Understanding Posterior Tibial Tendonitis and Flat Feet

Flat feet, also known as pes planus, is a condition that affects many individuals and can lead to various complications, one of which is posterior tibial tendonitis. This blog aims to shed light on how these two conditions are interconnected, their symptoms, causes, treatment options, and tips for prevention.

What is Flat Foot?

Flat foot, or flat arch, is characterized by a noticeably low or absent arch in the foot. It can be present from childhood (flexible flatfoot) or develop later in life due to factors such as injury, age, or other health conditions (rigid flatfoot). While many people with flat feet might not experience pain, others may feel discomfort or develop further complications.

What is Posterior Tibial Tendonitis?

Posterior tibial tendonitis occurs when the posterior tibial tendon, which is pivotal in supporting the arch of the foot, becomes inflamed or injured. This tendon runs along the inside of the ankle and foot, helping to maintain the arch and control foot motion. When this tendon weakens or becomes inflamed, it can result in pain and instability, further exacerbating the issues for individuals with flat feet.

Symptoms of Posterior Tibial Tendonitis

Common symptoms of posterior tibial tendonitis include:

- Pain along the inside of the ankle and foot
- Swelling near the ankle
- Difficulty standing on tiptoes
- A feeling of instability when walking, especially on uneven surfaces
- Pain that worsens with activity and improves with rest

For individuals with flat feet, the symptoms may be more pronounced, as the lack of proper arch support puts additional stress on the posterior tibial tendon.

Causes of Posterior Tibial Tendonitis and Its Connection to Flat Feet

Numerous factors can lead to posterior tibial tendonitis, particularly in individuals with flat feet:

1. Overuse: Activities that involve repetitive strain on the foot, such as running, hiking, or sports, can lead to tendonitis.

2. Weakness in Foot Muscles: Weakness in the muscles supporting the foot can lead to increased strain on the posterior tibial tendon.

3. Age and Wear: As we age, the posterior tibial tendon can become less elastic and more prone to injury.

4. Foot Structure and Mechanical Abnormalities: Flat feet place excess stress on the posterior tibial tendon, making it more susceptible to inflammation and injury.

5. Obesity: Carrying excess weight can contribute to foot strain and increase the risk of developing tendonitis.

Treatment Options

Treating posterior tibial tendonitis typically involves a combination of rest, rehabilitation, and other therapeutic measures:

1. Rest and Activity Modification: Reducing activities that exacerbate pain can promote healing.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and relieve discomfort.

3. Physical Therapy: A physical therapist can design a regimen focused on strengthening the foot and ankle muscles, improving flexibility, and correcting any biomechanical issues.

4. Orthotic Devices: Custom insoles or arch supports can help redistribute pressure on the foot and provide additional support.

5. Medication: Over-the-counter anti-inflammatory medications can help manage pain and inflammation.

6. Surgery: In severe cases where conservative treatments fail, surgical intervention might be necessary to repair the tendon or reconstruct the arch.

Preventive Measures

Preventing posterior tibial tendonitis, especially in individuals with flat feet, can involve several strategies:

1. Proper Footwear: Supportive shoes with arch support and cushioning can significantly alleviate stress on the feet.

2. Regular Foot Exercises: Strengthening exercises targeting the foot, ankle, and lower leg can improve overall stability and support.

3. Weight Management: Maintaining a healthy weight can reduce the strain on the feet and lower limbs.

4. Gradual Increase in Activity: When returning to physical activity after a break, gradually increase intensity to avoid overuse injuries.

Conclusion

Understanding the connection between flat feet and posterior tibial tendonitis is crucial for managing symptoms and preventing complications. If you experience persistent foot or ankle pain, schedule an appointment with Dr. Gireesh Reddy or Dr. Sirisha Pokala at Restore Foot & Ankle Specialists by calling (469) 573-3427 or by booking an appointment online.