You feel the deep ache along your inner ankle. The arch is flattening. Stairs, walks, even standing too long brings that burning back. You’ve rested, stretched, maybe tried insoles. It keeps coming back.
We don’t just treat your ankle.
We assess your hips, calves, spine, and gait to find the real source of overload on the tendon.
Advanced shockwave, EMTT, and targeted rehab.
Dual shockwave (radial + focal) and electromagnetic therapy stimulate tendon healing, paired with exercises that rebuild strength.
Progressive aftercare so it doesn’t come back.
We build your strength and correct your mechanics over months, not just patch the pain for weeks.
60-minute one-on-one assessment + treatment plan.
No pressure, no contracts.
If any of this sounds familiar, you're in the right place.
Deep ache or burning along the inner ankle and arch, especially after walking, running, or climbing stairs
Your arch seems to be flattening on one side, and you notice swelling near the inner ankle bone
Weekend runner or hiker who suddenly ramped up mileage and now can’t shake the foot pain
It gets better with rest, then flares up the moment you return to activity
You’ve tried orthotics, stretches, cortisone, maybe even laser therapy, and nothing has lasted. You want a non-surgical option before committing to anything drastic.
The Real Problem
Explore 4 slides on Posterior Tibial Tendon Dysfunction
Most people have several of these happening at once. That’s why we assess the whole chain, from your hips and spine down to your ankle and arch, not just the painful spot.
OUR APPROACH
INITIAL VISIT
Full movement screen of your hips, calves, ankle, and gait pattern
Identify which combination of tightness, weakness, or alignment issues is overloading the tendon
Leave with a clear, written treatment plan and transparent pricing before committing
First 3 to 5 Weeks
Combined radial and focal shockwave therapy to promote tendon blood flow and cell repair
EMTT (electromagnetic transduction therapy) to boost tendon regeneration at the cellular level
Targeted soft-tissue massage to release calf and plantar fascia tension
Make walking and daily activities tolerable, fast.
6+ Weeks and Beyond
Progressive eccentric and concentric strengthening for the ankle, calves, and hips
Gait retraining and core stability work to prevent the chain from breaking down again
Gradual return-to-activity plan tailored to your sport or daily demands
What To Expect
Every case is different, but research and our clinical experience consistently show:
Noticeable improvement within 2 to 4 weeks. Many patients begin feeling relief after 2 to 3 combined shockwave and EMTT sessions. Peak benefit typically emerges over 2 to 3 months of treatment and rehab.
Return to walking, stairs, and sport. In published case studies, the majority of patients with chronic tendon pain returned to sport-level activities after combined shockwave and exercise therapy.
A realistic path to avoiding surgery. Conservative treatment with shockwave, EMTT, and progressive rehab has been shown to produce meaningful pain and function improvements, often making surgery unnecessary for early-to-moderate cases.
Our promise: we will tell you honestly at the assessment if we don’t believe you’re a good candidate for this approach.
EVIDENCE
Shockwave therapy has been shown to improve tendon blood flow and stimulate cell repair, confirmed by multiple laboratory and animal studies.
In a case series of patients who had failed previous physiotherapy, 90% achieved clinically meaningful improvement in daily function after combined shockwave and exercise therapy.
A double-blind randomized trial found EMTT significantly improved physical function and reduced pain compared to placebo within 6 to 12 weeks of treatment.
Randomized trials show that combining orthotics with progressive strengthening exercises produces better pain and function outcomes than orthotics and stretching alone for this condition.
Follow-up studies show that shockwave therapy benefits can persist for 12 months or longer when combined with ongoing rehabilitation.
Outcomes are group averages from clinical trials; individual results vary.
Here are answers to some of the most common questions about Posterior Tibial Tendon Dysfunction.
6 results found
Research in tendon injuries shows shockwave therapy promotes blood vessel growth and cell repair in damaged tendons. A case series specifically for this condition found 90% of patients who had failed previous treatment achieved meaningful functional improvement with combined shockwave and exercise. We review the evidence and your specific case during your initial assessment.
Yes. Tight calves force the foot to roll inward, placing extra strain on the posterior tibial tendon. Flat feet increase the tendon’s workload with every step. Both are well-documented risk factors, and addressing them is a key part of treatment. We map out which factors apply to you in your first visit.
Most treatment protocols involve 3 to 5 sessions of combined shockwave and EMTT over several weeks, followed by a progressive rehab program. Many patients feel initial improvement within 2 to 3 sessions. We tailor the number and frequency to how your tendon responds.
Tendons heal slowly, and if the factors that caused the overload are still present, pain returns. Tight calves, weak hips, poor footwear, or jumping back into activity too soon are common culprits. Lasting relief requires correcting these issues, not just calming the inflammation temporarily. We assess the full picture at your initial visit.
They share some overlap, but the pain locations differ. Posterior tibialis tendonitis produces aching along the inner ankle and sometimes a flattening arch. Plantar fasciitis typically causes sharp heel pain, especially with your first morning steps. Both can be present at the same time. We clarify the diagnosis in your assessment.
That’s actually the situation many of our patients start from. Orthotics and stretching help, but they don’t regenerate damaged tendon tissue or address all the contributing factors. Shockwave, EMTT, and comprehensive rehab target the tendon at a cellular level while correcting the mechanical issues. We’ll tell you honestly if we think this approach can help your specific case.
YOUR NEXT STEP
Stop guessing, stop collecting random treatments, and get a plan that treats the system, not just the ankle.
Initial Posterior Tibial Tendon Dysfunction Assessment — Edmonton
60-minute one-on-one session. Here’s what’s included:
Full-body movement and strength assessment (hips, calves, ankle, arch, gait)
Identify which pain drivers matter for your case
Review of history and imaging if available
Clear written plan with transparent pricing before you commit
No referral needed. No obligation to continue beyond the first visit.
No pressure, no contracts.
We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.
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