Posterior tibial tendonitis, also known as posterior tibial tendon dysfunction (PTTD), is a condition that affects the posterior tibial tendon, which runs along the inside of the ankle and foot.
This tendon plays a crucial role in supporting the arch of the foot and maintaining proper foot and ankle alignment. When the tendon becomes inflamed or damaged, it can lead to posterior tibial tendonitis.
Here’s a breakdown of the causes, symptoms, diagnosis, and treatment options for this condition.
Engaging in activities that involve repetitive motions or placing excessive strain on the posterior tibial tendon, such as running or jumping, can contribute to tendonitis.
As we age, the tendons in our body can gradually weaken and degenerate, making them more prone to injury and inflammation.
A sudden injury, such as a sprained ankle or a fall, can damage the posterior tibial tendon and lead to tendonitis.
Flat feet, high arches, or other foot structure abnormalities can alter the biomechanics of the foot, increasing the risk of tendonitis.
To diagnose posterior tibial tendonitis, a healthcare professional will typically perform a physical examination and evaluate your medical history. They may assess the range of motion in your foot, look for signs of swelling or tenderness, and evaluate your gait.
Imaging tests like X-rays or MRI scans may be ordered to rule out other potential causes and assess the severity of the condition.
Avoid activities that exacerbate symptoms and allow the tendon time to heal. Immobilization with a walking boot or brace may be recommended in severe cases.
Applying ice packs and taking over-the-counter anti-inflammatory medications can help reduce pain and swelling.
A physical therapist can guide you through exercises and stretches to strengthen the surrounding muscles, improve flexibility, and support the tendon.
Custom orthotic inserts or supportive footwear can help correct foot alignment and reduce stress on the posterior tibial tendon.
In some cases, a healthcare professional may recommend corticosteroid injections to alleviate pain and inflammation.
Surgery may be considered if conservative treatments do not provide sufficient relief. The procedure aims to repair or reconstruct the damaged tendon and restore proper foot function.
It’s important to consult with a healthcare professional for an accurate diagnosis and personalized treatment plan based on the severity of your condition and individual circumstances. Early intervention and proper care can help manage symptoms and prevent further progression of posterior tibial tendonitis.
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