Advances in Foot Care: PTTD – a new way to treat and old problem

Posterior tibial tendon dysfunction (PTTD) is a progressive form of tendonitis that occurs on the inside of the ankle. Symptoms of PTTD include pain when first standing due to inflammation of the tendon. But if left untreated, this inflammation can progress to a tear in the posterior tibial tendon. Early intervention in this condition can often prevent extensive reconstructive surgery.

"PTTD is a progressive condition that is often misdiagnosed" said Dr. Jeffrey Oster, medical director of Myfootshop.com. "In the early stages of PTTD, control of the load applied to the posterior tibial tendon is critical in affecting a cure" Dr. Oster went on to describe the success that he’s recently experienced with a new over the counter (OTC) brace from AirCast called AirLift. "AirLift is the first OTC brace specifically designed to treat PTTD. It’s easy to use, affordable and popular in our patients with early PTTD".

PTTD occurs in middle aged patients. PTTD is stage in grades 1-4. Stage 1 is the stage where the tendon in inflamed but shows no evidence of physical damage. As PTTD becomes worse, MRI findings will actually be able to define partial to complete ruptures of the posterior tibial tendon. "Stages 1 and 2 will respond to bracing while stages 3 and 4 typically require some form of surgical repair" Oster said.

The AirLift Brace is unique in that it is the first brace to integrate a medial air bladder that can be increased or decreased by patients depending upon their need for support. The supportive air bladder accommodates different shapes of arches and arch heights. Medial and lateral semi-rigid ankle stays are also integrated into the brace for support. Velcro closure enables patient’s easy on-off use.

"We use the AirLift Brace as a first line support in cases of PTTD. It’s less than a tenth of the cost of a prescription brace and quite popular with our patients" Oster said.

Readers can find additional information on the treatment of posterior tibial tendonitis at Myfootshop.com.