Best Running Shoes for Posterior Tibial Tendonitis in 2021

Natalie Cecconi
Written by
Last update:

Posterior tibial tendon (PFT) pain 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 the running shoes you are wearing.

If you are suffering from PFT pain, it is almost a mistake to not 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 Men's Made in Us 990 V5 SneakerBest OverallNew Balance Men's Made in Us 990 V5 Sneaker
Saucony Men's Omni ISO Road Running ShoeBudget PickSaucony Men's Omni ISO Road Running Shoe
Nike Air Zoom Structure 22 Shield Men's Running ShoeUpgrade PickNike Air Zoom Structure 22 Shield Men's Running Shoe

1. New Balance Men's Made in Us 990 V5 Sneaker

Our rating: 9 / 10

New Balance Men's Made in Us 990 V5 Sneaker

Check Price on Amazon

Pros:

  • Zero-drop (no heel to toe lift like other more traditional running shoes)
  • Lightweight and resilient
  • Zero-sew
  • Provides a responsive and natural run
  • Excellent forefoot cushioning

Cons:

  • You will need to break them in as they are fairly tight at first
  • Slightly slow off the initial stride
  • Doesn’t accommodate to orthotics very well

The New Balance M990v4 is made with a super soft and responsive ride. These running shoes are designed with a flexible chassis with a wide forefoot. They also include a lightweight and soft upper.

The M990v4 is zero-drop which means it doesn’t have a heel to toe lift; it’s design is more in-line with that of a barefoot running shoe. For this reason, the M990v4 is a popular choice for those with knee, hip, and/or back problems.

They’re comfortable, responsive, and they don’t require you to re-learn how to run. These shoes also provide excellent support, cushioning, and balance.

2. New Balance Women's Made in Us 990 V5 Sneaker

Our rating: 9 / 10

New Balance Women's Made in Us 990 V5 Sneaker

Check Price on Amazon

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.

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

However, you can’t just put on a pair of these and start running – they require some breaking in. They’re also stiffer than some, so if you’re a runner looking for a really light shoe – this isn’t it.

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

Our rating: 9 / 10

ASICS Women's Gel-Kayano 27 Running Shoes

Check Price on Amazon

Pros:

  • Available at multiple widths and sizes
  • 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:

  • The construction may cause pain in the forefeet
  • Versions of this shoe are available in only one color

(10 5E US, Black/Pink)

This Asics running shoe is specifically designed for those suffering with overuse injuries to the tibialis posterior tendon – which can be one of the most painful injuries.

The shoe has been rated as one of the best in stability, support, and cushioning by Runner’s World.

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

Our rating: 9 / 10

ASICS Women's GT-2000 8 Running Shoes

Check Price on Amazon

Pros:

  • Moderately priced; but does not compromise on quality
  • 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

What makes the ASICS Women’s GT-2000 running shoe our top pick is the great overall value and the broad price range. This shoe comes in various colors, is durable in city terrain, and above-average breathability. However, there might be a bit to much padding for those who don’t like that bulk on their feet. Another factor to consider is that many report it is better for faster runs rather than prolonged runs as well as those with a high arched foot. But, that being said, this is still a very solid pick.

5. Brooks Men's Adrenaline GTS 20

Our rating: 9 / 10

Brooks Men's Adrenaline GTS 20

Check Price on Amazon

Pros:

  • Ideal for running and exercising
  • High-quality design and construction
  • High level of versatility
  • Supports your lower arches
  • Not too heavy – just 11.6 ounces
  • Combines cushioning and stability
  • Great for high impact activities
  • Minimal break-in period
  • Potential for lower, mid-level, and upper injuries
  • Ability to remove insole for customized orthotics underneath

Some people have complained about the width of the shoe. According to reviews the toes go over the side, which can cause cramping

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.

6. ASICS Men's GT-2000 8

Our rating: 9 / 10

ASICS Men's GT-2000 8

Check Price on Amazon

Pros:

  • Cushioned and extra-light
  • It comes in 11 different colors
  • It's reasonably priced
  • Ideal for all types of runners
  • 6 months ASICS Warranty

Cons:

  • Not for rough and rocky terrains
  • Is not durable
  • Does not have any entry support

We found the ASICS Men's GT-2000 8 (4E) 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, marathon, gym, and even running errands.

The ASICS Men's GT-2000 8 (4E) 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.

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

Our rating: 9 / 10

ASICS Men's Gel-Kayano 27 Running Shoes

Check Price on Amazon

Pros:

  • Great cushioning
  • Outstanding design and structure
  • Super lightweight
  • High responsiveness
  • Maximum comfort
  • Great stability

Cons:

  • Several reviewers on Amazon complain that they run small
  • Not suitable for very high arches or overpronators
  • 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.

8. Brooks Transcend 6

Our rating: 9 / 10

Brooks Transcend 6

Check Price on Amazon

Pros:

  • Great for runners with mild PTT
  • Great bounce-back and impact protection

If you are finding it challenging to run because of posterior tibial tendonitis but not to the extent of having to consider surgery, these lightweight, breathable, and comfortable running shoes are the way to go.

The Brooks Transcend 6 Running Shoes are perfect for mild to moderate runners. They are amazingly lightweight and offer a lot of cushioning. The shoes remain highly stable thanks to the heel ridge which enhances the arch support. In addition, the shoe offers a comfortable toe box, a breathable upper, and more.

9. Brooks Womens Adrenaline GTS 20 Running Shoe

Our rating: 9 / 10

Brooks Womens Adrenaline GTS 20 Running Shoe

Check Price on Amazon

Pros:

  • Available at a reasonable price
  • Recovery is very efficient
  • Adjusts to the shape of your feet
  • Lightweight and comfortable
  • Handle moisture well and dry quickly

Cons:

  • Might take some time to break in
  • The color fades with time

The Brooks Womens Adrenaline GTS 20 Running Shoe is made for women with a neutral running style. It has a DNA cushioning that adjust to the shape of your feet. The GTS 20 has a smooth heel counter that hugs the back of your heel to keep your foot from slipping inside the shoe.

It has a breathable mesh upper and heel support to keep you cool and comfortable while you run. The BioMoGo DNA cushioning adapts to the unique needs of your foot, working with your foot to create a custom fit.

The lightweight mesh upper provides humidity control and UV protection, keeping your feet cool and dry whether you’re running through city streets or jogging around the track at the gym.

10. Brooks Transcend 6

Our rating: 8 / 10

Brooks Transcend 6

Check Price on Amazon

Pros:

  • Great for runners with mild PTT
  • Great bounce-back and impact protection

If you are finding it challenging to run because of posterior tibial tendonitis but not to the extent of having to consider surgery, these lightweight, breathable, and comfortable running shoes are the way to go.

The Brooks Transcend 6 Running Shoes are perfect for mild to moderate runners. They are amazingly lightweight and offer a lot of cushioning. The shoes remain highly stable thanks to the heel ridge which enhances the arch support. In addition, the shoe offers a comfortable toe box, a breathable upper, and more.

11. Saucony Men's Hurricane 22

Our rating: 8 / 10

Saucony Men's Hurricane 22

Check Price on Amazon

Pros:

  • Great cushioning
  • Durable
  • Great price
  • Excellent fit
  • Great for casual running
  • Good for flat feet
  • Nicely designed
  • Great customer service

Cons:

  • Anterior part of shoe is not too supportive
  • Sizing is sometimes a bit off

Our top pick is the Saucony men's hurricane 22 running shoe, as it is versatile, durable, and well-priced.

Designed with a roomy toe box, it would likely fit more feet than most of the other pairs we reviewed. The fact that it is both roomy and durable is an important plus point if you are looking for a casual shoe for everyday use.

The shoe also comes with a great cushioning, which is an essential factor to consider when you are buying running shoes. The cushioning on the Saucony is very durable, which means that it will prevent you from experiencing repetitive friction injuries.

12. Mizuno Men's Wave Inspire 16 Road Running Shoe

Our rating: 8 / 10

Mizuno Men's Wave Inspire 16 Road Running Shoe

Check Price on Amazon

Pros:

  • Handcrafted
  • Excellent breathability
  • Advanced pivoting capabilities
  • Good multidirectional support
  • Solid arch support
  • Efficient cushioning

The Mizuno Men’s Wave Inspire 16 running shoe is the ultimate weapon in your fight against posterior tibial tendonitis. It feels comfortable right out of the box and fits well from the first run.

It deliveres energy-returning cushioning, excellent lateral support, and a good amount of underfoot protection.

The Wave Inspire 16 is lower to the ground than prior Mizuno models, which makes it a lot more agile and responsive.

13. Mizuno Women's Wave Inspire 16 Road Running Shoe

Our rating: 8 / 10

Mizuno Women's Wave Inspire 16 Road Running Shoe

Check Price on Amazon

Pros:

  • Lightweight versatile construction
  • Ideal for mild to moderate overpronators
  • Generous foam feel
  • Good ventilation
  • Great comfort
  • Well-cushioned midsole
  • Outstanding traction
  • The top performance shoe for the price

Cons:

  • No shock absorption
  • The interior lining gets quite slick
  • The plastic draws sweat in
  • The tongue can get bulky in the front
  • The shoe is easily forgotten about

Mizuno has designed a running shoe that delivers a decent amount of support and comfort without being bulky. It is a running shoe that is very lightweight, versatile, and is capable of handling the rigors of daily training runs, long distance runs, and track sessions.

The shoe sports a Free Flex midsole system; it relieves impact forces and allows for a smooth toe-off. The Hokasegime Last decreases the weight of the shoe significantly and adds a touch of extra support. It's a running shoe that allows you to stand in a neutral position, and its features are adequate for most people.

14. Saucony Men's Omni ISO Road Running Shoe

Our rating: 8 / 10

Saucony Men's Omni ISO Road Running Shoe

Check Price on Amazon

Pros:

  • Great option for flat feet
  • Comfortable
  • Excellent support for wider feet
  • Good value

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.

15. Saucony Omni ISO Women's

Our rating: 8 / 10

Saucony Omni ISO Women's

Check Price on Amazon

Pros:

  • Wide toe box
  • Great support for the Achilles tendons
  • An ideal shoe for anyone suffering with tendon and arch pain

A sporty women’s running shoe with the aesthetic and technology features you need for a comfortable run. Whether you’re a beginner or a veteran athlete, this shoe will provide you an amazingly cushioned ride.

The Omni ISO Women’s Running Shoe is a lightweight nylon mesh material manufactured entirely in the USA. This shoe offers complete comfort and style in a running shoe. There is no doubt that these will appeal to your “fashionista” friends.

One of the best features of this women’s shoe is the wide toe box. This gives you the opportunity to really spread out all over the inside of the shoe. The cushioning that this shoe offers is just what you need. Whether you are an amateur runner or professional athlete, you will need a comfortable shoe.

16. Saucony Women's Hurricane 22 Running Shoe

Our rating: 8 / 10

Saucony Women's Hurricane 22 Running Shoe

Check Price on Amazon

This shoe offers a simple design that delivers on real impact protection. The shoe uses a lightweight construction that’s designed for a medium-to-high impact sport. Although it’s lightweight, it doesn’t compromise on power or protection.

The upper is made with synthetic overlays and a breathable mesh material. The midsole is made with higher density foam and a lightweight polymer to give the shoe a plush feel underfoot. The outsole is made with blown rubber that provides a ton of traction.

The Saucony Hurricane 22 is pretty streamlined and minimalist as far as running shoes go. The laces and the tongue are padded for added comfort. They are made from synthetic material that’s made to stay soft even in the rain.

17. adidas Originals Men's Ultraboost St

Our rating: 8 / 10

adidas Originals Men's Ultraboost St

Check Price on Amazon

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
  • Sizes available in D US: 6-12,13,14
  • Sizes available in 5.5US, UK: 6,7,8,9,10,11,12
  • Weight “ 1lb 9oz (811g)
  • Affordable

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
  • There are no laces

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.

18. Nike Women's Running Shoes

Our rating: 6 / 10

Nike Women's Running Shoes

Check Price on Amazon

Pros:

  • Great cushioning
  • Lightweight
  • Provides a bouncy feel
  • Awesome colors and design

Air Zoom Pegasus 32

If you want a legit running shoe that looks great and performs well, the Nike Air Zoom Pegasus is a perfect choice. Nike is one of the best shoe companies for runners, so it’s no surprise that they’re on top of the shoe market.

The Zoom Air units on the heel absorb shock, reducing impact on the tendons. The Air Zoom Pegasus also comes with a lightweight Phylon midsole and an impact-compression support.

19. adidas Originals Women's Ultraboost St

Our rating: 5 / 10

adidas Originals Women's Ultraboost St

Check Price on Amazon

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

Cons:

  • No stability features
  • The arch is a little flexible for people with high arches
  • No lacing system
  • 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 from a running shoe that offers no support.

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.

20. Nike Air Zoom Structure 22 Shield Men's Running Shoe

Our rating: 5 / 10

Nike Air Zoom Structure 22 Shield Men's Running Shoe

Check Price on Amazon

Pros:

  • Lightweight cushioning
  • Efficient underpronation support
  • Reasonable pricen

Cons:

  • Limited arch support
  • Uppers don’t breathe well
  • Uncertain durability in long term

This is a neutral running shoe from Nike that has a running shoe fit that has been designed to support and stabilize a runner’s foot from impact.

The shoe has been designed with full-length IPS insole that is made from foam and midsole that gives it a lightweight and durable feature. The shoe works well with its engineered mesh upper thanks to the feeling of lightweight you get when wearing it.

The Zoom Air units in the forefoot and heel work well with the air pockets that have been integrated in the heel to give a lightweight cushioning system. This helps to protect from injuries as well as supporting your feet.

Frequently Asked Questions (FAQ)

What is the fastest way to heal posterior tibial tendonitis?

Since most posterior tibial tendonitis victims suffer from cartilage destruction in the knee joint, by developing a customized injury prevention program to correct that issue, most of those patients achieve significant improvements. To determine how to avoid injuries in posterior tibial tendonitis, you must first understand how these injuries occur.

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.

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

Posterior tibial tendonitis or inflammation can be treated conservatively with relative ease, but it takes a long time to heal. It has been found that patients with posterior tibial tendonitis who took few weeks to weeks to heal. In 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’s 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?

Wearing a boot or a brace for your posterior tibial tendonitis is not going to fix the pain.

Aside from providing support, a boot or brace does not give you the level of support that a physical therapist will.

For example, in a boot, if you torque your ankle, the boot may not catch it. As a result, you could overuse the tendon and cause more pain.

A good physical therapist will be able to tell you what you can and cannot do. If you have an overuse injury where you may be putting too much strain on the tendon, they will tell you what strength you can do and what variations you can put in your activity level to slow down recovery. For example, in the case of posterior tibial tendonitis, it is almost always recommended to take non-impact activities such as swimming or water running.

What can I do for posterior tibial tendonitis?

If you suffer from pain in your shins for no apparent reason, you might be suffering from posterior tibial tendonitis. PTT is believed to be related to small crack in the bony tissue of the shin (the back of the leg). It can feel like a deep ache, a stabbing pain, or a burning sensation. It’s not known how these cracks form, but there are a few theories, including repetitive stress to the bone.

There are treatments, but attempting them can worsen the symptoms, so it’s really important to be sure you have the right diagnosis. But no matter what the cause, the good news is that it can be fixed with the right treatment. Luckily, there are a number of treatments for this type of injury, and it’s easy to treat once you know what you’re facing.

Conclusion

There is one key point to keep in mind when you’re shopping for running shoes for patellar tendonitis – stay away from shoes with a lot of heel to toe drop. 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 live with easily.

Our Recommendation

NameCategoryProduct
New Balance Men's Made in Us 990 V5 SneakerBest OverallNew Balance Men's Made in Us 990 V5 Sneaker
Saucony Men's Omni ISO Road Running ShoeBudget PickSaucony Men's Omni ISO Road Running Shoe
Nike Air Zoom Structure 22 Shield Men's Running ShoeUpgrade PickNike Air Zoom Structure 22 Shield Men's Running Shoe