Take the Next Step

Call to speak with our helpful office staff9 a.m. to 5 p.m. Monday–Friday, or complete a contact form anytime.
Se habla español.

To reschedule or cancel an appointment, please use this form.

Phone: 844-777-0910
Fax: 201-560-0712

Franklin Lakes

784 Franklin Avenue, Suite 250

Glen Rock

266 Harristown Road, Suite 107


260 Old Hook Road, Suite 401


185 Route 17 South, Suite 101

North Bergen

9226 John F. Kennedy Blvd.


529 Goffle Road

Midland Park

12 Goffle Road


96 Manner Ave.

Union City

543 45th St.


194 Union Blvd.

Stony Point NY

11 Holt Drive
Posterior Tibial Tendon Dysfunction

Home » Conditions » Posterior Tibial Tendon Dysfunction

Posterior Tibial Tendon Dysfunction

Catch It Early & Halt the Worry

Attaching the calf muscle to the foot bones, the posterior tibial tendon serves an important role in supporting the foot structure and enabling proper foot function. Posterior tibial tendon dysfunction (PTTD) is caused by overuse and repetitive stress, which results in overstretching and inflammation of the tendon. When the tendon is overstretched, it no longer supports the arch, and the foot begins to flatten under body weight. When the arch collapses, the foot and toes roll outward, and the ankle rolls inward. If unaddressed, posterior tibial tendon can lead to adult acquired flatfoot and painful arthritic symptoms.



Reduce your risk.

Posterior tibial tendon dysfunction often occurs when the tibial tendon incurs an acute injury or is overused, which causes tears or inflammation. Over time, the tendon will slowly collapse, further worsening the condition and potentially causing other conditions to arise.



Pinpoint your pain.

Pain is the most reported symptom of posterior tibial dysfunction. Typically, pain will occur along the inside of the foot and ankle or on the outside of the ankle, due to the foot collapsing and the heel bone shifting into a new outward position.



Get the answers you need.

The physicians at Kayal Orthopaedic Center will perform a thorough physical examination, where they will observe the foot and ankle’s movement, and check for several distinguishing physical characteristics that indicate the condition’s presence.Our physicians will look for:

  • Swelling from the lower leg to the inside of the foot and ankle
  • Change in the shape of the foot, with either the heel tilted outward or the arch collapsed
  • The presence of “too many toes” where, if looking at the heel from the back of the foot, more toes are visible than should be
  • Ability to stand on one leg and rise up on the tiptoes
  • Foot flexibility
  • Limitations in the ankle’s range of motion

Imaging tests, such as an X-ray, an MRI, a CT Scan or an ultrasound, may be performed for further diagnosis confirmation.



Life’s too short to put up with pain.

When caught early, PTTD symptoms often improve without surgical intervention. Traditional treatment methods, like bracing and orthotics, short leg casts (for immobilization), physical therapy and/or medication, may eliminate pain. When conservative measures fail, surgery is an effective option to relieve pain. Depending on severity of PTTD, our expert surgeons may recommend:

Our physicians customized approach to foot and ankle treatment ensures that patients receive the best possible outcome.

Why Choose Kayal

Be in the hands of an elite surgical team that’s focused on you. Meet The Team