At the onset of posterior tibial tendon injury, you may feel pain on the inside arch portion of your foot.  It is close enough to the heel that you may be unsure if it is actually plantar fasciitis. The posterior tibial muscle is in the back of your leg along with your calf muscle. The Achilles tendon extends from the calf muscle into the back of your heel while the tibialis posterior sends its tendon around the inside of your ankle and underneath your foot. Its role is to support the arch and provide strength as your foot moves from heel to toe while walking or running. 

Most often overuse or improper footwear put extra workload on the tendon resulting in a mild inflammatory reaction or tendonitis.  These symptoms will progress without proper treatment. Pain and swelling to the area can lead to an inward rolling motion at the ankle. If the tendon is continuously abused, it can eventually lose the ability to support the arch and causing a notable change in arch height.

When arches drop, the injury has progressed to what is termed posterior tibial tendon dysfunction (PTTD) or adult acquired flat foot. Problems with this tendon are the most common reason for flat feet to develop in an adult. The altered mechanics that occur when this tendon is damaged can also lead to other foot pain.  A drop in the arch puts more tension on the plantar fascia creating classic plantar fascial heel pain.  Additionally, the alignment of joints becomes altered and can lead to arthritic, painful foot and ankle joints.

Are You Looking for a Heel and High Arch Pain Specialist in Austin, TX?

If you are looking for heel pain care, you should reach out to an experienced podiatristAustin Foot and Ankle Specialists can help. Our office provides a wide variety of advanced, effective treatment options for all kinds of painful conditions. Ready to schedule an appointment? Contact us online our Austin office at 512.328.8900.

Craig Thomajan
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