Best Running Shoes for Posterior Tibial Tendonitis

Best Running Shoes for Posterior Tibial Tendonitis

What is Posterior Tibial Tendonitis?

Posterior tibialis tendonitis occurs when the posterior tibialis tendon, located at the back of the inner ankle, becomes injured. This tendon plays a crucial role in connecting the leg muscles to the inner foot. It’s responsible for standing on tiptoes, pushing off while running or jumping, and facilitating inward foot movements (inversion).

Importance of Choosing the Right Running Shoes

Choosing the right running shoes is crucial for those managing Posterior Tibial Tendonitis. Quality footwear offers vital support and cushioning, easing discomfort and minimizing the chance of worsening symptoms during exercise. When selecting shoes tailored to this condition, runners enhance their performance and aid in the recovery process. Individuals can maximize comfort, minimize injury risks, and accelerate rehabilitation by prioritizing footwear designed to meet the specific needs of Posterior Tibial Tendonitis.

In This Guide

The primary objective of this article is to offer practical guidance on selecting the best running shoes for individuals suffering with posterior tibial tendonitis. This guide seeks to provide readers with the information they need to make the best decisions for their foot health and injury management, from knowing what characteristics are important to look for in shoes to making recommendations based on expert evaluations and user experiences. Regardless of the severity of your posterior tibial tendinitis or your degree of experience, this article is meant to support you at every step of your fitness journey.

Understanding Posterior Tibial Tendonitis

Causes and Risk Factors

Posterior tibial tendinitis can be caused by a variety of factors, including biomechanical issues like flat feet or overpronation, age, sudden increases in physical activity, improper footwear, and overuse or repeated stress on the tendon. In addition, persons who engage in repetitive foot and ankle motion-intensive sports like dancing or jogging may be more susceptible to this condition.

Symptoms and Diagnosis

Pain and swelling on the inside of the ankle and foot are common signs of posterior tibial tendinitis, particularly when walking, running, or standing for extended periods. Additional typical indicators could be an obvious flattening of the foot arch, trouble pushing off with the afflicted foot during exercises, and pain that worsens with movement and improves with rest. A comprehensive physical examination by a medical practitioner is frequently necessary for diagnosis. This examination includes evaluating symptoms, reviewing medical history, and occasionally ordering imaging tests like MRIs or X-rays to rule out further possible reasons for foot and ankle discomfort.

Impact of Running Shoes on Recovery

For those suffering from posterior tibial tendinitis, the type of running shoes they wear can greatly impact how quickly they heal. Running can be made more comfortable and effective by wearing properly chosen footwear with attributes like sufficient arch support, cushioning, stability, and motion control. These factors can assist in reducing stress on the posterior tibial tendon. Appropriate running shoes can help reduce pain, inflammation, and the chance of further injury by giving the affected foot and ankle the support and protection they need. This can speed up recovery and allow people to return to running more confidently and comfortably.

Top 8 Best Running Shoes for Posterior Tibial Tendonitis

1 – Best Athletic Shoe

New Balance 1540v3

New Balance 1540v3 athletic shoe with dual-layer performance foam and ENCAP and Rollbar midsole technology for stability.

The New Balance 1540v3 is a remarkable men’s running shoe that has been carefully built to provide support and stability when running. These shoes provide excellent support and a gentle rebound thanks to their dual-layer performance foam, which guarantees comfort whether running a 5K or pushing beyond. With the ability to manage rear-foot movement and efficiently counteract overpronation, the integration of ENCAP and Rollbar midsole technology is revolutionary, enabling confident and stable steps with each stride.


Furthermore, new seasonal colors are now available for the 1540v3, allowing you to appear as wonderful as you feel when you hit the road. These stability-focused shoes are essential for anyone who has trouble maintaining their balance or requires extra support due to restricted movement. Users who appreciate the roll bar design of the 1540v3 have given it favorable feedback, indicating that it is a trusted partner for runners seeking comfort and performance. The history of the 1540v3 continues even after American manufacturing ends in April 2021, offering runners a reliable and supportive option for their running endeavors.


Dual-layer foam

ENCAP and Rollbar tech combat overpronation

Ideal for balance and mobility issues

Legacy of reliability despite production change


Heavier weight

2 – Hiking Boot for Posterior Tibial Tendonitis

Mt Emey 9703L

Mt Emey 9703L hiking boot with seamless lining, high-density injected EVA outsole, and genuine leather uppers.

The Mt. Emey 9703L is a rugged hiking boot for adventurous hikers seeking durability and comfort. Engineered with a seamless lining to minimize friction, it guarantees blister-free comfort even on long hikes. What distinguishes it is the high-density injected EVA outsole, offering exceptional durability and support for navigating challenging terrain. Its symmetrical cut-line simplifies sole modifications, catering to individual preferences effortlessly. Moreover, the boot provides extra depth and includes two layers of removable inserts, accommodating custom orthotics and enhancing overall comfort. Crafted with genuine leather uppers, the Mt. Emey 9703L seamlessly blends style with durability, making it a dependable companion for outdoor exploration.


Ideal for adventurers craving durability and orthopedic support, the Mt. Emey 9703L delivers functionality and style. Whether trekking rugged trails or enjoying leisurely hikes, these boots instill confidence and comfort in every step. Featuring a robust construction and thoughtful design, including the seamless lining and high-density injected EVA outsole, they ensure a secure and comfortable fit throughout the journey. From the extra depth design to the genuine leather uppers, every aspect of the Mt. Emey 9703L hiking boot is crafted to enhance the outdoor experience and support individuals in their quest for adventure and discovery.


Comfortable long hikes

High-density EVA outsole

Accommodates custom orthotics.


Versatile for rugged trails


Sizing may vary

Availability may be limited

3 – Highly Cushioned Stability Trainers

ASICS Gel-Kayano 30

Highly Cushioned Stability Trainers for Posterior Tibial Tendonitis - ASICS Gel-Kayano 30

One of the best options for athletes looking for extremely cushioned stability trainers made for long-distance running is the ASICS Gel-Kayano 30. This iconic stability shoe, created with long-distance runners in mind, provides outstanding stability and support, making it a dependable partner for anyone who needs more support when running. Despite its stability qualities, the Gel-Kayano 30 offers a responsive sensation underfoot, enabling runners to push themselves and confidently complete their distance goals.


Among the most notable characteristics of the Gel-Kayano 30 is its exclusive 4D GUIDANCE SYSTEM, which enhances stability and promotes correct foot alignment throughout the runner’s stride. This technology ensures a smooth and efficient gait cycle, reducing the risk of injury and enhancing overall performance. Furthermore, the midsole’s integration of PureGELTM technology offers improved shock absorption, making lengthy runs more comfortable and the ride easier. The Gel-Kayano 30’s lightweight construction and ability to provide the ideal stability, cushioning, and responsiveness make it a great option for runners looking for long-distance support and maximum performance.


Excellent stability and support

Responsive feel underfoot

PureGEL™ technology for shock absorption

Lightweight design for comfort

Exceptionally cushioned

Ideal for long runs


May require break-in period

4 – Lightweight Athletic Shoe

Apis 9708

Apis 9708 lightweight athletic shoe featuring high-density EVA outsole and genuine leather uppers for durability and comfort.

The Apis 9708 is a great option for lightweight athletic shoes. With great care and attention to detail, the seamless lining of these shoes reduces friction and ensures a snug and comfortable fit. The high-density injected EVA outsole, which offers unmatched support and durability, is what really makes them stand out. A symmetrical cut-line makes sole adjustments simple and easily customized to each person’s preferences. Additionally, the design offers extra depth, allowing for flexible fitting and accommodating various foot conditions and internal modifications like AFOs and orthotics. These shoes, made with real leather uppers, combine style and durability to make them suitable for both daily wear and busy activities.


Perfect for those who value both style and functionality, the Apis 9708 offers confidence and comfort in every step, whether navigating rugged trails or embracing casual outings. With its robust construction and thoughtful design features, such as two layers of removable inserts, the shoe ensures a personalized fit tailored to unique needs. From its seamless lining to its genuine leather uppers, every aspect of the Apis 9708 is crafted to elevate the walking experience and support the journey toward greater mobility and freedom. Individuals can stride confidently with these shoes, knowing they have reliable support and comfort at every step.


Lightweight design

Seamless lining

High-density EVA outsole

Extra-depth design

Genuine leather uppers


Requires a break-in period

Limited availability

5 – Max Cushioned Trainers

Brooks Beast/Ariel GTS 23

Max Cushioned Trainers - Brooks Beast/ Ariel GTS 23

The Brooks Beast GTS 23 and its counterpart, the Beast GTS 23, shine as stability shoes perfect for walking and easy mileage. The Beast GTS 23, weighing 11.9 oz for men and 10.7 oz for women, boasts a wide sole and straight last for maximum stability. Its DNA Loft V3 midsole provides cushioning, particularly in the heel, while large GuideRails offer substantial motion control for runners. The updated upper balances comfort and security, addressing previous creasing issues. Fit-wise, it runs true to size with a normal width forefoot, snug midfoot, and slightly wider heel, though the toe box tapers quickly but breaks in well. Overall, the Beast GTS 23 is a cushioned motion control shoe, perfect for those needing high drop and maximum stability.


Similarly, the Ariel GTS 23 offers the same exceptional stability and comfort features, making it an ideal choice for individuals seeking reliable support during walks and easy runs. With its wide sole, straight last, and cushioned DNA Loft V3 midsole, the Ariel GTS 23 provides ample stability and comfort for every stride. The large GuideRails ensure effective motion control, while the updated upper enhances both comfort and security. Fit-wise, it aligns with the Beast GTS 23, offering a true-to-size fit with a snug midfoot and slightly wider heel. Whether tackling walks or easy mileage, the Ariel GTS 23 delivers the stability and cushioning you need for a comfortable and supported experience on the road.


Exceptional stability

Wide sole for maximum stability

Cushioned midsole

Ideal for heel strikers


Grippy outsole

Breathable upper


Bit heavier

Limited availability

6 – Best Stability Trainers

Brooks Glycerin GTS 21

Brooks Glycerin GTS 21 ideal road running shoe for Posterior Tibial Tendonitis with DNA LOFT v3 cushioning, GuideRails Support System, and soft flat knit upper.

One shoe that sticks out for road runners that require a comfortable and well-cushioned ride is the Brooks Glycerin GTS 21. Compared to its predecessor, the Glycerin 20, this shoe features 2mm additional extremely soft DNA LOFT v3 cushioning for maximum softness, ensuring a comfortable landing during your runs. The cutting-edge GuideRails Support System minimizes superfluous movement, promotes stability, and lowers the chance of injury while maintaining your body’s natural motion pattern to keep you striding comfortably.


The revised, soft, flat knit upper of the Glycerin GTS 21 provides the ideal amount of compression and flexibility, enabling a flexible and conforming fit while keeping the shoe feeling soft against your foot. Furthermore, the shoe integrates environmental practices by utilizing 61.1% recycled materials in the upper, which helps lower the amount of plastic waste in landfills. The Glycerin GTS 21 is a great option for runners looking for comfort and support on their road runs because it balances cushioning and responsiveness with a weight of about 10.5 ounces and a midsole drop of 10mm.


Enhanced cushioning

GuideRails Support System


Sustainability with recycled materials

Balanced weight and drop


Slightly heavier weight

Possible break-in period

7 – Normal Stability Trainers

Mizuno Inspire 20

Mizuno Wave Inspire 20 running shoe with MIZUNO WAVE Technology for stability, energy foam midsole, and recycled upper material

With careful design, the Mizuno Wave Inspire 20 offers a dynamic blend of smoothness and support for runners who experience overpronation. The ground-breaking MIZUNO WAVE Technology, which keeps your foot arch from collapsing and offers unmatched stability during your run, is a key component of its design. This innovative technology creates a smooth and thrilling ride by transferring weight from ground contact to propulsion, supporting your foot arch, and preventing overpronation.


Energy foam, which provides a nice bounce and responsiveness that cushions your feet during runs while stabilizing movements and accelerating you forward, is incorporated into the midsole, adding to its amazing performance. In addition to facilitating a steady and explosive run, the anatomical plate form supports your arch and keeps your foot arch from collapsing. Beyond its technical specifications, the Wave Inspire 20 is a step towards a more environmentally conscious future thanks to its over 30% recycled upper body textile and plant-based Wave Plate made with Elastollan® N series. The Mizuno Wave Inspire 20 is a sneaker that will improve your running while having a good environmental impact.



Sustainability features

Great impact dampening

Secure heel hold

Breathable and wide toe box

Great traction


Little wide for narrow feet

8 – Racing Shoes for Posterior Tibial Tendonitis

Saucony Endorphin Elite

Saucony Endorphin Elite racing shoes with PWRRUN HG foam, slotted carbon plate design, and breathable fabric upper for maximum speed.

Among high-performance carbon racers, the Saucony Endorphin Elite is distinguished for its ability to maximize responsiveness, propulsion, and energy for runners who compete. With PWRRUN HG foam cushioning, this shoe offers a responsive yet forgiving ride that improves performance while delivering maximum energy return to keep your legs fresh throughout races. It is the ideal option for race day because of its slotted carbon plate design, which offers excellent energy return and fits your stride to urge you forward with every step.


With its featherweight, breathable fabric and mesh upper, the Endorphin Elite is designed to provide a connected performance that lets you blast through barriers and increase your pace without compromising comfort. This aggressive on-your-toes shoe, powered by SPEEDROLL technology, encourages you to push yourself and record faster competition splits. Athletes like American record holder Parker Stinson, who commends the Saucony Endorphin Elite for its forward propulsion and performance-enhancing features, endorse the shoe. You know it will help you perform at your best on race day.


Maximum energy return

Wide toe box

Featherweight breathable upper

Remarkably lightweight

Impressively stable



Not for heel strikers



The significance of selecting suitable footwear for individuals coping with Posterior Tibial Tendonitis cannot be overstated. Individuals can effectively manage symptoms and expedite the recovery process by opting for running shoes tailored to this condition, featuring essential elements like arch support, cushioning, stability, and durability. Furthermore, finding the right pair of shoes may initially seem challenging, but it is a vital investment in foot health and overall well-being. Seeking guidance from experts or healthcare professionals can greatly assist in this process. Lastly, as individuals embark on their journey to manage Posterior Tibial Tendonitis, it’s important to prioritize self-care, adhere to treatment plans, and remain resilient in the face of challenges. With dedication and support, overcoming this condition is possible, and each step forward brings renewed strength and joy in pain-free running endeavors. Wishing all those affected a swift recovery and boundless miles of running bliss.

FAQs (Posterior Tibial Tendonitis)

Is it OK to run with posterior tibial tendonitis?

Running with posterior tibial tendonitis can exacerbate the condition. It’s advisable to rest and seek treatment to prevent further injury.


What should I wear for posterior tibial tendonitis?

Opt for supportive footwear with good arch support and cushioning to alleviate pressure on the tendon. Consider orthotic inserts for additional support.


Do stability shoes help posterior tibial tendonitis?

Yes, stability shoes can provide the necessary support to reduce overpronation and relieve strain on the posterior tibial tendon, aiding in the management of the condition.


What to avoid with posterior tibial tendonitis?

Avoid high-impact activities like running or jumping, wearing unsupportive footwear, and prolonged standing. Additionally, refrain from excessive stretching that may aggravate the tendon.


Can tight calves cause posterior tibial tendonitis?

Yes, tight calves can contribute to posterior tibial tendonitis by altering foot mechanics and increasing stress on the tendon. Regular stretching and calf massages can help prevent this.


Can I keep running with tendonitis?

Running with tendonitis can worsen the condition and lead to more severe injuries. It’s best to rest and allow the tendon to heal properly before gradually returning to running under the guidance of a healthcare professional.

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