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Podiatry flat foot

Posterior Tibial Tendon Dysfunction (PTTD)

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What is Posterior Tibial Tendon Dysfunction (PTTD)?

Posterior Tibial Tendon Dysfunction (PTTD) is a condition that affects the posterior tibial tendon, which plays a crucial role in supporting the arch of the foot and maintaining proper foot mechanics. When this tendon becomes damaged or inflamed, it can lead to pain, swelling, and a progressive flattening of the foot. Understanding the nature of PTTD, including its symptoms, causes, diagnosis, and treatment options, is essential for effective management. At UFIT Podiatry, a specialized approach is adopted to provide relief and promote recovery for individuals suffering from PTTD.

PTTD is a progressive condition characterized by the weakening or tearing of the posterior tibial tendon, which runs along the inside of the ankle and foot. This tendon is responsible for supporting the arch and stabilizing the foot during movement. When the tendon becomes dysfunctional, it can lead to a collapse of the arch, resulting in flatfoot deformity. PTTD is often referred to as adult-acquired flatfoot because it typically develops in adults and leads to the gradual loss of the arch.

Symptoms of Posterior Tibial Tendon Dysfunction (PTTD)

The symptoms of PTTD can vary depending on the stage of the condition but generally include:

1
Pain and Swelling

Pain along the inside of the ankle and foot, which may be accompanied by swelling. The pain often worsens with activity.

2
Flatfoot Deformity

A visible flattening of the arch, leading to an outward rolling of the ankle and foot.

3
Weakness

Difficulty in standing on tiptoe or performing activities that involve pushing off with the affected foot.

4
Limited Mobility

Reduced range of motion in the foot and ankle, making walking or other activities painful and challenging.

5
Tenderness

Tenderness along the course of the posterior tibial tendon, from the inside of the ankle to the middle of the arch.

6
Knee & Back Pain

Feeling pain in any part of your and/or have back pain after a long day of activity

Podiatry OTTD inside ankle
Arch Pain

Causes of Posterior Tibial Tendon Dysfunction (PTTD)

Several factors can contribute to the development of PTTD, including:

Overuse

Repetitive stress from activities such as running, walking, or standing for long periods can lead to tendon degeneration.

Age

The risk of PTTD increases with age as the tendon loses elasticity and strength.

Obesity

Excess weight puts additional strain on the posterior tibial tendon.

Trauma

Injuries such as sprains or fractures can damage the tendon.

Inflammatory Diseases

Conditions such as rheumatoid arthritis can contribute to tendon dysfunction.

Biomechanical Issues

Flat feet or other structural abnormalities can increase the risk of developing PTTD.

Management of Posterior Tibial Tendon Dysfunction (PTTD) at UFIT Podiatry

At UFIT Podiatry, a personalized and comprehensive approach is adopted to manage PTTD, focusing on relieving symptoms, promoting healing, and preventing recurrence. The management strategy includes:

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1. Thorough Assessment

A detailed initial assessment is conducted to understand the patient’s condition, lifestyle & any contributing factors. This involves a physical examination, gait analysis & a review of medical history.

Podiatry assessment inner ankle pointing
2. Custom Management Plans

Based on the assessment, a tailored management plan is developed. This may include a combination of conservative measures, physical therapy, and, if necessary, surgical interventions.

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3. Advanced Therapies

UFIT Podiatry offers advanced therapeutic options such as Radial Shockwave and Focal Shockwave Therapy.


UFIT Podiatry 3D printing custom insoles
4. Custom Orthotics

Custom orthotic devices are designed and fitted to provide optimal support, correct foot mechanics, and reduce strain on the arches. These orthotics are created based on precise measurements and tailored to the patient’s specific needs.

Podiatry orthotics
5. Ankle foot Orthotics

For severe cases and post surgical PTTD foot orthotics provide the maximum external support and allow full functionality.

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6. Education and Prevention

Patients are educated on proper footwear, foot care, and exercises to prevent the progression of PTTD and maintain foot health. This proactive approach helps in preventing future issues and managing existing conditions effectively.

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7. Follow-Up Care

Regular follow-up appointments are scheduled to monitor progress, adjust treatment plans as necessary, and ensure long-term recovery and management. UFIT Podiatry emphasizes continuous care to help patients achieve and maintain foot health.

PTTD, though often painful and debilitating, can be effectively managed with a combination of appropriate treatments and preventive measures. By understanding the causes, symptoms, and available treatment options, individuals can take proactive steps towards relief and improved tendon health. At UFIT Podiatry, a patient-centered approach ensures that those suffering from PTTD receive the best possible care, tailored to their unique needs. Through comprehensive assessments, advanced therapies, and personalized treatment plans, UFIT Podiatry helps patients overcome the challenges of PTTD and achieve long-lasting comfort and mobility.

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SINGAPORE'S MOST ADVANCED TECHNOLOGY
SINGAPORE'S MOST ADVANCED TECHNOLOGY We're the only clinic in Singapore to offer advanced gait analysis and in-house 3D-printed insoles with a comprehensive report.
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ELITE LEVEL OF CARE FOR
ALL INDIVIDUALS
ELITE LEVEL OF CARE FOR
ALL INDIVIDUALS

We offer personalized, evidence-based lower limb care for athletes, active individuals, and parents seeking specialized treatment for their children.

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GET ACCESS TO A MULTIDISCIPLINARY TEAM OF PROFESSIONALS
GET ACCESS TO A MULTIDISCIPLINARY TEAM OF PROFESSIONALS

We go beyond addressing your injury or pain. Through our Circle of Care, you can access our team of experts with a vast range of specialised experience and knowledge.

What to expect on your first visit

1
FULL BODY ASSESSMENT
We recognise the interconnectedness of musculoskeletal health, so we assess your entire body, not just your feet. We also focus on vital health indicators impacting your lower limbs, like circulation, nerve function and alignment.
2
ADVANCED TECHNOLOGY

We use cutting-edge diagnostic tools to get real-time insights into your soft tissue, joints and structures to provide a fast and accurate diagnosis.

3
DETAILED REPORT

Post-assessment, you will receive clear and comprehensive reports detailing our findings. This will allow you to make informed decisions on your treatment plan.

4
TREATMENT PLAN

Together with you, we formulate a comprehensive and personalised treatment plan that suit your goals and preferences. 

Price List

Please note, our prices are inclusive of GST.

 

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Visit Our Podiatry Clinic

21 Club St, #01-01
Singapore 069410
+65 6225 5059
podiatry@ufit.com.sg
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Frequently Asked Questions

Do I need a referral to see a Podiatrist?

To consult with a podiatrist in a private practice, no referral is necessary. However, it is advisable to verify the requirements of your personal health insurance, as certain policies may necessitate a referral for insurance claims. 

If you possess a doctor or professional referral, kindly inform our staff when scheduling your appointment and remember to bring the referral letter with you during your visit. This ensures that we have all relevant information to provide you with the best possible care and may also facilitate any necessary insurance processes.

At UFIT, our key pillar is the use of exercise therapy and education to empower patients to take control of their health and recovery. We consider all factors that may affect your recovery: movement, sleep, nutrition, mindset and rest.

What should I bring to my initial podiatry consultation?

Insuring a comprehensive history review is crucial as it enables our team to accurately identify issues and direct treatment more effectively. If you possess any scan results, test results, or referral notes from your GP or another healthcare professional, we recommend bringing these documents to your appointment.

Additionally, any relevant footwear such as running shoes, school shoes, cycling shoes, football boots, or ski boots can provide valuable insights into your daily activities and contribute to a more thorough assessment and effective treatment approach.

How long is a podiatry appointment?

A typical podiatry session usually lasts around 60 minutes. However, the duration may vary depending on the patient’s condition and specific requirements. Our team  take the time to assess each individual’s needs and design comprehensive and effective care tailored to their unique circumstances.

Can I bring my child for a Podiatry assessment even though they don't have pain?

Absolutely! Podiatry assessments for children, even without apparent pain, are highly beneficial and our team are highly experienced in assessing children's lower limbs. Early intervention can help identify and address potential developmental or biomechanical issues that may impact your child's foot health in the long run.

Is my child too young for a Podiatry consultation?

No, your child is never too young for a Podiatry consultation. At UFIT Podiatry, we specialize in assessing and caring for the foot health of individuals of all ages. Even in the absence of specific concerns or pain, early podiatric consultations for young children can help detect and address potential developmental or biomechanical issues. Our podiatrists are experienced in providing gentle and age-appropriate assessments, ensuring that your child's feet are on the right track from an early age. 

Does UFIT Podiatry offer minor procedures for ingrown toenails and plantar wart removal?

Yes, our team are trained and qualified to perform surgical procedures for conditions such as ingrown toenails and plantar wart removal.

Do you offer direct billing with Insurance?

UFIT Podiatry does not currently offer direct billing services. However, we are recognized by all major insurance providers. Our services operate on a self-pay basis, and patients are required to settle payments directly at the time of service.

For insurance claims, we provide all necessary documentation, and patients can seek reimbursement from their insurance providers according to their policy terms. Feel free to contact us for any additional information or assistance in this process.