>40% talonavicular uncoverage 7. Forefoot varus The doctor may look for swelling along the posterior tibial tendon. The doctor will also assess the range of motion by moving the foot side to side and up and down. PTTD can provide problems with side-to-side range of motion, and issues with moving the toes toward the shinbone. The doctor will also observe the shape of the foot. They will examine for a collapsed arch and a heel that has shifted outward. The doctor may also assess how many toes they can see from behind the heel when the patient is standing. Normally, only the fifth toe and half of the fourth toe are seen from this angle. MRI and ultrasound scans can verify PTTD Most cases of PTTD are treatable without surgery. 1. Reducing Swelling and Pain Early treatment helps decrease pain and swelling and permits the tendon to heel. Applying ice to the sore area and taking non-steroidal anti-inflammatory medications (NSAIDs) can decrease swelling and pain. The doctor will also advise the patient to rest and avoid activities 2. Foot Support Dependent on the seriousness of the PTTD, the doctor may indicate some form of support for the foot and ankle. Surgery may be required if the PTTD is serious. FDL transfer Calcaneal osteotomy Arthrodesis TABLE OF CONTEN...
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