Posterior Tibial Tendon Dysfunction

Welcome! Since 1994, Nashville Podiatry has been working with patients to provide the best podiatric care for patients in the North Nashville area. Dr. Daniel Mendoza's experience in podiatry is coupled with genuine concern for his patients. All our staff is dedicated to your comfort and prompt attention as well. Our goal is to help you maintain healthy feet.

This web site provides you with an overview of our practice and the field of podiatry. As you navigate the site, you'll find information about Dr Mendoza's practice philosophy, our office locations, insurance policies, and appointment scheduling procedures. Please browse the site at your convenience and feel free to contact us with any questions. You can also request an appointment by clicking here.

You'll find a lot of valuable information on the web site about foot problems, diagnoses and treatments. We believe informed patients are better prepared to make decisions about their health and well being. We encourage you to review this information to help you understand any health concerns you may face.

What is a Podiatrist?

A podiatrist, also called a doctor of podiatric medicine, is a specialist who provides medical diagnosis and treatment of foot and ankle problems, such as bunions, heel pain, spurs, hammertoes, neuromas, ingrown toenails, warts, corns and calluses. A podiatrist also renders care of sprains, fractures, infections, and injuries of the foot, ankle and heel. In addition to undergraduate medical school training, podiatrists also attend graduate school for a doctorate degree in podiatry. Podiatrists are required to take state and national exams, as well as be licensed by the state in which they practice.

According to the American Podiatric Medical Association, there are an estimated 15,000 practicing podiatrists in the United States. Podiatrists are in demand more than ever today because of a rapidly aging population. In addition, according to the association, foot disorders are among the most widespread and neglected health problems affecting people in this country.

Typically, podiatrists:

  • Consult with patients and other physicians on how to prevent foot problems.
  • Diagnose and treat tumors, ulcers, fractures, skin and nail diseases, vascular problems and deformities.
  • Perform surgeries to correct or remedy such problems as bunions, clawtoes, fractures, hammertoes, infections, ruptured Achilles, and other ligaments and tendons.
  • Prescribe therapies and perform diagnostic procedures such as x-rays, MRI, CAT scans, ultrasound and lab tests.
  • Prescribes or fits patients with inserts called orthotics that correct walking patterns.
  • Treat conditions such as: bone disorders, bunions, corns, calluses, cysts, heel spurs, infections, ingrown nails, and plantar fasciitis.

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.