Flat Feet (Adult-Acquired / PTTD)

Expert diagnosis and treatment in DeSoto, TX | Serving Dallas County

Foot Pain & Deformities

What is Flat Feet (Adult-Acquired / PTTD)?

Adult-acquired flatfoot deformity (AAFD), also known as posterior tibial tendon dysfunction (PTTD), is a progressive condition where the posterior tibial tendon becomes inflamed or torn, leading to gradual arch collapse. This is one of the most common causes of adult flatfoot.

Causes

Several factors can contribute to the development of flat feet (adult-acquired / pttd):

  • Posterior tibial tendon inflammation or tear
  • Overuse or repetitive stress
  • Obesity
  • Diabetes
  • Hypertension
  • Age-related tendon degeneration

Symptoms

Common signs and symptoms of flat feet (adult-acquired / pttd) include:

  • Pain along the inside of the ankle
  • Gradual flattening of the arch
  • Swelling on the inside of the ankle
  • Difficulty standing on tiptoes
  • Pain that worsens with activity
  • Foot turning outward progressively

Diagnosis

Our podiatrists use several methods to accurately diagnose flat feet (adult-acquired / pttd):

  • Physical examination and single heel-raise test
  • X-rays to assess arch height and alignment
  • MRI to evaluate tendon damage

Treatment Options

At Infinity Foot & Ankle in DeSoto, TX, we offer comprehensive treatment options for flat feet (adult-acquired / pttd):

  • Rest and activity modification
  • Anti-inflammatory medications
  • Custom orthotics and arch supports
  • Ankle bracing
  • Physical therapy
  • Surgical reconstruction for advanced stages