But are orthotics really necessary?
Because many people with PTT problems have a fallen medial (or inside) arch in their foot.
This is often referred to as adult-acquired foot deformity or pes planus.
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That’s why your treatment should be individualized.
And your physical therapist can help determine thebesttreatment for your specific condition.
Usingorthoticsfor PTT dysfunction may be one component of your rehab program.
Correcting Foot Position With Orthotics
So what do orthotics really do for your feet?
Simply put, they bolster up the medial arch, supporting the inner aspect of your foot.
This in theory places your foot and your posterior tibial tendon in the optimum position to function properly.
A properly functioning tendon doesn’t hurt, and your walking and running can return to normal.
There are different types of orthotics.
Off-the-shelf shoe inserts can be purchased at your local shoe store or pharmacy.
They are generic orthotics that you place in your shoes to give more support to your feet.
For some people with PTT dysfunction, these may be enough.
They are typically low cost, but they are not customized to yourexactfoot position.
Custom molded orthotics are another option for people looking to support their medial arch.
These are molded to fit your feet by a PT or orthotist.
The orthotics are made according to your specific foot casts.
The big problem with custom orthotics: they can be expensive.
Many custom shoe inserts can cost $300 to $500 (US).
The high cost may make you pause and think twice before purchasing custom inserts for your PTT dysfunction.
But if they help your condition, they may be worth it.
The big question to answer when thinking about orthotics for PTT dysfunction: do they really work?
15 participants with PTT dysfunction had their walking analyzed while wearing different types of shoes and orthotics.
One problem with the study: there was no control group.
Perhaps some other unforeseen variable caused the improvements seen in the study.
Your PT can assess your specific condition and prescribe the best treatments for you.
A Word From Verywell
Orthotics are a popular treatment choice for people with posterior tibial tendon problems.
Your treatment for PTT dysfunction needs to be individualized for your specific condition.
