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Footwear for Ankle Pain

Best Shoes for Sinus Tarsi Syndrome

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Posted 2 years ago


Last updated: 21/10/2023


by James McCormack

James McCormack
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Are you suffering from pain in your outer ankle? Sinus Tarsi Syndrome is one of the primary causes, and shoes play an integral role in reducing pain and addressing the cause of the injury.

Sinus Tarsi Syndrome affects the ankle joint, with symptoms presenting on the front and outer aspect of the ankle. Pain is often worse when walking or standing, especially on uneven surfaces and should ease in non-weight bearing positions while it is common to develop pins and needles on the outer ankle and foot. 

An ankle sprain, excessive pronation or flat feet can cause Sinus Tarsi Syndrome and a consultation with a Physical Therapist is recommended to ensure the correct diagnosis. Shoes for Sinus Tarsi Syndrome play an integral role in recovery by helping to stabilise the ankle joint, control pronation forces, and offload the outer ankle. 

Correctly fitted Sinus Tarsi Syndrome shoes can enable recovery and increase a person’s ability to exercise with minimal discomfort. 

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. We use this to create content that is free to read at with additional charges when you purchase from Amazon.

Best Shoes for Sinus Tarsi Syndrome

The best shoes for Sinus Tarsi Syndrome are stability shoes that have medial arch support, high heel drop, a deep heel cup and balanced cushioning.

Medial Arch Support: provides a tilt on the inner aspect of the sole in the shoe to slightly evert (turn out) the ankle joint which helps by opening up the sinus tarsi joint and decreasing pain levels.

High Heel Drop: refers to the difference in the height of a trainer from the front to the back. People with Sinus Tarsi Syndrome will benefit from a high heel drop as this offloads the affected area.

Deep Heel Cup: this is part of the shoe where your heel sits. It is curved or contoured to cradle your heel, providing extra stability to the ankle joint and reducing excess pronation forces that are associated with Sinus Tarsi Syndrome or an ankle sprain.

Running shoes have much better technology than normal shoes and can be used for walking and everyday activities.

We have provided recommendations below for the best shoes for Sinus Tarsi Syndrome. 

Sinus Tarsi Syndrome Shoes for Mild to Moderate Symptoms

We recommend the New Balance Fresh Foam X 860v13 for Sinus Tarsi Syndrome due to their high heel drop, Fresh Foam X midsole and wide fit.

The heel drop of 10mm helps to open up the Sinus Tarsi to reduce pain and inflammation.

The Fresh Foam X midsole helps to stabilise the ankle joint, reducing pronation forces, and the wide fit prevents direct compression against the sinus tarsi.

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Sinus Tarsi Syndrome Shoes for Moderate to Severe Symptoms

We recommend the Asics Gel-Kayano 29 shoes for Sinus Tarsi Syndrome due to their high heel drop, LITETRUSS™ stability, and deep heel cup.

Similar to the New Balance, the Gel Kayano 29 has a 10mm heel drop that helps offload the Sinus Tarsi.

However, the LITETRUSS™ stability and deep heel cup help stabilise the ankle and tilt it outwards, which opens up the Sinus Tarsi space to reduce pain and irritation.

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Physiotherapy with James McCormack

This is not medical advice. We recommend a consultation with a medical professional such as James McCormack. He offers Online Physiotherapy Appointments weekly.

Related Article: Sinus Tarsi Syndrome

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