Posterior Tibial Dysfunction

Posterior Tibial Dysfunction, also known as Posterior Tibial Tendon Dysfunction (PTTD), is a condition where the posterior tibial tendon, located on the inner side of the lower leg and ankle, becomes inflamed or damaged. This tendon plays a crucial role in supporting the arch of your foot and ensuring proper foot alignment. When it weakens, it can lead to a flatfoot deformity and pain, particularly along the inside of the ankle and foot.

Symptoms of Posterior Tibial Dysfunction

  • Pain or swelling along the inner side of the ankle or foot.

  • Difficulty walking or standing for extended periods.

  • Fallen arches or noticeable flattening of the foot.

  • Increased difficulty in performing activities like running or standing on tiptoes.

  • Deformity or outward rolling of the ankle in severe cases.

Treatment Plans for Posterior Tibial Dysfunction

1. Conservative (Non-Surgical) Treatment

✅ Early-Stage Management (Mild to Moderate Cases)

🔹 Rest & Activity Modification: Avoid activities that cause pain, such as prolonged walking or high-impact exercises.
🔹 Ice Therapy: Apply ice for 15–20 minutes several times daily to reduce swelling.
🔹 Anti-Inflammatory Medication: NSAIDs (e.g., ibuprofen) help manage pain and inflammation.

2. Footwear & Support

👟 Supportive Shoes: Wear motion-control or stability shoes to prevent excessive foot rolling (pronation).
🦶 Orthotics: Use custom or over-the-counter arch supports to relieve stress on the tendon.
🔹 Ankle Braces or Walking Boots: For more severe cases, a brace or boot may be needed to limit movement and allow healing.

3. Stretching & Strengthening Exercises

💪 Stretching & Mobility:

  • Calf Stretch: Stretch the Achilles tendon to reduce strain.

  • Toe Stretch: Stretch the bottom of the foot to relieve tightness.

🏋️‍♂️ Strengthening Exercises:

  • Arch Raises: Strengthen the posterior tibial tendon by lifting the arch while keeping the toes on the ground.

  • Single-Leg Balance: Improves foot stability.

  • Resisted Foot Inversion: Use a resistance band to strengthen the posterior tibial tendon.

   4. Advanced & Long-Term Treatment

💉 Corticosteroid Injections: May reduce inflammation but should be used cautiously to avoid tendon weakening.
🚶 Custom AFO (Ankle-Foot Orthosis): For more severe flatfoot cases, a custom brace may be needed. Severe or Non- Responsive Cases cases to conservative treatments need surgical treatments.