Causes

An acute injury can inflame or tear the posterior tibial tendon. Overuse of the tendon can also result in a tear. Overuse injuries are commonly caused by the following activities:

- strolling - running -climbing stairs -participating in basketball, soccer, and tennis

Females and people over the age of 40 are more likely to develop PTTD. It is also more common in people who are obese, diabetic, or have high blood pressure.

Symptoms

Many people may have had a recent ankle sprain, while others may not have been injured. PTTD usually affects one foot, but it can affect both feet in some people.

Among the symptoms are:

- Aches and pains radiating from the lower leg to the inside of the foot and ankle. Pain is exacerbated by activity, such as running, and some people may have difficulty standing or walking for an extended period of time.

- Swelling and warmth along the tendon's path

- As PTTD worsens, the arch of the foot flattens, the toes point outwards, and the ankle rolls inward. This is due to the posterior tibial tendon's inability to support the arch of the foot.

The pain may shift to the outside of the foot, just below the ankle. This is due to the possibility of the heel bone shifting outwards and putting pressure on the outside ankle bone.

- Arthritis of the foot and ankle may develop in some cases. For more intresting blogs subscribe - paragraph.xyz

Treatments

Resting

The initial recommendation is usually to rest to allow the tendon to heal. Change from high-impact sports like running, soccer, and basketball to biking and swimming.

Foot support

Some types of foot and ankle support may be suggested:

- Orthotics aid in the support of the foot and the restoration of the normal arch of the foot position.

- An ankle brace relieves tension on the tendon, allowing it to heal quickly. Check - Acupuncture doubleview

- A short leg cast or walking boot may be used to immobilise the tendon and allow it to rest. However, this causes leg muscle atrophy or weakening.

Anti-inflammatory Drugs

Medication, such as ibuprofen can reduce inflammation and pain.

Physical Therapy

Physical therapy can help to strengthen the tendon to alleviate the pain.

Steroid Injection

If none of the above treatments work, a cortisone injection may be considered. Because cortisone is a potent anti-inflammatory medication, the injection increases the risk of tendon rupture.

Acupuncture

If none of the above treatments work; if you are tired of wearing braces, casts, or walking boots; if you want to avoid taking anti-inflammatory medication or cortisone injections; if you want to try alternative therapy before the last option-surgery; if you are considering a natural approach, please call Floreat Acupuncture on 08 6113 6208 for an appointment. Approximately 80% of our clients with foot pain improved immediately after the first session, but please keep in mind that it may take 3-5 sessions to allow your foot to get the best possible results.

Surgery

If the PTTD is severe and other treatments have failed, surgery may be considered. Surgical options are determined by the location of the tendonitis and the extent of the tendon damage. However, some people will experience limited range of motion after surgery, and additional procedures may be required later on. Check Out - Acupuncture churchlands

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