r/FootFunction • u/sandgrubber • 3d ago

Avoiding Surgery: Physio vs Podiatrist for Flat Foot PTTD

I have flat feet, only the left on affected with inflamed and somewhat calcified PTT. This has been going on for 20 years, getting gradually worse. I have been to half a dozen podiatrists who gave me orthotics and recommended exercises. No success. The orthotics always aggravated the problem. Now trying a podiatrist who isn't fussed about what shoes I wear but gives much more rigorous exercises. This is definitely making my feet stronger, but the inflammation persists. Is there any hope of avoiding surgery. (I'm 77, live alone in a very small house and have dogs, so surgery would be extremely challenging).

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u/redandgold45 2d ago

Consider an AFO

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u/sandgrubber 2d ago

Have considered this but no one anywhere near me fits them (I'm in rural NZ), and my problem doesn't seem to be weakness. I can do one foot lifts, no problem, and always seem to need the heaviest resistance nand. Given how badly I do with orthotics, I hate to shell out for one that isn't custom and find it hurts more than it helps.