A progressing deteriorating of a flat foot or dropped arch in an adult is often known as posterior tibial tendon dysfunction as well as adult acquired flatfoot and will have major implications if not recognized early and treated. This is more prevalent in older as well as over weight adults. The primary issue is that the posterior tibial muscles that are given the task of holding up the arch in the feet are no longer efficient at carrying out this, consequently a gradual falling of the feet comes about. As well as a flattening of the arch of the feet there may be commonly increasing pain and discomfort within the arch of the feet as well as the rearfoot. As the posterior tibial tendon dysfunction moves along, further walking will become significantly harder and it is really fatiguing.

There are actually typically 4 stages associated with posterior tibial tendon dysfunction that the condition advances through with 1 being the initial phase and four being the final stage that only surgical treatment can fix. There is certainly some disagreement with the classifications of this with some variability amongst health care professionals and some reliability issues. Having said that, stage one is typically treated with foot orthoses as well as exercises and some drugs for the pain. Stage two generally needs a lot more aggressive and supporting foot orthotics, continuing with the exercises along with higher levels of pain relief drugs are usually necessary. Both stages 1 and 2 may benefit with high top supportive footwear. Long term weight loss programs can also be likely to be beneficial. When this does not prevent the development and the feet are proceeding towards a stage 3, then there is growing probability that reconstructive foot surgical procedures are likely to be needed. This is why it's so important that there be more intense conservative management of the feet when it's still in stage two to stop the development.

An increasingly common solutions for posterior tibial tendon dysfunction while it continues to stage 2 is the Richie Brace. This Richie Brace has been widely used and it has been demonstrated to be really successful at stopping the advancement of this disorder and staying away from the need for surgical treatment. Surgical interventions tend to be successful, however, there is usually a residual measure of impairment remaining since the surgery usually does need the fusing of some important joints and also the transfer of muscles attachments with other parts of the foot. The Richie brace is a blend of an aggressively made tailor made foot orthoses and an ankle foot orthoses with struts to support either side of the ankle joint. The customized foot orthoses is made from a plaster cast or optical scan on the foot with the foot held in a fixed placement. The reason for the foot orthotic part of the Richie Brace is to try and hold the foot in this corrected posture. The struts which get included up the side of the ankle joint are hinged at the ankle joint to permit motion to happen at the joint. Those struts will be held on by Velcro to the lower calf to help support and improve the influence of the foot orthoses. If the progress of posterior tibial tendon dysfunction is usually ended making use of this, then surgery is commonly avoided.