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Dallas Flat Feet Surgeon

Expert Treatment for Posterior Tibial Tendonitis and Dysfunction (PTTD)

The posterior tibial tendon is essential for maintaining the arch of your foot and providing stability while walking. An irritated and damaged posterior tibial tendon can cause Posterior Tibial Tendon Dysfunction (PTTD), commonly known as adult-acquired flatfoot deformity. Foot pain, edema, and a developing flat foot deformity can all result from PTTD. Our facility is dedicated to offering complete therapy for PTTD to alleviate symptoms, restore foot function, and improve your quality of life. Let our leading Dallas flat feet surgeon provide you with expert care using the latest surgical procedures and techniques.

What is Posterior Tibial Tendon Dysfunction?

PTTD is also known as Posterior Tibial Tendonitis or Posterior Tibial Tendon Insufficiency. PTTD is caused by tendon changes that reduce the tendon’s ability to maintain the arch and cause the foot to flatten, resulting in fallen arches. The posterior tibial tendon attaches the calf muscles to the bones and extends from the lower thigh to the inside of the ankle, connecting to the center of the foot. It provides vital foot support and aids in arch stability.

The arch of your foot gradually collapses when you have PTTD, resulting in a flatfoot deformity. Flexible flat feet are the most common type of flat feet, where you can see the arch in your foot when you aren’t standing, but as soon as weight is put on the foot, the arch disappears. PTTD and flat feet can affect one or both feet, causing significant discomfort, swelling, and difficulty walking or standing for extended periods.

Posterior Tibial Tendon Dysfunction
Symptoms of PTTD

Causes and Symptoms of PTTD

PTTD is usually caused by overuse of the posterior tibial tendon, which results in inflammation, degeneration, or tears. It is most common in people over the age of 40, particularly those who are overweight or have hypertension or diabetes. It can, however, arise at any age and in otherwise healthy people.

Posterior tibial tendonitis symptoms often begin with pain along the inside of the foot, followed by swelling and, on rare occasions, arch flattening. The arch continues to flatten as the condition worsens, and pain may transfer to the outside of the foot. The increasing flatness of the foot has stretched and distorted the tendon.

Dallas Posterior Tibial Tendonitis Treatment: Diagnosis and Care

The diagnosis is based on a complete clinical evaluation that includes a detailed medical history and physical examination. During the examination, a foot specialist will search for symptoms of a collapsed arch and discomfort along the route of the posterior tibial tendon. To assess the function of the tendon, tests such as the single heel raise test can be utilized.

Imaging studies, including X-rays, ultrasounds, and MRIs, can also help confirm the diagnosis and determine the severity of the problem. These images aid in determining the quality of the posterior tibial tendon and flexor digitorum longus, the foot’s alignment, and any associated problems.

Recovery and Rehabilitation

Recovery and rehabilitation are dependent on the procedure. Non-surgical treatments may necessitate several weeks to months of cautious care before seeing results. A period of immobilization followed by physical therapy to regain strength and movement can take many months after surgery.

Your physical therapist will collaborate to develop a customized rehabilitation plan tailored to your needs and ensure the best possible recovery. This could include strength and flexibility exercises, gait training, balancing activities, and teaching how to avoid future problems.

Options for PTTD

Treatment Options for PTTD

PTTD treatment aims to alleviate discomfort, slow the course of the disorder, and restore foot function. Several factors influence treatment selection, including the stage of the ailment, the patient’s age, health status, and lifestyle.

Non-surgical Treatment

In the early stages of PTTD, nonsurgical treatment is preferred. Rest and immobility, physical therapy including calf muscle stretches, single-limb heel rise, and Achilles tendon lengthening stretches, pain relievers in the form of nonsteroidal anti-inflammatory medications (NSAIDs), shoe changes with more arch support, walking boot, and an ankle brace are all options. These procedures try to relieve pain, reduce inflammation, and prevent illness from worsening.

Surgical Treatment

If non-surgical treatment does not improve symptoms, or if the illness is advanced and shows degenerative changes to the medial malleolus or severe deformity, a posterior tibialis tendon surgery may be required. The specific method will be determined by the stage of PTTD and the patient’s anatomy. Tendon repairs or transfers, osteotomies (cutting and relocating bones), joint fusions, and implants to support the arch are all possibilities.

Why Choose Our Services?


Our foot surgeon is a renowned expert with considerable training and expertise in treating PTTD. They thoroughly understand foot biomechanics and have expertise in the most recent surgical procedures. This enables us to provide more precise therapy, shorter recovery times, and better outcomes for our patients.

Our foot surgery and treatment services are tailored to promote the well-being and optimal function of the foot. We provide specialized interventions like Bunion Correction, Achilles Tendon Repair, and Plantar Fasciitis Surgery. These offerings reflect our dedication to enhancing the overall health of our patients’ feet.

Individualized Care

Every patient is distinct, as is their disease. We offer customized treatment strategies for each patient’s unique condition and lifestyle. This tailored approach improves therapy effectiveness, shortens recovery time, and contributes to high patient satisfaction.

Advanced Techniques

We stay up to date on the newest advancements in foot surgery. When appropriate, we use advanced surgical techniques, such as minimally invasive procedures, in our practice. This reduces surgical trauma, speeds up recovery, and improves overall outcomes.

Patient-Centered Approach

Everything we do revolves around our patients. Our team is dedicated to providing compassionate and comprehensive care from the initial consultation until recovery. We spend time with our patients, listening to their worries, describing their situation, and discussing their therapy choices. We believe that an informed patient is an empowered patient, and we are dedicated to providing you with all the information you require to make an informed decision about your care.

Contact us now if you are suffering from PTTD symptoms. From the initial consultation to recovery, our team of dedicated specialists is here to help you navigate your treatment journey. We can work together to restore your foot function and get you back to doing what you love.


Contact Us

We are wholeheartedly committed to restoring your mobility and improving your quality of life. Don't hesitate to contact us today to schedule an appointment. Take the first step on your journey towards better foot health with us.

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