One of the most important tendons in the lower extremity is the posterior tibial tendon. The tendon originates from the calf and travels down the inside of the ankle across the instep and inserts into the bones in the middle of the foot.
Function of Posterior TIbial Tendon is to support the arch of the foot and lock the foot as a rigid lever so that when the heel is lifted off the ground, the foot is stable enough to walk forward on.
Research has shown an increase incidence of posterior tendon rupture in obese middle-aged women and in patients who suffer from hypertension or diabetes.
In some people, the posterior tibial tendon finally “gives out” or tears. This is not a sudden event in most cases. Rather, it is a slow, gradual stretching followed by inflammation and degeneration of the tendon. Once the posterior tibial tendon stretches;
At The Footcare Centre the podiatrist examining the patient will take a complete medical history and ask about your symptoms. During the thorough assessment the podiatrist will check to see whether signs and symptoms for the condition are present.
Due to the progressive nature of PTTD, early treatment is advised and in our opinion vital. If treated early enough, your symptoms may resolve without the need for surgery and progression of your condition can be arrested.
In contrast, untreated PTTD could leave you with an extremely flat foot, painful arthritis in the foot and ankle, and increasing limitations on walking, running, or other activities.
At The Footcare Centre we offer a wide range of non-surgical advice and treatment:
Orthoses: Most people can be helped with orthotics and in certain circumstances Richie Braces.
Orthoses work by:
An ankle foot orthoses known as the Richie Brace, has proven to show significant success in treating Stage II posterior tibial dysfunction and the adult acquired flatfoot.
Recent opinion and research argues that by starting with a Richie Brace to completely stabilise and rest the tendon then after 1 year to reduce down to an orthoses shows better success.
A Richie Brace is a sport-style brace connected to a bespoke orthotic device that fits well into most forms of lace-up footwear, including athletic shoes. The brace is light-weight and far more cosmetically appealing than the traditional ankle foot orthoses.
Please do not hesitate to contact The Footcare Centre to book a consultation with one of the podiatrists if you are suffering with the condition.
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