PTTD is a chronic progressive condition so is easier treated in the early stages preventing the need for surgery. Physiotherapy can provide customised exercises and stretches needed to retore the functionality of your feet and ankles. You may also be advised the following:
Resting the tendon by reducing your walking, standing and high impact activity and apply an ice pack (or frozen vegetables covered with a towel to prevent ice burns) for 10 minutes, four times a day can reduce pain and inflammation.
If you are overweight losing weight will reduce the load going through your feet when you are standing or walking.
Reduce strain and pressure on the tendon by wearing comfortable shoes, trainers or hiking boots which have a high and firm heel counter with arch support.
Avoid slip–on or backless shoes as they usually have a soft and low heel counter and therefore increase strain on the ankle and tendon. In some cases, you may benefit from wearing specially made orthotic shoes or boots to help support the tendon and reduce the pain.
Taking pain killers such as paracetamol and ibuprofen when needed to reduce pain and inflammation.
Wearing orthotics can reduce forces around this area and reduce strain on the tendon, allowing time for the tendon to heal whilst giving pain relief.
Surgery may be offered if other treatment options fail. The type of surgery depends on the severity of the condition, ranging from a tendon repair to an ankle reconstruction. Recovery is prolonged and requires at least 3 months off work depending on your job and 18 months to feel the full benefit of surgery.