Reston/Herndon - (703) 437-6333

Manassas/Gainesville - (703) 368-7166

Leesburg/Ashburn - (703) 777-2101

Posterior Tibial Tendon Dysfunction

The posterior tibial tendon starts in the calf, stretches down behind the inside of the ankle, and attaches to bones in the middle of the foot. This tendon helps hold the arch up and provides support when stepping off on your toes when walking. If it becomes inflamed, over-stretched or torn, it can cause pain from the inner ankle. Over time, it can lead to losses in the inner arch on the bottom of your foot and result in adult-acquired flatfoot.

Signs and symptoms of posterior tibial tendon dysfunction include:

  • Gradually developing pain on the outer side of the ankle or foot.
  • Loss of the arch and the development of a flatfoot.
  • Pain and swelling on the inside of the ankle.
  • Tenderness over the midfoot, especially when under stress during activity.
  • Weakness and an inability to stand on the toes.

People who are diabetic, overweight, or hypertensive are particularly at risk. X-rays, ultrasound, or MRI may be used to diagnose this condition.

Left untreated, posterior tibial tendon dysfunction may lead to flatfoot and arthritis in the hindfoot. Pain can increase and spread to the outer side of the ankle.

Treatment includes rest, over-the-counter nonsteroidal anti-inflammatory drugs, and immobilization of the foot for six to eight weeks with a rigid below-knee cast or boot to prevent overuse. Note: Please consult your physician before taking any medications.

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Locations

Reston Foot and Ankle Center
11737 Bowman Green Dr.
Reston, VA 20190
Phone (703) 437-6333
Fax: (703) 437-7837

Manassas Foot and Ankle Center
8577A Sudley Rd.
Manassas, VA 20110
Phone (703) 368-7166
Fax: (703) 368-5103

Leesburg Foot and Ankle Center
211 Gibson St. NW Suite 101
Leesburg, VA 20176
Phone (703) 777-2101
Fax: (703) 777-4431

Office Hours

Reston Foot and Ankle Center
Monday - Thursday: 8:30am - 6:30pm
Friday: 8:30am - 4:00pm

Manassas Foot and Ankle Center
Monday: 8:30am - 5:00pm
Tuesday - Thursday: 8:30am - 6:30pm
Friday: 8:00am - 4:00pm

Leesburg Foot and Ankle Center
Monday: 8:00am - 3:00pm
Wednesday: 8:00am - 1:00pm