The posterior tibial tendon starts in the tissue layer of the leg, stretching to the bottom of the inside of the ankle, and joins the bones in the middle of your foot. This tendon helps support the arch of your foot and serves as a stabilizer when you stand on the tip of your toes. When inflamed, stretched or torn, you may feel a pain in the plantar arch.

Symptoms of Posterior Tibial Tendon Dysfunction

Signs and symptoms of posterior tibial tendon dysfunction include:

  • Weakness and inability to stand on your tiptoes
  • Pain when stretching the inner ankle
  • Tension on the middle of the foot especially during activities
  • Increased pain on the outside of the ankle or foot

Treatment for Posterior Tibial Tendon Dysfunction

  • Ice – Try icing your PT tendon for up to 20 minutes, three times each day. This will help lessen the pain and will reduce your inflammation.
  • NSAIDS – Non-steroidal anti-inflammatory drugs can be prescribed by your podiatrist to help reduce the inflammation.
  • Orthotics – Orthotics, also called foot orthoses, can help relieve symptoms of posterior tibial tendon dysfunction. It does this by supporting the arch of the foot, distributing the pressure under the foot, stabilizing the ankle, controlling pronation in all phases of walking, and realigning the lower leg.
  • Orthopedic shoes – The choice of orthopedic shoes is important to help relieve symptoms of posterior tibial tendon dysfunction, too. Wearing shoes with proper width and depth is important because it doesn’t compress the foot and toes. Laced shoes or Velcro are preferred because they help to better support the foot when you are taking steps. High heeled shoes are not recommended for women, and heels should not be higher than one inch.

Your podiatrist can diagnose posterior tibial tendon dysfunction. If you have any chronic pain in your feet, you should get in touch with your podiatrists at InMotion Foot and Ankle Specialists in Scottsdale, AZ.