Posterior Tibial Tendonitis (PTTD)

The posterior tibial tendon is a primary stabilizer of the midfoot and rearfoot. It is one of the main structures, which maintains and supports the arch. Posterior Tibial Tendonitis (PTTD) develops when the tendon becomes inflamed or torn causing the arch to collapse and the foot to flatten. PTTD is a debilitating condition that will worsen unless treated early. An examination by your medical professional is essential in determining a diagnosis and proper PTTD treatment.

Symptoms often include pain and swelling near the arch of the foot and/or the inner side of the ankle. Pain with physical activity and/or a feeling of fatigue in the foot are often very common. Most individuals with PTTD have extremely tight calf muscles making it difficult for the foot to flex up when walking. This forces the foot to rotate out (pronate) and places excess stress on the posterior tibial tendon.

Maximum stability and motion control shoes will strengthen the medial side of the shoe, resist breakdown on the inside and hold up the foot and ankle helping to relieve strain.

Motion Control Insoles can also help fortify both feet with healthy foot alignment. The Flat Foot Insole can provide support for severe over-pronation.


We offer a wide range of New Balance footwear for a wide range of foot conditions. Click the link below to view recommended shoes for both men and women suffering with posterior tibial tendonitis.


Recommended shoes for Posterior Tibial Tendonitis


*Please note that this is for informational purposes only and does not constitute a diagnosis. A qualified allied medical professional should fit all therapeutic footwear purchases. These shoes are available over-the-counter with or without a prescription. Therapeutic footwear offered through this site does not treat, cure, diagnose, or prevent any disease. Always consult your physician for questions pertaining to your specific diagnosis and treatment protocol. Product Specialists will be happy to speak to you about any recommendations your doctor may have provided, or information regarding recommendations based on biomechanical principles. Please call 1.800.728.6247.