Posterior Tibial Tendonitis Advice
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James McCormack is a Physical Therapist who specializes in foot & ankle injuries. james-mccormack.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com
Posterior Tibial Tendonitis is a condition affecting the Posterior Tibial Tendon, which is located along the inner ankle bone and attaches to the medial arch of the foot. It can become painful through a sudden overload such as increased walking, standing or running volume or poor movement patterns. When this occurs, the Posterior Tibial Tendon becomes inflamed and painful during weight-bearing activities. Shoes for Posterior Tibial Tendonitis can shorten the tendon length so that it doesn’t have to work as hard, decreasing pain levels and increasing a person’s function levels.
A stable shoe with a rigid midfoot and rubber sole is the best type of shoe for Posterior Tibial Tendonitis. It limits the movement in the midfoot, controlling the foot during the gait cycle to reduce the tension on the Posterior Tibial Tendon. For walking and hiking, we generally recommend a lightweight hiking shoes as they are waterproof, durable and stable. Running shoes are a good option for walking, either.
A stability running shoe is the best shoe for Posterior Tibial Tendonitis. We recommend these as they have a thickened inner sole that tilts the heel bone to reduce pronation moments on heel strike and a rigid midsole to control the deceleration of the foot when running, as this is one of the primary actions of the Posterior Tibial Tendon. We recommend avoiding cushioned shoes that feel like you are walking on a cloud. It may be that your symptoms feel better initially, but too much movement overloads the tendon and can worsen your symptoms in the long run.
We have made a list of our favourite shoes and running shoes for Posterior Tibial Tendonitis that we recommend to patients daily in our clinics.
This is not medical advice. We recommend a consultation with a medical professional such as James McCormack. He offers Online Physiotherapy Appointments for £45.