Treatment of Posterior Tibialis Tendonitis (PTT)

Recipe for treating posterior tibialis tendonitis vs. plantar fasciitis

1. Wear the highest arch support that you can tolerate, preferably custom so that it also places the foot on angle (inversion*). Once you stand, your arch falls, this puts too much strain on the posterior tib tendon (PTT). The arch support allows the tendon to work at the length it was born to.

2. Wear high top boots, preferably lace up or velcro or something that holds the boot close to you to hold your ankle straight up. Your shoes or boots should also only bend where your foot bends – at the toes. Avoid barefoot and don’t wear flexible shoes or slippers.

3. You do not want to stretch this tendon, it is already too long and too weak. If you stretch your achilles, make sure you turn your toes in to protect this tendon and wear your arch support.

4. Massage the sore area until the soreness decreases, this pushes toxins out of the area and increases circulation.

5. If you have been on your feet too long or exercised, ice the painful area of your foot on the inside of your ankle.

*Definition of inversion: when your foot is tipped out so that you rest more on the outside or pinky toe side of your foot.
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At BioMechanic Physical Therapy our techniques are founded in your body’s mechanics; from when your foot hits the ground then up through your knees, hips and beyond. A common example is when over pronation in the foot causes knee pain. Maybe you just need new shoes – not a knee operation. We can help sort that out.
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