We did not find Posterior tibial tendon dysfunction in Barranquilla, Colombia

What is posterior tibial tendon dysfunction?

It is progressive weakening of the tendon that runs along the inner ankle and supports the arch. When it fails, the arch collapses and adult-acquired flatfoot develops. It is most common in women over 40 with excess weight, high blood pressure or diabetes.

What symptoms does it cause?

Pain and swelling on the inner ankle and arch, foot fatigue when walking, progressive flattening of the arch, the heel tilting outward, difficulty rising on tiptoe on that foot and, in advanced stages, pain on the outer foot.

Why treat it early?

It is progressive. In early stages the foot is still flexible and responds well to conservative care. If left to progress, the foot becomes rigid and arthritis can develop, making surgery more complex.

How is it treated?

In early stages, temporary immobilization in a boot if pain is severe, insoles or braces that support the arch, physical therapy to strengthen the tendon, weight control and supportive footwear. If it does not improve or the foot deforms, surgery can repair the tendon, transfer another tendon, realign the bones or, in rigid cases, fuse joints.

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