Contents What is PTTD What are the causes What are the symptoms How is it diagnosed What is the management How can I manage it What is PTTD PTTD refers to the impairment of the tibialis posterior tendon resulting in reduced support to the arch It can also be referred to as adult acq ID: 1047940
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1. Posterior Tibialis Tendon Dysfunction/Adult Acquired Flat Foot Deformity (PTTD)
2. Contents What is PTTD?What are the causes?What are the symptoms?How is it diagnosed?What is the management?How can I manage it?
3. What is PTTD?PTTD refers to the impairment of the tibialis posterior tendon resulting in reduced support to the arch. It can also be referred to as adult acquired flat foot deformity.
4. What are the causesThere are several proposed risk factors for PTTD including; ObesityTraumaAgeExisting co morbidities e.g. Diabetes & high blood pressure Most commonly affects females aged 40+ years old What are the causes?
5. Pain around the inside of the ankle.Ankle swelling.Flattening of the arch. Pain increases with weight-bearing activity.Difficulty and pain standing on tip toes. What are the symptoms?
6. An appropriate healthcare professional will discuss your symptoms and enquire about your general health.A physical examination of your foot and ankle will be carried out to assess your movement, response to particular tests and level of pain.This conditions is diagnosed by clinical examination. How is it diagnosed?
7. Many patients are happy to self-manage their symptoms, with painkillers/anti-inflammatory medication or other non-invasive treatments such as:Lifestyle and health changesActivity ModificationCold compressRest and immobilisation, as requiredSelf directed exercisesPodiatry and/or PhysiotherapyWhat is the management?
8. Lifestyle & Health ChangesMaintaining a healthy diet and weightGetting 7-9 hours of quality sleep per nightReducing alcohol intakeQuit smoking Not all of these recommendations will be relevant to everyone, but these are important factors to consider to optimise your outcome.Click this link for more information and support options
9. Application of ice to control the pain/discomfort.Self directed exercises. Rest/immobilisation/activity modification, as required.Simple pain relief or anti-inflammatory medication- Consult your GP or PharmacistWell fitted and supportive footwearHow can I manage it?
10. PhysiotherapyThrough a thorough examination, a Podiatrist or Physiotherapist can: Help you establish what may be causing your painProvide you with an individualised treatment plan to help and/or resolve symptoms.Advise or arrange appropriate orthoses/insoles Advise and arrange further investigation, if requiredPhysiotherapy/Podiatry
11. In some cases symptoms may persist and more invasive treatments may be required/requested by you, as the patient:SurgeryMore Invasive Management Options
12. Surgery is only required if pain is present and symptoms are unable to be controlled by more conservative methods, as described above. This is rarely carried out for this condition.Surgery