Tendons are fibrous tissues that characteristically connect a muscle with a bone. The posterior tibial tendon originates in our calf muscle and stretches down the back of the ankle and into the foot where it then attaches to the long inner arch of our foot. This important tendon helps support arch height and a normal or neutral gait. Posterior tibial tendonitis or PTTD develops when the tibial tendon becomes inflamed or torn. Pressures from overuse, over-stretching, injury, and even heredity can contribute to PTTD. An examination by your medical professional is advised to determine a diagnosis and posterior tibial tendonitis treatment.

When the posterial tibial tendon becomes inflamed or torn, its ability to hold up the arch of the foot is impaired, resulting in the lowering of the arch and flattening of the foot. Symptoms can include:

• Lowering of the arch, flattening of the foot, pronation in the ankle.
• Pain and swelling in the inside ankle area.
• Pain in the inside area of the knees.
• Knock-kneed stance.
• Pain on the outside of the lower ankle and foot.

What you should do:

1. Begin with good shoes for posterior tibial tendonitis. Good STABILITY or MOTION CONTROL shoes with medial posting can offer relief for mild cases of posterior tibial tendonitis. The denser posting material shores up and strengthens the medial side of the shoe, resists breakdown on the inside, and holds up the foot and ankle to take strain off the inflamed tendon. New Balance ROLLBAR® and STABILICORE™ technology biomechanically controls heel motion and supports a natural stride.
2. Proper insoles like the Motion Control Insole counteract the early stages of posterior tibial tendonitis by fortifying both feet with healthy foot alignment. The New Balance Performance Orthotic Insole features a unique arch design with medial posting for a slightly more aggressive approach. For the most aggressive over-the-counter posterior tibial tendonitis treatment, the Flat Foot Insole provides support for severe over-pronation and collapsed arches. Don’t be surprised if this insole feels a bit different at first. The Flat Foot Insole actually changes the alignment of the feet and ankles for healthier biomechanical movement.
3. Custom orthoses are recommended when over-the-counter solutions don’t provide relief. Our ABC certified pedorthists can fill your medical professional’s prescription for custom orthoses and support your recovery plan for posterior tibial tendonitis treatment
4. Orthaheel sandals, endorsed by the American Podiatric Medical Association, are clinically proven to reduce pronation and offer easy-to-wear comfort. A built-in orthotic reduces pronation and helps with heel pain, knee pain, back pain, and aching legs.
5. Our Step Stretch system can be used daily to improve muscle strength and endurance. Exercise your feet to strengthen and condition these flexible muscles and tendons.

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