Dealing with Posterior Tibial Tendon Dysfunction
The dysfunction and function of the mid-foot ( arch ) of the foot is essential to normal walking gait and biomechanics. The stability of the mid-foot ( arch ) of the feet are looked after by a number of things, for example the alignment of the bones, the ligaments, the muscles and the plantar fascia. One of several crucial muscles in the functional support of the arch of the feet are the posterior tibial muscle. This is a powerful muscle that is in the leg. The tendon of this muscle passes around the inside of the ankle joint and inserts underneath the bones that comprise the mid-part of the arch of the foot, so this particular muscle is so essential for stabilizing the mid-foot ( arch ). In many people, the posterior tibial muscle seems to lose it capacity to stabilize the feet, causing a condition known as Posterior Tibial Tendon Dysfunction or alternatively adult acquired flat foot.
This condition typically commences with a mild ache in the midfoot or medial side of the ankle joint and the arch of the feet gradually flattens and the ankle joint rolls inwards (pronates). This is all because of the muscle not being able to do its job effectively. If treatment is not implemented, then the pain and deformity gets worse. In its end stages it usually is quite debilitating and painful. It eventually has a substantial effect on quality of life and also the ability to walk. It is extremely fatiguing because so much energy is required to walk with this condition.
Since the long term outcomes of this disorder can be so debilitating, it is very important that it is detected as quickly as possible and therapy begun. The lengthier the delay the more difficult it is to manage. During the early phases, the only real adequate treatment usually are quite firm or rigid foot supports. They must be rigid as the forces which are flattening the arch are so great that they must be countered. A softer orthotic will do nothing. A high top hiking or basketball like shoe or boot is also helpful at stabilising the ankle joint. If this is not satisfactory then more complex ankle braces could be the next step. If this fails or the treatment is started far too late, then surgery is usually the only suitable treatment at this late stage.