There are many factors that can contribute to PTTD, but it usually develops from overusing the posterior tibial tendon. PTTD only occurs in adults and it affects females about four times as frequently as males, which is why it's most common in women between the ages of 40-60.
When this tendon gets damaged for any reason and the arch of the foot flattens, it results in PTTD. This tendon helps maintain the arches and normal alignment of your foot, and provides support so you can walk normally. The posterior tibial tendon begins at one of the smaller muscles of the calf, runs through the middle of the ankle, and connects to the bottom of the foot. This leads to the flattening of one foot-or sometimes both feet-with lower arches. Adult-acquired flatfoot, also known as fallen arches or posterior tibial tendon dysfunction (PTTD), is a painful condition that occurs when this tendon becomes inflamed, overstretched or torn. The posterior tibial tendon, which stretches from the calf to the bones in the middle of your foot, is one of the most important tendons in the lower leg. Adult-Acquired Flatfoot (Posterior Tibial Tendon Dysfunction)
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