![Stage 2 Inside Of The Ankle Pain [ Posterior Tibial Tendonitis ] | Balance Foot & Ankle](https://www.michiganfootdoctors.com/uploads/2023/09/stage-2-inside-of-the-ankle-pain-posterior-tibial-tendonitis.avif)
Quick answer: Stage 2 Inside Of The Ankle Pain Posterior Tibial Tendonitis has multiple potential causes including mechanical, neurological, vascular, and inflammatory. The patterns we see most often are overuse, poorly-fitted shoes, and biomechanical imbalance. Red flags requiring urgent evaluation: warmth/redness (infection), inability to bear weight (fracture), and unilateral swelling without injury (DVT). Call (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
In This Article
The most important clinical decision with Stage 2 Inside Of The Ankle Pain Posterior Tibial Tendonitis isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Related Conditions
Quick Answer
STAGE 2 Inside of the Ankle Pain [ Posterior Tibial Tendoni relates to tendon injury — typically caused by overuse or sudden strain. Most patients improve in 6-12 weeks with conservative care. Same-week appointments in Howell + Bloomfield Township: (810) 206-1402.
✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
STAGE 2 Inside of the Ankle Pain [ Posterior Tibial Tendonitis ]
![Collapsing ARCH [ Posterior Tibial TENDON Injury ]](https://www.michiganfootdoctors.com/wp-content/cache/flying-press/24dd35b1eb7c1487f5640cb7e33f53fe.jpg)
STAGE 2 Inside of the Ankle Pain [ Posterior Tibial Tendonitis ]
🦶Do you have Posterior Tibial Tendonitis? AKA Inside of the Ankle Pain or Pain on Inside of the Foot? We go over the 4 stages of posterior tibial tendonitis pain! These are The BEST & Most PROVEN Treatment Options! Full Video: https://youtu.be/X1mtD7XUIsc 🦶
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DISCLAIMER:
Dr. Tomasz Biernacki received his Doctor of Podiatric Medicine degree from Kent State College of Podiatric Medicine in 2013; he completed his Surgical Reconstructive Foot Surgery & Podiatric Medicine Residency in 2017; he completed 2x traveling Fellowships in Diabetic Surgery, Skin Grafting & Nerve Surgery. He is double board certified in Podiatric Medicine and Foot & Ankle Surgery. Dr. Biernacki is a licensed podiatrist & surgeon in Michigan. This video should not be used to self-diagnose and is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Biernacki and you. It would be best to not change your health regimen or diet before consulting a physician and obtaining a medical exam & diagnosis. Always seek the advice of a physician or other qualified health provider with any questions regarding a medical condition.
At Balance Foot & Ankle, every Michigan patient receives expert podiatric care delivered with genuine attention to their individual needs and goals. Our podiatrists take time to explain diagnoses clearly, discuss all treatment options honestly, and follow up to ensure treatments are working effectively. We serve patients from Livingston and Oakland counties and the broader Southeast Michigan region from our Howell office at 4330 E Grand River and our Bloomfield Township office at 43494 Woodward Ave #208. New patients are always welcome — call (810) 206-1402 to schedule today.
Michigan patients can count on Balance Foot & Ankle for the full range of podiatric services delivered with clinical excellence and genuine patient care. Whether your concern is a common foot condition that has been bothering you for years or an acute injury that needs prompt attention, our team in Howell and Bloomfield Township is ready to help. We offer in-office diagnostics, evidence-based conservative treatment, and surgical correction when needed — all within a practice that values your time, respects your preferences, and communicates clearly throughout the care process. Call us at (810) 206-1402 to take the first step toward better foot health.
Our podiatric team brings decades of combined clinical experience to every patient encounter. We stay current with the latest evidence in podiatric medicine and surgery, applying emerging treatments — including EPAT shockwave therapy, MLS laser, PRP injection, and minimally invasive surgical techniques — where the evidence supports their use for specific conditions. Michigan patients can trust that the treatment recommendations they receive at Balance Foot & Ankle reflect the current standard of care, not outdated approaches. Call (810) 206-1402 to schedule at our Howell or Bloomfield Township office.
Related Treatment Guides
- Achilles Tendinopathy Treatment
- Peroneal Tendon Disorders Treatment
- Posterior Tibial Tendon Dysfunction Treatment
Insurance questions are easy to address before you schedule — call Balance Foot & Ankle at (810) 206-1402 and our insurance team will verify your specific plan’s coverage for the services you need. We accept Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, Priority Health, HAP, and Medicare and Medicare Advantage plans. Our verification process identifies your copay, deductible status, and any prior authorization requirements in advance, so you can make an informed scheduling decision. Both our Howell and Bloomfield Township locations offer convenient daytime and early morning appointment times to fit busy schedules.
Related Patient Guides
- PTTD Treatment Michigan
- Flat Feet Pain: Causes & Treatment
- Ankle Sprain Recovery Guide
- ankle sprain treatment Michigan.michiganfootdoctors.com/custom-orthotics-guide/”>The Complete Guide to Custom Orthotics
- 12 Signs You Need to See a Podiatrist
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Howell Office
4330 E Grand River Ave
Howell, MI 48843
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Bloomfield Township Office
43494 Woodward Ave, #208
Bloomfield Township, MI 48302
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In-Office Treatment at Balance Foot & Ankle
When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options — including Flat Feet Treatment Michigan at our Howell and Bloomfield Township clinics.
Same-day appointments available. Call (810) 206-1402 or book online.
Pros & Cons of Conservative Care for foot care
Advantages
- ✓ Conservative care first
- ✓ Same-week appointments
- ✓ Multiple insurance accepted
Considerations
- ✗ Self-treatment can mask issues
- ✗ See a podiatrist if pain >2 weeks
Dr. Tom’s Recommended Products for foot care
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Footnanny Heel Cream Dr. Tom’s Pick
Best for: Daily moisturizer for cracked heels
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About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Township, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has made him one of the most-followed foot & ankle educators on YouTube.
More questions patients ask
What is Stage 2 posterior tibial tendon dysfunction?
Stage 2 PTTD involves a flexible flat foot deformity — the arch and hindfoot deformity can be manually corrected. The posterior tibial tendon is partially torn or severely degenerated. This is the stage at which surgical intervention most effectively prevents long-term disability. Balance Foot & Ankle evaluates Stage 2 PTTD at (810) 206-1402.
How is Stage 2 PTTD treated non-surgically?
Conservative treatment includes a custom molded AFO or UCBL orthosis to support the arch and hindfoot, custom foot orthotics, physical therapy to strengthen the tendon, anti-inflammatory measures, and activity modification. Success rates for Stage 2 non-surgical care are approximately 70%. Balance Foot & Ankle at 4330 E Grand River, Howell and 43494 Woodward Ave #208, Bloomfield Township provides comprehensive Stage 2 care.
What surgery is performed for Stage 2 PTTD?
Stage 2 PTTD surgery typically involves medializing calcaneal osteotomy (shifting the heel inward), lateral column lengthening, flexor digitorum longus tendon transfer to augment the failed posterior tibial tendon, and spring ligament repair. Balance Foot & Ankle's podiatric surgeons plan individualized reconstructions based on deformity components.
How long does it take to recover from Stage 2 PTTD treatment?
Non-surgical Stage 2 treatment produces improvement over 3–6 months with consistent orthotic use and therapy. Surgical recovery involves 8–12 weeks non-weight-bearing followed by 6–12 months of progressive rehabilitation. Balance Foot & Ankle monitors recovery milestones throughout treatment.
Is Stage 2 PTTD the best stage to treat for long-term outcomes?
Yes — Stage 2 offers the best balance between deformity flexibility (allowing correction without fusion) and tendon salvageability. Early intervention at Stage 2 prevents progression to the more disabling Stages 3 and 4. Contact Balance Foot & Ankle at (810) 206-1402 promptly if you have flexible flat foot with inner ankle pain.
Still have a question about coverage or cost? Call (810) 206-1402 and we will check your benefits before you come in — or book online: Book in Howell · Book in Bloomfield Township