Posterior tibial tendon dysfunction (PTTD) is a painful condition that affects the foot and ankle. It can affect your ability to walk or perform certain lower-body movements. PTTD can be treated through nonsurgical or surgical methods.
There is a diagnosis code for posterior tibial tendinitis: M76. 82.
The posterior tibialis tendon is a strong cord of tissue. It is one of the most important tendons in your leg. It attaches the posterior tibialis muscle on the back of your calf to the bones on the inside of your foot. It helps support your foot and hold up its arch when you are walking.
Because the tibialis posterior (TP) originates from the posterior compartment of the lower leg, the tibialis posterior is also a secondary plantar flexor of the foot along with the gastrocnemius, soleus, and plantaris muscles.
Report 28202 if a free graft is used for the repair. The patient may be placed in a cast for six to eight weeks. Procedures 28200 and 28202 may be reported multiple times as these codes should be reported for each flexor tendon repair.
Tuberosity of navicular boneTibialis posterior muscleOriginPosterior surface of tibia, posterior surface of fibula and interosseous membraneInsertionTuberosity of navicular bone, all cuneiform bones, cuboid bone, bases of metatarsal bones 2-43 more rows•Jun 30, 2020
As the service-connected bilateral pes planus with bilateral plantar fasciitis and chronic bilateral posterior tibial tendonitis is currently rated as 30 percent disabling, Diagnostic Code 5284 does not avail the Veteran.
What causes Posterior Tibial Tendonitis? Posterior tibial tendon dysfunction often happens due to repetitive overuse. Dancers and athletes who play high impact sports are at risk due to the stress they place on this tendon. An acute injury, such as a fall or collision, can also tear the posterior tibial tendon.
In the early stages, posterior tibial tendon dysfunction can be treated with rest, non-steroidal anti-inflammatory drugs such as aspirin or ibuprofen, and immobilization of the foot for 6-8 weeks with a rigid below-knee cast or boot to prevent overuse.
The tibialis posterior muscle is the most central of all the leg muscles, and is located in the deep posterior compartment of the leg. It is the key stabilizing muscle of the lower leg....Tibialis posterior muscleInsertionNavicular and medial cuneiform boneArteryPosterior tibial arteryNerveTibial nerve11 more rows
The Tibialis Posterior Trigger Point This trigger point is located near the muscle's origination, about half-way between the tibia and fibula bones in the upper third of the lower leg.
Biomechanical Assessment The patient presented with extremely tight calf muscles which is a cause of tibialis posterior tendonitis, and is also a common cause of plantar fasciitis.