MUNICIPALIDAD DE EL AGUSTINO Telef. : 715-2121 Serenazgo : 385-1438 {{{What Is|What Exactly Is|What'S} {Adult Aquired {Flat Foot|FlatFoot|Flat Feet|FlatFeet}|Posterior Tibial Tendon Dysfunction|Posterior Tibial Tendon Dysfunction} |{What Causes|What Can Cause|The Causes Of} {Adult Aquired {Flat Foot|FlatFoot|Flat Feet|Fla
{{{What Is|What Exactly Is|What'S} {Adult Aquired {Flat Foot|FlatFoot|Flat Feet|FlatFeet}|Posterior Tibial Tendon Dysfunction|Posterior Tibial Tendon Dysfunction} |{What Causes|What Can Cause|The Causes Of} {Adult Aquired {Flat Foot|FlatFoot|Flat Feet|Fla

{{{What Is|What Exactly Is|What'S} {Adult Aquired {Flat Foot|FlatFoot|Flat Feet|FlatFeet}|Posterior Tibial Tendon Dysfunction|Posterior Tibial Tendon Dysfunction} |{What Causes|What Can Cause|The Causes Of} {Adult Aquired {Flat Foot|FlatFoot|Flat Feet|Fla

Overview
PTTD is most commonly seen in adults and referred to as "adult acquired flatfoot". Symptoms include pain and swelling along the inside arch and ankle, loss of the arch height and an outward sway of the foot. If not treated early, the condition progresses to increased flattening of the arch, increased inward roll of the ankle and deterioration of the posterior tibial tendon. Often, with end stage complications, severe arthritis may develop. How Why does it hurt right above my heel? all this happen' In the majority of cases, it is overuse of the posterior tibial tendon that causes PTTD. And it is your inherited foot type that may cause a higher possibility that you will develop this condition.
'Adult

Causes
There are numerous causes of acquired adult flatfoot, including fracture or dislocation, tendon laceration, tarsal coalition, arthritis, neuroarthropathy, neurologic weakness, and iatrogenic causes. The most common cause of acquired adult flatfoot is posterior tibial tendon dysfunction.

Symptoms
The symptoms of PTTD may include pain, swelling, a flattening of the arch, and an inward rolling of the ankle. As the condition progresses, the symptoms will change. For example, when PTTD initially develops, there is pain on the inside of the foot and ankle (along the course of the tendon). In addition, the area may be red, warm, and swollen. Later, as the arch begins to flatten, there may still be pain on the inside of the foot and ankle. But at this point, the foot and toes begin to turn outward and the ankle rolls inward. As PTTD becomes more advanced, the arch flattens even more and the pain often shifts to the outside of the foot, below the ankle. The tendon has deteriorated considerably and arthritis often develops in the foot. In more severe cases, arthritis may also develop in the ankle.

Diagnosis
Your podiatrist is very familiar with tendons that have just about had enough, and will likely be able to diagnose this condition by performing a physical exam of your foot. He or she will probably examine the area visually and by feel, will inquire about your medical history (including past pain or injuries), and may also observe your feet as you walk. You may also be asked to attempt standing on your toes. This may be done by having you lift your 'good' foot (the one without the complaining tendon) off the ground, standing only on your problem foot. (You may be instructed to place your hands against the wall to help with balance.) Then, your podiatrist will ask you to try to go up on your toes on the bad foot. If you have difficulty doing so, it may indicate a problem with your posterior tibial tendon. Some imaging technology may be used to diagnose this condition, although it's more likely the doctor will rely primarily on a physical exam. However, he or she may order scans such as an MRI or CT scan to look at your foot's interior, and X-rays might also be helpful in a diagnosis.

Non surgical Treatment
Because of the progressive nature of PTTD, early treatment is critical. If treated soon enough, symptoms may resolve without the need for surgery and progression of the condition can be stopped. If left untreated, PTTD may create an extremely flat foot, painful arthritis in the foot and ankle, and will limit your ability to walk, run, and other activities. Your podiatrist may recommend one or more of these non-surgical treatments to manage your PTTD. Orthotic devices or bracing. To give your arch the support it needs, your foot and ankle surgeon may recommend an ankle brace or a custom orthotic device that fits into your shoe to support the arch. Immobilization. A short-leg cast or boot may be worn to immobilize the foot and allow the tendon to heal. Physical therapy. Ultrasound therapy and stretching exercises may help rehabilitate the tendon and muscle following immobilization. Medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation. Shoe modifications. Your foot and ankle surgeon may recommend changes in your footwear.
'Flat

Surgical Treatment
Stage two deformities are less responsive to conservative therapies that can be effective in mild deformities. Bone procedures are necessary at this stage in order to recreate the arch and stabilize the foot. These procedures include isolated fusion procedures, bone grafts, and/or the repositioning of bones through cuts called osteotomies. The realigned bones are generally held in place with screws, pins, plates, or staples while the bone heals. A tendon transfer may or may not be utilized depending on the condition of the posterior tibial tendon. Stage three deformities are better treated with surgical correction, in healthy patients. Patients that are unable to tolerate surgery or the prolonged healing period are better served with either arch supports known as orthotics or bracing such as the Richie Brace. Surgical correction at this stage usually requires fusion procedures such as a triple or double arthrodesis. This involves fusing the two or three major bones in the back of the foot together with screws or pins. The most common joints fused together are the subtalar joint, talonavicular joint, and the calcaneocuboid joint. By fusing the bones together the surgeon is able to correct structural deformity and alleviate arthritic pain. Tendon transfer procedures are usually not beneficial at this stage. Stage four deformities are treated similarly but with the addition of fusing the ankle joint.}
             
         
 
MUNICIPALIDAD DE EL AGUSTINO Telef. : 715-2121 Serenazgo : 385-1438 {{{What Is|What Exactly Is|What'S} {Adult Aquired {Flat Foot|FlatFoot|Flat Feet|FlatFeet}|Posterior Tibial Tendon Dysfunction|Posterior Tibial Tendon Dysfunction} |{What Causes|What Can Cause|The Causes Of} {Adult Aquired {Flat Foot|FlatFoot|Flat Feet|Fla