FAQ

Can PTTD Be Treated Without Surgery?

Yes — in most cases, surgery can be avoided. Here's the encouraging reality:

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Can PTTD Be Treated Without Surgery?

Yes — in most cases, surgery can be avoided. Here’s the encouraging reality:

Good News: Most Cases Don’t Need Surgery

80-90% of early-stage PTTD improves with conservative treatment. Surgery is typically reserved for advanced cases where deformities have become rigid.

The earlier you start treatment, the better your chances of avoiding surgery.

Non-Surgical Treatment Options

Activity Modification

  • Avoid high-impact activities (running, jumping)
  • Reduce prolonged standing
  • Switch to low-impact exercises (swimming, cycling)

Orthotics and Braces

  • Custom orthotics — most effective for arch support
  • Ankle braces for stability
  • UCBL orthotics for more control
  • CAM walker boots for severe cases

Physical Therapy

  • Calf stretching exercises
  • Strengthening for the posterior tibial tendon
  • Gait training to improve mechanics

Medications

  • NSAIDs (ibuprofen, naproxen) for pain and inflammation
  • Topical anti-inflammatories

Injections

  • Corticosteroids — used sparingly (can weaken the tendon)
  • PRP — experimental but promising

The Bottom Line

If you’ve been diagnosed early, conservative treatment has an excellent success rate. The key is starting treatment promptly and being consistent with your plan.

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