FAQ

At What Age Does PTTD Typically Develop?

PTTD can strike at any age, but it most commonly shows up in middle adulthood. Here's the breakdown:

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At What Age Does PTTD Typically Develop?

PTTD can strike at any age, but it most commonly shows up in middle adulthood. Here’s the breakdown:

Age Distribution

  • Most common age range: 40-60 years
  • Peak incidence: women in their 50s
  • Frequency increases significantly after age 40
  • Women are affected 3x more often than men

Why Age Matters

Your posterior tibial tendon isn’t immune to the effects of time. As we age:

  • Tendon quality and elasticity naturally decrease
  • Years of accumulated wear and tear take a toll
  • Postmenopausal women face especially higher risk due to hormonal changes affecting connective tissue

PTTD in Younger People

While rare under age 20, PTTD can occur in younger individuals, typically due to:

  • Sports injuries or trauma
  • Inflammatory conditions like rheumatoid arthritis
  • Structural abnormalities present from birth

In younger patients, doctors often consider other possible causes before settling on PTTD.

The Bottom Line

If you’re in your 40s, 50s, or 60s and noticing inner ankle pain or arch collapse, don’t assume it’s “just aging.” PTTD is common in this age group and is very treatable — especially when caught early.

This information is for educational purposes only. Consult your healthcare provider for personalized medical advice.