by Dr. David R. Northcutt
Dr. David Northcutt is a podiatrist and foot and ankle surgeon at Dallas Podiatry Works in TX.
“Hi, I’m Dr. Northcutt and I want to talk a little bit today about adult acquired flatfoot deformities. This is a deformity which is associated with the posterior tibial tendon and its dysfunction. Posterior tibial dysfunction is a condition caused by changes in the tendon which result in difficulty supporting the arch of the foot. This results in a slow flattening of the foot over time. Posterior tibial tendon dysfunction is usually progressive, which means it will keep getting worse, particularly if it isn’t treated early.
Symptoms usually occur after activities that involve significant use of the tendon, such as running, walking, hiking, or climbing stairs. Symptoms may include pain, swelling, and flattening of the arch, and an inward rolling of the ankle. Pain typically starts on the inside part of the foot or ankle, which is where the tendon is located. As the arch flattens, you may notice the foot turn outward and the appearance of the ankle rolling inward. As the deformity progresses, pain may begin to the outer portion of the foot and ankle. At this point the tendon has typically deteriorated considerably and arthritis has started to develop in joints of the foot.
Treatment is usually better when addressed early. Treatment can include custom orthotics, braces such as these, and also a period of non-weight bearing or immobilization, and sometimes a below-the-knee boot. Anti-inflammatories can also be helpful. Shoe modifications may be needed. Physical therapy also sometimes can be of benefit. Occasionally surgery is needed. These are typically reserved for advanced cases or cases where the pain is not controlled to a tolerable level. If you have any pain similar to what has been described, our team at Dallas Podiatry Works will work with you to determine the proper treatment and help you keep active. All of us here at Dallas Podiatry Works would love to be a part of your healthcare team.”
The doctor has great “bedside manners” when talking to patients. Great staff and comfortable atmosphere.
The staff at Dallas Podiatry Works could not have been more courteous, helpful, and professional in doing their job. They made me feel comfortable when I was there, which is certainly appreciated. They answered all the questions that I had and just made each visit the most pleasurable that it could be. I would highly recommend them to anyone needing this type of foot care.
I would highly recommend Dr. Brook to anyone with foot problems–especially problems that stump other podiatrists. He really is very caring and very knowledgeable.
Dr. Joel Brook and the staff were nice and helpful. Though I was a new patient, I got right in as soon as they were open in my preferred location. They diagnosed the problem and provided medicines along with a perfect gel bandage so I could keep exercising while my toes healed. My toes already hurt less and look a little better each day. If I have future issues, I will be a repeat customer. Here’s hoping I don’t, but at least I know my feet are in good hands.
I visited this office for an ingrown toe nail a few years ago. After seeing another doctor, who made it worse, he referred me to Dallas Podiatry Works. The doctor there was able to fix my problem. I’m not great with reviews, all I can tell you is that this doctor and staff will have you up and running or doing whatever it is you do in no time. You will be in great hands. You’d be a fool not to use this doctor. Now its time to visit him again for the other toe.
Been having bad ankle pains for 6 months was referred here and it was a great visit ladies in the front desk medical assistants and the Doctor were all very friendly and make you feel very comfortable.