MD Podiatrist Discusses Posterior Tibial Tendon Dysfunction

According to Dan Michaels, DPM, “Posterior tibial tendon dysfunction, also known as progressive collapsing foot deformity, occurs with aging and wear and tear, resulting in a painful flatfoot. It occurs when chronic stress is placed on the posterior tibial tendon and other soft tissue structures of the arch, resulting in inflammation, and sometimes tearing of the tendon. Posterior tibial tendon dysfunction can occur with underlying deformity or arthritis.”
 
 
“Treatment of posterior tibial tendon dysfunction depends on severity. Rest, ice, compression, elevation, and anti-inflammatory medications can all be used to initially treat pain and inflammation. Orthotics/inserts, CAM boots, or ankle braces may all be used to help support the foot and treat symptoms. Physical therapy and steroid injections can also be indicated in certain circumstances. Surgical intervention is typically recommended when pain is interfering with a patient’s hobbies, work, and activities of daily living,” says Dr. Michaels.