Posterior Tibial Dysfunction - Diagnosis & Treatment

Tendons connect muscles to bones and stretch across joints, enabling you to bend that joint. One of the most important tendons in the lower leg is the posterior tibial tendon. This tendon starts in the calf, stretches down behind the inside of the ankle and attaches to bones in the middle of the foot.  thumb

The posterior tibial tendon helps to hold your arch up and provides support as you step off on your toes when walking. If this tendon becomes inflamed, over-stretched or torn, you may experience pain on the inner ankle and gradually lose the inner arch on the bottom of your foot, leading to flatfoot.


  • Pain and swelling on the inside of the ankle

  • Loss of the arch and the development of a flatfoot

  • Gradually developing pin on the outer side of the ankle or foot

  • Weakness and an inability to stand on the toes

  • Tenderness over the midfoot, especially when under stress during activity

Dr. Michael Horowitz offers a 5-Step process to successfully treating Posterior Tibial Dysfunction.  He can help evaluate & diagnose your condition and recommend the best course of action for you. Call Vancouver Orthotics at 604-737-3668 for more information.


  • What is the most effective treatment for Posterior Tibial Dysfunction?

  • What exercises & stretches do you recommend for Posterior Tibial Dysfunction?

  • What other symptoms are most commonly associated with Posterior Tibial Dysfunction?  Custom Inserts, Vancouver Orthotics

  • What shoes are best for Posterior Tibial Dysfunction?   

  • Where can I get medical hardware for Posterior Tibial Dysfunction?

  • Why is the pain so chronic? 

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