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Best Running Shoes for Posterior Tibial Tendonitis in 2020


When you’re out running, you don’t want to think about potential injuries. However, it’s important to listen to your body if you’re experiencing pain. Posterior tibial dysfunction, also known as posterior tibial tendonitis, can be identified by pain along the inside of your foot and ankle.

Posterior tibial tendonitis can be caused by a tear or inflammation of the posterior tendon. The injury can occur with overuse or due to a fall. The condition is more common in women and people over the age of 40.

In the most severe cases, it can cause your arches to fall.

Treatment can be as simple as rest to as extreme as surgical intervention. Regardless of what your treatment looks like, it can be hard to hit the road again after time away.

Shoes are a vital component for healing. When looking for the perfect pair, you want to find shoes that are highly supportive. If you’re using orthotics, try them out in the shoe to make sure they are comfortable.

Your doctor or physical therapist may suggest stretches or other exercises to help alleviate the pain caused by posterior tibial tendonitis.

It’s important to wear supportive shoes not only when you’re out running again but also throughout the healing process. These shoes are perfect for both running and for day-to-day wear.

Top 3 Best and Favorites

Most Supportive

Asics Gel-Kayano 26

1. Asics Gel-Kayano 26

The Asics Gel-Kayano 26 is known for its support. This popular shoe from Asics features their newest DuoMax support system. The DuoMax systems controls overpronation. But it also helps with pain and recovery.

The more durable outsole of the Asics Gel-Kayano 26 makes it ideal for day-to-day wear. With additional durability, you don’t have to worry about it wearing out on you when you wear it all day every day. It also comes in an all-black version if you need to wear it casually or for work.

New in the Kayano 26s are a redesigned mesh upper that’s soft and flexes to adapt to the shape of your foot. The latest Flytefoam in the midsole lightens up the shoe while keeping it supportive feel.

The fit is snug, providing additional support throughout the shoe. It’s designed for runners with low arches or flat feet. The FluidFit technology helps to adapt the shoe to its wearer. The technology allows for more flexibility when using orthotics.

By combining cushioning, support, and durability, the Asics Gel-Kayano 26 is a fantastic choice for your recovery. And, with several neutral color options, you can wear them all day and still look professional.


  • True to size
  • Designed for road running
  • Sleek, modern look


  • More expensive than most running shoes
  • Heavier than comparable models

2. Brooks Adrenaline GTS 20


The Brooks Adrenaline GTS 20 is a supportive shoe with a high heel to toe drop. The high drop helps keep pressure off your heel and promotes recovery on the top of your feet.

With a wide variety of options for size and color, there’s bound to be a Brooks Adrenaline GTS 20 that works for your feet and style. Multiple neutral options help you maintain professional attire at work including an all black version.

They run true to size and width, making it easy to find the right fit. Further, they provide a great deal of support without sacrificing comfort – something every runner can appreciate.

The Brooks Adrenaline GTS 20 was described by Runners World as a top performer in the stability category. Guide rails provide unique and customized type of support. And they keep the shoe lightweight and allow for better wear in the midsole.

The 12-millimeter heel to toe drop is one of the more extreme drops. For runners not used to it, it can take some adjusting. Once you do find your stride, you may find it helps keep pressure off your heel and Achilles’ tendon.

With extra durable outsole, the Brooks Adrenaline GTS 20 can withstand day to day wear. There’s also extra moisture control in the lining. This helps prevent your shoe from smelling even after wearing it for long periods of time.


  • Multiple width options
  • Designed for medium to low arches


  • May not provide enough heel support
  • High heel to toe drop

3. Nike Zoom Structure 22


The Nike Zoom Structure 22 provides support and comfort while you’re healing from posterior tibial tendonitis.

The 10-millimeter heel to toe drop helps take pressure off your heel. It may be severe for runners not used to such a high drop. Lack of pressure on your heel helps promote recovery.

The toe box on the Nike Zoom Structure 22 is wide, allowing your foot to splay within the shoe. This can help provide comfort and support when you’re first getting your stride back.

The Nike Zoom Structure 22 has a handful of color options. The black and white version is the most neutral. This allows you to wear them with professional attire without drawing attention to your shoes.


  • Multiple width options
  • Lightweight feel


  • High heel to toe drop

4. Asics GT-2000 8


The Asics GT-2000 8 provides support and cushioning with the fit Asics is famous for. These features make it one of the best pairs of running shoes for posterior tibial tendonitis. The gel helps to reduce impact, making every step softer for your feet.

It’s designed for low arches or flat feet. It may be a good fit if you’re struggling with falling arches due to posterior tibial tendonitis.

The GT-2000 has a high 10mm heel to toe drop. This high drop helps ease pressure from your heels, which can reduce pain.

This shoe is a great all-around trainer, but works well for casual wear and walking. The Asics GT-2000 8 has several neutral color options. This makes it a great choice to wear to work.


  • Designed for low arches or flat feet
  • Extra heel support
  • Gel cushioning


  • Stiff design
  • Can feel tight around midfoot and toes for some people

5. Mizuno Wave Inspire 15


The Mizuno Wave Inspire 15 is the latest addition to the Wave Inspire line. Known for its smooth and supportive ride, the 14 is also one of the lighter stability shoes available.

The stiff design of the Mizuno Wave Inspire 15 provides great support and stability. The shoe provides a smooth transition from heel to toe. The neutral color options available also allow options for casual wear without standing out.

With a 12-millimeter heel to toe drop, it has one of the highest drops of any on this list. This takes the pressure off your heel – it’s also helpful for walkers.

Because the Wave Inspire is a fairly light shoe, it does lack some of the cushioning found in other shoes. This is a common trade-off for running shoes. But if you prefer a lighter shoe, this is a great option.


  • Durable
  • Very stable


  • Not as cushioned as other shoes

6. Saucony Men’s Hurricane 22


The Saucony Men’s Hurricane 22 holds its spot as one of the most supportive and plushest shoes available. With heavy cushioning, the balances comfort with stability.

The ISOFIT Saddle wraps around your foot and connects directly to the laces. The lacing cradles the foot without any excessive pressure points. Plus the support is adjustable. It’s made of breathable materials, allowing moisture to escape for however long you’re wearing the shoe. One complaint is that it can sometimes be hard to get a secure fit. So if you are doing a lot of lateral movements, another brand may be a better option.

The stiff soles provide extra support. They’re still flexible at the ball of the foot, however, remaining responsive to different terrains.


  • Wide widths available
  • Soft and cushioned
  • Sock-like fit in the upper


  • More expensive than comparable models
  • Few neutral color options

7. New Balance 990v5

In the 30 years the New Balance 990 line has been around, it’s become a cult classic. The latest version keeps the torch going with New Balance’s unique blend of comfort, style, and support.

Created with durability in mind, this made in the USA shoe is great for day to day wear as well as on the road. The shoe comes in a wide range of colors, sizes, and widths. Most runners can find something that will fit their feet.

While the New Balance 990v5 lacks the neon color options many runners love, the neutral colors are great for runners who want to wear the shoes in a professional environment without standing out or drawing attention to your footwear.

With a 12-millimeter heel to toe drop, this shoe can help runners who are used to higher drops and are trying to find a shoe that still fits their support needs.

The stability post in the New Balance 990v5 provides additional support along the arch of your foot. The stability can help with bad arches and pain in your heels.


  • Multiple widths available
  • Made in the USA


  • Heavier than comparable models
  • More expensive than most running shoes

8. Brooks Transcend 6

You don’t have to sacrifice comfort for support. The Brooks Transcend 6 combines both comfort and support.

The snug fit and additional cushioning make it an ideal shoe for long-term wear. The Transcend provides support using guide rails, rather than standard dense EVA foam built into the sole of the shoe. This means the shoe will stay plush and cushiony longer than most stability shoes.

Your color options are limited, but the men’s shoe has two more neutral options making it ideal for casual wear.

While a little more expensive than most running shoes, the additional cost buys you added cushioning and plush support. The support does make the shoes a little stiffer than most. It also has a high heel to toe drop. This helps keep pressure off your heel, which aids in recovery.

With a stiff design and extra cushioning, the Brooks Transcend 6 is a great shoe for those recovering from posterior tibial tendonitis.


  • Comfortable
  • Highly supportive
  • Roomy toe box


  • Limited color options
  • More expensive than comparable models

9. Saucony Omni ISO

The Saucony Omni ISO has it all. Highly supportive, comfortable, durable, and breathable, this shoe makes a great choice if you’re recovering from posterior tibial tendonitis.

The midfoot saddle provides a snug fit throughout the shoe. ISO lacing on the upper provides a secure fit without putting extra pressure on your feet. It is also adaptable, allowing it to flex with your foot.

The eight-millimeter heel to toe drop helps keep pressure off your heel. The drop allows your foot to recover from posterior tibial tendonitis more quickly.

The men’s shoe has a neutral black and blue option. This color scheme helps you maintain a professional appearance regardless of where you work.


  • Multiple widths available
  • True to size


  • Limited color options

10. Adidas Ultra Boost ST

The Adidas Ultra Boost ST is a great choice for runners of all abilities. More expensive than most other models, the Ultra Boost ST provides tons of support and cushioning.

The Ultra Boost ST is the second in the Ultra Boost line from Adidas. There were several upgrades that make the shoe fit better as well as be more comfortable.

A new stitching method through the midfoot provides a more secure fit. A change in the stripes logo from plastic to cloth reduces irritation.

The Adidas Ultra Boost ST is designed for road runners. This means that they’re durable – something you want in a shoe you’ll be wearing every day. They also are supportive, providing stability and cushioning throughout your foot.

The shoe has several color options. Even the models with green accents remain neutral. The colors help with a professional appearance during the day.

It has an eight-millimeter heel to toe drop. The drop helps remove pressure from your heel and move it to the ball of your foot. Removing pressure can help with recovery from posterior tibial tendonitis.

The molded heel counter provides heel support without being restrictive. The counter allows your Achilles tendon to move naturally. By being allowed to move, it reduces the chance of irritation or tear.

The shoe runs slightly wide. The extra room allows space for orthotics. It also provides space for your foot to sit naturally, allowing for maximum comfort.

The Adidas Ultra Boost ST is a good choice for runners looking for a shoe to wear on the trails and during the day.


  • Highly supportive
  • Extremely durable


  • More expensive than most models


What is posterior tibial tendonitis?

Posterior tibial tendonitis can strike when the posterior tibial tendon becomes inflamed or torn, often making it unable to provide the support and stability needed for the arch of the foot. The arch slowly falls over time and can result in fallen arches.

Most people can be treated without surgery through orthotics and braces, and posterior tibial tendonitis tends to occur more in women and individuals older than 40 as well as individuals who are obese or diabetic and those who suffer from hypertension.

Does running cause posterior tibial tendonitis?

Yes, it does. Posterior tibial tendonitis is a fairly common injury among runners even though you don’t hear about it very much. It can occur due to a severe, acute injury like a bad fall or due to overuse, as you might experience from running.

How long does it take to heal?

It may take several months to heal even with early treatment, and those who have experienced pain for longer periods of time may take closer to 6 months. It’s important to decrease or completely eliminate the activities causing the pain, ice the impacted areas, and look into orthotics, braces, and/or physical therapy.

Can I continue running with posterior tibial tendonitis?


You should definitely lower your mileage considerably, and if you’re still experiencing pain, then you should stop entirely.

However, there’s a good chance that if you ice the ankle region several times a day to reduce inflammation, work on strength exercises, and look into running shoes with arch support or a pair of orthotics, you may be able to keep running. If you are unsure, you should definitely contact a medical professional.

The Wired Runner