Posterior Tibial Tendon Dysfunction (PTTD) is a progressive condition that can cause [pain in the ankle](https://www.foothealthfacts.org/conditions/posterior-tibial-tendon-dysfunction-(pttd)) and foot, along with a flattening of the foot. If left untreated, PTTD may even cause arthritis. PTTD begins with some sort of degenerative change to the posterior tibial tendon which is an important structure in the foot. The tendon attaches the posterior tibialis muscle at the back of the leg with bones in the foot. It helps support the arch and aid the foot while walking. PTTD is often caused by overuse of the posterior tibial tendon. Swelling and pain in the foot and ankle (on the inside of the foot) may occur after hiking, walking, running, or climbing stairs. As the condition progresses, the arch will begin to flatten and the ankle may roll inward as the feet and toes turn outward. As the tendon continues to deteriorate, the foot will flatten even more, and the location of pain will shift to the outside of the foot, underneath the ankle. Arthritis may even develop in the ankle and foot in advanced PTTD. PTTD needs to be diagnosed early on when more conservative treatment methods have a better chance of halting the condition’s progression without the need for surgery. If you are experiencing any symptoms discussed here, consult with a podiatrist as soon as possible.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with [one of our podiatrists](https://www.mcallenfootcenter.com/meet-our-doctors.html) from [Foot Center](https://www.mcallenfootcenter.com/). Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
The most common causes of ankle pain include:
Types of arthritis (rheumatoid, osteoarthritis, and gout)
Ankle sprains
Broken ankles
Achilles tendinitis
Achilles tendon rupture
Stress fractures
Tarsal tunnel syndrome
Plantar fasciitis
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
If you have any questions, please feel free to contact our offices located in [McAllen,](https://www.mcallenfootcenter.com/locations/mcallen-office.html) [and Weslaco, TX](https://www.mcallenfootcenter.com/locations/weslaco-office.html). We offer the newest diagnostic and treatment technologies for all your foot care needs.
