Posterior Tibial Tendon Dysfunction
The American Board of Podiatric Surgery (ABPS), in accordance with standards published by the National Committee for Quality Assurance (NCQA), conducts primary source verification of the podiatric medical school graduation, residency training completion, and state licensure for each ABPS member. It is the recognized board certification organization by the American Podiatric Medical Association and the American College of Foot & Ankle Surgeons.
The American College of Foot & Ankle Surgeons (ACFAS) is a professional society of more than 6,000 foot and ankle surgeons. Founded in 1942, ACFAS seeks to promote the art and science of foot, ankle, and related lower extremity surgery, address the concerns of foot and ankle surgeons, and advance and improve standards of education and surgical skill.
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Founded in 1912, the American Podiatric Medical Association (APMA), headquartered in Bethesda, Maryland, is the leading resource for foot and ankle health information. Currently, the organization represents a vast majority of the 15,000 podiatrists in the country. In addition to the national headquarters, APMA boasts 53 state component locations throughout the United States and its territories, as well as affiliated societies
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The American Academy of Podiatric Sports Medicine serves to advance the understanding, prevention and management of lower extremity sports and fitness injuries. Useful articles and various athletic shoe lists are found on this site.
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Northcoast Footcare is an online resource for reliable and up-to-date foot health information. Northcoast Footcare, Inc has a complete resource of patient information for common foot conditions, such as plantar fasciitis, tendonitis and bunions as well as step by step tratments for each condition. We believe that images, diagrams and illustrations are the best way to help individuals understand their foot problems. Northcoast Footcare has the greatest number of graphicson the web for help on diagnosis and treatment of foot and ankle conditions. Content and articles written by Christine Dobrowolski, DPM, MS.
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The posterior tibial tendon starts in the calf, stretches down behind the inside of the ankle, and attaches to bones in the middle of the foot. This tendon helps hold the arch up and provides support when stepping off on your toes when walking. If it becomes inflamed, over-stretched or torn, it can cause pain from the inner ankle. Over time, it can lead to losses in the inner arch on the bottom of your foot and result in adult-acquired flatfoot.
Signs and symptoms of posterior tibial tendon dysfunction include:
- Gradually developing pain on the outer side of the ankle or foot.
- Loss of the arch and the development of a flatfoot.
- Pain and swelling on the inside of the ankle.
- Tenderness over the midfoot, especially when under stress during activity.
- Weakness and an inability to stand on the toes.
People who are diabetic, overweight, or hypertensive are particularly at risk. X-rays, ultrasound, or MRI may be used to diagnose this condition.
Left untreated, posterior tibial tendon dysfunction may lead to flatfoot and arthritis in the hindfoot. Pain can increase and spread to the outer side of the ankle.
Treatment includes rest, over-the-counter nonsteroidal anti-inflammatory drugs, and immobilization of the foot for six to eight weeks with a rigid below-knee cast or boot to prevent overuse. Note: Please consult your physician before taking any medications.