Conditions We Treat
🦶

Posterior Tibial Tendon Dysfunction

The most common cause of adult-acquired flat foot.

Posterior tibial tendon dysfunction (PTTD) occurs when the tendon supporting the arch becomes inflamed or torn. It is the leading cause of adult flatfoot and can progress from mild pain to severe deformity if untreated.

Call (330) 334-1534
Signs and Symptoms

Recognizing Posterior Tibial Tendon Dysfunction

  • Inner ankle and arch pain
  • Swelling along the inner ankle
  • Flat foot that develops or worsens over time
  • Difficulty standing on tiptoe
  • Pain that worsens with activity
  • Heel turning outward
Treatment Approach

Dr. Husein's philosophy

80% of cases resolve with conservative care

Conservative Care First (Preferred)

  • Immobilization with a boot or cast
  • Custom orthotics and arch support
  • Physical therapy
  • Anti-inflammatory medications
  • Ankle bracing
  • Activity modification

Surgical Consideration (Last Resort)

Surgery is always the last resort.
Advanced PTTD that has caused structural deformity may require reconstructive surgery including tendon transfer, osteotomy, or joint fusion depending on the stage of the condition.
Recommended Products

OTC products that may provide relief

🛒
PTTD arch support orthotic
View on Amazon
🛒
Ankle foot orthosis AFO brace
View on Amazon
🛒
Supportive walking shoes flat feet
View on Amazon
🛒
Ankle support lace-up brace
View on Amazon

Amazon affiliate links -- purchases support this practice at no extra cost to you. Always consult Dr. Husein before starting any new treatment.

Recommended Partner

Custom orthotics from Upstep

Dr. Husein Partner
Upstep Custom Orthotics — $20 off with code HUSEINYUSUFHUSE

Custom orthotics are one of the most effective conservative treatments for this condition. Upstep ships a casting kit to your home — you make an impression of your foot and mail it back. Your custom orthotics arrive in 1–2 weeks.

HUSEINYUSUFHUSE
= $20 off  •  Tip: Bring the kit to your appointment for Dr. Husein to oversee casting
Order Casting Kit →

Don't wait for it to get worse.

Early intervention produces the best outcomes. Call to schedule a consultation at our Wadsworth or Lakewood office.

Call (330) 334-1534
⚖️
Medical Disclaimer — Educational Purposes Only

The information provided on this page is intended for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It should not be used as a substitute for professional medical consultation, diagnosis, or treatment by a licensed and qualified healthcare provider.

Every patient is unique. Symptoms, causes, and appropriate treatments vary significantly between individuals. Only a qualified podiatric physician who has examined you in person can provide an accurate diagnosis and recommend an appropriate treatment plan.

If you are experiencing foot or ankle pain or any of the symptoms described on this page, we strongly encourage you to schedule an appointment with Dr. Husein for a proper in-person evaluation. Do not delay seeking professional medical advice based on information read on this or any website.

Schedule an Appointment Wadsworth: (330) 334-1534  |  Lakewood: (216) 221-2445