The posterior tibial muscle and tendon is an extremely important muscle complex for holding up the arch of the foot up. If something happen to the muscle and it can no longer do its job properly, then a condition called posterior tibial tendon dysfunction can result. The consequences of posterior tibial tendon dysfunction are a progreesive flat foot. This is an increasing deformity that becomes increasingly disabling and painful. Posterior tibial tendon dysfunction occurs when the msucle can no longer do it job of holding up the arch of the foot, so the arch flattens and the ankle rolls inward. As it can be disabling, it is important the posterior tibial tendon dysfunction is caught early. It is more common in older adults and PTTD is becoming more common in runners.
The initial treatment for posterior tibial tendon dysfunction is the use of rigid foot orthotics. They have to be rigid as the forces that are trying to flatten the foot are high and they need to be resisted. A softer orthotic is unlikely to do anything and will be flattened. A high top hiking style boot is also useful. If posterior tibial tendon dysfunction is not caught early, then an ankle brace is soften needed. If this does not help, the posterior tibial tendon dysfunction usually only responds to surgery.
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