Can I Have PTTD During Pregnancy?

Yes, posterior tibial tendon dysfunction can develop during pregnancy, and it’s more common than you might think.

Why PTTD Can Develop During Pregnancy

Several pregnancy-related changes can contribute to PTTD:

• Weight gain: Most women gain 25-35 pounds during pregnancy, adding significant stress to the posterior tibial tendon
• Hormone changes: Relaxin and other hormones loosen ligaments throughout your body, including those supporting your feet
• Fluid retention: Swelling can change how your feet feel and function
• Changed gait: As your belly grows, your walking pattern shifts, placing different stresses on your feet

Will It Go Away After Delivery?

In most cases, pregnancy-related PTTD improves significantly after your body recovers and you return to your pre-pregnancy weight. The ligaments gradually tighten back up, and symptoms often diminish over several months.

However, if you had underlying risk factors for PTTD before pregnancy — such as flat feet, previous ankle injuries, or biomechanical issues — the condition may persist and require ongoing management.

Safe Treatment Options During Pregnancy

You don’t have to simply wait it out. Several approaches are safe during pregnancy:

• Supportive footwear: Choose shoes with good arch support
• Over-the-counter orthotics: Can help distribute pressure evenly
• Rest and elevation: Helps reduce swelling and strain
• Ice therapy: Applied to sore areas for short periods
• Gentle stretching: A physical therapist can recommend safe exercises

What to Avoid

• Surgery: Elective procedures are typically postponed until after delivery
• Medications: Check with your doctor before taking any pain relievers
• High-impact activities: Modify your exercise routine to lower-impact options

When to See a Doctor

Contact your healthcare provider if you experience:

• Severe pain that affects your daily activities
• Swelling that doesn’t improve with rest
• Difficulty walking
• Pain that’s getting worse rather than better

Early evaluation means earlier treatment and better outcomes.

The Bottom Line

PTTD during pregnancy is common and usually temporary. With appropriate care and some patience, most women recover well after delivery. Don’t hesitate to seek help if you’re experiencing foot or ankle symptoms — there’s no need to suffer through it.

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Disclaimer: This information is for educational purposes only and does not constitute medical advice. Always consult with your healthcare provider.