Posterior Tibial Tendon Dysfunction

Posterior tibial tendon dysfunction is an inflammation and / or over stretching of the posterior tibial tendon of the foot. The tendon is very important in supporting the arch of the foot when standing, walking and running. If the tendon becomes inflamed or stretched the foot can often become very flat and unstable, and the person is often unable to push off the foot when walking.

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Symptoms

Foot with a collapsed arch, showing the inner arch flattened against the floor

Excessive flattening of the foot arch
Pain, redness, heat and swelling in the instep of the foot, arch and inside of the ankle
Loss of spring in step and inability to rise onto tip toes
Uneven wear on the inside of footwear

Common causes

Muscle weakness
Muscle tightness
Hypermobility (often called double-jointed)
Flat feet
Excessive weight gain

What else can look similar

What you can try at home

How we can help

Exercise programme under the guidance of our HCPC registered podiatrists
Foot orthotics to support the flattened arch and rest the stretched tendon
Ice and anti inflammatory medications
Rest, particularly from strenuous weight bearing activities and impact sports
Supportive footwear
Shockwave therapy
Steroid injections (rarely used)
Acupuncture
Walking boots or casts to completely rest the area in extreme cases

Which appointment to book

If you have symptoms that sound like posterior tibial tendon dysfunction, you are recommended to book one of the following appointments:

A biomechanical assessment, for a full assessment of how your feet and legs move
A musculoskeletal (MSK) consultation
Running video gait analysis, if you are predominantly a runner

If you are not sure which appointment is right for you, call us on 02920 644900 or email info@feetinfocus.com and we will help.

Treatments that help

Injection Therapy & Pain Relief Custom Foot Orthotics

Accreditations

Not sure which appointment you need?

We can point you to the right treatment. Call 02920 644900 or book online and we will take it from there.

First visit? Our New Patients page explains what to expect.