6/25/2009 6:51 AM
I have had a couple of patients lately who have developed posterior tibialis tendonitis while participating in water aerobics. Both patients have excessively pronated feet, a history of PT tendonitis and were previously successfully treated with the use of custom foot orthoses and stable shoes. For their water activities, however, they were, not surpisingly, going barefoot.
Both patients were successfully treated with the recommendation to use stable water shoes and the use of orthoses in those shoes. This has allowed them to continue their activity with much reduced stress on the posterior tibialis. For water activities, the best orthosis is the direct milled polypropylene without a cover - it is completely impervious to water.
New Balance makes several stable water shoes. They are primaily designed for outdoor activities, but work well in a pool.