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Santa Monica

Cedars Sinai

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FOOT AND ANKLE CONDITION

What is Posterior Tibial Tendon Dysfunction (PTTD)?

Posterior Tibial Tendon Dysfunction (PTTD), also known as adult-acquired flatfoot, is a progressive condition that affects the tendon supporting the arch of your foot. If left untreated, it can lead to chronic pain, collapsed arches, and long-term disability.

At SoCal Foot and Ankle Doctors in Santa Monica, we specialize in early diagnosis and advanced treatments for PTTD to restore foot stability and function.

Image showing Foot with posterior tibial tendon dysfunction, Socal Foot Ankle doctors, Common Foot & Ankle Disorders
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Symptoms

  • Pain and swelling along the inside of the ankle
  • Flattening of the arch
  • Difficulty standing on tiptoe
  • Rolling in of the ankle (overpronation)
  • Progressive flattening of the foot
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Causes & Risk Factors

  • Overuse injuries (common in runners and active adults)
  • Flatfoot biomechanics
  • Obesity or diabetes
  • Age-related tendon weakening
  • Trauma or ankle sprains
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Diagnosis

Our diagnostic process includes:

  • Physical exam with gait and arch assessment
  • Digital X-rays
  • Diagnostic ultrasound or MRI (if needed)
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Treatment Options

Conservative Options:

  • Custom orthotics to support the arch
  • Ankle braces (e.g., Arizona AFO)
  • Physical therapy
  • Immobilization during acute inflammation
  • Anti-inflammatory medications

Advanced Options:

  • Shockwave Therapy to promote tendon healing and reduce inflammation
  • Amniotic or regenerative injections (PRP, stem cell-based)
  • Surgical tendon repair or flatfoot reconstruction in severe cases
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Why Choose SoCal Foot and Ankle Doctors?

  • Advanced imaging and diagnostics on-site
  • Non-surgical and surgical options under one roof
  • Specialists in arch disorders and tendon pathologies
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Book an Appointment

If you notice foot flattening or inner ankle pain, contact our Santa Monica podiatry office today to schedule an evaluation.

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Our Docters

Our Board Certified Podiatrists

Socal Foot and Ankle doctors are committed to delivering the most exceptional treatments.

Arash R. Hassid, DPM

Board Certified Foot & Ankle Specialist

Daniel L. Altchuler, DPM

Board Certified Foot & Ankle Specialist

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