Best Orthotics for Posterior Tibial Tendonitis 2023 by Foot Experts
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Orthotics for Posterior Tibial Tendonitis

James McCormack
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Posterior Tibial Tendonitis Orthotics are designed to offload the medial longitudinal arch of the foot and shorten the Posterior Tibial Tendon, reducing inflammation and pain and improving function.

Posterior Tibial Tendonitis or Posterior Tibial Tendon Dysfunction causes pain along the Posterior Tibial tendon, which runs along the inside of the shin bone and the inner ankle and attaches to the foot’s medial arch.

Its function is to help stabilise the foot arch and co-contract alongside the peroneal muscles to stabilise the ankle when walking/running.

If this tendon becomes overloaded through a sudden increase in activity levels or there are suboptimal biomechanics of the foot, the tendon can become painful and inflamed. This is where orthotics for Posterior Tibial Tendonitis can be helpful by offloading the medial longitudinal arch of the foot to ease pain levels.

PCSsole Orthotics for Posterior Tibial Tendonitis

We recommend the PCSsole orthotics for Posterior Tibial Tendonitis due to their deep heel cup, high medial arch support and thin top cover.

The deep heel cup helps to stabilise the ankle joint, controlling pronation forces during the initial contact phases of the gait cycle. The high arch support helps to support the foot’s medial arch and reduce the stress placed on the Posterior Tibial Tendon. The thin top cover allows the insole to fit in most footwear comfortably.

Picture of PCSsole Orthotic For Posterior Tibial Tendonitis

Buy PCSsole Orthotic on Amazon

Do Orthotics Work For Posterior Tibial Tendonitis?

A study by Kulig et al. on 36 participants with Posterior Tibial Tendonitis indicated that wearing orthotics for Posterior Tibial Tendonitis reduced pain levels and improved function levels in all participants with mild to moderate symptoms. 

Another study by Alvarez et al, demonstrated an 83% improvement in cases of Posterior Tibial Tendonitis when using orthotics and strengthening exercises.

How do Orthotics Help Posterior Tibial Tendonitis?

As the Posterior Tibial Tendon (PTT) is attached to the medial arch of the foot and in cases where individuals have an adult-acquired flat foot, there is an additional strain placed on the PTT.

By tilting the heel of the foot and placing additional support under the foot’s medial arch, orthotics offload the PTT so that it is not under constant strain. In doing so, the PTT is shorted and doesn’t work as hard through the gait cycle or when standing, allowing it to recover.

Custom Orthotics

What are the Best Orthotics for Posterior Tibial Tendonitis?

Custom-made orthotics are the best orthotics for Posterior Tibial Tendonitis. At Flawless Orthotics, we extensively examine your feet through our biomechanical assessment by our foot specialists. During this assessment, we carry out a state-of-the-art 3D scan of your feet and a dynamic foot scan. Our Gait scan plate contains thousands of sensors that can detect the exact pressure points on your feet as you walk and stand.

This enables us to create bespoke orthotics that provide the correct support required to alleviate your Posterior Tibial Tendonitis and resolve the issue so it doesn’t return. Our custom orthotics can last up to 5 years and have a lifetime warranty.

Understanding what type of insoles or orthotics are best for your Posterior Tibial Tendonitis can be very confusing. Off-the-shelf insoles provide a low level of support, and they may help initially, but they only last approximately 3-6 months.  They can be obtrusive, limiting what footwear you can wear them in.

We can make our orthotics as thin as 2mm, any length, and use any top cover to meet the needs of any footwear.

How much do Posterior Tibial Tendonitis Orthotics Cost?

Biomechanical Assessment: £125

Custom Orthotics: £265

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