Posterior tibial tendonitis (PTT), also known as posterior tibial tendon dysfunction (PTTD), is a painful condition affecting the tendon running behind your inner ankle. This tendon helps support your arch, and when inflamed or damaged, it can lead to significant discomfort and even changes in foot structure. Choosing the right shoes is crucial for managing PTT and preventing further damage. This guide will explore the key shoe features to look for and answer common questions surrounding footwear for this condition.
What Kind of Shoes Are Best for Posterior Tibial Tendonitis?
The ideal shoe for posterior tibial tendonitis offers excellent support, cushioning, and stability. Avoid shoes that are too flexible or offer minimal arch support. Here's a breakdown of essential features:
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Good Arch Support: This is paramount. A shoe with a well-defined arch support, ideally a built-in medial arch support, will help to reduce strain on the posterior tibial tendon. Look for shoes explicitly marketed as having "arch support" or "motion control."
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Motion Control: Motion control shoes provide excellent stability, preventing excessive pronation (inward rolling of the foot). Excessive pronation puts extra stress on the posterior tibial tendon, so controlling this movement is key.
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Cushioning: Adequate cushioning absorbs shock and reduces impact on the tendon. Look for shoes with thick midsoles made of materials like EVA (ethylene-vinyl acetate) or PU (polyurethane).
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Rigid Sole: A firmer, less flexible sole offers better stability and support than a flexible one, minimizing the risk of excessive pronation or supination (outward rolling of the foot).
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Proper Fit: Ensure the shoe fits comfortably and snugly, avoiding shoes that are too tight or too loose. A properly fitting shoe will provide the necessary support without causing discomfort.
What Should I Avoid When Buying Shoes for PTT?
When shopping for shoes to manage posterior tibial tendonitis, avoid these features:
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Flat Shoes or Minimalist Shoes: These lack the necessary arch support and cushioning to protect the tendon.
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Flexible Soles: Flexible soles offer little stability and allow for excessive pronation.
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High Heels: High heels put significant stress on the posterior tibial tendon and should be avoided entirely.
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Shoes that are Worn Out: Old shoes lose their support and cushioning over time, making them unsuitable for managing PTT.
Are Custom Orthotics Necessary for Posterior Tibial Tendonitis?
While supportive shoes are a crucial first step, custom orthotics can provide even more targeted support and alleviate pressure on the posterior tibial tendon. An orthotist can assess your individual foot structure and create custom orthotics designed to address your specific needs. These are particularly beneficial for individuals with significant arch collapse or severe PTT.
What Type of Sole Material is Best for Posterior Tibial Tendonitis?
The ideal sole material will provide a balance of cushioning and support. While there isn't one "best" material, many shoes with good support for PTT use dense EVA or PU midsoles. These materials offer good shock absorption and are reasonably durable.
Can Running Shoes Be Used for Posterior Tibial Tendonitis?
Some running shoes, especially those designed for motion control or stability, can be suitable for individuals with PTT, particularly during low-impact activities. However, it's crucial to choose running shoes with ample arch support and cushioning. Always consult your doctor or physical therapist before resuming running if you have PTT.
Where Can I Find Shoes Suitable for Posterior Tibial Tendonitis?
Many reputable shoe stores offer a range of supportive shoes suitable for managing PTT. Look for stores specializing in athletic footwear or those that cater to individuals with foot problems. You may also want to consult with a podiatrist or physical therapist who can recommend specific brands and models based on your individual needs.
Disclaimer: This information is intended for general knowledge and informational purposes only, and does not constitute medical advice. It is essential to consult with a healthcare professional for diagnosis and treatment of posterior tibial tendonitis. They can provide personalized recommendations for footwear and other management strategies based on your specific condition and needs.
