Taping for Posterior Tibialis Tendon Dysfunction (PTTD)

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The Physical Therapy Advisor

The Physical Therapy Advisor

Күн бұрын

In this video, I demonstrate a taping technique for supporting the arch and the bottom of the foot for those suffering from Posterior Tibialis Tendon Dysfunction (PTTD).
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Pain along the inside (medial) portion of your ankle is often due to Posterior Tibialis Tendon Dysfunction (PTTD), also known as posterior tibial tendon syndrome or tibialis posterior syndrome, and it can be very difficult to treat.
The posterior tibialis muscle is a particularly important muscle in runners as it is used in plantar flexing the ankle (pointing the ankle/toes downward) and inverting the ankle (rolling it inward). More importantly, its role is to support the arch of the foot. Injury to this muscle is common in runners as well as those who play sports involving high foot impact such as basketball. It can be associated with a fall or can generally develop overtime depending on your risk factors and the strain your foot has taken. (Please refer to 9 Tips to Self-Treat Posterior Tibialis Pain www.thephysicaltherapyadvisor...)
In this video, I demonstrate a taping technique for supporting the arch and the bottom of the foot for those suffering from PTTD. (I recommend using KT TAPE amzn.to/12VSc7T.)
PTTD most commonly starts out as an over use injury. Although more common in runners and those who are involved in high impact sports, this condition can affect anyone. If the condition is left untreated, the end result is usually a falling of the arch which causes adult acquired flatfoot. When this condition is caught early, it can be self-treated. Once the arch has fallen, surgery would most likely be indicated.
If you’re interested in a more thorough guide along with other videos on how to self-treat lower extremity injuries and pain like PTTD, check out the Resilient Runner Program (marathontrainingacademy.click.... This is the perfect guide to help you take control of your health and fitness as well as self-manage common aches, pains, and injuries. Even if you’re not a runner, this program is appropriate for those who love to stay active and want to enjoy a healthy lifestyle.
In case you haven’t already, be sure to subscribe (www.thephysicaltherapyadvisor...) to my e-mail list and KZfaq channel as well as join our community on Facebook by following @ThePhysicalTherapyAdvisor!

Пікірлер: 24
@Ashley-xf8ix
@Ashley-xf8ix Ай бұрын
Thank you! Saying all of the details like how much to stretch the tape is very helpful as that isn't intuitive for many of us!
@ThePhysicalTherapyAdvisor
@ThePhysicalTherapyAdvisor Ай бұрын
You are so welcome!
@irenekloepfer1586
@irenekloepfer1586 16 күн бұрын
It would be useful if you also showed the other side of the foot so we can see precisely where you put the tape.
@hannahmeneses4136
@hannahmeneses4136 8 ай бұрын
This technique has helped so much, easy to apply and alleviates the symptoms a lot, thank you!
@ThePhysicalTherapyAdvisor
@ThePhysicalTherapyAdvisor 5 ай бұрын
Fantastic!!
@auntwanettewhite7087
@auntwanettewhite7087 Жыл бұрын
Thank you. I have PTTD and if I do one thing wrong it flares up. I've tried other taping techniques as well--I really like this one, feels completed supported and the tap isn't running up my leg. Feels greatly supported but not "exposed" (no need to explain PTTD to everyone). Planning a 4mi run today, looking forward to how it feels then...would be nice to forget about it and just enjoy running.
@ThePhysicalTherapyAdvisor
@ThePhysicalTherapyAdvisor Жыл бұрын
Thanks for sharing. I hope this taping technique works well for you. Take care.
@MrX-vk1jl
@MrX-vk1jl Жыл бұрын
How is it going right now? I hate this PTTD. These modern heel drop shoes from Hoka screwed up my feet.
@highonsmog
@highonsmog 6 ай бұрын
Is there a brace you recommend to provide relief for a heavy big fella with large foot?
@adventuren3623
@adventuren3623 Жыл бұрын
You say once the arch has fallen surgery is most likely indicated. Can you reverse a fallen arch without surgery, by healing and strengthening the tendon(or some other non-surgical way)?
@ThePhysicalTherapyAdvisor
@ThePhysicalTherapyAdvisor Жыл бұрын
Great question. Once the arch has officially "fallen" that typically means the tendon has torn and the bone has actually moved and rotated downward. This would only improved with surgery. However, that is not the same thing as someone having "flat feet" where there is a reduced arch present that can be impacted by strengthening. Hope that clarifies the difference. One is an actual pathology from injury, the other falls within the range of norms and can be impacted.
@margafrantz4406
@margafrantz4406 Жыл бұрын
I pulled it doing heel raises on Tuesday. I have a hiking trip scheduled for 7 days later- how long do I rest the ankle/leg to help minimize injury? Thx for taping technique, I’ll tape it as well
@ThePhysicalTherapyAdvisor
@ThePhysicalTherapyAdvisor Жыл бұрын
Likely one week will not be enough for an injury like this. So if you choose to go on your hiking trip, I would suggest trying to immobilize as much as possible. Wear a good fitted boot with arch support. Best of luck.
@tendaroni
@tendaroni 11 ай бұрын
I have PTTD from an adverse reaction from antibiotics a year ago. I tried physical therapy but this doesn’t seem to be a “repairable injury” and more of just a chronic condition. Can physical therapy still help? I use red light therapy as well. When it first happened I immediately taped it. I have been using tape since 2003 for everything. I’m going to try this technique. As I of now I just have the tape following along the tendon but this seems like it would add better support
@ThePhysicalTherapyAdvisor
@ThePhysicalTherapyAdvisor 5 ай бұрын
Yes PT can still help. And taping along the tendon can also help. How has that worked for you so far?
@JerryAndJulieMusic
@JerryAndJulieMusic 2 жыл бұрын
Will it work for stage 4? I wear orthotic braces, but they need replaced badly. I'm seeing one on the 22nd to get fitted since its been since 2015. I'm in a lot of pain right now as I'm waiting. The process takes about 3 months.
@ThePhysicalTherapyAdvisor
@ThePhysicalTherapyAdvisor Жыл бұрын
Great question! Yes, it is likely to help some. But it will not take the place of a properly fitted orthotic for a stage 4 tear. But if you're in pain and have to wait on the orthotic, then I would definitely recommend giving it a try. You can use the tape and an orthotic at the same time. All the best!
@emilypaterson4925
@emilypaterson4925 Жыл бұрын
"Ordinary Girl" DId you get a good new orthotic? I am struggling with my orthotic and interested in what is working for others.
@jaysgsyaj
@jaysgsyaj Жыл бұрын
wouldn't you want to start at the finish and pull up from the arch? this direction doesn't seem intuitive to me.
@adrenalinejen
@adrenalinejen 10 ай бұрын
I thought the same thing, hello?
@ThePhysicalTherapyAdvisor
@ThePhysicalTherapyAdvisor 5 ай бұрын
Yes you totally could. This technique does work though. Give it a try and report back.
@Mark-ji4vx
@Mark-ji4vx 2 жыл бұрын
𝙥𝙧𝙤𝙢𝙤𝙨𝙢
@highonsmog
@highonsmog 6 ай бұрын
Is there a brace you recommend to provide relief for a heavy big fella with large foot?
@ThePhysicalTherapyAdvisor
@ThePhysicalTherapyAdvisor 5 ай бұрын
I recommend seeing a podiatrist or physical therapist so they can fit an appropriate brace to you.
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