Posterior tibial tendon dysfunction

The posterior tibial tendon (also called tibialis posterior tendon) is one of the primary tendons responsible for supporting the structure of your foot. When trauma and degeneration to the tendon occurs, it can progress to a problem called posterior tibial tendon dysfunction. This progressive condition is the most common cause of adult acquired flat foot. Degeneration, tendonitis, and tendinosis typically occurs due to repetitive forces and loading on this tendon. There are many factors that can contribute to this such as injury (trauma) and foot structure.

Symptoms may include pain on the inside of your foot and ankle, weakness, decreased mobility, flattening of your foot (with or without weight-bearing), swelling, and increased difficulty with activity. It is pivotal to see a specialist early on to help treat this condition as this could progress from a flexible deformity to a more rigid deformity.

Typically, evaluation starts with X-ray and a thorough clinical evaluation is performed. Advanced imaging studies such as MRI and CT are often recommended to help further evaluate the state of your muscles, tendons, ligaments, and foot architecture. Our specialists will create a customized treatment plan focused on the severity of your condition, which may include both non-surgical and surgical options. Come see our specialists today for a proper evaluation and a recommended treatment plan.


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