Custom Molded Insoles for Posterior Tibial Tendonitis
The posterior tibial tendon holds up your arch. Contour molds to support that arch and control pronation — but staged PTTD needs professional care.
Does this sound like you?
- Pain, swelling, or tenderness along the inner ankle and arch
- Your arch is flattening and the foot is rolling inward, sometimes worse on one side
- It hurts to rise onto your toes or do a single-leg heel raise
- Standing and walking are getting harder as the day goes on
- Someone noticed a 'too many toes' look from behind
If two or more sound familiar — especially arch flattening on one side or trouble with a heel raise — get this assessed. PTTD can progress, and support works best when it's caught early.
What's actually happening
Medical disclaimer: This page is for general education and is not medical advice. It does not replace diagnosis or treatment by a qualified clinician. If you have severe, worsening, or persistent symptoms, consult a podiatrist or physician.
Why soft insoles keep failing you
Compresses under load
Holds shape, offloads tension
Built to correct the mechanics — not mask them
Comfort-print top layer
A cushioned contact surface for all-day wear — comfort sits on top of the structure, never in place of it.
Patented fiberglass resin core
The corrective heart of the device. Molds to your foot, then sets permanently rigid to support a failing arch.
Aerospace-grade durability base
Holds the structure and its support intact through 2+ years of daily load.
Contour Custom Pro
Medical-Grade Custom Orthotics
One pair · molds in minutes at home · holds shape 2+ years
Try them for 30 days. If they're not right for you, we'll send a free replacement or a full refund.
Make your custom orthotics at home
Watch the complete process—from water activation to a personalized mold made inside the shoes you already wear.
Custom support without the clinic price
| Contour Custom Pro | Clinic-Made Custom Orthotics | OTC Gel/Foam Inserts | |
|---|---|---|---|
| Fit | Molded to your foot under walking load | Cast or scanned, lab-made | Generic or trim-to-fit |
| Structure | Permanently rigid corrective core | Rigid/semi-rigid corrective | Compresses under load |
| Timeline | 15 minutes at home | 2–4 weeks + appointments | Immediate |
| Cost | $239 | $400–$800 | $20–$60 |
The first weeks, honestly
The adjustment
Get staged in person first, then let the arch meet firm support alongside your prescribed strengthening. Ease in over a few hours a day.
The change
In early, flexible cases, inner-ankle strain and end-of-day fatigue often start to ease as the arch is better supported.
The new normal
Everyday standing and walking feel more manageable within your clinician's plan. This is the window the 180-day guarantee is built around.
Common questions
Do insoles help posterior tibial tendonitis?
Firm arch support and orthotics are part of standard early, conservative care because they offload the tendon and support the arch it's failing to hold. The catch is staging: this condition can progress, so use insoles alongside — not instead of — an in-person evaluation.
Should PTTD insoles be firm?
Yes. A soft insole compresses and lets the arch keep collapsing, which is exactly what a struggling posterior tibial tendon can't tolerate. Firm, molded arch support takes over part of the tendon's load.
Why is Contour $239 when drugstore insoles cost $30?
Because it's a different category of device. Drugstore inserts are cushioning that flattens within months. Contour is a permanently molded structural orthotic — the same class of device podiatrists dispense for $400–$800 — that holds your exact foot shape for 2+ years of daily wear.
Do I need a brace instead of insoles?
Sometimes. Depending on the stage, clinicians may prescribe a brace (like an AFO) in addition to or instead of an insole. That's exactly why PTTD should be evaluated in person — the right support depends on how far it has progressed.
Can I mold Contour myself at home?
Yes — inject water, walk for about 5 minutes while the core shapes to your foot, then sit for 10 minutes while it sets. The mold captures your foot under actual body weight, in the shoes you actually wear.
When should I see a doctor instead?
Soon. Because PTTD can progress to a rigid deformity, get evaluated if your arch is flattening (especially on one side), you can't do a single-leg heel raise, or there's inner-ankle pain and swelling. Diabetes with neuropathy warrants guidance first.
Are the Custom Pros right for you?
- You've been evaluated and it's early, flexible PTTD
- You need firm arch support to offload the tendon
- You're pairing insoles with prescribed strengthening
- You want clinical-grade structure without the clinic wait or price
- You haven't had the tendon and arch staged in person yet
- Your arch is rigid, or a clinician has advised a brace or surgery
- There's significant inner-ankle swelling or you can't do a heel raise
- You have diabetic neuropathy, an open wound, or recent foot surgery
Our professional network is launching with participating physical therapy clinics.
Medical disclaimer: This page is general education, not medical advice, and does not replace diagnosis or treatment by a qualified clinician.
Stop cushioning the pain. Correct it.
Custom-molded structural support, made to your foot at home in minutes — backed by 180 days to feel the difference.