Taping for Posterior Tibialis Tendon Dysfunction (PTTD)

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.

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.

[Ashley-xfix]

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!

[hannahmeneses]

This technique has helped so much, easy to apply and alleviates the symptoms a lot, thank you!

[auntwanettewhite]

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.

[BrittneyX]

I just want to say thank you! I tried this wrapping technique for my 8 hour work day. I’m on my feet all day and struggle with arch/ankle pain. It felt so comfortable throughout the day and relieved my symptoms by a lot. Thank u!! 😊

[hutchman]

I just tried this and feel relief. I strained this a week ago. I believe I strained it picking up 150 lb sandbag. While I’m very fit, I believe I went too much too fast. The amount of micro muscles it takes put a strain.

[jaysgsyaj]

wouldn't you want to start at the finish and pull up from the arch? this direction doesn't seem intuitive to me.

[JerryAndJulieMusic]

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.

[highonsmog]

Is there a brace you recommend to provide relief for a heavy big fella with large foot?

[adventuren]

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)?

[margafrantz]

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

[irenekloepfer]

It would be useful if you also showed the other side of the foot so we can see precisely where you put the tape.

[tendaroni]

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

[tonyl]

Does this also work for tenosynovitis of the posterior tibialis tendon?

[highonsmog]

Is there a brace you recommend to provide relief for a heavy big fella with large foot?