Topics > Ankle > Posterior Tibial Tendon Dysfunction
Posterior Tibial Tendon Dysfunction
The posterior tibial tendon runs down the calf, behind the inside
of the ankle, and attaches to the middle of the foot. It helps maintain
your arch and aids in walking. Inflammation of this tendon can lead to
ankle pain and flatfoot. Tendon dysfunction is most common in women over
50 and often has no clear cause. Other risk factors include being overweight,
diabetes, high blood pressure, previous surgery or steroid injections,
previous injury, and inflammatory disorders.
Symptoms:
- Pain or swelling on the inside of the ankle
- Loss of the arch
- Inability to stand on tiptoe
- Mid-foot pain during activity
Diagnosis is based primarily on your symptoms
and a careful physical examination of your foot. One classic sign of
posterior tibial tendon dysfunction is a tendency of the affected heel
to rotate outward when standing on tiptoe. Your physician may also order
X-rays or other imaging studies.
Treatment depends on how far the disorder
has progressed. Conservative treatments include rest, anti-inflammatories,
immobilization in a cast, and shoe inserts or orthotics. If the condition
is more advanced or these therapies do not work, your physician may recommend
surgery. There are a number of surgical treatments; the specific course
of action will depend on your individual case.
