Posterior Tibial Tendon Dysfunction

Posterior tibial tendon dysfunction is an inflammation and/or over-stretching of the posterior tibial tendon in the foot. The posterior tibial tendon is to help support the arch. PTTD is often called the acquired flatfoot because it is the most common flatfoot developed during adulthood.


Overuse of the posterior tibial tendon is the cause of PTTD. After being involved in activities such as running, hiking, or climbing stairs the symptoms normally begin to occur.


  • Pain
  • Swelling
  • Flattening of the arch
  • Inward rolling of the ankle
  • When initially develops, typically there is pain on the inside of the foot and ankle.
  • Once PTTD becomes more advanced the arch becomes more flatten the pain often shifts to the outside of the foot below the ankle.


Due to the progressive nature of PTTD, it is advised you schedule an appointment with us immediately at 704-504-1004. If treated early enough the symptoms may be resolved without surgery.

Treatment options include:
  • Orthotic devices or bracing
  • Immobilization-cam walker or a cast
  • Physical therapy
  • Medications
  • Shoe modifications
  • Surgery may be required if treatment options above does not help

If you are suffering from Posterior Tibial Tendon Dysfunction, please call us at 704-504-1004 or Click Here to request an appointment.

Get in touch.

InStride - Queen City Foot and Ankle Specialists

11030 South Tryon Street
Suite 308
Charlotte, NC 28273