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Adult Acquired Flatfoot: Causes, Symptoms & Treatment

Discover the causes and symptoms of PTTD, and why prompt treatment is crucial to prevent long-term damage.

In this picture we can see footwear placed on the surface.
In this picture we can see footwear placed on the surface.

Adult Acquired Flatfoot: Causes, Symptoms & Treatment

Posterior Tibial Tendon Dysfunction (PTTD), also known as adult acquired flatfoot, is a condition causing pain, swelling, and foot flattening. It's more common in females, older adults, and those with health issues like obesity, diabetes, or hypertension.

PTTD occurs when the posterior tibial tendon becomes inflamed or tears, leading to the arch of the foot collapsing. This tendon supports the arch and helps the foot move, and when it's damaged, the foot flattens and rolls inward.

Symptoms include pain, swelling, and inward ankle rolling. The condition can progress to cause arthritis in the foot and ankle. It's often caused by overuse, repetitive strain, or trauma, and can be exacerbated by obesity, flat feet, or inflammatory diseases. Diagnosis involves examining the foot, checking range of motion, and using imaging tests like X-rays or MRI. Treatment typically starts with reducing pain and swelling, using foot support, and may require surgery in severe cases.

PTTD, or adult acquired flatfoot, is a progressive condition that can lead to arthritis if left untreated. It's more common in certain groups and can be caused by various factors. While it can often be treated without surgery, prompt diagnosis and treatment are crucial to prevent long-term damage.

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