic Neuropathy | Chilblains (Cold Feet) | Erythromelalgia | Ischemic Foot | Neuroma | Spasms | Venous Stasis


Overview of Feet and Ankle Problems

Basic Foot Care Guidelines

 

Medical Care
Diagnostic Procedures

Computed Tomography | MRI | Ultrasound | X-Rays


Orthotics


Pain Management
General Information and Tips | Pain Management for Specific Conditions


Surgical Procedures
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Therapies
Athlete's Foot Treatment | Cryotherapy | Extracorporeal Shock Wave | Fungal Nail Treatment | Physical Therapy | Iontophoresis | Neurolysis


Fitness and Your Feet
Exercise Those Toes | Aerobics | Fitness and Your Feet | Stretching | Walking and Your Feet | Jogging and Running


Sports and Your Feet
Baseball | Basketball | Cycling | Golf | Jogging and Running | Tennis


Foot Care
Basic Foot Care Guidelines | Athletic Foot Care | Blisters | Childrens Feet | Corns and Calluses | Diabetic Foot Care | Foot Care for Seniors | Foot Self Exam | Pedicures | Your Feet at Work | Bunion Prevention | Burning Feet | Ingrown Nails | Nutrition For Your Feet


Women's Feet
High Heels | Stockings? | Pregnancy | Women Over 65


Foot Odor and Smelly Feet
Prevention | Treating Foot Odor


Shoes
Facts About Shoes | Anatomy of a Shoe | Athletic Shoe Guidelines | Children's Shoes | Corrective and Prescription Shoes | What to Look For |  Men's Shoes | Women's Shoes | Your Footprint | Wear Patterns


Links
Associations/Groups | Government |  Online Resources

 

 

The posterior tibial tendon starts in the calf, stretches down behind the inside of the ankle, and attaches to bones in the middle of the foot. This tendon helps hold the arch up and provides support when stepping off on your toes when walking. If it becomes inflamed, over-stretched or torn, it can cause pain from the inner ankle. Over time, it can lead to losses in the inner arch on the bottom of your foot and result in adult-acquired flatfoot.

Signs and symptoms of posterior tibial tendon dysfunction include:

  • Gradually developing pain on the outer side of the ankle or foot.
  • Loss of the arch and the development of a flatfoot.
  • Pain and swelling on the inside of the ankle.
  • Tenderness over the midfoot, especially when under stress during activity.
  • Weakness and an inability to stand on the toes.

People who are diabetic, overweight, or hypertensive are particularly at risk. X-rays, ultrasound, or MRI may be used to diagnose this condition.

Left untreated, posterior tibial tendon dysfunction may lead to flatfoot and arthritis in the hindfoot. Pain can increase and spread to the outer side of the ankle.

Treatment includes rest, over-the-counter nonsteroidal anti-inflammatory drugs, and immobilization of the foot for six to eight weeks with a rigid below-knee cast or boot to prevent overuse. Note: Please consult your physician before taking any medications.