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Sport Medicine

Jersey Shore Podiatry is pleased to offer the latest and most advanced treatments for your sports-related injuries. We see and treat the full spectrum of foot and ankle injuries, from minor sprains and strains to broken bones and chronic injuries.

Common sports injuries we treat include:

Common Sports Injuries we treat include:

Thursday, September 20, 2018

Falling Arches

Posterior Tibial Tendon Dysfunction - Acquired Flatfoot



Posterior tibial tendon dysfunction, also known as acquired flatfoot, results when the tendon at the back of the ankle is inflamed or torn.  It is a progressive condition that can eventually lead to a fallen arch or flatfoot.  Advanced cases, or those that do not respond to non-surgical treatments, may require surgery.  There are various surgical procedures for posterior tibial tendon dysfunction, and it is common to need more than one.



The posterior tibial tendon connects at the calf, travels around the inside of the ankle joint, and attaches to the bones in the midfoot.  It maintains the arch in your foot and provides stability when you walk.



Posterior tibial tendon dysfunction results when the tendon becomes inflamed or torn.  Sports injury and overuse can contribute to posterior tibial tendon dysfunction.  Certain medical conditions, such as obesity, hypertension, diabetes, and arthritis increase the risk of the condition.  Problems with this tendon are more common in women.


Posterior tibial tendon dysfunction most frequently develops in one foot, but it can affect both feet.  Symptoms are usually progressive, meaning they get worse over time.  You may first notice pain, redness, and swelling along the inside of your ankle and foot.  As the arch in your foot flattens, you may experience pain in your outer and midfoot, weakness, and the inability to stand on your toes.



You should see your doctor if you suspect that you have posterior tibial tendon dysfunction.  Early diagnosis and treatment can help stop the progression of the condition.  Your doctor can diagnose posterior tibial tendon dysfunction by reviewing your medical history, examining you, and conducting some tests. 

Your doctor will ask you to stand or move your foot in certain ways so that it can determined how your tendon is functioning.  X-rays, ultrasound, or magnetic imaging resonance (MRI) imaging may be used to provide pictures of your ankle and leg structures.



In some cases, early non-surgical treatment can help prevent the need for surgical treatment in the future.  In the early stages, pain and swelling are treated with rest and aspirin or ibuprofen.  A short leg cast or boot may be worn while the tendon heals.  Physical therapy usually follows casting to help the ankle joint gain range of motion and strength.  You may be issued an ankle stirrup, custom orthotic device, or custom shoe insert to help support your foot. 



Surgery may be recommended when non-surgical treatments fail to provide symptom relief, or for advanced cases of posterior tibial tendon dysfunction.  There are several types of surgery, and you may need more than one type of procedure.  Surgery is used to removed inflamed tissue, improve the position of the heel bone, transfer another tendon for reconstruction, or fuse bones together to prevent movement and add stability. 



Following surgery, you may need to wear a protective splint, cast, or boot.  Physical rehabilitation exercises can help you regain strength and stability.  You may need to use a cane or crutches at first. 

Recovery is individualized.  The amount of time you need to heal depends on the extent of your condition and the procedures that you received.  Your doctor will let you know what to expect


In some cases, early diagnosis and treatment can stop the progression of posterior tibial tendon dysfunction.  You should wear the arch supports, custom orthotic inserts, or orthotic shoes  recommended by your doctor.

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Biomechanical Evaluation

Every visit to our sports medicine foot and ankle doctor, Dr. Robert Sussman, begins with a biomechanical evaluation of your hip, knee, and ankle joints.

No other foot doctor in the Jersey Shore, Neptune, or Monmouth County areas has this capability.

This evaluation utilizes technology to fully analyze the structure and function of your lower body. Tightness or weakness in specific areas, such as your hips or knees, can cause pain and affect your balance or the way you walk (your gait). Based on the results, Dr. Adler can recommend a care plan to include physical therapy, gait training, balance training, or custom-molded orthotics.

At Jersey Shore Podiatry, we also provide many on-site services, such as digital X-rays and fracture care, to expedite a diagnosis and save you time.

An expert evaluation, diagnosis, and comprehensive treatment for your injured foot or ankle is just a phone call away. Call Jersey Shore Podiatry in Neptune, NJ today at (732) 776-7260 or request an appointment online.

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