Are shoe inserts effective in treating posterior tibial tendon dysfunction?

James P. Ioli, DPM
Podiatric Medicine
One study of 32 patients with stage II posterior tibial tendon dysfunction who were treated with an ankle-foot orthosis (custom shoe inserts) found that after seven to 10 years, 70% of the patients were brace-free and avoided surgery, while five patients (15%) still wore a brace and another five patients (15%) went on to have surgery. Another study of 36 adults in stage I or II of the condition found that a program of stretching and orthosis wearing improved the condition over all, and that certain resistance exercises further reduced pain and improved perceptions of function.

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