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Footwear for Ankle Pain

Best Shoes For Posterior Tibial Tendonitis

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Posted 3 years ago

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Last updated: 19/03/2025

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by James McCormack

James McCormack
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Posterior Tibial Tendonitis is a condition affecting the posterior tibial tendon, which is located along the inner ankle bone and attaches to the medial arch of the foot.

In most cases, the most effective treatment for this condition requires a multi-faceted approach. Comprehensive treatment should include exercises, insoles, braces and shoes.

This article will provide recommendations on the best shoes for Posterior Tibial Tendonitis based on our clinical experience.

James McCormack is a Physical Therapist who specializes in foot & ankle injuries. james-mccormack.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com

Best Shoes For Posterior Tibial Tendonitis

A stable shoe with a rigid midfoot and rubber sole is the best shoe for Posterior Tibial Tendonitis. It limits the movement in the midfoot, controlling the foot during the gait cycle to reduce the tension on the Posterior Tibial Tendon. For walking and hiking, we generally recommend lightweight hiking shoes as they are waterproof, durable and stable. Running shoes are a good option for walking, either.

Best Running Shoes for Posterior Tibial Tendonitis?

A stable running shoe is the best shoe for Posterior Tibial Tendonitis. We recommend these as they have a thickened inner sole that tilts the heel bone to reduce pronation moments on heel strike and a rigid midsole to control the deceleration of the foot when running, as this is one of the primary actions of the Posterior Tibial Tendon.

We recommend avoiding softly cushioned shoes that feel like walking on a cloud. It may be that your symptoms feel better initially, but too much movement overloads the tendon and can worsen your symptoms in the long run.

We have made a list of our favourite shoes and running shoes for Posterior Tibial Tendonitis that we recommend to patients daily in our clinics. 

Hoka Arahi 6

  • These surprisingly light stability shoes from Hoka are excellent running shoes for Posterior Tibial Tendonitis.
  • They have a 5mm heel drop, thick and a cushioned inner sole.
  • Their J-Frame provides pronation control.
  • This is our firm favourite running shoe for Posterior Tibial Tendonitis.

Check the latest price on Amazon:

Hoka Arahi 6

Asics GT 2000

The Asics GT-2000 13 is a mid-range stability running shoe, part of Asics’ long-standing GT series, designed to provide a balance of support and cushioning for runners who need extra stability.

Why We Recommend It for Posterior Tibial Tendonitis:

FlyteFoam Cushioning – Offers excellent shock absorption, helping to reduce strain on the Posterior Tibial Tendon with each step.
Stability Features – A slightly thickened inner sole minimizes excess pronation forces, which can contribute to Posterior Tibial Tendonitis.
Versatile Use – Suitable for daily training, walking, and recovery runs, making it a great all-around option for those who need stability.

For runners or walkers dealing with overpronation or Posterior Tibial Tendonitis, the GT-2000 13 provides the cushioning and structured support needed to help relieve discomfort and promote better foot mechanics.

Check the price on Amazon:

Asics GT-2000 13

Saloman Shoe XA Pro 3D

The latest XA Pro 3D is an upgraded, lighter version of its predecessor, designed to offer both stability and comfort for long-distance walking.

Why We Recommend It:

Versatile Performance – Ideal for both road walking and hiking, making it a great all-around shoe.
Supportive Midsole – Provides stability to help protect the Posterior Tibial Tendon without feeling bulky.
Stack Height – Features an 11mm stack height, which helps reduce strain on the Posterior Tibial Tendon, making it a great option for those with foot pain.

If you’re looking for a durable, supportive, and lightweight shoe for walking or hiking, the XA Pro 3D is a strong choice.

Check the latest price on Amazon:

Salomon XA Pro 3D

Shoe Reviews with James McCormack

This article is written by James McCormack, a Lower Limb Specialist who is an expert in treating Posterior Tibial Tendonitis.

This is not medical advice. We recommend a consultation with a medical professional such as James McCormack if you are experiencing any of the symptoms discussed in this article. James offers Online Physiotherapy Appointments weekly and face-to-face appointments in his London clinic.

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