Posterior Tibial Tendon Dysfunction
The posterior tibial tendon is one of the most important tendons of the leg. A tendon attaches muscles to bones, and the posterior tibial tendon attaches the calf muscle to the bones on the inside of the foot. The main function of the tendon is to hold up the arch and support the foot when walking.
Posterior tibial tendon dysfunction is one of the most common problems of the foot and ankle. It occurs when the posterior tibial tendon becomes inflamed or torn. As a result, the tendon may not be able to provide stability and support for the arch of the foot, resulting in flatfoot.
Most patients can be treated without surgery, using orthotics and braces. If orthotics and braces do not provide relief, surgery can be an effective way to help with the pain. Surgery might be as simple as removing the inflamed tissue or repairing a simple tear. However, more often than not, surgery is very involved, and many patients will notice some limitation in activity after surgery.
Mild - Custom Molded Orthotics
Moderate - Richie Brace
Severe - Custom Molded Gauntlet AFO
Severe with deformity present - AFO + Custom Molded Shoes
What will my insurance cover?
AFO/braces are almost always covered and often times commercial insurance plans will have an orthotic benefit as well. Unfortunately, most insurance companies will NOT cover specialty shoes.