Posterior tibial tendonitis (also known as posterior tibial tendon dysfunction or PTTD) is a condition that affects the inner side of the ankle and foot, often leading to pain, swelling, and instability. Footwear plays a crucial role in managing symptoms by providing adequate support, stability, and cushioning to reduce strain on the tendon.
This guide has been updated with three of the best shoes currently available, each offering different levels of support and cushioning to accommodate varying needs. Whether stability, comfort, or responsiveness is the priority, these options provide solutions for walking, running, and daily activities.
What to Consider When Choosing Shoes for Posterior Tibial Tendonitis
- Medial Support – Helps control excessive pronation and stabilizes the foot.
- Heel Drop – A higher heel drop can reduce stress on the posterior tibial tendon.
- Broad Base of Support – Enhances stability and prevents excessive foot motion.
- Sidewalls & Reinforced Midsole – Improves foot positioning and prevents excessive movement.
- Firm Cushioning – Absorbs impact while maintaining support for the foot arch.
1. ASICS Gel-Kayano 31 – Maximum Stability & Cushioning
The Asics Gel-Kayano 31 is a max-cushion stability shoe designed to provide superior support while maintaining comfort. It offers structured cushioning with ASICS’ 4D Guidance System, which enhances foot alignment and reduces excessive pronation forces.
Key Features:
✔ Heel Drop: 10mm (40mm rearfoot / 30mm forefoot)
✔ 4D Guidance System: A medial and lateral support structure that controls foot movement.
✔ Stiff Heel Counter: Provides extra rearfoot support for improved stability.
✔ Stable & Cushioned Ride: The combination of FF Blast+ Eco foam ensures a smooth, comfortable feel while limiting excessive foot motion.
✔ Wide Base & Sole Flare: Helps keep the foot centred while walking or running.
✔ Available in Wide & Extra-Wide Options: Accommodates different foot shapes for an optimal fit.
This shoe is well-suited for moderate to severe PTTD and individuals who require a highly cushioned, structured shoe for walking or running.
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2. Brooks Adrenaline GTS 24 – A Responsive Stability Option
The Brooks Adrenaline GTS 24 offers a firmer, more responsive feel compared to the Kayano 31, making it a good option for those looking for stability with added energy return. It utilizes GuideRails technology, which helps control foot movement and reduces excessive pronation without feeling intrusive.
Key Features:
✔ Heel Drop: 12mm (35mm rearfoot / 23mm forefoot)
✔ GuideRails Stability System: Provides structured arch support while promoting natural foot motion.
✔ Firm DNA Loft V3 Cushioning: Reduces excessive sinking and enhances foot stability.
✔ Medial Arch Support: Extends from the heel through to the midfoot for added control.
✔ Available in Multiple Widths: Including narrow, standard, wide, and extra-wide fits.
This shoe is ideal for mild to moderate PTTD and is recommended for those who prefer a firmer, more responsive ride with stability features that actively guide foot motion.
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3. New Balance 860v14 – Unique Medial Wedge for Extra Support
The New Balance 860v14 takes stability to another level with its medial wedge, which slightly tilts the foot outward to reduce stress on the posterior tibial tendon. This design minimizes excessive pronation while offering a softer cushioning feel through the Fresh Foam X midsole.
Key Features:
✔ Heel Drop: 10mm (37mm rearfoot / 27mm forefoot)
✔ Medial Posting with Dual-Density Midsole: Reduces overpronation and stabilizes foot positioning.
✔ Wide Base & Reinforced Midfoot Structure: Ensures balanced weight distribution and support.
✔ Soft Fresh Foam X Cushioning: Enhances comfort while maintaining structure.
✔ Spacious Toe Box: Ideal for those needing additional width or suffering from forefoot discomfort.
✔ Available in Wide & Extra-Wide Versions: Suitable for different foot shapes and conditions.
This shoe is best for moderate to severe PTTD and is particularly effective for individuals who need additional arch support without excessive rigidity. However, individuals with a history of ankle instability should be cautious, as the medial wedge may shift pressure toward the outer ankle.
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Final Considerations – Which Shoe is Most Suitable?
The best shoe for posterior tibial tendonitis depends on the level of support, cushioning, and stability needed:
✔ For maximum stability & cushioning → ASICS Gel-Kayano 31
✔ For a firmer, more responsive ride → Brooks Adrenaline GTS 24
✔ For medial support with a soft ride → New Balance 860v14
Each of these options provides stability features that can assist in reducing strain on the posterior tibial tendon and improving overall comfort during daily activities.
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For more in-depth guides, visit the Shoes for Foot Conditions category.
Medical Disclaimer
This article is for informational purposes only and does not constitute medical advice. Individuals experiencing foot pain or mobility issues should consult a qualified healthcare professional for an accurate diagnosis and appropriate treatment. Footwear can play a role in managing symptoms, but it should be part of a comprehensive treatment plan.
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