Academy Road

10431 Academy Road Unit M

Philadelphia, PA 19114

Red Lion Rd Location

10800 Knight's Road (3998 Red Lion), Suite 212

Philadelphia, PA 19114

215-612-2072

Pratt Street Location

1546 Pratt St.

Philadelphia, PA 19124

215-533-8555

Jefferson Health System/Torresdale Campus
10800 Knight's Road (3998 Red Lion) , Suite 212
Philadelphia, PA 19114
Tel: 215-824-4141
Fax: 215-824-3640

Academy Road

10431 Academy Road Unit M
Philadelphia, PA 19114
Tel: 215-612-2072

Pratt Street
1546 Pratt Street
Philadelphia, PA 19124
Tel: 215-533-2600
Fax: 215-533-8656

Jefferson Health System/Torresdale Campus
10800 Knight's Road (3998 Red Lion) , Suite 212
Philadelphia, PA 19114
Tel: 215-824-4141
Fax: 215-824-3640

Academy Road

10431 Academy Road Unit M
Philadelphia, PA 19114
Tel: 215-612-2072

Pratt Street
1546 Pratt Street
Philadelphia, PA 19124
Tel: 215-533-2600
Fax: 215-533-8656

Posterior Tibial Dysfunction

Posterior tibial tendon dysfunction (PTTD) is the inflammation or overstretching of the posterior tibial tendon in the foot. The key function of the posterior tibial tendon is to support the arch in the foot. The tendon serves as a major supporting structure to assist the foot function while walking - however, if PTTD is present than the result is oftentimes an “adult-acquired flatfoot.”

Generally, adult-acquired flat-foot occurs only in one foot, but can be seen in both. This ailment is generally progressive, so if left untreated, the symptoms will continue to get worse. Symptoms generally occur after an activity that requires the use of the tendon such as running, walking, hiking or climbing stairs.

Symptoms of PTTD will change as the condition worsens, but initially include:


  • Pain
  • Swelling
  • Flattening of the arch
  • An inward roll of the ankle


When PTTD initially develops, it begins with a pain on the inside of the foot and ankle. The area may be red, warm, and swollen, as well. As the arch begins to flatten, there may still be pain on the inside of the foot and ankle, however, the foot and toes begin to turn outward and the ankle rolls inward. As it reaches its advanced stages, the arch continues to flatten and the pain often shifts to the outside of the foot, below the ankle. This indicates that the tendon has deteriorated considerably and arthritis is likely developing in the foot.

Philadelphia Podiatrist | Philadelphia Posterior Tibial Dysfunction | PA | Frankford Podiatry Associates, P.C. |

There are treatment options available. Visit your podiatrist to learn about the best options for you.

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