![]() ![]() An orthotic (arch support) is often used in an effort to take advantage of the fact that many flat feet tend to be flexible, and so the orthotic will typically push the arch up so that the posterior tibial tendon does not have to work as hard to do its job. The initial treatment for this problem typically involves attempting to create a healthier mechanical environment for this tendon. How are flat feet, or collapsed arches treated? A deficient tibial tendon will lead to arch collapse over time. The “wearing out” of this tendon often causes some degeneration that can be difficult to heal. In some people, for reasons that are not always clear, the tendon can wear out over time, or it can be injured. In order to do this, it must pull up slightly on the arch so that the foot is placed in a more rigid position. The posterior tibial tendon is a tendon that runs on the inside of the ankle it helps to put your foot in the right position so that the Achilles tendon can effectively power your gait forward. The posterior tibial tendon attaches the calf muscle to the bones on the inside of the foot.
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