Abnormal body mechanics, such as rotating the foot inward too much when walking
This problem is more common in women who are over 40 years of age, especially those who are obese. Other things that may raise the risk are:
High blood pressure
Previous surgery or foot trauma
Risk factors in athletes may be:
Wearing the wrong sports shoes
Problems may be:
Pain and swelling on the inside of the foot and ankle
Pain that increases with activity, such as with running or walking
Pain on the outside of the ankle
These symptoms may cause the arch of the foot to become flat over time.
The doctor will ask about your symptoms, health history, and the activities that you do. A physical exam will be done. It will focus on the foot. This may be enough information to suspect the diagnosis.
Images of your foot and ankle may be taken to confirm the diagnosis. This can be done with:
Posterior tibial tendon dysfunction. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00166. Updated September 2017. Accessed March 30, 2020.
Tibialis posterior tendinosis and tibialis posterior tenosynovitis. Merck Manual Professional Version website. Available at: http://www.merckmanuals.com/professional/musculoskeletal_and_connective_tissue_disorders/foot_and_ankle_disorders/tibialis_posterior_tendinosis_and_tibialis_posterior_tenosynovitis.html. Updated December 2019. Accessed March 30, 2020.
Yao K, Yang TX, et al. Posterior Tibialis Tendon Dysfunction: Overview of Evaluation and Management. Orthopedics. 2015 Jun;38(6):385-391.
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