Insoles For Tibialis Posterior Tendinopathy

We recommend the following insoles for treating and preventing Tibialist Posterior Tendinopathy.

What is Tibialis Posterior Tendinopathy?

Tibialis posterior tendinopathy is a condition where the tibialis posterior tendon becomes irritated or damaged, usually from overuse. This tendon runs along the inside of the ankle and helps support the arch of the foot. When it’s not functioning properly, it can lead to pain, swelling, and even arch collapse over time.

Symptoms include:

• Pain on the inside of the ankle, specifically behind the medial malleolus.
• Pain develops gradually over time.
• Symptoms may also radiate under the foot (along the length of the tendon).
• A creaking sensation (crepitus).

One of the key contributors to this condition is poor foot biomechanics—especially flat feet or overpronation (when the foot rolls in too much). These issues place excessive strain on the tibialis posterior tendon during walking or running, which can lead to tendinopathy.

Insoles (orthotics) play a crucial role in both preventing and treating tibialis posterior tendinopathy. They help to support the arch, reduce overpronation, and redistribute pressure more evenly across the foot. By offloading the stressed tendon, insoles reduce strain and allow healing.

Custom or well-fitted insoles also improve foot alignment and biomechanics during movement. This lowers the risk of the injury recurring. Often Ultimate Performance Insoles combined with supportive footwear, physical therapy, or bracing is optimal for recovery and long-term prevention.

If the tendon is already inflamed, insoles can help manage symptoms while the tendon heals. If used early—especially in people with flat feet—they may prevent the condition from developing in the first place.