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Dr. Brandon Macy
Podiatrist - Clark, NJ
1114 Raritan Road
Clark, NJ 07066

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Posts for tag: • Posterior Tibial Tendon Dysfunction

Also known as Adult-Acquired Flat Foot or Tibialis Posterior Tendonitis, this condition results in a flattened arch in the foot. Those affected might experience symptoms such as pain along the inside of the ankle and foot, as well as a foot deformity with a shifted heel bone. Left untreated, it can cause chronic pain and severe deformity, making it hard to find shoes that fit comfortably.

What causes it?

  • Posterior Tibial Tendon Dysfunction (PTTD) – This is one of the most common causes of painful progressive flat foot. When there is inflammation of the posterior tibial tendon, or if it is damaged or torn, it can no longer properly hold up the arches of the feet.
  • Health issuesObesity (excess weight that the feet have to bear), Diabetes (reduced sensation can lead to weakened foot structures and eventually lead to Charcot Foot), and Hypertension (reduced blood supply to the tendon).
  • Arthritis: When joints and bones are affected by arthritis, they can become weakened and allow for a collapsed arch.
  • Injury: Blunt trauma can cause the issues that lead to a fallen arch, including inflamed or torn tendon, or structural deformity in the feet.
  • Flat foot since childhood – Some folks are born with flat feet, and they may not always cause problems until later in life when the arch collapses.

What can be done to treat it?

  • Orthotics, including custom supportive inserts, specially made shoes, immobilizing casts, or supportive braces. These assistive devices can help to correct your gait and posture. They can prevent your feet from rolling inward from having flat feet, as well as relieve pressure on the arches as you walk and stand.  
  • Physical therapy can be helpful to strengthen the soft tissue in the feet to correct gait.
  • Icing and NSAIDs can help relieve pain, swelling, and inflammation.
  • Treat health conditions like obesity (weight loss), diabetes, hypertension, and arthritis.
  • In rare cases, surgery might be an option to treat any posterior tibial tendon issues, or if there are any structural bone issues.

If you suspect that your arches have fallen and if you have pain along the inside of your feet or ankles, make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your feet to find the best treatments or solutions for your feet. We are located in Clark, NJ and serve patients in all the surrounding Union County towns!



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1114 Raritan Road
Clark, NJ 07066

Podiatrist - Clark, Dr. Brandon Macy, 1114 Raritan Road, Clark NJ, 07066 732-382-3470