Patient information leaflets
Posterior Tibial Tendon Dysfunction is one of the most common problems in the foot and ankle.
The tibialis posterior is a muscle in the lower leg. The tendon from this muscle runs behind the inside bone on the ankle, attaching under the sole of the foot and helps to hold the arch of the foot up.
Sometimes the tendon becomes stretched and inflamed due to overuse or injury and this condition can be called Tibialis Posterior Tendon Dysfunction, Tibialis Posterior Insufficiency or Adult Acquired Flat Foot.
Causes
- flat footedness
- trauma or injury – occasionally this condition may be due to fracture, sprain or direct blow to the tendon
- age– the risk of developing Posterior Tibial Tendon Dysfunction increases with age and research has
suggested that middle aged women are more commonly affected - other possible contributing factors– being overweight, diabetes and inflammatory arthritis
Treatment options
- anti -inflammatories (R.I.C.E)
- orthotics and appropriate footwear
- physiotherapy exercises
- surgery for tendon repair (if tendon has been torn)
Initial treatment
Reduce your level of activity and follow the RICE regime:
R – rest as often as you are able. Refrain from activity that will worsen your condition, such as sports and walking.
I – ice, apply to the affected area, ensure you protect the area from frostbite by applying a towel over the foot before using the ice pack.
C – compression, a Tubigrip or elasticated support bandage may be applied to relieve symptoms and ease pain and discomfort.
E – elevate the affected foot to reduce painful swelling.
Other information: Footwear is important – it is advisable to wear flat sturdy lace-up shoes, for example, trainers or boots. This will not only support your foot, but will also accommodate orthoses (shoe inserts).
