Conditions & Services

Posterior Tibial Tendon Dysfunction

Sometimes foot pain can be difficult to explain from a patient’s perspective. However, pain in the heel, arch, ankle, or along the outside of the foot is many times an indication of posterior tibial tendon dysfunction. This condition can manifest itself as a flattening of the foot, even if patients find the pain hard to describe.

Although the appearance of “flatfoot” is an indication of posterior tibial tendon dysfunction, no definitive diagnosis can be made until you are examined by a doctor.

What is it?

Your posterior tibial tendon runs from the underside of your ankle, across your instep and all the way to the bottom of your foot. With age and degeneration, the tendon changes and its ability to support the arch properly can diminish. The result of this is a “flatfoot”, where the arches seem to have fallen.

Symptoms of posterior tibial tendon dysfunction can include:

  • Inward-rolled ankle (also called over-pronation)
  • General aching or fatigue in the foot or leg
  • Pain or swelling along the poster tibial tendon
  • Flattening of the foot, or arches that seemingly have “fallen”

Am I at risk?

Overuse of the posterior tibial tendon is often the cause of posterior tibial tendon dysfunction. Symptoms usually occur after strenuous activities that stretch the tendon (running, walking, hiking, or climbing stairs).

How is Posterior Tibial Tendon Dysfunction diagnosed?

Your medical history and an examination of your foot will help us to arrive at a diagnosis. Many times, posterior tibial tendon dysfunction is apparent to an orthopedist, especially when “flatfoot” is displayed. Diagnostic x-rays are usually taken to determine the severity.

If you are in the Akron-Canton, Ohio area and think you may be suffering from posterior tibial tendon dysfunction, contact us at Ohio Foot and Ankle Center. And while posterior tibial tendon dysfunction can be an affliction from as early as childhood, it will become progressively more painful until properly treated.

For more details on Posterior Tibial Tendon Dysfunction, visit the ACFAS informational website.