Jordan came to see us a few weeks ago complaining of a searing pain on the inside of his shin, worse when he was in casual shoes, but fine in his work boots. After clearing his spine and hips we investigated his feet. During gait assessment we noticed excessive pronation during mid-stance, and on palpation the tibialis posterior tendon was extremely tender. We tested and re-tested his gait with different supports until we came to the ideal combination. Using a medial heel wedge, and taping to correct the distal tibiofibular joint, we were able to improve the alignment and movement