What is posterior tibial tendon dysfunction?
Flat foot is a pretty common problem of the foot, but most of the time merely having a lower arch or flatter foot is not always an issue. What is a issue is if it is progressive and becomes painful, then it's known as posterior tibial tendon dysfunction or adult acquired flatfoot. In these cases the arch of the foot becomes steadily lower and the heel rolls inwards. This is usually associated with pain in the arch of the foot and in the rearfoot area. Those with this also find walking is a lot more difficult and walking uses a lot of energy resulting in a lot of tiredness.The reason for posterior tibial tendon dysfunction is not really fully understood, however it is a problem in which the posterior tibial tendon and muscle can't just do the job that it is designed for.
The primary role of the posterior tibial tendon is to support the arch of the foot and stop the heel rolling inwards. For some reason the muscle and tendon unit can not just do that job any more, resulting in the progressive nature of this problem.The management of posterior tibial tendon dysfunctionmanagement of posterior tibial tendon dysfunction is sort of urgent and really should be dealt with as soon as it possibly can. This is due to the disorder is progressive and it will reach a point where conservative interventions do not work and surgery is the only option. As you move the surgical outcomes are likely to be satisfactory, they do include the fusion of some joints to stop the condition getting worse, that comes with some long term limitations on gait as well as function, so is best avoided. To prevent the surgical option, treatments ought to be started early. This will likely consist of foot orthotics that are really supportive and position the foot back in the right direction. Exercises are also recommended, but should never be used rather than foot supports, as they are essential to stop this problem from getting worse.