Warrensville Hts
(216) 378-9390
Euclid
(216) 261-7715
West Cleveland
(216) 941-5656
  • Home
  • About Us
  • Meet Our Providers
  • Services
    • > Physical Therapy
    • > Aquatic Therapy
    • > Work Injury BWC
    • > Auto Accidents
    • > Massage Therapy
    • > Acupuncture, Dry needling, Cupping
    • > Chiropractic Care
    • > Medical Marijuana Card
    • > Sports Medicine
    • > Orthopedics
    • > Graston Technique
    • > Pain Management
    • > Wellness & Physical Fitness
    • >Occupational Medicine BWC
    • > Family Medicine
  • On-Site-Facilities
  • Patient Forms
    • > New Patient Registration
    • > Health History Form
    • > Request a Prescription Refill
  • Physician Referral
  • Blog
  • Contact Us
  • Watch Video
  • Read Article

Posterior Tibial Tendon Dysfunction - Acquired Flatfoot

Back to Patient Education

Click on the white PLAY button to start video.

 

Posterior tibial tendon dysfunction, also known as acquired flatfoot, results when the tendon at the back of the ankle is inflamed or torn.  It is a progressive condition that can eventually lead to a fallen arch or flatfoot.  Advanced cases, or those that do not respond to non-surgical treatments, may require surgery.  There are various surgical procedures for posterior tibial tendon dysfunction, and it is common to need more than one.

Read more about Posterior Tibial Tendon Dysfunction - Acquired Flatfoot

  • Introduction
  • Anatomy
  • Causes
  • Symptoms
  • Diagnosis
  • Treatment
  • Surgery
  • Recovery
  • Prevention
  • Introduction
  • Anatomy
  • Causes
  • Symptoms
  • Diagnosis
  • Treatment
  • Surgery
  • Recovery
  • Prevention

Introduction

Posterior tibial tendon dysfunction, also known as acquired flatfoot, results when the tendon at the back of the ankle is inflamed or torn.  It is a progressive condition that can eventually lead to a fallen arch or flatfoot.  Advanced cases, or those that do not respond to non-surgical treatments, may require surgery.  There are various surgical procedures for posterior tibial tendon dysfunction, and it is common to need more than one.
Back to top

Anatomy

The posterior tibial tendon connects at the calf, travels around the inside of the ankle joint, and attaches to the bones in the midfoot.  It maintains the arch in your foot and provides stability when you walk.
Back to top

Causes

Posterior tibial tendon dysfunction results when the tendon becomes inflamed or torn.  Sports injury and overuse can contribute to posterior tibial tendon dysfunction.  Certain medical conditions, such as obesity, hypertension, diabetes, and arthritis increase the risk of the condition.  Problems with this tendon are more common in women.
Back to top

Symptoms

Posterior tibial tendon dysfunction most frequently develops in one foot, but it can affect both feet.  Symptoms are usually progressive, meaning they get worse over time.  You may first notice pain, redness, and swelling along the inside of your ankle and foot.  As the arch in your foot flattens, you may experience pain in your outer and midfoot, weakness, and the inability to stand on your toes.

Back to top

Diagnosis

You should see your doctor if you suspect that you have posterior tibial tendon dysfunction.  Early diagnosis and treatment can help stop the progression of the condition.  Your doctor can diagnose posterior tibial tendon dysfunction by reviewing your medical history, examining you, and conducting some tests. 

Your doctor will ask you to stand or move your foot in certain ways so that it can determined how your tendon is functioning.  X-rays, ultrasound, or magnetic imaging resonance (MRI) imaging may be used to provide pictures of your ankle and leg structures.
Back to top

Treatment

In some cases, early non-surgical treatment can help prevent the need for surgical treatment in the future.  In the early stages, pain and swelling are treated with rest and aspirin or ibuprofen.  A short leg cast or boot may be worn while the tendon heals.  Physical therapy usually follows casting to help the ankle joint gain range of motion and strength.  You may be issued an ankle stirrup, custom orthotic device, or custom shoe insert to help support your foot. 
Back to top

Surgery

Surgery may be recommended when non-surgical treatments fail to provide symptom relief, or for advanced cases of posterior tibial tendon dysfunction.  There are several types of surgery, and you may need more than one type of procedure.  Surgery is used to removed inflamed tissue, improve the position of the heel bone, transfer another tendon for reconstruction, or fuse bones together to prevent movement and add stability. 
Back to top

Recovery

Following surgery, you may need to wear a protective splint, cast, or boot.  Physical rehabilitation exercises can help you regain strength and stability.  You may need to use a cane or crutches at first. 

Recovery is individualized.  The amount of time you need to heal depends on the extent of your condition and the procedures that you received.  Your doctor will let you know what to expect.
Back to top

Prevention

In some cases, early diagnosis and treatment can stop the progression of posterior tibial tendon dysfunction.  You should wear the arch supports, custom orthotic inserts, or orthotic shoes  recommended by your doctor.
Back to top

Copyright ©  - iHealthSpot Interactive - www.iHealthSpot.com

This information is intended for educational and informational purposes only. It should not be used in place of an individual consultation or examination or replace the advice of your health care professional and should not be relied upon to determine diagnosis or course of treatment.

The iHealthSpot patient education library was written collaboratively by the iHealthSpot editorial team which includes Senior Medical Authors Dr. Mary Car-Blanchard, OTD/OTR/L and Valerie K. Clark, and the following editorial advisors: Steve Meadows, MD, Ernie F. Soto, DDS, Ronald J. Glatzer, MD, Jonathan Rosenberg, MD, Christopher M. Nolte, MD, David Applebaum, MD, Jonathan M. Tarrash, MD, and Paula Soto, RN/BSN. This content complies with the HONcode standard for trustworthy health information. The library commenced development on September 1, 2005 with the latest update/addition on February 16, 2022. For information on iHealthSpot’s other services including medical website design, visit www.iHealthSpot.com.

Footer

Patient Education

Learn about orthopedic conditions and treatments
from head and neck to ankles and feet.

HOME
ABOUT US
MEET OUR PROVIDERS
ON-SITE FACILITIES
PATIENT FORMS

SERVICES
Orthopedics
Sports Medicine
Physical Therapy
Aquatic Therapy
Occupational Medicine
Chiropractic Care
Active Release Technique (ART)
Graston Technique®
Pain Management
Massage Therapy
Acupuncture
Wellness & Physical Fitness
Workers' Compensation
Auto Accidents
Family Medicine
Medical Marijuana

PHYSICIAN REFERRAL
CONTACT US
PRIVACY POLICY
SITEMAP

REQUEST AN APPOINTMENT

Cleveland Office
4700 Richmond Road, Suite 100
Cleveland, Ohio 44128
Phone: (216) 378-9390
Fax: (216) 378-9379
 
Euclid Office
26250 Euclid Avenue, Suite 711
Euclid, Ohio 44132
Phone: (216) 261-7715
Fax: (216) 378-9379
 
West Cleveland Office
Warren Village Plaza
3310 Warren Road
Cleveland, Ohio 44111
Phone: (216) 941-5656
Fax: (216) 378-9379
© Advanced Orthopedics & Physical Therapy. All Rights Reserved.

iHealthspot Medical Website Design and Medical Marketing by iHealthSpot.com

Advanced Orthopedics & Physical Therapy specializes in chiropractic care, sports medicine, physical therapy, aquatic therapy, massage therapy, acupuncture, pain management and worker's compensation for job-related injuries. We also offer on-site nutritional counseling, weight loss programs, yoga, personal fitness training, and herbology as well as treatment for whiplash due to auto accident (car crash) or sports injuries. Proudly serving Warrensville Heights, Euclid, West Cleveland and surrounding communities.