With a healthy tendon, you should be able to complete eight to 10 heel raises comfortably. Then you’ll raise your healthy foot off the ground and attempt to lift onto the toes of your affected foot. For this test, you’ll stand next to a wall or chair to support your balance. In those with PTTD, more toes may be visible.Ī single-limb heel rise test can also determine the health of your posterior tibial tendon. In a normal foot, only the fifth toe (pinky toe) and part or all of the fourth toe (ring toe) are visible on the outside of the foot. The front of your foot may also move away from your body to counterbalance the changes to the heel and inner arch.įrom behind your foot, your provider will also look for a “too many toes” sign. Your heel may point outward, and your inner arch may rest flat on the ground. Your provider will examine your foot from behind to look for any changes in its structure or shape. Swelling, tenderness and pain or weakness when moving your foot or ankle are early signs of PTTD. They’ll move your foot from side to side and check your ankle’s range of motion. Your healthcare provider will look for swelling along the posterior tibial tendon in your ankle and foot. How is posterior tibial tendon dysfunction diagnosed? These movements may include standing, walking, running or standing on your toes. If you have PTTD, making certain movements will be difficult for you. How does posterior tibial tendon dysfunction affect my body? People who participate in high-impact sports or activities, including football, basketball, soccer, track and long-distance running, may tear the tendon from repeated use. The tendon can also experience damage from a fall or overuse. However, it can also affect those with conditions including: The tendon often degenerates, or breaks down, as you get older. PTTD most frequently affects women and people over the age of 40. Who does posterior tibial tendon dysfunction affect?
There are degenerative changes to the connective tissue (cartilage) in the back of the foot.
There are four posterior tibial tendon dysfunction stages: What are the stages of posterior tibial tendon dysfunction? PTTD is the most common cause of adult-acquired flatfoot. It can be a painful injury that negatively affects foot and ankle movements, including walking and running. When the tendon is injured or breaks down, it may no longer be able to support the arch. The main purpose of the tendon is to support the arch on the inside of your foot. The posterior tibial tendon connects your calf muscle to bones on the inside of your foot. It’s also known as posterior tibial tendonitis or posterior tibial tendon insufficiency. Posterior tibial tendon dysfunction (PTTD) is an issue that causes foot and ankle pain. What is posterior tibial tendon dysfunction?
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