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SHOP BY CONDITION
PTTD (posterior tibial tendon dysfunction) is a repetitive stress injury of the posterior tibial tendon, which runs behind the inside of the ankle and maintains the healthy shape and spring of the arch in your foot.
Developed by a seasoned physical therapist, Alleviate’s at-home PTTD Solutions follow proven physical therapy principles to target the common drivers of PTTD by offloading the strained tendon, releasing tight soft tissue in the foot, boosting circulation to help manage swelling, and strengthening the muscles of the lower kinetic chain so they share the load with the tendon. Use them consistently at home to stay active while supporting your recovery at your own pace.
HSA/FSA eligible
Free shipping on orders $125+
30-day free returns
Designed by a physical therapist
WHAT TO EXPECT
Posterior Tibial Tendonitis builds up over time, and recovery takes consistent effort too. With a few minutes of daily work, here's what Alleviate users report.
EVERY DAY
Your daily commitment. Structured 15-minute PT exercises in the app, plus 2–3 minutes with the Arch Massager.
WEEK 1
Early relief. Load management with the Loft 2 Brace and daily massage typically bring a quick drop in pain within the first 7 days.
WEEK 6
Lasting progress. Consistent users of the full PTTD System typically see a 60–70% reduction in pain over six weeks as strength and stability build.
WHITNEY E. · PTTD SYSTEM USER
“I purchased the package for PTTD and it is the only thing that has worked… Since I’ve been wearing the brace I have seen a marked improvement… I even went on a little hike (with brace on) and did not feel like I was backsliding… These guys are the real deal.”
CAROLYN P. · PTTD SYSTEM USER
“After 10+ months of plantar fasciitis and PTTD in both feet… I was skeptical, but desperate after changing out all of my shoes, seeing a podiatrist and a PT and getting injections. After two weeks of using the app every day, my pain is reduced by about 30–50%…”
MATTHEW BUTLER, DPM · PODIATRIST
“Alleviate is a one-stop shop for pain relief and long-term results. It's a no-brainer for my patients with chronic pain.”
Based on Alleviate user-reported outcomes and customer reviews. Individual results vary.
HOW IT WORKS
Physical therapists combine four treatments to address the root cause of Posterior Tibial Tendonitis. Each Alleviate tool covers one. Pick what you need, or get all four in the PTTD System.
01 · RELIEVE
The Loft 2 Brace lifts the arch with the Arch Power Strap, reducing the load on the posterior tibial tendon so you can stay active while you recover.
02 · REDUCE SWELLING
Graduated compression from the Performance Compression Socks prevents fluid build-up and reduces the ankle swelling that comes with PTTD.
03 · RELEASE
2–3 minutes with the Arch Massager releases tension in the small muscles working overtime to support your arch.
04 · REBUILD
The PTTD Guided Recovery Program builds strength and stability through structured, 15-minute PT exercises, and tracks your progress as you get stronger.
WHY ALLEVIATE
Our co-founder Luke Ferdinands has spent 20 years treating elite athletes and everyday patients. Every product is built to recreate a proven PT treatment, so you can keep making progress between appointments, or without them.
20 years of PT experience behind every design
HSA/FSA eligible: pay with pre-tax health funds
10–15 minutes a day, at home
30-day free returns
WATCH & LEARN
Loft 2 is designed to reduce the stress on the injured tissue, relieve Plantar Fasciitis and PTTD pain, and give the sensitive tissue time and space to heal. Here's how best to use the brace, from the inventor.
What is Posterior Tibial Tendonitis or PTTD? Luke, our co-founding physical therapist explains the Posterior Tibial Tendonitis causes, symptoms and what to do when you develop this painful condition.
A good Posterior Tibial Tendonitis brace relieves pain and reduces the load on the injured tendon like a PT tape job. Here's what makes a PTTD brace effective. Hint: it shouldn't immobilize your ankle.
Learn how to self-treat inside of ankle pain from PTTD, using physical therapy techniques that resolve the root cause of inner ankle pain from four fronts: reduce ankle swelling, manage load on the affected posterior tibialis tendon, build strength, and release tension in the foot muscles.
Fallen arches and flat feet are often due to PTTD. This painful condition can be mistaken for Plantar Fasciitis. Learn the differences to get the right treatment.
Physical therapy exercises for PTTD build strength in the muscles and tendons that support the shape and functions of the arch. To reduce pain from flat foot (flatfoot) and prevent it from getting worse, use a structured PTTD exercise program like the Guided Recovery Program.
Quickly give yourself some PTTD ankle pain relief, using these calf and foot massage techniques physical therapists use.
REVIEWS
FAQ
Still deciding? These are the questions we hear most from people dealing with arch and inner-ankle pain.
See the foot pain chart →
See our full FAQ →
Email info@alleviatetherapy.com
Everything a physical therapist would use for PTTD (brace, compression socks, massager and guided exercise program) in one System, for about 15 minutes a day.
✅ HSA/FSA eligible · Designed by physical therapists
This information is educational and isn't a substitute for medical care. If your pain is severe, sudden, or comes with numbness, swelling, or a visible deformity, please see a doctor or physical therapist.
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