Posterior Tibial Tendon Dysfunction occurs when the tendon that attaches the calf muscle to the bone on the inner part of your foot becomes inflamed or torn. Tendons connect muscles to bones and stretch across joints, enabling you to bend that joint. The posterior tibial tendon starts in your calf, stretches down behind the inside of your ankle and attaches to bones in the middle of your foot.
According to the American Orthopaedic Foot and Ankle Society, the posterior tibial tendon is one of the most important ones in the leg because it helps hold up your arch and provides support as you step off on your toes when walking.
When the posterior tibial tendon becomes inflamed, overstretched or torn, you may have symptoms of inner ankle pain. Gradually, you may lose the inner arch on the bottom of your foot, resulting in a condition called "acquired flatfoot."
Posterior Tibial Tendon Dysfunction Symptoms
The symptoms for posterior tibial tendon dysfunction can include:
Posterior Tibial Tendon Dysfunction Causes
Overuse and injury are the main causes of posterior tibial tendon dysfunction. Injury from a fall or landing on the foot wrong can tear the tendon and lead to dysfunction. High impact sports such as tennis, soccer, football or basketball can result in injury or overuse of the posterior tibial tendon. Overuse will cause the tendon to wear down over time and become inflamed. Once the tendon is irritated it is at a higher risk of further injury. Once the tendon is torn or inflamed it can no longer support the arch properly and the arch will begin to collapse.
Posterior Tibial Tendon Dysfunction Diagnosis
Your doctor will gather your complete medical history and provide a thorough physical examination of your foot and ankle. The doctor will check for swelling, pain and tenderness along the inside of the foot and ankle. Flexibility and range of motion will be tested as well to check for posterior tibial tendon dysfunction. After the physical examination is complete, your doctor will order one or more of the following diagnostic imaging tests:
Treatments for posterior tibial tendon dysfunctiondepend upon the severity of the condition and range from conservative, non-surgical treatment to surgical intervention as posterior tibial tendon reconstruction surgery or flatfoot reconstruction surgery.
The multidisciplinary team of orthopaedic experts at North Shore-LIJ Orthopaedic Institute's Foot and Ankle Services in New York treats posterior tibial tendon dysfunction as well as a broad range of foot and ankleconditions that can occur at any stage of life.
The Rehabilitation Network of the North Shore-LIJ Health System is dedicated to providing you and your family with result-oriented, comprehensive rehabilitation services. Our goal is to help you and your loved ones find relief from pain and get moving again after an accident, illness, injury or surgery. We’re your partner in a safe, healthy, more rapid recovery.
Why Customers Choose North Shore-LIJ Orthopaedic Institute to Treat Posterior Tibial Tendon Dysfunction
North Shore-LIJ Orthopaedic Institute brings together the orthopaedic programs of our North Shore-LIJ Health System hospitals to provide orthopaedic services — from diagnosis and treatment to surgery and rehabilitation — to help patients regain mobility and return to active, independent lives.
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