This is a common complaint associated with Posterior Tibial Tendon Dysfunction, or PTTD. It is very common for symptoms of PTTD to progress slowly. It may start as a dull pain from tendonitis and continue to sharp pains as the Posterior Tibial Tendon incurs further damage.
This gradual increase in symptoms occurs because unlike many tendon tears that occur from an acute injury PTTD is most commonly do to overuse injuries. In addition to overuse injuries there are particular groups that are more susceptible to PTTD. In particular Posterior Tibial Tendon Dysfunction is more common in women and in people older than 40 years of age. Additional risk factors include obesity, diabetes, and hypertension.
Because of the gradual degeneration of the Posterior Tibial Tendon is it important to recognize risks factors and seek help early.