![]() Additionally, no body image, mental health, or minor diet advice either. No medical, injury, or pain related posts (try /r/AskDocs or see a sports orthopedic doc or sports physical therapist).Use the search, and read the FAQ and the /r/fitness FAQ before posting.Read the Frequently Asked Questions page! Posting Rules ![]() See the BWF Wiki for more programs Welcome to /r/bodyweightfitness! □ Your foot and ankle surgeon will determine the best approach for you.New to BWF but not new to fitness? Try the Recommended Routine (RR) For some advanced cases, surgery may be the only option. In cases of PTTD that have progressed substantially or have failed to improve with nonsurgical treatment, surgery may be required. Your foot and ankle surgeon may advise changes to your shoes and may provide special inserts designed to improve arch support. ![]() Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation. Ultrasound therapy and exercises may help rehabilitate the tendon and muscle following immobilization. Sometimes a short-leg cast or boot is worn to immobilize the foot and allow the tendon to heal, or you may need to completely avoid all weightbearing for a while. To give your arch the support it needs, your foot and ankle surgeon may provide you with an ankle brace or a custom orthotic device that fits into the shoe. In many cases of PTTD, treatment can begin with nonsurgical approaches that may include: In contrast, untreated PTTD could leave you with an extremely flat foot, painful arthritis in the foot and ankle and increasing limitations on walking, running or other activities. If treated early enough, your symptoms may resolve without the need for surgery, and progression of your condition can be arrested. Nonsurgical Treatmentīecause of the progressive nature of PTTD, early treatment is advised. In more severe cases, arthritis may also develop in the ankle. The tendon has deteriorated considerably, and arthritis often develops in the foot. But at this point, the foot and toes begin to turn outward and the ankle rolls inward.Īs PTTD becomes more advanced, the arch flattens even more and the pain often shifts to the outside of the foot, below the ankle. Later, as the arch begins to flatten, there may still be pain on the inside of the foot and ankle. In addition, the area may be red, warm and swollen. As the condition progresses, the symptoms will change.įor example, when PTTD initially develops, there is pain on the inside of the foot and ankle (along the course of the tendon). The symptoms of PTTD may include pain, swelling, a flattening of the arch and an inward rolling of the ankle. In fact, the symptoms usually occur after activities that involve the tendon, such as running, walking, hiking or climbing stairs. Overuse of the posterior tibial tendon is often the cause of PTTD. PTTD is usually progressive, which means it will keep getting worse, especially if it is not treated early. Although this condition typically occurs in only one foot, some people may develop it in both feet. PTTD is often called adult acquired flatfoot because it is the most common type of flatfoot developed during adulthood. Posterior tibial tendon dysfunction (PTTD) is a condition caused by changes in the tendon, impairing its ability to support the arch. The posterior tibial tendon serves as one of the major supporting structures of the foot, helping it to function while walking. Posterior Tibial Tendon Dysfunction (PTTD) What Is PTTD? Please enable Javascript in your browser. Javascript is required to view the content on this page.
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