Posterior Tibial Dysfunction

Person touching an ankle, highlighted in red to indicate pain, on a bed.

Expert Posterior Tibial Tendon Dysfunction Solutions

Restore Arch Support and Prevent Progressive Flat Foot

Posterior tibial tendon dysfunction (PTTD) occurs when the tendon that supports your arch becomes inflamed, overstretched, or torn, causing it to lose its ability to hold up the arch of your foot. Often called "adult-acquired flatfoot," this progressive condition leads to arch collapse, pain along the inside of your ankle and foot, swelling, difficulty standing on your toes or walking for extended periods, and an increasingly visible flattening of your foot that can eventually cause ankle misalignment and arthritis if left untreated.


We conduct comprehensive assessments including the single-heel-rise test, arch observation in various positions, and advanced imaging to determine the stage of your tendon dysfunction and evaluate any associated deformities or joint damage. Our staged treatment approach ranges from immobilization and anti-inflammatory therapies in early stages to custom orthotics with aggressive arch support, bracing devices like AFOs, physical therapy to strengthen surrounding muscles, and surgical reconstruction options including tendon transfers, osteotomies, or fusion procedures for advanced cases.



Our emphasis is on catching and treating PTTD as early as possible to halt its progression and preserve your foot's natural structure and function. The earlier we intervene, the better your chances of avoiding surgery and maintaining a functional arch, allowing you to walk comfortably, stay active, and prevent the cascade of problems that can develop when this crucial tendon fails to do its job.

Start Your Journey to Wellness Today

Talk With Foot and Ankle Specialist Today!

Ready to take the first step towards healthier, pain-free feet? Contact us to schedule an appointment or to learn more about our foot and ankle services. Our dedicated podiatric team is here to provide personalized care and answer any questions you may have about your lower extremity concerns. Reach out today and let us help you achieve optimal foot health and mobility for an active lifestyle.