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Tibialis Posterior Tendon Dysfunction

Navigating Tibialis Posterior Tendon Dysfunction: A Path to Recovery

Understanding Treatment Options for Improved Foot Stability and Function

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About the condition

Tibialis Posterior Tendon Dysfunction (TPTD) and Adult Acquired Flat Foot Deformity (AAFD)
What is TPTD and AAFD? Tibialis Posterior Tendon Dysfunction (TPTD) is a condition that occurs when the tibialis posterior tendon, which supports the arch of the foot, becomes inflamed or torn. This can lead to Adult Acquired Flat Foot Deformity (AAFD), where the arch of the foot collapses, causing the foot to become flat.
Symptoms
• Pain and swelling along the inside of the ankle and foot.
• Flattening of the arch of the foot.
• Rolling in of the ankle.
• Difficulty standing on tiptoes.
• Pain that worsens with activity.
Causes
• Overuse or repetitive strain on the tibialis posterior tendon.
• Injury to the tendon.
• Obesity.
• Rheumatoid arthritis.
• Diabetes.
Diagnosis A podiatrist will diagnose TPTD and AAFD based on your medical history and a physical examination of your foot and ankle. Imaging tests such as X-rays, ultrasound, or MRI may be used to assess the severity of the condition.

Treatment

• Rest: Avoid activities that put stress on the tibialis posterior tendon.
• Ice: Apply ice to the affected area to reduce pain and swelling.
• Footwear: Wear supportive shoes with good arch support and cushioning.
• Orthotics: Use custom orthotic devices to support your feet and maintain the arch.
• Medication: Take over-the-counter pain relievers such as ibuprofen or acetaminophen.
• Physical Therapy: A physical therapist can provide exercises and treatments to help alleviate pain and strengthen the tendon.
• Injections: Corticosteroid injections may be used to reduce inflammation.
• Surgery: In severe cases, surgery may be necessary to repair the damaged tendon and correct the foot deformity.
Prevention
• Maintain a healthy weight.
• Wear supportive footwear.
• Avoid walking barefoot on hard surfaces.
• Stretch your calf muscles regularly.
• Gradually increase the intensity of your physical activities.

Learn about other common conditions

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Anterior Ankle Impingement

Managing Anterior Ankle Impingement

Posterior Ankle Impingement

Posterior Ankle Impingement Solutions

Os Navicular Syndrome

Understanding Os Navicular Syndrome

Os Trigonum

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