Posterior tibial tendon dysfunction or PTTD is the medical name for flattening of the feet. The posterior tibial tendon, itself, serves as a major supporting structure of the foot, assisting in foot function while walking.
Adult-Acquired Flatfoot
Changes in the tendon lead to PTTD, which, in turn, leads to a flattening of the foot. Therefore, PTTD is frequently known as adult-acquired flatfoot because it develops during adulthood. Although the condition usually occurs in just one foot, it can occur in both feet as well. If PTTD is not treated at the onset, it will become progressively worse.
The Onset of PTTD
Professionals in Podiatry in Kenosha, WI state that overuse of the posterior tibial tendon leads to PTTD. Activities that involve the tendon include walking, running, stair climbing, and hiking. The symptoms of PTTD that are often seen at Kenosha podiatry clinics include pain, flattening of the arch, swelling, and an inward roll of the ankle. As the condition continues, the symptoms change. For instance, when PTTD is first noted, pain is experienced inside the foot and ankle. The area is usually warm, red, and swollen.
Progression of the Condition
As the condition progresses, the arch starts to flatten. Some pain may still exist on the inside foot and ankle. However, the foot and toes start to turn outward and the ankle begins to roll inward. In the advanced stages, podiatry doctors note a further flattening of the arch. The pain at this point shifts to the outer foot, just below the ankle. When a patient reaches this stage, the tendon is severely deteriorated, and arthritis usually develops in both the foot and ankle.
Why it Is Important to Treat the Condition Early
Podiatry professionals advise early treatment of PTTD because the initial symptoms can resolve themselves without the need for surgery. As a result, the progression of the condition can be arrested before it becomes extremely severe.