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info@excelpt.nyc
2965 Ocean Parkway Suite 5B,
Brooklyn, NY 11235
(718)-766-9033
Mon-Fri 9am-6pm, Sat 9am-3pm
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Posterior tibial tendon dysfunction

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About

Posterior tibial tendon dysfunction

At Excel Physical Therapy our expert team is dedicated to helping you manage the symptoms of

Posterior tibial tendon dysfunction

, improve your function, and enhance your quality of life. We create personalized treatment plans that focus on your unique needs, ensuring an effective approach to your care

Posterior tibial tendon dysfunction (PTTD) is a condition affecting the posterior tibial tendon, which is responsible for supporting the arch of the foot and maintaining proper alignment. PTTD occurs when this tendon becomes inflamed, damaged, or torn, leading to a gradual collapse of the arch and the development of a flatfoot deformity.

Causes of Posterior Tibial Tendon Dysfunction

PTTD is often caused by overuse, especially in athletes who participate in high-impact sports, such as running or basketball. Other factors that may contribute to the development of PTTD include obesity, diabetes, hypertension, and previous injuries to the tendon. Age can also play a role, as the tendon naturally weakens over time.

Symptoms of Posterior Tibial Tendon Dysfunction

The most common symptoms of PTTD include:

  1. Pain and swelling along the inside of the ankle
  2. Progressive flattening of the arch
  3. Inward rolling of the ankle
  4. Difficulty walking or standing for long periods

If left untreated, PTTD can lead to more severe problems, such as arthritis in the foot and ankle joints.

Diagnosis and Treatment of Posterior Tibial Tendon Dysfunction

To diagnose PTTD, a physical therapist will perform a thorough examination of your foot and ankle, assessing your range of motion, strength, and the alignment of your foot. Imaging studies, such as X-rays or MRI, may also be necessary to confirm the diagnosis and assess the extent of the damage.

Treatment for PTTD will depend on the severity of the condition and the specific needs of the patient. In the early stages, conservative treatments such as rest, ice, compression, and elevation (RICE) may be recommended. Additionally, physical therapy can help to strengthen the affected tendon and surrounding muscles, improve flexibility, and restore proper foot biomechanics.

Treatment Approaches
we offer:

Ultrasound - Ultrasound warms deep structures, improves blood flow and flexibility and allows for better stretching.
TENS-TENS Unit - Unit is a low voltage electric current that stimulates nerves and produces a massaging or tingling sensation to decrease pain. Electrodes are placed directly on the skin on a painful point.
Superficial heat - A hot compress warms superficial structures, decreases muscle spasm and increases blood flow.Ice- Cold pack decreases redness and swelling and slows down metabolism during acute pain and inflammation.
Cupping - Cupping is used in physical therapy to increase blood circulation to a particular area, which can help to promote muscle healing, reduce pain, and increase range of motion.
Low Level Laser Therapy - Laser therapy increases blood flow, speeds up tissue repair and healing, decreases swelling and inflammation and enhances immune responses.
Joint Mobilization and Joint Traction - Joint mobilization and traction help to decrease pain by increasing mobility of a joint and decreasing swelling and inflammation.
Stretching - Regular stretching improves elasticity, increases blood flow, maintains healthy structure of joints and muscles and helps to prevent or slow down arthritic changes.
Exercise - Regular exercises increase muscle strength and joint stability, boost bone health and help maintain healthy weight.
Massage with Hot Stones - Massage with Hot Stones relaxes painful muscles and breaks down "knots"and restrictions. It has an overall soothing effect on the body, increases mood and improves wellbeing.
Bracing - A brace gives extra support to muscles and joints, especially after injury or surgery and when performing strenuous daily activities.
Patient Education - Patient is instructed on proper use of heat or ice, home exercises, proper sleeping and sitting positions and proper lifting techniques.
Choosing Excel Physical Therapy comes with

numerous benefits

Personalized treatment plans tailored to your specific needs
Expert guidance from experienced physical therapists
State-of-the-art equipmentand modern techniques for optimal recovery
Holistic approach to care, addressing physical, mental,and emotional well-being
Convenient location and flexible appointment scheduling

At Excel Physical Therapy

we are committed to helping you regain function, reduce pain, and improve your overall well-being

Inna Kouperman
Founder, Head Physical Therapist

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Hear From Oursatisfied patients

Our patients' success and satisfaction are the top priorities. Read about their experiences and the life-changing results they have achieved with our help.

"

Excellent office, above and beyond service! All people work as a TEAM. Karina is a jewel to this place: friendly, nice and supportive. All people make you feel in a Spa, not in a doctor's office in it's usual sense (where you want to leave asap). Eros is a very knowledgeable and helpful (for any questions you get answers in a professional manner - he knows what he is doing and does an excellent job ). Grateful to Dr.Inna Kouperman MS,PT,who managed to organize her office in such a manner. The name Excel Physical Therapy says it all! Everybody knows that the Front desk is the Face of the office. So, I have to mention Tamara, who is always reminding me about appointment by phone and also greets with the smile and friendly face. I would greatly recommend this place to all people and would give more than 5 stars!!! Love you all!

"

Ella M.

"

I have been coming for 1 month. When I 1st came I could not even walk a block without having to stop because my legs, back & feet were killing me. I have diabetic neuropathy in my feet going to my calves as well. I have been having tens unit & hot stone therapy on my feet & calves and it is FANTASTIC. I have also been doing the bicycle (started at 5 minutes and now I can do 15 minutes) and balance & stretching for my calves & thighs. Inna is a MIRACLE WORKER. Last week after I left her office, i went walking from Brighton 3rd St. to 1 block short of Coney Island Ave. Then I turned down the block to Brighton Beach Ave. I walked all the way down to Brighton 1st St. without any PAIN or TROUBLE WITH MY FEET. Inna Kouperman Of EXCEL PHYSICAL THERAPY is the ABSOLUTE BEST and I RECOMMEND HER HIGHLY.. I can't wait to see what the next months progress brings !!!!!

"

Lisa

"

Inna is just a know it all physical therapist, from my knee to my shoulder injury, she was able to help me heal my injuries. She takes her time and every time there is a different type of excercise or massage applied to the injured area. Can't say enough good things about her staff especially coming from different places like One n One where they do dverything repeatedly and nothing gets done.

"

Emily

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