Best Running Shoes for Posterior Tibial Tendonitis in 2022

Natalie Cecconi
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The posterior tibial tendon attaches the calf muscle to the bones on the inside of the foot. The main function of the tendon is to hold up the arch and support the foot when walking.

Posterior tibial tendon dysfunction occurs when the posterior tibial tendon becomes inflamed or torn. As a result, the tendon may not be able to provide stability and support for the foot arch, resulting in flatfoot.

The posterior tibial tendon (PFT) can be very painful. For those who have never had the condition, you might even say the pain is almost unbearable. I can say for an absolute fact that if you ever experience PFT pain, it is a clear indicator of bad running shoes you are wearing.

If you are suffering from PFT pain, it is almost a mistake not to purchase a pair of energy-return shoes for maximum impact absorption.

Below is a comprehensive buying guide with in-depth reviews of some of the best running shoes for posterior tibial tendonitis.

NameCategoryProduct
New Balance Women's Made in US 990 V5 SneakerBest OverallNew Balance Women's Made in US 990 V5 Sneaker
Saucony Men's Omni ISO Road Running ShoeBudget PickSaucony Men's Omni ISO Road Running Shoe
Brooks Men's Adrenaline GTS 20Upgrade PickBrooks Men's Adrenaline GTS 20

1. New Balance Women's Made in US 990 V5 Sneaker

Our rating: 9 / 10

New Balance Women's Made in US 990 V5 Sneaker

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Pros:

  • 50% Leather, 50% Synthetic
  • Durable blown rubber outsole
  • ENCAP midsole combines lightweight foam with a durable polyurethane rim to deliver all-day comfort
  • All-day ankle support
  • Comes with a comfortable 'ortholite' insert
  • Available in multiple sizes and fits for narrow, wide, and extra-wide feet

Cons:

  • Some users believe they are not cushioned enough, especially considering the price of the shoes
  • Expensive
  • Not as good as earlier versions

The New Balance Women’s Made in US 990 V5 is a classic running shoe with a roomy toe box. The width of this shoe accommodates bunions and swollen arches quite well, and the mesh upper is very breathable. It may help to ease PFT pain too.

The outsole and midsole are a reliable combination of high-impact rubber and foam, so there’s very little friction against the exercise surface, ideal for beginners.

2. ASICS Women's Gel-Kayano 27 Running Shoes

Our rating: 9 / 10

ASICS Women's Gel-Kayano 27 Running Shoes

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Pros:

  • Rearfoot and Forefoot GEL Technology Cushioning System to relieve PFT pain
  • FlyteFoam Midsole Technology provides exceptional bounce back and responsiveness
  • FlyteFoam Propel Technology provides supreme bounce thanks to a unique elastomer compound
  • Dynamic DuoMax Support System for reduced weight and increased platform support
  • SPACE TRUSSTIC Technology reduces the weight of the sole
  • Available in multiple widths and sizes
  • The wide base provides a stable and smooth feel
  • Helps prevent shin splints and overuse injuries
  • A reliable brand with a good reputation
  • Durable and lightweight

Cons:

  • Slightly larger than the previous Kayano
  • Not durable, especially the tread
  • Overpriced

This ASICS running shoe is specifically designed for those suffering from overuse injuries to the posterior tibialis tendon – which can be the most painful injury.
The shoe has been rated as one of the best in athletes’ stability, support, and cushioning.

3. ASICS Women's GT-2000 8 Running Shoes

Our rating: 9 / 10

ASICS Women's GT-2000 8 Running Shoes

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Pros:

  • Multi-directional mesh material improves ventilation and stability
  • Neutral support
  • Extra cushioning
  • Comes in various colors
  • Broad price range
  • Above-average breathability
  • Durable in the city

Cons:

  • Might not match your arch preference
  • Too much padding might make your feet hot
  • You’ll need to break them in before workouts
  • Runs narrow for some

The great overall value and the broad price range make the ASICS Women’s GT-2000 running shoe our top pick. This shoe comes in various colors, is durable in city terrain, and has above-average breathability. However, there might be a bit too much padding for those who don’t like bulk on their feet.

4. Brooks Men's Adrenaline GTS 20

Our rating: 9 / 10

Brooks Men's Adrenaline GTS 20

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Pros:

  • Good support, cushioning, flexibility, and reliability
  • The modernized, streamlined design satisfies runners who crave a low-profile look
  • Great for overpronation
  • DNA LOFT Crash Pad cushion
  • BioMoGo DNA adapts to your every stride
  • Mesh upper with 3D Fit Print offers structure and proven fit
  • Guide Rails holistic support system
  • High-quality design and construction
  • Minimal break-in period
  • Ability to remove insole for customized orthotics underneath

Cons:

  • Wears out too fast
  • Lighter than GTS 19 and less comfortable in front

The Brooks Men’s Adrenaline GTS 20 running shoes are designed specifically for runners with a wider foot. This running shoe provides outstanding comfort and support, along with the ability to go the extra mile.

The Adrenaline GTS 20 running shoe is highly cushioned and lightweight. It features a seamless design, interior support, and an open mesh that provides extra breathability. A full-length cushioning also offers enhanced balance.

5. ASICS Men's GT-2000 8

Our rating: 9 / 10

ASICS Men's GT-2000 8

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Pros:

  • Multi-directional mesh material improves ventilation and stability
  • Extra cushioned to relieve PFT pain
  • Neutral support and extra-light
  • Trusstic System technology reduces the weight of the sole
  • It comes in 11 different colors
  • Ideal for all types of runners

Cons:

  • Not for rough and rocky terrains
  • Not long lasting
  • Left and right shoes have different levels of padding inside

We found the ASICS Men's GT-2000 8 to be not only ideal for running, but also for jogging and walking. This is because it provides optimum comfort and support for minimalist runners.

This shoe is designed to support your feet comfortably and protect them from harm. It's perfect for daily running, marathons, gym, and even running errands.

The ASICS Men's GT-2000 8 Running Shoes is equipped with a rearfoot GEL cushioning system and a FluidRide midsole with differentiating densities. This gives out a reliable and soft bounce when you run.

6. ASICS Men's Gel-Kayano 27 Running Shoes

Our rating: 9 / 10

ASICS Men's Gel-Kayano 27 Running Shoes

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Pros:

  • Redesigned mesh upper helps keep feet cool
  • Sole is more flexible
  • Midsole integrates SPACE TRUSSTIC technology providing stability and reduces the overall weight
  • Reflective materials in the rearfoot

Cons:

  • Several reviewers on Amazon complain that they run small
  • The laces are short
  • Slightly bulky and heavy compared to other trail running shoes

The ASICS Men’s GEL-Kayano 27 Running Shoe is a marvelous stability shoe that can be used to control overpronation and provide a sense of security and support for those with heavy and high arches.

It has exceptional cushioning, features a super lightweight frame, and has a low to the ground profile that makes it perfect for runners suffering from posterior tibial tendonitis.

The Kayano 27 is made primarily from synthetic materials like memory foam, synthetic mesh, and synthetic suede leather. It also incorporates a supportive synthetic heel and collar.

7. Saucony Men's Omni ISO Road Running Shoe

Our rating: 8 / 10

Saucony Men's Omni ISO Road Running Shoe

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Pros:

  • Great option for flat feet
  • Comfortable
  • Excellent support for wider feet
  • Good value
  • Successor to the Omni 16
  • EVERUN Topsole Construction for enhanced energy return and continuous cushioning throughout the run
  • PWRFOAM Midsole
  • Medial posted midsole
  • ISOFIT dynamic upper that adapts to the shape and motion of the runner’s foot
  • Engineered mesh
  • External support frame
  • Helpful for runners who suffer from mild to severe pronation.

Cons:

  • Somewhat narrow size
  • The main complaint is that they run a little small

Shoes.

The Saucony Men’s Omni ISO Road Running Shoe is a neutral style shoe with a lot of support. A comfortable budget-friendly shoe for runners with flat feet, wide feet, or extra wide feet, the Omni is able to adjust to many foot types.

TRI-FLEX Increases force dispersion over a greater surface area while also delivering optimal flexibility and traction. The level of pronation control is built into the shoe. Pronation is the inward rolling of the ankle through the gait cycle.

8. adidas Originals Men's Ultraboost St

Our rating: 8 / 10

adidas Originals Men's Ultraboost St

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Pros:

  • Anatomically engineered mesh upper with Primeknit support
  • Boost energy-returning cushioning from the soft midsole
  • Rubber forefoot and heel wedge for reliable traction
  • Breathable mesh lining
  • Boost technology for the ultimate in comfort
  • Textile
  • Rubber sole
  • Primeknit textile upper
  • Lace closure
  • Stabilizing Torsion System
  • Boost cushioning midsole
  • Stretchweb outsole with continental rubber

Cons:

  • May not be built for long-term wear
  • The shoe tends to run a bit narrow
  • The midsole is too soft for some runners

The Adidas Ultraboost ST is a comfortable, stylish, and practical all-around running shoe with an innovative Boost foam cushioning system that provides excellent energy return. Designed with a mix of synthetic and natural mesh materials, it offers a great fit and an attractive appearance.

The shoe upper is breathable and flexible. The premium textiles are treated with a seamless overlay to keep the silhouette sleek and supportive. A padded tongue and collar provide a comfortable fit. Designed for runners who need extra stability. These shoes are made with responsive cushioning that's firmer under the arch for added support.

9. adidas Originals Women's Ultraboost St

Our rating: 5 / 10

adidas Originals Women's Ultraboost St

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Pros:

  • Wide base makes the shoe less prone to rolling
  • Lightweight
  • Outsole grip is excellent
  • Breathable mesh upper
  • Midsole comfort is good for long-term wear
  • Best shoe for pronaters

Cons:

  • No stability features
  • The arch is a little flexible for people with high arches
  • Sole durability is questionable
  • The heel is somewhat rigid and can cause blisters

Adidas is famous for its stylish footwear and ultraboost did not disappoint. Labeled as the ‘ultimate running shoe’, this adidas shoe offers the freedom of a barefoot running to anyone with one significant addition: stability. This particular adidas shoe is designed to stabilize the arch and support the head of the Achilles Tendon.

The ultraboost is designed with a swath of hexagonal style cushioning that contains a nylon base. A rubber outsole is used to support the forward motion of a runner and the energy return is undeniable.

The upper is made from fabric mesh with integrated synthetic overlays to improve the overall stability. This design also allows for an excellent ventilation performance, keeping your feet cool throughout a run.

Frequently Asked Questions (FAQs)

What is the fastest way to heal posterior tibial tendonitis?

Posterior tibial tendonitis is usually caused by improper foot mechanics or the condition of the cartilaginous tissue. Studies have shown that individuals who spend the majority of their time on their feet are more at risk of developing posterior tibial tendonitis because of the strain it puts on their legs and feet. While many who acquire this condition lead inactive lives, developing foot and ankle problems due to poor footwear is also very common.

The fastest way to heal posterior Tibial Tendonitis is to apply cold packs on the most painful area of the Posterior Tibial Tendon for 20 minutes at a time, 3 or 4 times a day to keep down swelling. Do not apply ice directly to the skin. Placing ice over the tendon immediately after completing an exercise helps to decrease the inflammation around the tendon.

How long does it take for posterior tibial tendonitis to heal?

Posterior tibial tendon dysfunction generally takes 6-8 weeks to improve and early activity on a healing tendon can result in a setback in recovery. Non-compliance can double the recovery time and can be very frustrating for patients. Posterior tibial tendon dysfunction is a progressive condition.

Those who have suffered for more than a year, require an invasive procedure known as tenotomy. Tenotomy is done by opening the tendon ends, cutting the torn part, and then suturing. It differs from most surgeries done, as it involves cutting of a tendon.
More than seventy percent of people with posterior tibial tendonitis recover within the year after initiating conservative treatment. People taking even more treatment years to heal face risks of a tenotomy.

Does wearing a boot help posterior tibial tendonitis?

If the injury to your posterior tibial tendon is severe, your foot and ankle may require immobilization using a short walking boot. Individuals usually wear this for six to eight weeks. It allows the tendon to get the rest that’s sometimes necessary for healing.

However, this can also cause muscle atrophy or weakening of the muscles, so doctors only recommend it for severe cases.

What can I do for posterior tibial tendonitis?

The initial treatment of posterior tibial tendonitis is rest so that the tendon can heal. Unfortunately, even normal walking may get in the way of allowing the tendon to heal adequately. In these cases, you must stop using the ankle to allow it to rest.

Options for early treatment include:

  • Shoe inserts and arch supports
  • Walking boots
  • Casts
  • Anti-inflammatory medications
  • Limiting activity

Physical therapy, including stretching and strengthening exercises, also may help relieve pain and help you get back to your normal activities.

Surgical treatment of posterior tibial tendonitis is controversial. Surgical options vary depending on the extent of the condition.

Conclusion

There is one key point to keep in mind when you’re shopping for running shoes for posterior tibial tendonitis – stay away from shoes with a lot of heel-to-toe drops. They’ll put far too much pressure on your knees.

In this article, we’ve outlined everything you need to know to choose the best shoes you can. With the information you’ve just read and with another scan through the list of our recommendations, you should be set to find a pair of shoes that you’ll be able to wear for your flat foot and low arch.

Our Recommendation

NameCategoryProduct
New Balance Women's Made in US 990 V5 SneakerBest OverallNew Balance Women's Made in US 990 V5 Sneaker
Saucony Men's Omni ISO Road Running ShoeBudget PickSaucony Men's Omni ISO Road Running Shoe
Brooks Men's Adrenaline GTS 20Upgrade PickBrooks Men's Adrenaline GTS 20