Posterior Tibial Tendon Dysfunction ( PTTD )

The tibialis posterior tendon is a large tendon that arises as a muscle on the inside of the calf and becomes a tendon around the inside of the ankle. The tendon is responsible for maintaining the arch of your foot and is susceptible to trauma and injury.

Posterior tibial tendon dysfunction ( PTTD ) is an over use of the posterior tibial tendon and usually presents with pain and swelling on the inside of the ankle. The posterior tibial tendon can stretch and elongate during walking or sports. Micro trauma and swelling of the tendon occurs usually as a result of overuse, damaging the tendon structure. This causes ankle weakness can cause a collapse of the arch and foot profile.

PTTD is the main cause of “adult acquired flat foot”.

Treatment options:

During an initial consultation with your podiatrist, they will establish if you have PTTD and discuss the specific treatment programme for your condition.

Treatment may consist of:

- NSAID’s
- Heat / ice
- Advanced analysis
- Orthotics
- Temporary insoles
- Strapping
- Rehabilitation
- Footwear advice
- Air cast boot
- Richie Brace
- Training modification
- imaging including X-ray, MRI or ultrasound can also be useful

How to book:

Private and self pay patients can schedule a face to face or video consultation online: www.swpodiatry.co.uk or speak to our friendly booking team between 9am-5pm Monday-Saturday: 020 7164 6607

Private medical insurance:

We accept most major private medical insurance companies including BUPA, Vitality, WPA, Cigna, AVIVA and Simply Health. A full list of our consultation fee’s including self-pay are available on the website. Our Podiatry team are health care professional council registered, meaning they are required to maintain professional standards and continued professional development. As an organisation we have invested in the latest diagnostic technology in order to help our podiatry team, help you. We have onsite diagnostic ultrasound available at Maidenhead and Earlsfield clinics. Infra-red pressure analysis available at Maidenhead and Earlsfield clinics with treadmill examinations.

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