When to See a Podiatrist for PTTD: Signs You Need a Specialist

Your feet are trying to tell you something. That persistent ache on the inside of your ankle, the arch that seems to be dropping—you’ve noticed, but you’re not sure if it’s worth a doctor’s visit.

Here’s the honest answer: if you’ve had symptoms for more than a few weeks, it’s time.

What Does a Podiatrist Actually Do?

Podiatrists are foot and ankle specialists. They diagnose and treat conditions affecting the lower extremities—including posterior tibial tendon dysfunction. Unlike general practitioners, they focus exclusively on feet, which means they see PTTD cases regularly and know what works.

You might also see an orthopedic foot and ankle surgeon if your case is severe, but many people start with a podiatrist.

When Should You Make That Appointment?

Don’t wait until you’re in severe pain. Here’s when to book:

  • Symptoms lasting more than 2-3 weeks — That twinge isn’t going away on its own
  • Visible arch changes — If your foot looks flatter than before
  • Pain that affects daily activities — Walking, standing, or exercise becomes difficult
  • Swelling along the inner ankle — Especially if it’s persistent
  • Difficulty on tiptoes — This is a key test for PTTD

What to Expect at Your First Visit

Here’s what usually happens:

  1. Medical history — They’ll ask about your symptoms, when they started, and what makes them worse
  2. Physical exam — Checking your foot flexibility, strength, and where it hurts
  3. Gait analysis — Watching you walk to see how your foot moves
  4. Imaging — X-rays or MRI if they suspect tendon damage

Don’t be surprised if they have you walk across the room barefoot. It’s one of the best ways to see how your arch behaves under pressure.

How to Find a Good Podiatrist

Not all podiatrists specialize in PTTD. Here’s how to find the right one:

  • Ask for referrals — Your primary care doctor or physical therapist can recommend someone
  • Check credentials — Look for board certification (DPM) and foot and ankle surgery specialization
  • Read reviews — But take them with a grain of salt—look for patterns, not individual complaints
  • Call ahead — Ask if they treat PTTD specifically and what conservative treatments they typically recommend

Questions to Ask Your Podiatrist

  • What’s the likely stage of my PTTD?
  • What treatment options do you recommend first?
  • How long until I might see improvement?
  • What happens if this gets worse?
  • Do you work with physical therapists who can help with rehabilitation?

The Bottom Line

If something feels off with your feet or ankles, don’t tough it out. PTTD doesn’t fix itself, and catching it early means simpler treatment. A good podiatrist can set you on the right path—whether that’s custom orthotics, physical therapy, or further intervention.

This article is for educational purposes and is not a substitute for professional medical advice.