Tibialis posterior tendon dysfunction (TPTD) is a condition characterised by the weakening or tearing of the tibialis posterior tendon, which plays a crucial role in supporting the arch of the foot and maintaining proper foot alignment.
Tibialis posterior tendon dysfunction (TPTD) can be caused by several factors, including:
Overuse and Repetitive Strain
The risk of developing OA increases with age due to the natural wear and tear on joints over time.
Injury or Trauma
Acute injuries, such as a sprain or strain, can damage the tendon, leading to dysfunction.
Age-Related Degeneration
As people age, the tendon can weaken or degenerate, making it more susceptible to injury.
Foot Structure and Biomechanics
Abnormal foot mechanics, such as flat feet (pes planus) or high arches (pes cavus), can increase the strain on the tibialis posterior tendon.
Obesity
Excess body weight can place additional stress on the foot and ankle, contributing to tendon dysfunction.
Medical Conditions
Conditions such as diabetes, rheumatoid arthritis, and hyperthyroidism can affect tendon health and contribute to dysfunction.
Poor Footwear
Wearing inappropriate or poorly fitted shoes that lack support can exacerbate strain on the tibialis posterior tendon.
Addressing these risk factors can help in the prevention and management of TPTD. If you suspect you have this condition, consulting a healthcare professional is advisable for proper evaluation and treatment.
Tibialis posterior tendon dysfunction (TPTD) is diagnosed through a combination of the following methods:
Consulting with a healthcare professional is crucial for an accurate diagnosis and appropriate treatment plan.
Treatment may involve physical therapy, medications, orthotics, and in some cases, surgical intervention to alleviate pain
and improve function. Treatment for midfoot osteoarthritis (OA) aims to relieve pain, improve function, and slow disease
progression. Common approaches include:
Reducing or avoiding activities that exacerbate symptoms, allowing the tendon to heal.
Nonsteroidal anti-inflammatory drugs (NSAIDs) can help relieve pain and reduce inflammation.
Applying ice to the affected area can help reduce swelling, especially after activity.
In some cases, injections may be used to reduce inflammation and provide temporary relief.
If conservative treatments fail and the condition is severe, surgery may be considered. Options include:
Maintaining a healthy weight and wearing appropriate footwear can help reduce stress on the tendon.
It’s essential to work with a healthcare professional to develop a personalised treatment plan based on the severity of the condition and individual needs.
