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The actual mid-foot of the foot is a critical factor designed for regular function. A number of items are responsible for stablising the mid-foot ( arch ) upward. The key is usually a muscle in the lower-leg and connects to the mid-foot. If this tibialis posterior muscle is unable to complete it’s action the actual mid-foot ( arch ) of the foot falls contributing to soreness and also progressive deformity. This is what is called posterior tibial tendon dysfunction. It is important this is diagnosed earlier so it can be treated with rigid feet orthoses to avoid further impairment. If it’s not diagnosed early and also taken care of, surgical treatment is often essential since it results in being quite crippling.