How do you treat a posterior tibial tendon tear?

How long does it take for a posterior tibial tendon tear to heal?

Posterior tibial tendon dysfunction generally takes 6-8 weeks to improve and early activity on a healing tendon can result in a set back in recovery. Non-compliance can double the recovery time and can be very frustrating for patients. Posterior tibial tendon dysfunction is a progressive condition.

Is walking good for posterior tibial tendonitis?

Balance and Proprioception

Because improved balance and awareness of foot and ankle position have been shown to decrease stress through your injured posterior tibial tendon. This may help decrease pain and improve your ability to return to normal, pain-free walking and running.

What does a posterior tibial tendon tear feel like?

Tenderness over the midfoot, especially when under stress during activity. Gradually developing pain on the outer side of the ankle or foot as the arch flattens even more. A popping sound associated with pain on the inside of the ankle when the tendon is suddenly torn during an activity.

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What happens if posterior tibial tendonitis goes untreated?

If left untreated, this injury may lead to irreversible damage, such as a flat foot, painful degenerative arthritis and mobility problems. In advanced cases, or those that have not responded to conservative measures after 3 months or more, surgery may be recommended.

Does wearing a boot help posterior tibial tendonitis?

Applying ice and taking non-steroidal anti-inflammatory drugs (NSAIDs) can also help. A short leg cast or a walking boot can help for a few weeks, but can’t be used long-term. An orthotic (shoe insert) and a brace are good longer-term treatment options. Physical therapy can help strengthen the tendon.

Do you need surgery for a torn tendon?

Tendon injuries are relatively common and often require surgery to repair them. Tendon repair surgeries are usually straightforward but come with some minor risks. After the surgery, a person should slowly regain their range of motion. In some cases, however, the tendon can tear again.

What happens if a torn tendon is not repaired?

If left untreated, eventually it can result in other foot and leg problems, such as inflammation and pain in the ligaments in the soles of your foot (plantar faciitis), tendinitis in other parts of your foot, shin splints, pain in your ankles, knees and hips and, in severe cases, arthritis in your foot.

How long can you wait to repair a tendon?

If symptoms persist after 6 to 12 months, then surgery may be your best option. Complete tendon tears may require surgery much sooner, however. In some cases, a large or complete tear has a better chance of fully healing when surgery is performed shortly after an injury.

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Is heat or ice better for posterior tibial tendonitis?

Laskowski, M.D. When you’re first injured, ice is a better choice than heat — especially for about the first three days or so. Ice numbs pain and causes blood vessels to constrict, which helps reduce swelling.

Will ankle brace help posterior tibial tendonitis?

When it comes to ankle support for posterior tibial tendon dysfunction (PTTD), a specially designed foot brace may offer quick relief. The Aircast AirLift PTTD Brace may help with the treatment of PTTD and early signs of adult-acquired flatfoot, according to DJO Global, the manufacturer of the device.

Can PTTD be reversed?

If left unchecked, PTTD can be a seriously disabling condition; however, proper and early use of orthotics and AFOs along with the correct shoes can halt and even reverse its effects.

Are Compression Socks good for posterior tibial tendonitis?

Swelling can cause increased pain and slow the healing response, so limit it as much as possible. A compression sleeve/stocking can help to limit the amount of swelling and promote blood flow back out of the lower leg.

Your podiatrist