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Posterior Tibial Tendon Dysfunction

The posterior tibialis muscle is a very important muscle when looking at proper gait mechanics and ankle stability. It attaches to the inside portion of the shin and runs along the medial (interior) ankle were it attaches to the inside of the foot.  Posterior Tibialis Tendon Dysfunction (PTTD) refers to loss of function of the muscle as a result of continuous degenerative changes or repetitive micro trauma. 

Common symptoms include:

  • Excessive pronation (rolling inwards) of ankle joint while walking.
  • Low arches, resulting in a flat footed structure.
  • Pain and/or swelling along the inside of the foot and ankle.
  • Pain worsens with activity including running or hight-impact activities.
  • Painful when walking or standing for long durations.
  • Swelling sometimes present along the inside of the ankle or foot.

If these conditions sound familiar, book your appointment today and let us help you get back on your feet pain free


Custom Orthotics Designed for Flat Feet/Posterior Tibial Tendon Dysfunction:
  • Customized semi-rigid arch support - will help to elevate your arches and prevent collapsing of the arches when walking or standing
  • Neutral casting - to align your feet and lower limbs in order to place them in the most optimal position for gait.
  • Medial posting - may be necessary to achieve proper alignment if you are walking in an abducted 'duck stance' position or coming off the inside of the greater toe.
  • Neutral casting - to align your feet and lower limbs in order to place them in the most optimal position for gait.
  • Deep heel cup - will lock the heel in place, allow your foot to maintain neutral position.