Flatfoot, also know as posterior tibial tendon dysfunction, involves loss of the arch of the foot as a result of damage to the posterior tibial tendon, which functions as a support for the arch of the foot. This is usually a progressive deformity, worsening over time, it is recommended that individuals suffering from posterior tibial tendon dysfunction seek medical attention soon rather than later. If left untreated over time the arch will continue to flatten and arthritis can develop in the foot.

Often posterior tibial tendon dysfunction can result for the overuse of the tendon through activities such as running, walking, or climbing the stairs.


  • Pain and swelling around the inside of ankle and foot
  • Difficulty or pain standing on the ball of your foot
  • Low arch with pain
  • Flattening of the arch
  • Inward rolling of the ankle


Non-surgical treatment includes:

  • Orthotics / bracing and shoe modification
  • Immobilization of the foot with a cast or boot
  • Medications
  • Physical therapy

If the deformity is painful and decreases the ability to perform desired activities, and makes shoe fitting difficult surgery may be performed to correct the deformity.

Podiatric Surgeons will perform a clinical examination, review X-rays and other diagnostic imaging, and assess your post-operative goals to guide your treatment.

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