RS Podiatry Clinic

Tibialis Posterior Tendinopathy

When it comes to foot and ankle health, one condition that often flies under the radar is Posterior Tibial Tendon Dysfunction (PTTD). This ailment, affecting the tendon that supports the arch of the foot, can lead to significant pain, instability, and even disability. Fortunately, podiatrists possess a range of effective treatments, such as MLS Laser Therapy, orthotic therapy, targeted strengthening exercises and more, to help patients overcome this often-overlooked condition.

Understanding Posterior Tibial Tendon Dysfunction

The posterior tibial tendon plays a vital role in supporting the arch of the foot, stabilising the ankle, and facilitating proper gait. However, due to various factors such as overuse, injury, or anatomical abnormalities, this tendon can become damaged and ‘aggravated’, resulting in PTTD. As the condition progresses, individuals may experience symptoms like pain, swelling, a visible flattening of the arch, and difficulty walking on uneven surfaces.

Seeking Assistance from a Podiatrist

When faced with PTTD, one of the best allies to have on your side is a skilled and knowledgeable podiatrist. As foot and ankle specialists we possess the expertise to accurately diagnose the condition and develop a tailored treatment plan. Through a thorough examination and possibly additional imaging tests, podiatrists can determine the severity of PTTD and identify any underlying causes.

MLS Laser Therapy: Harnessing the Power of Light

One cutting-edge treatment that we may employ to address PTTD is MLS Laser Therapy. This non-invasive technique utilises specific wavelengths of light to stimulate cellular activity and promote healing. By targeting the affected area, Laser Therapy can help reduce pain, decrease inflammation, and enhance tissue repair. It’s a safe and efficient option that has been proven effective in a range of foot and ankle conditions, including PTTD.

Orthotic Therapy: Restoring Balance and Stability

Orthotic therapy is another powerful tool in helping treat the condition. Custom-made orthotic devices can provide support, stability to the foot and ankle and an improved foot posture. By redistributing pressure, correcting imbalances, and controlling abnormal motion, orthotics help alleviate pain, reduce stress on the damaged tendon, and slow down the progression of the condition. Working closely with us, patients can have orthotics crafted to fit their unique needs, promoting proper foot function and enhancing their quality of life.

Strengthening Exercises: Building a Solid Foundation

To complement laser therapy and orthotic treatment, we often prescribe specific strengthening exercises to improve the function and stability of the foot and ankle. These exercises typically focus on strengthening the muscles that support the arch, such as the calf muscles, tibialis posterior, and intrinsic foot muscles. By engaging in a targeted exercise regimen under the guidance of a podiatrist, patients can regain strength, restore balance, and improve overall foot and ankle function, reducing the impact of PTTD symptoms.


Posterior Tibial Tendon Dysfunction is a condition that can significantly impact one’s quality of life, hindering mobility and causing chronic pain. Fortunately, we possess a diverse range of effective treatments to combat PTTD. Through getting to know our patients and their level of injury, we can alleviate pain, improve foot function, and help patients regain control of their lives. If you suspect you might be suffering from PTTD, don’t hesitate to reach out.