![]() ![]() If you are already seeking medical attention for problems of flat feet, it has probably already been explained to you that the main function of the posterior tibial tendon is to hold up the arch of the foot and support the foot when walking. A lot of things can happen to a foot or a calf in this very vulnerable to injured area. The posterior tibial tendon connects the calf muscles to the arch of the foot. While obesity, diabetes, and genetic factors are important in the development of some cases of flat feet, we are going to discuss wear and tear damage and injury. How did this happen? There could be many different factors. The arch on the inside of your foot is flat and the sole of the footrests is on the ground. If you are reading this article you probably do not need a description of what flat feet are, you can see it for yourself. We will explore surgical, non-surgical conservative care, and regenerative medicine treatments. This article will focus on how adult-acquired flatfoot deformity is caused by structural damage to your supporting foot, ankle, and leg ligaments and tendons, with a focus on the posterior tibial tendon and the spring ligament. There are many things that will cause adult-acquired flatfoot deformity. Platelet Rich Plasma Therapy and Prolotherapy.Īdult acquired flatfoot deformity – fallen arches and flat feet treatments.Fixing damage to the posterior tibialis tendon with pro-inflammatory treatments.Research: The great incidence of tendon injuries and a failure rate of up to 25% of the available conservative treatments has made alternative biological approaches (Platelet Rich Plasma) “most interesting.”.Treating the posterior tibialis tendon with Prolotherapy and PRP injections.Stopping the degenerative path of flat feet with Prolotherapy and PRP regenerative medicine injections.How did we progress from shoe inserts to the triple fusion of the calcaneocuboid, talonavicular, and subtalar joints PLUS ankle fusion?.The worse the condition, the more surgical options, but can non-surgical options still work?. ![]() But how can you treat them all? Is it surgery? It should be clear now that flat feet involve many ligaments.Posterior tibial tendon insufficiency: which ligaments are involved?.“It is beneficial to confirm the presence of ligament tears before surgical exploration to avoid unnecessary dissection.”.“Failure to recognize an isolated spring ligament injury as the primary cause of a flatfoot deformity could lead to inappropriate operative management.”.Did anyone discuss ligament damage with you? Introducing the ligament aspect of the plantar calcaneonavicular ligament or “spring ligament.”.Did flat feet cause posterior tibial tendon dysfunction or did posterior tibial tendon dysfunction cause flat feet?.Posterior tibialis tendon? Spring ligament? Plantar fascia? What is the cause of your flat feet? Is it really ankle problems? A study puts into question the primary importance of the tibialis posterior tendon.What may work, what may not work for the treatment of posterior tibial tendon dysfunction stages I and II (flat foot).NSAIDs nonsteroidal anti-inflammatories.RICE Therapy – Rest, Ice, compression, elevation.The conservative care treatments for flat feet, why they did not work for you.If your posterior tibialis tendon is frayed or damaged from years of sports, physically demanding work, or obesity, it is very likely that you have more issues than flat feet going on. Wear and tear injury does not happen in isolation.“I need somebody who knows about feet and understands Posterior tibial tendon dysfunction.”.The posterior tibial tendon connects the calf muscles to the arch of the foot.Adult acquired flatfoot deformity – fallen arches and flat feet treatments.In many people that come into our office, they will have “a little bit of flat foot,” and they are doing a lot of sports that are straining and overloading the deltoid ligament.ĭiscussion summary points of this article:.People might have some pain standing on their tiptoes and got some weakness in that position as well.Posterior tibial tendon injury or weakness causing pain that may precede flat feet is the discomfort or pain that runs just inside the bone of the ankle between the heel and the ankle.The posterior tibial tendon importance in maintaining the arch of the foot is seen by the problems created by the dysfunction or failure of the posterior tibial tendon. ![]()
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