Custom Orthotics for PTTD

AI-designed medial support and arch corrections for posterior tibial tendon dysfunction and flexible flatfoot to reduce tendon strain and control arch collapse.

The Problem

Progressive arch collapse with pain along the inside of your foot and ankle. Difficulty walking on uneven surfaces or standing on your toes. Ankle rolling inward, heel turning outward, and gradual flattening of the foot arch that gets worse over time.

The Mechanism

Medial arch collapse and hindfoot valgus increasing medial tissue stress. The posterior tibial tendon becomes overworked trying to support the collapsing arch, leading to tendon inflammation, elongation, and progressive dysfunction of this critical foot stabilizer.

The Solution

Medial rearfoot posting (~3 mm), medial forefoot posting (~2 mm) when indicated, optional medial flange for instability, arch height 22–24 mm unless rigidity suggests otherwise; suppression rules apply for conflicting conditions. Our AI balances support with comfort to reduce tendon strain effectively.

Who This Helps

People with progressive arch collapse
Those with medial ankle pain
Individuals with flexible flatfoot
People who can't do single-heel raises
Those with overpronation and instability

Common Questions

How do orthotics help with posterior tibial tendon dysfunction?

Orthotics reduce strain on the posterior tibial tendon by providing medial arch support and controlling excessive pronation. Medial posting helps limit the collapse that overworks this important tendon.

What's the difference between PTTD and regular flat feet?

PTTD involves active tendon dysfunction with pain and progressive arch collapse, while some people have naturally flat feet without problems. PTTD requires specific support to prevent further tendon damage.

Can orthotics prevent PTTD from getting worse?

Yes, proper orthotic support can help slow progression by reducing tendon strain and controlling abnormal foot motion. Early intervention with appropriate support is key to preventing further deterioration.

Support Your Posterior Tibial Tendon

Get AI-designed custom orthotics with precise medial support to reduce tendon strain and prevent progression of arch collapse.

Get Your Custom Insoles in ~3 Minutes

Free analysis • Fast shipping • 100% satisfaction guarantee