This becomes a fairly common problem for the foot as we enter middle age. The posterior tibial tendon (PTT) itself runs along the inner aspect of the leg and ankle. It helps support the arch of the foot. Posterior tibial tendonitis occurs when this tendon becomes inflamed through overuse. In more severe cases, the inflammation can cause the tendon to tear.
Causes
- Could occur from an acute injury like a fall
- Overuse
- Obesity
- Diabetes
- Hypertension
Symptoms
- Pain at the inner ankle and arch
- Unsteady when walking
- Flatfoot
- Swelling
- Pain that increases with activity such as running and high-impact activities
- Pain with standing for a long time
- Inability to stand on toes
- Pain can occur on the outside of the ankle if the foot has collapsed and bones have shifted to a new position
Risk Factors
- High-impact sports such as basketball, tennis, or soccer
Diagnosis
- Doctor Exam
- Ask about your medical history
- Symptoms
- And ankle/foot exam
- X-ray
- MRI
- CT Scan
- Ultrasound
Treatment
Non-Operative Posterior Tibial Tendonitis Treatment
- Rest
- Ice
- Immobilization such as in a boot
- NSAIDS
- Prescribed orthotics or braces
- Physical Therapy
- Cortisone Injections
Surgical
- Tendon Transfer
- Tenosynovectomy
Without treatment, this condition can cause collapse of the arch and development of arthritis.
