Flatfoot Deformity

Flatfoot Treatment in Fort Worth & Burleson, TX

Flatfoot deformity, also known as posterior tibial tendon dysfunction (PTTD), is a progressive condition that can lead to arch collapse, pain, and instability if left untreated.

Dr. Dalton Ryba, DPM is a dual board-certified podiatrist and foot & ankle surgeon providing comprehensive evaluation and treatment for flatfoot deformity in Fort Worth and Burleson, Texas. Treatment ranges from conservative care to advanced reconstructive surgery depending on severity.

What is a Flatfoot?

The posterior tibial tendon plays a critical role in supporting the arch of the foot.

When this tendon becomes weakened or damaged, the arch may begin to collapse, leading to progressive deformity.

Over time, this can result in:

Flattening of the arch
Foot turning outward
Increased strain on surrounding joints

Flatfoot deformity often progresses through stages if not properly treated.

What Are The Common Symptoms?

Pain along the inside of the ankle or foot
Progressive flattening of the arch
Swelling along the tendon
Foot turning outward
Difficulty walking or standing for long periods
In later stages, pain may shift to the outside of the ankle due to joint stress.

What Are The Causes And Risk Factors?

Flatfoot deformity can develop due to:

Posterior tibial tendon dysfunction
Overuse or repetitive strain
Age-related tendon degeneration
Obesity
Prior injury

Certain foot structures may also increase risk. Congenital factors also contribute to flatfeet.

What Are The Treatment Options?

Early-stage flatfoot can often be managed without surgery.

Custom orthotics
Bracing
Physical therapy
Activity modification
Anti-inflammatory medications

These treatments aim to support the arch and reduce tendon strain.

Surgery may be recommended when:

Deformity progresses
Pain persists despite conservative care
Structural instability develops

There are multiple surgical approaches depending on severity.

Procedures may include:

Tendon repair or reconstruction
Osteotomies (bone realignment)
Joint stabilization procedures
Fusion in advanced cases

Treatment is highly individualized. The goal is to restore alignment, improve function, and prevent further progression.

What Is The Recovery Timeline?

Recovery depends on the procedure performed.

Conservative care: gradual improvement over time
Surgical treatment:
- Period of non-weightbearing
- Gradual return to activity
- Physical therapy

Full recovery from reconstructive procedures may take several months.

When To See A Specialist?

Progressive flattening of the arch
Pain along the inside of the ankle
Swelling or weakness in the foot
Difficulty with walking or activity
Early evaluation allows for more treatment options and may prevent progression.

Dr. Ryba sees patients in Fort Worth and Burleson, TX through
Lonestar Orthopaedic and Spine Specialists, PLLC.

When scheduling, please request an appointment specifically with Dr. Dalton Ryba, DPM.