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Arches of the foot. The arches of the foot, formed by the tarsal and metatarsal bones, strengthened by ligaments and tendons, allow the foot to support the weight of the body in the erect posture with the least weight. They are categorized as longitudinal and transverse arches.
By applying tension along the inside of your ankle, the tibialis posterior muscle and the posterior tibial tendon play a critical role in maintaining your arch and supporting your foot. 1  Anatomy of the ankle, with the area of pain highlighted in red.