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Tibialis Posterior Tendon Disfunction

TPTD is a progressive condition caused by changes in the tibialis posterior tendon, one of the major supporting structures of the foot, affecting the ability to support the arch.

What is Tibialis Posterior Tendon Dysfunction?

The tibialis posterior tendon is one of the major supporting structures of the foot. Tibialis Posterior Tendon Dysfunction (TPTD) is a progressive condition caused by changes in the tendon, affecting the ability to support the arch. This results in flattening of the foot.

What causes Tibialis Posterior Tendon Dysfunction?

Causes:

Tibialis posterior tendon dysfunction (TPTD) is most commonly caused by gradual wear and tear of the tendon, which can lead to the arch flattening. As the arch flattens, there is more stress and strain placed on the tendon and the ligaments in the arch of the foot.

Tibialis posterior tendon dysfunction is more common in women and in people older than 40 years of age. Additional risk factors include obesity, diabetes, and hypertension.

Signs and Symptoms:

Pain and swelling along the inside of the foot and ankle
Pain that worsens with activity. High-intensity or high-impact activities can be very difficult
Pain when walking or standing for long periods of time
Difficulty and pain when standing on tip toes
Noticeable change to the shape of the foot- flattening of the arch and inward rolling of the ankle
Pain on the outside of the ankle. When the foot collapses, the heel bone may shift to an outwards position. This can put pressure on the outside ankle bone
In severe cases, arthritis may also develop

What can I do to help myself?

It is important to try to work out what leads to your pain. Avoiding the causes or triggers of painful symptoms is one of the most important parts of helping your recovery.

Consider the following options:

Patience

This is not always easy but we know it may take time for symptoms to settle.

Ice packs

Apply an ice pack to the painful site for 20 minutes, 2-3 times daily (ensure ice is not applied directly to the skin – a cloth may be a useful barrier).

Modify activity levels

You may benefit from considering a period of rest from specific activities, reducing your activity levels, and/or engaging in alternative activities temporarily.

Aim for a healthy body weight

Being overweight increases strain to the affected area and could reduce your chances of successful resolution. If you need support with this please speak with your GP or the Get Moving service.

Medication

Use medication such as paracetamol and or anti-inflammatory medicines. Discuss this with your Pharmacist or GP.

Footwear

The shoe style you wear should accommodate the width and shape of your foot and have semi rigid soles – avoid narrow, pointed shoes. The heel height should be between 1cm and 4 cm.

Excercises

Watch the videos below and follow the exercises as advised.

Seated Heel Raises

Double Leg Heel Raises

Ankle Strengthening

What if my symptoms fail to resolve?

If after 6 weeks following the above advice, your problem has not improved seek advice from a Podiatrist.

NHS 24 MSK Help app

Free app with further exercise guidance and self-management support for MSK conditions. Available on the App Store and Google Play.

Self-Referral Form

Please complete a self referral form to apply to the podiatry service for treatment.

Self-Referral Form

If you are using a smartphone please download the free Adobe Acrobat Reader app to complete the form electronically – get.adobe.com/reader

GPs and other healthcare professionals can access referral guidance on our Ref Help pages

CONTACT INFORMATION

NHS Lothian Podiatry
Mon-Thu: 8:30am-4pm
Fri: 8am-3:30pm

Telephone: (0131) 536 1627

Self-Referral Form

ABOUT US

Podiatrists are allied healthcare professionals trained to help prevent, diagnose, and treat problems affecting your feet and lower limbs.

Podiatry’s primary aim is to improve the mobility, independence, and quality of life for their patients.

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