What Is Posterior Tibial Tendonitis?
The posterior tibial tendon is a major tendon that runs along the inner side of the ankle and foot and plays a critical role in supporting the arch of the foot during walking and movement. Posterior Tibial Tendonitis occurs when this tendon becomes inflamed, irritated, or damaged due to overuse, injury, strain, or abnormal foot mechanics.
This condition is especially common in people with flat feet because the tendon is placed under increased stress while supporting the arch. If left untreated, the tendon may progressively weaken, causing the arch to collapse and leading to a condition known as Posterior Tibial Tendon Dysfunction (PTTD), which is one of the most common causes of adult-acquired flatfoot deformity. PTTD is more commonly seen in women, individuals over the age of 40, and patients who are overweight or obese. Athletes and dancers may also develop tendon irritation from repetitive stress and overuse.
How We Help — Posterior Tibial Tendonitis Treatment Options
At our New York foot clinic, we carefully evaluate the severity of tendon damage, foot alignment, gait mechanics, and overall symptoms to create a treatment plan tailored to your needs and activity level. Early treatment is essential to prevent worsening tendon damage and progressive arch collapse. Conservative treatment often includes rest, anti-inflammatory therapy, braces, physical therapy, and custom orthotics designed to support the arch and reduce stress on the tendon. For athletes, performers, and patients seeking accelerated recovery, Platelet-Rich Plasma (PRP) therapy may also be recommended to help reduce pain and stimulate healing.
Treatment Duration & Recovery
Mild cases may improve within several weeks with early conservative treatment and reduced activity. More severe cases involving tendon dysfunction or arch collapse may require longer treatment and rehabilitation periods. Patients undergoing physical therapy often participate in treatment for approximately four to six weeks, although recovery times vary depending on tendon damage severity and activity level. Consistent use of orthotics and supportive footwear is often recommended for long-term protection and prevention.
Get Back to Doing What You Love Faster
At To Healthy Feet Podiatry, we don't want anything hindering you from doing what you love! That's why we offer fully customized and highly effective Posterior Tibial Tendonitis treatments, including PRP, to get you back on your feet quickly. To find out more, call us at 917-398-3668 or book an appointment online.