Posterior Tibial Tendon Dysfunction (PTTD) Posterior tibial tendon dysfunction (PTTD) is caused by changes in the tendon, causing it to no longer properly support the arch while walking. This results in flattening of the foot.PTTD or "adult acquired flatfoot” as it is often called, is the most common type of flatfoot developed as an adult. Usually PTTD forms in only one foot but can develop in both. PTTD, if untreated, will continue to worsen.CausesThe most common cause of PTTD is overuse of the posterior tibial tendon. Symptoms usually present themselves after physical activities that involve the tendon (ex. running, walking, hiking, or climbing stairs)SymptomsWith PTTD you may experience pain and swelling, a flattening of the arch, and/or an inward rolling of the ankle. In addition, your foot and ankle may be red, warm, and swollen. As the condition progresses, your symptoms will change. As the arch begins to flatten, there may still be pain on the inside of your foot and ankle.

But at this point, your foot and toes begin to turn outward and your ankle rolls inward.As PTTD becomes more advanced, your arch will flatten even more and the pain may shift to the outside of your foot, below the ankle. By now, your tendon has deteriorated considerably and your chances of getting arthritis in the foot and ankle increase significantly. Treatment (Non-surgical)Because PTTD will continue to worsen over time, early treatment is advised. Early treatment can help you avoid the need for surgery as well as keep the condition from getting worse.If left untreated, PTTD could leave you with an extremely flat foot and painful arthritis in your foot and ankle. This will force increased limitations on walking, running, and other physical activities.Examples of non-surgical treatment include: - Orthotic devices or bracing may be prescribed to give your arch the support it needs.- To allow the tendon to heal, you may need to completely avoid all weight-bearing physical activities for a while.

Your doctor may prescribe a short-leg cast or boot to protect the tendon as it heals.- Following immobilization of the foot and ankle, physical therapy and ultrasound therapy may help rehabilitate the tendon and muscle.- Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce pain and inflammation.- Your doctor may advise changes to make with your shoes and may provide special inserts designed to improve arch support.When Is Surgery Needed?In severe cases where the PTTD has gone untreated to too long or if non-surgical treatments have failed to correct the issue, surgery may be required. In some cases, surgery may be the only option. Your foot doctor will determine the best approach for you.The ABEO AEROsystem® DifferenceWhen you visit any location of The Walking Company, we will utilize advanced scanning technology to digitally analyze your foot in order to help you maximize the benefits of ABEO’s revolutionary footwear. The ABEO AEROsystem® Collection features on-trend athletic designs engineered for superior support and comfort.

ABEO AEROsystem® features a unique responsive outsole designed to return energy, reduce impact on joints, and absorb shock. Bamboo Shades CloseoutFeaturing over 60 cushioned VIBRAM® pillars enhanced by air flow between the heel and forefoot. Sheba Cat Food AustraliaABEO AEROsystem® provides the ultimate in performance comfort.Cream Dachshund Puppies For Sale In Oklahoma ABEO AEROsystem® at The Walking Company Visit any of our 200 plus retail locations for a complimentary digital foot analysis. All ABEO footwear styles are backed by our satisfaction and best price guarantee. The Walking Company is committed to searching the world to bring you the best comfort footwear available, and we feel very confident that you will find ABEO footwear to be as unique and revolutionary as we do.

Not infrequently, when the topic of barefoot running comes up, or someone takes a look at my Xero Shoes, whomever I’m speaking with will say: I can’t do that. Why do you need support? Then something happens that I love. I get one of two seemingly contradictory answers. “I have flat feet!” “I have high arches!” They usually like to add to their proclamation some form of external validation. Like, “I’ve seen one of the best podiatrists in the world and he agrees that I need orthotics.”He agrees that you need to spend an additional $300-1,000 with him? From the perspective of barefoot runners and researchers, high arches and flat feet are not a problem. First of all, the height of your arch is largely genetically determined. Secondly, the problem isn’t your arch height, or lack thereof, but whether your arches are STRONG. That is, the “cure” for the problem is not putting your foot in a cast (which is essentially what an orthotic is), it’s using it, working on strengthening it.

One reason that running in bare feet could help strengthen your feet and arches is that landing with a mid-foot or forefoot strike can actually engage the muscles in your feet. Think about it: When does immobilizing something make it stronger? Personally, I had flat feet my whole life. If I stepped out of a pool, my footprint looked like an oval. After a few months of running and walking barefoot, I started developing arches! I ruined all the family jokes about the flippers I had at the end of my legs. Now, I get out of the water, step on the ground, and you see the outline of a FOOT. Granted, I don’t have drive-a-bus-under-them arches but, again, that’s genes. All I know is that I haven’t used my expensive shoe inserts in years and my feet haven’t had problem in all that time. Why Buy From Us? Hello From the Owners What people are saying about us.. “Xero Shoes are the closest thing to actual barefoot running. Putting them on made me feel like a Native American warrior!