Flat Foot and Posterior Tibial Tendon Dysfunction - What you need to know!
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- čas přidán 31. 05. 2024
- In this video Dr. Pelto will go over the condition of posterior tibial tendon dysfunction as well how this relates to flat feet. He will go over treatment options if you have this condition.
HERE ARE SOME OTHER VIDEOS ABOUT FLAT FEET IF YOU WANT TO LEARN MORE:
• Flat Feet & Posterior ...
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TIMESTAMPS
00:00 - Introduction
00:46 - Flat Foot overview
01:25 - Posterior Tibial Tendon Dysfunction
02:12 - Flat Foot Example
02:26 - Further problems if left untreated
03:39 - Heel Raise Testing
04:16 - Accessory Navicular
05:08 - X-ray of a Flat foot
05:38 - Ultrasound
06:15 - Treatment to reduce Inflammation
07:18 - Shockwave Therapy
07:48 - Reducing tightness
08:06 - Correcting Heel Alignment
08:51 - Stabilizing foot and ankle
09:23 - Surgical Treatments
10:16 - Free resources
10:42 - Checklist: Summary of Treatment options for Posterior Tibial Tendon
12:11 - Outro
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DISCLAIMER:
Dr. Donald Pelto received his Doctor of Podiatric Medicine degree from Scholl College of Podiatric Medicine in 2006. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Pelto is a licensed podiatrist in Massachusetts. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Pelto and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. The Healthy Living, Heal My Foot Wound Fast and Dr. Donald Pelto, DPM are not liable or responsible for any advice, course of treatment, diagnosis, or any other information, services, or product you obtain through this video or site.
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QUESTION: Which Treatment Options have you tried to fix your Posterior Tibial Tendon Dysfunction or Flat Feet?
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Thanks for the info. Been using orthotics for one day and made a huge difference while using self massage during lock down at the end of the day and stretches.
@@skyejp4975 Thanks for sharing! I am glad for you
I’ve tried all less the injection. Surgery for both my flat feet and tendon tears. Great video.
@@vegangirl2266 Thanks for sharing that!
My daughter had this at age 5 and surgery that was a failure at age 12. She just turned 30 and lives daily with immense pain.
Fantastic video very informative. Thank you
Week 13 of pttd surgery and calcaneal osteostomy.
My foot was terrible before. So swollen and pain all the time. Even when sitting.
Tried orthotics, lots of stretching and trigger points. Cam walker. Crutches when it all got too much.
Recovery is going well. I’m glad I finally had surgery. I didn’t realise how much this has affected my life for four years.
Thanks for sharing.
How are you doing now?
Thank you! I have just been diagnosed with this....this has been extrememly helpful!
I wanted to comment and say this is a thorough well done understandable video. And I appreciate you taking us through all the photos and examples.
Glad it helped Carrie!
Great video, really help to understand PTTD treatment. Thank you!
Glad to help!
I have had PTTD for 15 years, special shoes as kid and orthotics for decades. At 50 pain was strong, Dr ordered an Arizona AFO molded boots to mid calf to wear morning to bed. Took ALL the pain away! If I overdo, feet ache/swell. I know my limits. It's a little ducky to walk on grass. No flexibility in braces. I'm 66 and pain free. Bought New Balance Nitrel sneakers with mesh on sides, a size bigger to accommodate. I am glad I can walk, could not walk without these AFO's!!! I'm on my 3 rd set of AFO's. Please have your Dr write script to take to Prosthetics office near you. They are casted to fit your feet perfectly.
Very good explanation. Thank you.
Glad it was helpful!
I have this condition and I am very grateful for this highly informative video, thank you.
Glad it was helpful!
absolutely amazing information thank hou
Glad it was helpful!
really good explanation....
Thanks
I am developmentally flat-footed or have fallen arches. My arches are not fallen as much as for the individual you present; I'm usually referred to as flexibly flat-footed. I am relatively active person. I do a bit of jogging and a bit of drumming. I don't have pain or issues per se in my feet or ankles, but I have a right lower calf muscle hernia related to the pressure from the fallen arches. However, I've stretched my calf muscles so well over the years that I no longer have to wear a neoprene sleeve or need to ice it after I run... it doesn't hurt or give me any pain at this point. I have some knee valgus and also struggle with issues with my SI joint... the struggle just continues up the kinetic chain. I've 59 now, I've worn orthotics since my mid-twenties. I think the genesis of many of these issues is excessive pronation. Stopping foot abduction is relatively easy, but then there's just more pressure to evert the ankle and perhaps rotate the knee inward. The issue I'm currently frustrated with is stability on plantarflexion. So, calf raises... I believe I have sufficient strength per se, but my right ankle shakes. This instability is not helpful when I run, but when I do my drumming it's exceedingly difficult to build up any intuition about how my right foot and ankle are going to move. Particularly, not surprisingly, the more I plantarflex, or the more the heel goes up. It can often just seemingly 'wobble' unpredictably. I've seen several podiatrists and orthopedic surgeons over the years. It's my impression that many of them have less experience with surgery and prefer to stick to conservative treatments, like prescribing a new pair of foot orthotics. I think over the ankle orthotics are probably too restrictive for drumming, perhaps even for running. And some of these issues are not sufficiently responsive to physical therapeutic means, at least to perform certain activities to some sufficient degree of proficiency. What I believe I've had difficulty finding is a doctor with sufficient experience over the full range of treatments from conservative to surgery for these kinds of issues. I'm never going to be a world-class runner nor a 'world-class' drummer, so even if surgery is likely the only way to gain substantially more ankle stability, I understand how one might still not recommend that course. But if a doctor doesn't have sufficient experience over the full range of treatments he/she is not well-positioned to make that kind of assessment. How do I find a doctor who has substantial experience over the full range of treatments for issues of this nature?
I would find a member of the American Podiatric Medical Association www.apma.org
I was diagnosed with PTTD and fallen arch a yr ago. Tried 2 different boots and PT. I haven't tried orthodics beacause anything that touches my arch hurts. Do you have any suggestions.
Thanks so much. Your always so knowledgable, mindful and solutions oriented. I'd recommend you to anyone
Thanks
Thank you
Thanks for watching - check this for more - czcams.com/play/PL-yeeQ7_qeutkUkl5rLJiPZxG4L0DvVuU.html
Thank you for this video. I believe I am suffering from this. The pancake X-ray is identical to mine. I was given naproxen and told to come back in a month. I can’t walk without a cane. I have mild cp with overpronation and duck feet from birth. Feeling frustrated.
Glad it helped!
Doctor what do you think about triple artrhrodesis plus achillies tendon lengthening surgery to fix flat feet?
A good option if you have a good doctor
@@DrPelto is there a better option that you would suggest?
Thank you for the video I've been told I need to have a stent put in called Hyprocure a few years ago what is your opinion on this and also I've been told I have fallen arches and probate show too many toes but I also suppanate slightly what would you recommend I know it's a stretch, I've also warn orthotics 25 years I went to see Dr Lamendola in lakewood,ohio he's a master surgeon for foot problems also I've gone to therapy done tried everything I stand alot at work 35 years as a hairstylist it's also causing back pain I'm tired of being in pain I'm 54 I got alot life left in me used to love to exercise but honestly it's hard now I hope you can advise me to make the right decision thank you
Dr Pelto please respond to my above question thank you
DO NOT DO ANY ELECTIVE FOOT SURGERY! Be grateful for your natural feet! Your mail goal is to reduce weight baring and pressure on your painful feet. It can be done only by reducing the time you spend being on your feet, rest is very important. My best wishes!
IMPRESSION:
1. Intact although abnormally attenuated and elongated right posterior tibialis tendon.
2. Intact although mildly attenuated superomedial portion of the spring ligament.
3. Minimal degenerative changes involving the right medial ankle tibiocalcaneal ligament without abnormal/asymmetrical insufficiency.
4. Chronic enthesopathy involving the right tibionavicular ligament at the distal tibia attachment.
5. Mild effusion and hypermobility involving the right talonavicular joint.
My foot twist last year and they swelling to much I have try everything and do you have anything recommended
Thanks
I having a flatfoot reconstruction on my left foot. Have tried everything to help me. So much pain for a couple of years
Sorry about that
Is aschilis tendon lengthening surgery is required to improve the flatfoot?
Depends on your surgeon and amount of equinus.
@@DrPelto
Are the Achilles lengthening surgery risky surgery?
Recently I started walking. My daily average is 6.5k . I also do 45 to 60 min yoga in morning (in downdog feets are stretched a lot). I started experiencing mild inflammation in the area/ tendons shown in pics . Especially when I lie down I feel feels are collapsing inward n I need to adjust to feel comfortable .What do u recommend at this stage for mild inflammation ?
I will answer in episode 12 this week.
@@DrPelto thank you
going to get this surgery tomorow hopefully all goes well
hoping for the best!
@@DrPelto it's damn painful lol
@@piellamp Hoping for your fast recovery!
@@DrPelto yeáh pain is better now but holy shit the first 3 days after the operation are super painful i would rate it 9 outa 10😂 it felt like they were still cutting it. Took painkillers but damn they barely did anything
Getting around 1 hour sleep each day except for this night i slept around 4 hours so that's good and today now pain significantly decreased pain is maybe a 5 outa 10 now which is managable
@@piellamp Thanks for sharing your experience here!
Hello dr.
If the tendon is too outstretched, no inflammation would surgery help ?
Yes surgery can help but really depends on the problem, if not painful and flat a brace or orthotic can help also.
Thank you so much for your answer !
The tendon does not hurt, but the foot is weak and hurts, due to this tendon.
Since it has gotten much worse this last year I am afraid that in some more years I will not be able to use the foot. at all.
Long walks, hiking have always been very important to me, that’s why I am considering surgery.
Are there good resultat from such surgery, does it take long time to heal ?
Can pttd cause the bottom of the foot to feel swollen
Yes
If we exercise and strengthen this tendon, will it restore the arch, considering the pronation is moderate?
More mild might help, very hard to strengthen and increase arch. Good in theory but hard to do.
Sir
surgery can do 35 age in successfully
Yes depends on the patient
I have flat feet. I am in pain from two years. I coninusly ignor this pain and did my daily routine work now from three months the pain increases i went to a dr.He examine me and done a foot rase test. He said the surgery is neccesary in your case.but when i went to tharpist he said that this problem will cure by therpies ,exercises and rest now i can't decide what to do
seema mittal try to go to a podiatrist. Do some exercises. Roll a golf ball or hand ball with your painful foot
@@Es-tg9go sir thanks for reply.sir i was waiting for your reply from three weeks.sir i went to dr.abishake jain .he is a foot specialist.as he done my foot raise test he imigetly asked me for operation.i want to avoid operation.sir i have my MRI reports. Is this possible to send these reports to you by email. sir i only want your suggetion so that i can go for the right treatment.
@Barry Woods thanks sir .
thanks you can help me?
Sorry I can't give medical advice on my CZcams page but I would be happy to make a short video if you submit your question on my blog - www.drpelto.com/home#question
@@DrPelto thanks
Just been diagnosed with PTT!!!Plz Help
check out these resources for more information - czcams.com/play/PL-yeeQ7_qeutkUkl5rLJiPZxG4L0DvVuU.html
www.drpelto.com/heel
How long does it take to fix the problem of TIBIALIS POSTERIOR?
Sorry I can't give medical advice on my CZcams page but I would be happy to make a short video if you submit your question on my blog - www.drpelto.com/home#questio
I have my MRI reports and xrays. I can send you if possible
Sorry I can't offer medical treatment over youtube
@@DrPelto sir i only want your suggestion.
We can talk here if you like
calendly.com/donpelto/ask-dr-pelto
It takes at least 6 months to heal from surgery
Thanks for your input here! Watch more videos here - czcams.com/play/PL-yeeQ7_qeutkUkl5rLJiPZxG4L0DvVuU.html
.y tendon has torn
Yes
I am from india i am not so good in english language so please try to understand me
Sir please reply as soon as possible I am waiting
Sorry! You may check this playlist for more information about this conditions - czcams.com/play/PL-yeeQ7_qeutkUkl5rLJiPZxG4L0DvVuU.html
oh god guys, just make the right exercises and movements, if u use orthopaedic insoles or even surgery without really really trying to do the right exercises over a really long period of time and if u're only trying to correct the symptoms and not especially the cause, then you cannot be helped ...
Exercises can help but for more severe cases is not enough to increase intrinsic muscles or the posterior tibial tendon.
Of course there may be such cases. But how do u know for sure without trying exercises that this is not enough? So many many people have themselves operated on without really trying out exercises or changes in their lifestyle. I would convince my patience to do exactly that in the first place before recommending them a surgery.
@@profie24 Good answer I never do surgery without trying physical therapy, orthotics, AFO, etc prior. Great comments.