Traveling with PTTD: Tips for Flights, Driving, and Walking Tours
Travel can be tough on your feet, and that’s especially true when you have posterior tibial tendon dysfunction. Long flights, extended driving, and sightseeing on foot all challenge your tendon in different ways. With some planning, you can minimize pain and actually enjoy your trip.
Flying tips
Airplane cabins are notoriously uncomfortable, and that’s especially true when your feet and ankles are prone to swelling. Here’s how to handle long flights.
Move your feet regularly. Ankle circles, toe flexion, and heel raises done in your seat promote circulation and prevent stiffness. Get up and walk the aisle every hour or two if you can.
Wear compression socks. These help prevent swelling and improve blood flow in your lower legs. Put them on before you board.
Choose shoes that are easy to get on and off. You’ll want to remove your shoes during the flight anyway to let your feet breathe and move freely.
Book an aisle seat when possible. Easier access to standing up and moving around makes a big difference on long flights.
Driving tips
Long drives put your feet in a relatively fixed position, which can lead to stiffness and pain.
Take breaks every 1-2 hours. Stop, get out, walk around briefly, and stretch your calves. This does more for your feet than any special in-car trick.
Adjust your seat so you can reach the pedals without overextending your legs. Your seat should be far enough back that your leg has a slight bend at the bottom of the pedal stroke.
Consider cruise control on the highway. It reduces the need to maintain constant pressure on your accelerator foot.
Bring a small pillow or rolled towel to place under your feet if you need extra support. Sometimes a slight wedge under your arch makes a long drive much more comfortable.
Walking tours
Walking is the hardest part of travel for PTTD. Sightseeing often means hours on your feet, sometimes on uneven surfaces.
Start with your most comfortable supportive shoes. Break them in before your trip—don’t try new shoes in an unfamiliar city.
Plan rest stops. Most museums, cafes, and landmarks have places to sit. Build these into your day rather than trying to see everything in one go.
Consider a walking stick or trekking pole. These take some weight off your feet and provide stability on uneven cobblestones or trails.
And don’t over-schedule. It’s better to see fewer things comfortably than to push through pain and spend the rest of your trip recovering.
What to pack
Your feet-related packing list should include: your regular orthotics or supportive inserts, compression socks, any medications you take for pain, and a copy of your doctor’s notes if you have special footwear requirements.
This article is for informational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider before starting any exercise program.