Best Running Shoes for Posterior Tibial Tendonitis in 2018

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, take them with you to ensure they fit into the shoes you’re looking to purchase.

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 25


Asics Gel-Kayano 25


The Asics Gel-Kayano 25 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 25 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.

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 25 is a fantastic choice for your recovery. And, with several neutral color options, you can wear them all day and still look professional.


PROS:

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

CONS:

  • More expensive than comparable models
  • Heavier than comparable models

Brooks Adrenaline GTS 18

 

The Brooks Adrenaline GTS 18 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 18 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 18 was awarded the Editors Choice award in late 2017. Runners World also describes it as a top performer in the stability category.

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 18 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.


PROS:

  • Multiple width options
  • Designed for medium to low arches

CONS:

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

Nike Zoom Structure 21

 

The Nike Zoom Structure 21 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 21 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 21 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.


PROS:

  • Multiple width options
  • Lightweight feel

CONS:

  • High heel to toe drop

Asics GT-2000 6


 

The Asics GT-2000 6 provides support and cushioning throughout the shoe. These features make it one of the best pairs of running shoes for posterior tibial tendonitis. The gel helps to reduce impact shock, making every stride gentler on your feet.

Of course, it’s designed for low arches or flat feet, so it may be perfect if you’re struggling with falling arches due to posterior tibial tendonitis.

One thing to keep in mind is the high heel to toe drop. The 10-millimeter drop isn’t extreme in most cases. It helps remove pressure from your heels, which can alleviate pain. If you aren’t used to it, however, it can take some getting used to.

This shoe is designed for beginners and recovering runners, so you may find it suits your needs just fine. The Asics GT-2000 6 even has several neutral color options. This makes it a great choice to wear to work.


PROS:

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

CONS:

  • Stiff design
  • High heel to toe drop

Mizuno Wave Inspire 14

 

The Mizuno Wave Inspire 14 is the latest addition to the Wave Inspire line. Known for its comfort, fit, and smooth ride, the 14 does not disappoint.

The stiff design of the Mizuno Wave Inspire 14 provides enhanced support and stability. These features allow you to transition smoothly between various environments. The neutral color options available also allow you to go from a run to the office without your footwear standing out.

With a 12-millimeter heel to toe drop, it has one of the highest drops of any on this list. This can make it difficult for runners with other foot issues. However, it does take the pressure off your heel, allowing you to run with confidence.


PROS:

  • Durable
  • Very stable

CONS:

  • High heel to toe drop

Saucony Hurricane ISO 3

 

A slightly older model, the Saucony Hurricane ISO 3 holds its spot as one of the most supportive shoes out there. With heavy cushioning, the support doesn’t prevent the shoe from being comfortable either.

The Hurricane ISO line is loved for its support and durability. The Saucony Hurricane ISO 3 is one of the best additions.

The ISOFIT Saddle wraps around your foot and connects directly to the laces. Because it’s connected to the laces, the support is fully adjustable. It’s also made of breathable materials, allowing moisture to escape for however long you’re wearing the shoe.

The stiff soles provide extra support. They’re still flexible, however, remaining responsive to different terrains. The flexibility makes them ideal for day to day wear.


PROS:

  • Wide widths available

CONS:

  • More expensive than comparable models
  • Few neutral color options

New Balance 990v4


In the 30 years the 990 line has been around, New Balance has developed some fantastic shoes. The latest model, the New Balance 990v4 is no different.

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

While the New Balance 990v4 lacks the neon color options many runners love, the neutral colors are great for runners struggling with posterior tibial tendonitis. Neutral colors allow you to wear the shoes in professional environments without standing out or drawing attention to your footwear.

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

The sole stability unit in the New Balance 990v4 provides additional support along the sole of your foot. The stability unit can help with bad arches and pain in your heels.


PROS:

  • Multiple widths available
  • Made in the USA

CONS:

  • High heel to toe drop
  • Heavier than comparable models
  • More expensive than comparable models

Brooks Transcend 5

You don’t have to sacrifice comfort for support. The Brooks Transcend 5 combines both comfort and support.

The snug fit and additional cushioning make it an ideal shoe for long-term wear. There is foam on either side of your foot that connects to your heels. This provides support and stability throughout your gait. It also helps to ease the transition between running, walking, and standing.

Your color options are limited, but the men’s shoe has two more neutral options. This makes it ideal for professional settings.

While a little more expensive than most running shoes, the additional cost is well worth the additional support and comfort. The support does make the shoes a little stiffer than most, meaning it may take a few runs to break them in.

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 5 is a great shoe for those recovering from posterior tibial tendonitis.


PROS:

  • Comfortable
  • Highly supportive
  • Roomy toe box

CONS:

  • Limited color options
  • More expensive than comparable models

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. The saddle provides extra support and comfort throughout the day. It is also adaptable. The adaptability allows it to change with your foot, allowing for comfort your entire recovery.

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.


PROS:

  • Multiple widths available
  • True to size

CONS:

  • Limited color options

Adidas Ultra Boost ST

The Adidas Ultra Boost ST is a great choice for runners of all strengths. More expensive than most other models, the Ultra Boost ST is worth the extra cost.

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. The additional security provides extra support. A change in the stripes logo from plastic to cloth reduces irritation in this model. The cloth is less irritating for long-term wear.

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


PROS:

  • Highly supportive
  • Extremely durable

CONS:

  • More expensive than most models