Posterior Tibialis Pain: Why Your Foot Still Hurts (Even If You’ve Tried Everything) episode artwork

EPISODE · Jun 28, 2025 · 38 MIN

Posterior Tibialis Pain: Why Your Foot Still Hurts (Even If You’ve Tried Everything)

from Past Your Prime · host Craig Smith - Pain Expert; Alex Keicher - Athlete; Smith Performance Center

Medial ankle pain? You might be dealing with a posterior tibialis injury—and not just a “flat foot.” In this episode, Craig and Alex break down why so many people miss the real cause of their foot pain and how the wrong rehab strategy leads to chronic issues. We cover structure vs. function, key signs, overpronation myths, and how to use taping and bracing to offload the post tib tendon without relying on orthotics forever.In this episode:– What the posterior tibialis does—and why it matters– Key signs and testing for post-tib tendinopathy– How foot structure (flat vs. rigid) influences injury risk– Why taping and bracing work (and how to use them right)– The 5 levels of artificial stabilization– Common rehab mistakes with post-tib pain– When orthotics become a crutch– Progressing to long-term load tolerance🛠 Tools Mentioned:▶️ Modified Low Dye Taping – How To Guide▶️ Ankle Compression Wrap – Setup Instructions___________________________________________________Welcome to Past Your Prime – the podcast for active adults balancing training, rehab, family, and real life.In each episode, hosts Craig Smith and Alex Keicher dive into real-world strategies for overcoming injuries, staying strong, and living pain-free — even when life gets chaotic.💡 Learn more, access resources, and join our community: 👉 ⁠⁠⁠pastyourprime.com⁠⁠⁠Follow us on Instagram: 📲 Alex – ⁠⁠⁠@spikerkeicher⁠⁠⁠📲 Craig – ⁠⁠⁠@craigsmithPT

Medial ankle pain? You might be dealing with a posterior tibialis injury—and not just a “flat foot.” In this episode, Craig and Alex break down why so many people miss the real cause of their foot pain and how the wrong rehab strategy leads to chronic issues. We cover structure vs. function, key signs, overpronation myths, and how to use taping and bracing to offload the post tib tendon without relying on orthotics forever.In this episode:– What the posterior tibialis does—and why it matters– Key signs and testing for post-tib tendinopathy– How foot structure (flat vs. rigid) influences injury risk– Why taping and bracing work (and how to use them right)– The 5 levels of artificial stabilization– Common rehab mistakes with post-tib pain– When orthotics become a crutch– Progressing to long-term load tolerance🛠 Tools Mentioned:▶️ Modified Low Dye Taping – How To Guide▶️ Ankle Compression Wrap – Setup Instructions___________________________________________________Welcome to Past Your Prime – the podcast for active adults balancing training, rehab, family, and real life.In each episode, hosts Craig Smith and Alex Keicher dive into real-world strategies for overcoming injuries, staying strong, and living pain-free — even when life gets chaotic.💡 Learn more, access resources, and join our community: 👉 ⁠⁠⁠pastyourprime.com⁠⁠⁠Follow us on Instagram: 📲 Alex – ⁠⁠⁠@spikerkeicher⁠⁠⁠📲 Craig – ⁠⁠⁠@craigsmithPT

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Posterior Tibialis Pain: Why Your Foot Still Hurts (Even If You’ve Tried Everything)

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This episode was published on June 28, 2025.

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Medial ankle pain? You might be dealing with a posterior tibialis injury—and not just a “flat foot.” In this episode, Craig and Alex break down why so many people miss the real cause of their foot pain and how the wrong rehab strategy leads to...

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