Flat Feet / Fallen Arches

 

Posterior Tibial Tendon Dysfunction (PTTD)

What Is PTTD?   

The posterior tibial tendon serves as one of the major supporting structures of the foot, helping it to function while walking. Posterior tibial tendon dysfunction (PTTD) is a condition caused by changes in the tendon, impairing its ability to support the arch. This results in flattening of the foot.

PTTD is often called adult acquired flatfoot because it is the most common type of flatfoot developed during adulthood. Although this condition typically occurs in only one foot, some people may develop it in both feet. PTTD is usually progressive, which means it will keep getting worse, especially if it is not treated early.

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Pediatric Flatfoot: Cause for Alarm?

Parents keep a close eye on their growing children, watching for proper development and being alert for any sign of a problem because small problems can have big implications. Pediatric flatfoot is a childhood condition that, if left untreated, can result in permanent deformity in adulthood. Flatfoot deformity makes mobility and exercise painful, increasing the risk of reduced cardiovascular health and obesity. 

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Fallen Arches

Fallen arches is a term commonly used to describe a flatfoot condition that develops during adulthood. This should not be confused with other causes of flatfoot that may develop during childhood or adolescence.

Most cases of fallen arches develop when the main arch-supporting tendon (the posterior tibial tendon) becomes weakened or injured, causing the arch to gradually become lower. With time, the shape of the foot changes and secondary symptoms start to appear.

Common problems associated with fallen arches include plantar fasciitis, tendonitis, increased fatigue and arthritis of the foot and ankle.