Dr.Artis was so amazing. After going to two other podiatrists who gave me no support or hope, Dr. artis made me feel like there can be change for me. She was so patient, kind and informative. I’m actually excited to go back and get my results.
The posterior tibial tendon (PTT) is the primary dynamic stabilizer of the medial longitudinal arch running from the tibialis posterior muscle behind the medial malleolus to insertions on the navicular, cuneiforms, and metatarsal bases on the bottom of the foot. Posterior tibial tendon dysfunction (PTTD) is the most common cause of adult-acquired flatfoot deformity, progressing through four clinical stages: Stage I involves tendinitis and early tendon degeneration without deformity; Stage II involves partial tearing with flexible flatfoot deformity; Stage III involves complete tendon incompetence with rigid flatfoot; and Stage IV adds valgus ankle joint involvement. The tragedy of PTTD is that Stage I and early Stage II are highly amenable to conservative treatment and full functional recovery but most patients present at Stage II or III because the gradual onset of medial ankle pain and arch flattening is dismissed for months. At Healthy Feet Podiatry, our NYC PTT specialists use diagnostic ultrasound and weight-bearing foot and ankle X-ray to stage every patient accurately and initiate the appropriate intervention before irreversible deformity develops.
At Healthy Feet Podiatry, PTT tear treatment is organized by deformity stage and tendon integrity. Stage I PTTD is managed with immobilization in a walking boot during the acute inflammatory phase, custom UCBL orthotics with medial posting to support the arch and offload the tendon, and a structured tibialis posterior strengthening program. Stage II PTTD with partial tearing and flexible flatfoot is treated with extended orthotic management, physical therapy, and PRP injection for documented tendon degeneration with surgical referral for patients who fail six months of structured conservative treatment. Stage III rigid flatfoot deformity and Stage IV cases require surgical reconstruction including procedures such as medial calcaneal osteotomy, flexor digitorum longus tendon transfer, and lateral column lengthening which we coordinate with our affiliated reconstructive foot and ankle surgical partners. Post-surgical rehabilitation is managed by our NYC team throughout the full recovery pathway.
Healthy Feet Podiatry’s NYC PTT specialists have treated every stage of posterior tibial tendon dysfunction from early Stage I tendinitis caught promptly and resolved conservatively to advanced Stage III flatfoot deformity requiring complex surgical reconstruction. We serve patients across Manhattan and the five boroughs, accepting most major insurance plans for PTT evaluation, orthotic management, injection therapy, and post-surgical rehabilitation. If you have medial ankle pain, a collapsing arch, or a foot that has been progressively flattening over months or years, do not wait posterior tibial tendon dysfunction is a progressive condition where delayed treatment means a more complex and invasive treatment course. Come to Healthy Feet Podiatry and let us stage your condition accurately before the window for conservative management closes.
TESTIMONIAL
Dr.Artis was so amazing. After going to two other podiatrists who gave me no support or hope, Dr. artis made me feel like there can be change for me. She was so patient, kind and informative. I’m actually excited to go back and get my results.
Everyone was super friendly. Doctor Rick’s explained everything thoroughly.
Dr Bell was incredibly thorough and personable. Gave me great information and useful information for my next steps. A great experience!
“Fast, professional, and very clean office. I was checked in and seen within 10 minutes of my scheduled time. Dr. Ricks was straight to the point but thorough. The front desk staff was also incredibly helpful.
All of the staff are super welcoming and professional! Bianca took excellent care in getting my X-rays. Dr. Ricks was thorough in explaining my diagnosis and next steps. Highly recommended!!
Well before I came in today to see Dr. Ricks my foot in pain was 9/10 and now I feel good 🙏🏿🤩 thanks
Behind every great care experience is a team that truly listens. Our doctors are committed to understanding your needs, delivering personalized treatment, and supporting you every step of your health journey.
Dr. Farah Alani is a New York City foot and ankle surgeon at To Healthy Feet Podiatry, a boutique podiatry practice located in the heart…
Dr. Alison Bell was born in Manhattan and is a Public Health graduate of Charles R. Drew University. She obtained her medical degree from Kent…
Dr. Roxann Clarke is a graduate of Hampton University in Virginia, where she obtained her Bachelor of Science in Biology and her Master of Science…
Dr. Ricks is a board-certified fellowship-trained podiatric surgeon committed to delivering top-tier foot and ankle care. From New Jersey, she a Bachelor’s in…
As the Chief Operating Officer of To Healthy Feet Podiatry, Tiffany provides leadership to ensure all administrative are producing optimal results. Dr….
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