Posterior Tibial Tendon Dysfunction

Posterior tibial tendon dysfunction (PTTD) causes pain in the middle aspect of the foot along the arch of the foot. The posterior tibialis muscle is a calf muscle that provides dynamic support of the arch of your foot.

SIGNS AND SYMPTOMS:

• Pain in arch of the foot with increased pain intensity with standing activities as well as running
• Swelling in the arch of the foot
• Foot and ankle pain due to flattening of the arch of the foot due to prolonged PTTD
• Difficulty with balance
• Difficulty going up onto your toes

HOW CAN PHYSICAL THERAPY HELP?

Your therapist will determine an appropriate plan of care including treatment to restore joint mechanics and mobility, reduce swelling, control pain, promote tissue healing, increase strength, and improve balance to help your return to your normal level of activity. Depending on your presentation, your therapist may suggest obtaining an orthotic. Your PT will also provide you with a home exercise program to allow for proper healing.