Progressive Collapsing Foot Disease

Progressive Collapsing Foot Disease

The Progressive Collapsing Foot Disease(PCFD), also called adult-acquired flatfoot deformity, is a complex condition where the arch of the foot gradually collapses. Over time, this leads to flattening of the foot, inward rolling of the ankle, and progressive pain or disability. If not treated early, PCFD can severely affect mobility and may even lead to permanent deformity.

Causes of Progressive Collapsing Foot Disease

PCFD usually develops due to gradual weakening or damage of the supporting structures of the foot, especially the posterior tibial tendon. Some common causes include:

• Posterior tibial tendon dysfunction (PTTD).
• Chronic ligament injuries in the foot and ankle.
• Arthritis affecting the midfoot or hindfoot joints.
• Previous trauma or untreated ankle sprains.
• Overuse in athletes or people with physically demanding jobs.
• Age-related degeneration and obesity increasing foot strain.

Symptoms of Progressive Collapsing Foot Disease

• Pain along the inner side of the foot and ankle.
• Gradual flattening of the arch.
• Heel shifting outward and ankle rolling inward.
• Swelling around the inside of the ankle.
• Difficulty standing on tiptoes or walking long distances.
• Stiffness and pain in advanced stages.

Diagnosis

At Delhi Foot, our specialists use a combination of clinical evaluation, physical examination, and advanced imaging tests (such as ultrasound or MRI) to accurately diagnose Progressive Collapsing Foot Disease and rule out partial tears or ruptures.