Best Shoes for Posterior Tibial Tendonitis – Buying Guide

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The posterior tendon is a stabilizer of the rear and midfoot. Due to this tendon, you get arch support. Many people face Posterior tibial tendonitis problem in their foot as well as ankle. As a result, the posterior tendon is reddened or torn somehow. Due to this problem, you may have flat feet, and also you can lose balance or stability while running, walking, or standing. Posterior tibial tendonitis sometimes the arches fall as well when the problem becomes severe. But the good news is you can get the support on your arches you need from the best shoes for Posterior Tibial Tendonitis and remain worry-free.

As you do not have arch support so it becomes difficult to walk and run. Also sometimes you may feel pain on the arch or inside the ankle. When you feel pain in your foot area it becomes very tough to walk or run comfortably like before.

The most common reason for having posterior tibial tendonitis is by falling. And this problem is most common in women and people who are more than 40 years old. The treatment of this problem is sometimes very simple like just taking a rest and sometimes can be like surgery. In this case, you can speed up the healing process of your feet’ conditions by using shoes with arch support.

To improve your feet’ conditions and making the healing process rapid you need shoes that can provide your feet with great arch support. In the market, you’ll get hundreds of shoes that can provide you with arch support but not all of them can give you superior arch support which you need to deal with posterior tibial tendonitis. Here in the article, we are reviewing the eight right shoes for posterior tibial tendonitis which are capable of giving you support when you are in need.

posterior tibial tendonitis

Causes and Treatment of Posterior Tibial Tendonitis

Do you know about the most important supporting structures in the foot? The posterior tibial tendon is one of the most necessary strengthening structures in the foot. This tendon helps you in walking. However, changes in the tendon can cause Posterior Tibial Tendonitis. The tendon’s ability to support the arch is impaired in the case of Posterior Tibial Tendonitis.

One should note it is a common foot condition where the tendons inside the ankle become injured. This can induce many severe issues if you don’t take proper treatment. For example, when walking, a person has difficulty maintaining balance if they suffer from Posterior Tibial Tendonitis. 


If this goes untreated, the condition gets worse and most of the time, the foot’s arch becomes flatten. So how does Posterior Tibial Tendonitis occur? Firstly, this occurs when your tendon becomes torn or inflamed. Secondly, repetitive overuse of tendons also causes Posterior Tibial Tendonitis. 

A serious injury can easily tear the posterior tibial tendon. So any fall or collision can cause Posterior Tibial Tendonitis. One should note here that dancers and athletes are at higher risk of getting Posterior Tibial Tendonitis. This is because they put continuous stress on the tendon. 

However, we also agree that athletes who participate in high-impact sports are at higher risk of Posterior Tibial Tendonitis. For example, playing tennis, basketball and soccer can induce posterior tibial tendon dysfunction. 


The phase of posterior tibial tendinitis defines the options for treatment. In a very early stage, you need not go for foot surgery. You could be able to heal the tendon by relaxing the foot and ankle. If the tendon condition worsens over time, then your doctor may suggest a repair or fusion surgery. Whether surgery is needed or not depends on the cruelty of the posterior tibial tendon dysfunction. 

  • Non-operative Treatment

In the initial stages of Posterior Tibial Tendonitis, nonsurgical treatments are generally effective. However, the first aspect to point out is that the goal of the non-operative treatment is to enable the tendon to recover while also reducing the patient’s pain.

It’s vital to prevent activities that create discomfort or put your foot under repeated stress. To allow the recovery process to take place, you should wear a cast or special boot. In addition, elevate your foot to reduce pain and swelling. 

Ice and other anti-inflammatory medications can be used for pain relief. In severe cases, a cortisone injection may be prescribed. In addition to this, doctors may prescribe a powerful anti-inflammatory pain reliever to treat Posterior Tibial Tendonitis.

  • Surgical Treatment

If available treatments are not practical within a few days, doctors may consider surgery. The type of surgery depends on the conditions of the tendons. Washing away and removing inflamed or torn tissue may be helpful in the early stages of Posterior. 

Another surgical procedure involves transplanting a healthy tendon from the foot to replace the damaged posterior tibial tendon, also recommended by the doctors. In the most extreme situations, physicians may use screws and plates to connect the joints in your foot together again and straighten the foot. Osteotomy is also a prevalent treatment around the world. 

8 Top Shoes for Posterior Tibial Tendonitis Problem : Quick Feature

After a lot of research, we have chosen the eight best shoes for Posterior Tibial Tendonitis. Let’s see the features of these shoes at a glance.

Brooks Ghost 12 Running Shoe For Mens
  • Rubber made outsole
  • Lightweight
  • Arch support
  • Shock absorption
ASICS Running Shoes GT-2000- Women’s
  • Gel cushioning
  • Rubber outsole
  • SpevaFoam Midsole
  • Durable
Ecco Men’s Helsinki Slip-On
  • Leather insole
  • Sole made using synthetic material
  • Arch support
  • Polyurethane Soles
New Balance men’s-990 series V5
  • Molded footbed
  • Very comfortable
  • Breathable
  • Great fit
Saucony Women’s Omni ISO 2 Running Shoe
  • Synthetic sole
  • High energy return
  • Comfortable cushioning
  • Lace-up closure
Saucony Guide 13- men
  • Stability shoes
  • PWRRUN cushioning
  • Fluid stability
  • Mesh upper
Brooks for women- Transcend 6
  • Upper mesh
  • Gum rubber sole
  • DNA Loft cushioning
  • Breathable
Altra Provision 3.5- Women’s
  • Foot shape toe box
  • Eva foam
  • Guide Rails
  • Three Stability pod

Review of best Shoes for Posterior Tibial Tendonitis

Now it is time for a full review of all the shoes. We hope you will be benefited from our review.

1. Brooks Ghost 12 Running Shoe

When you have fallen arches or the posterior tendon of your feet become inflamed then the most important thing you need in this situation is arch support. To provide you adequate support you need Ghost 12 from brooks has a well-cushioned soft footbed. The soft footbed under your feet is capable of providing you great support without compromising comfort. Due to this soft and well-balanced insole, you get support on your arches and can walk or run properly with fallen arches without any pain or strain.

The shoes are cushioned very well but that does not make the shoes heavy. And most importantly you won’t feel any extra weight on your feet while wearing these shoes and for that reason, you can walk around even more comfortably. The rubber made outsole of these shoes provide a secure grip and makes it quite resistant to sleep. Due to the lace-up closure, you get adjustability and a secure fit.

To make your every step comfortable the shoes feature an integrated crashpad. The pad works as a shock absorber and when you run or walk you get a high energy return and the experience of walking or running becomes very smooth, comfortable, and painless.

  • Well-cushion provides great arch support
  • Lightweight design makes it easy to wear and walk around
  • Lace-up closure for a secure fit
  • Soft footbed for superior comfort
  • Durable built
  • The shoes fit a bit tight

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2. ASICS Running Shoes GT-2000- Women’s

ASICS is a very well-known shoe manufacturer for their great fit and supportive shoes. And when you have been suffering from a posterior tendon-related problem the most needed thing in this situation is support and that is what makes these pairs of shoe ideal to use to make the healing process rapid. The gel cushion is the most comfortable and supportive footbed in the market right now. So due to this cushioning, you feel comfortable during your walk or run.

The well-cushioning footbed also works as arch support as well. As the cushioning is soft so these are also capable of reducing impact while running and you get a smooth and comfortable running experience. It feels soft under the fit and due to lightweight design running experience becomes even better.

To reduce your pain in the heel area it has a 10mm toe drop which helps to reduce the pressure on your feet and you get extra support which results in pleasant walking and running. The rubber sole is great for providing traction and it is specially designed to long last.

  • Gel cushioning for great comfort and support
  • Specially designed to support flat feet
  • Features heel support
  • Lightweight
  • Capable of absorbing shocks
  • Feels a bit tighter on the midfoot area

3. Ecco Men’s Helsinki Slip-On

Ecco shoes are widely known for their superior fit, support, and comfort. To make sure your feet are comfortable and do not feel any pain even after wearing for long the shoes feature an insole that is made of Polyurethane. The insole is super comforting and takes no time to break-in. So you get the same level of comfort from the very first day to many days to come as the material is super long-lasting. Polyurethane is also quite flexible that helps to provide support even if you have flat feet and the sole is shock-absorbing as well.

Due to shock-absorbing features, you get a comfortable and smooth walking and running experience wearing these shoes. Underneath this sole, there is a layer of soft foam that gets pumped as you walk. The tiny holes of the foam circulate air inside the shoes and you get a more comfortable walking experience without any sweat or odor on your feet.

To support your feet, the shoe has comfortable insole and exact size heel helps a lot. Due to the insole, you get support to your arches and can walk properly without any strain on your feet. The heel provides you ankle support and at the end of the day you feel no pain but shoes can help to heal your feet at a rapid speed.

  • The synthetic sole provides great grip
  • Stable and well balanced
  • Right size heel for added support
  • Comfortable insole
  • Secure and custom fit
  • Breathable
  • Fits a bit tight

4. New Balance men’s-990 series V5

The 990 series of new balance is around for so many years and these are not just durable but also famous for the adequate support these provide. The support and stability of these shoes make the v5 ideal as a running shoe for those who need support during the run. For people who are suffering from PTTD or pronation of feet, this pair of shoes are ideal to wear while running.

EVA foam is used in these shoes as a footbed which is capable of providing you comfort and support for very long hours. Due to the support, you feel less stress and pain on your feet even running miles. The footbed also contains a layer of acteva inside it which works to enhance the height of the footbed and as the material is flexible it easily gets your foot shape and provides you with more comfort and underfoot support.

The rubber sole is used to provide you more traction and a secure grip to make you secure while running from falling and other hazards. Instead of knitting, the shoes have mesh in their upper which is placed quite accurately to make sure air circulation inside the shoes and enhance breathability and comfort.

  • Proper support and stability
  • Very comfortable footbed
  • Well-cushioned for comfort
  • Resistive to pronation
  • Breathable mesh
  • Flexible yet durable
  • A bit bulky

5. Saucony Women’s Omni ISO 2 Running Shoe

Arch support is of the utmost importance for making the healing process of posterior tibial tendonitis rapid and that is the specialty of Saucony shoes. To help you recover and feel less pain this pair of shoes provides superior support to your arch that also makes your feet stable. Due to the inflamed posterior tendon, the foot tends to turn inwards and adequate support does help to limit the pronation of the foot.

The superior arch support not just helps to deal with pronation but also make sure you do not suffer from any injuries as well. To make sure about the comfort and less fatigue and stress on your leg the shoes have footbeds that are made using EVERUN technology. This technology not just made these footbeds comfortable but also these are well responsible. As a result, they provide high energy return.

For the energy return, it becomes more comfortable and smooth while running or walking wearing these shoes. The outsole makes sure you won’t get slipped or slides while running by providing secure and elite traction. Also, the shoes are made in a way that adjusts to your foot shape so you get roomy fittings. For added comfort, the upper of the shoes features optimum ventilation.

  • The synthetic sole provides elite traction and secure grip
  • Well responsive and quite comfortable
  • Fits very well
  • Lightweight
  • Stable and supportive
  • High arch for added support
  • The look is not very trendy

6. Saucony Guide 13- men

To deal with and recover from primary pronation you need stability shoes that can provide you with moderate support and comfort. In these shoes, PWRRUN cushioning is used as a soft footbed and provide comfort. The insole is very soft and also gives back high energy return and it feels very smooth while running.

The form-fit technology makes sure the shoes fit you perfectly no matter what feet you have. The flexible design can accommodate your foot shape quite easily and provide you balance comfort, and stability. The lace-up closure and the boxy design of these shoes ensure a secure fit.

The synthetic sole of the shoes makes sure you won’t slip while running by providing a secure grip with the surface you are running on. Its breathable upper mesh is great for continuous air circulations and you get odor-free feet even after running for long miles.

  • PWRRUN cushioning provides softness and comfort underfoot
  • Secure fit
  • Fit for all design so it can fit every foot shape
  • Great for running
  • Lightweight and flexible
  • Not so great for overpronation

7. Brooks for women- Transcend 6

When you have an inflamed posterior tendon you have to face overpronation of feet and to get relief from the situations you need shoes that are capable of providing you with adequate support. The transcend 6 by brooks shoes are specially made for this type of situation. It has arch supportable features that also provide you stability, balance, and comfort.

For ensuring comfort the footbed is cushioned very delicately. It has a DNA loft cushioning on its footbed which is great for comfort and provides high energy return for smooth walking and running. The cushioning acts like elastic material and gets back its shape very quickly which makes it durable and lasts long. Ortholite is used as a sock liner on its insole for more comfort. On top of that, the ortholite is removable, and if you want you can use a custom ortholite.

The side GuideRails of the shoes work like a lock to resist pronation and provide support to the feet. The outsole of the shoes has rubber nodes for traction with the surface during running. To make the shoes durable and more supportive than any other shoes it has printed overlays on its sides and instep. All these features make transcend 6 the best running shoes for posterior tibial tendonitis on the market right now.

  • Very comfortable
  • True to size
  • Flexible and supportive
  • Ortholite support
  • Sticky rubber outsole provides a secure grip with the surface
  • Limited color options

8. Altra Provision 3.5- Women’s

Motion-control shoes are the best for those who are suffering from severe pronation as these are very resistive and keep your foot in shape with adequate support and balance. If you want to run even after you have fallen arch then provision 3.5 is the best choice as it supports you while running for miles and does not let you feel any stress or pain in your feet.

The foot-shaped toe box of these pttd shoes provides you big space for your toes so that your feet can stay straight and make you more comfortable. To provide you with more comfort Altra features fit4her technology which works to understand and make shoes, especially for women.  To make you even more comfortable these shoes have EVA foam made insoles that provide you comfort and support.

The zero-drop design keeps your heel and forefoot at the same height from the ground for providing more stability and balance to your feet. These also have three stability pads for keeping your feet stable and balance while running. All of its features altogether makes these shoe ideal to get support from overpronation of feet.

  • Eva midsole provides superior comfort
  • Big toe box for extra comfort
  • Specially designed based on women feet anatomy
  • Superior arch support
  • Lace-up secure closure
  • Footpad technology for flexibility
  • Feels very tight on feet

Features to Consider While Buying Ideal Shoes for Posterior Tibial Tendonitis

Posterior Tibial Tendon Dysfunction (PTTD) causes your arches to fall so you need shoes with the best arch support you can. So before buying best shoes for Posterior Tibial Tendonitis there are also several things you should consider with best inserts for posterior tibial tendonitis.

Arch support

Arch support is the most important thing when you are suffering from Posterior Tibial Tendon Dysfunction. Due to this problem, your aches may fall and you need superior support to work comfortably without experiencing any kind of pain. So choose a pair of shoes that are capable of providing you with the best arch support. Make sure the shoes come with a well-cushioned arch that’ll give you support and comfort.

A metal or plastic shank is quite a very good option for keeping the shoes in shape while getting support as well. The metal shank is very rigid in construction and keeps the shoe’s shape intact and you get support on your feet as well. So, you should consider this feature in your best shoes for Posterior Tibial Tendonitis.

Shoe type

Different types of shoes are built keeping different situations in mind. There are also specialized shoes for supporting fallen arches. These are-

Stability shoes

Those who are suffering from primary stage fallen arches generally tend to keep their ankle inward while doing activities like walking or running. For this, the weight of each foot inside the shoes becomes very high and due to this, it causes serious pain, strain, or stress on the ankle, knees, and feet. For getting support in such a situation stability shoes to help a lot and thankfully most manufacturers built stability shoes.

Motion control

For dealing with severe pronation motion control shoes are ideal. That is because these shoes provide more stability, support, and also more resistive than stability shoes. Motion-control shoes are specially designed to keep the ankle straight and integrated with dual-density foam. But as the shoes are more resistive so some may find it hard adjusting wearing these shoes.


No matter what we are searching for shoes, our ultimate goal is to get comfortable. Based on your foot type you have to choose when your posterior tendon has or is about to tear. So if you have flexible feet type then for comfort you have to go for shoes with high arch support and the shoes should not be so rigid. And for rigid and stiff feet buy shoes with well cushioning this will reduce the impact while your feet touch the ground.


When your posterior tendon is inflamed you should choose the heel size quite carefully. A high heel is not appropriate to wear neither too shoot heel you should choose shoes that have medium or lower heel size.


Can I continue running while I have PTTD?

If you want, you can run even if you have the symptoms of posterior tibial tendonitis. But you cannot run the distance you used to run. And if you feel any pain or the pain increase, you have to stop running totally. For reducing the inflammation on the posterior tendon you can apply ice twice a day on the ankle area. Wear a pair of best shoes for Posterior Tibial Tendonitis that can provide you excellent arch support and maybe you run again with less pain on feet.

How long can it take to heal posterior tibial tendonitis?

The posterior tendon inflammation can take several months to heal if you take treatment from the early days. But if you take treatment later and have suffered pain for quite some time then it may take more than 6 months to heal completely. To cure PTTD ice your ankle daily, wear best shoes for Posterior Tibial Tendonitis with arch support and you can also take physical therapy.

What is the quickest way to heal PTTD?

The icing on the ankle is considered the best cure for inflammation of the posterior tendon. Icing directly on the area can make harm to your feet that is why use ice packs on the area where you feel pain. Use ice on your ankle area for 20 to 30 minutes each time and repeat the process 3 to 5 times daily. For best results ice the area after exercise.

Do compression socks help posterior tibial tendonitis?

Yes, compression socks will help posterior tibial tendonitis. Compression socks can decrease swelling and reduce pain. Swelling can increase discomfort and hinder the healing process, so keeping it to a minimum would be better. Compression socks can aid in reducing swelling and promoting blood flow out of the ankle. Compression stockings are precisely intended to apply compression to your lower legs and improve blood flow. 

Can tendonitis ever go away?

In the first stage, tendonitis does not need special care and may go away over the period. However, sometimes the condition does not improve without proper treatment. The doctor will suggest several conventional therapies to reduce soreness and inflammation. The non-operative approach enables the tendon to recover while also alleviating discomfort in the patient. In severe cases, an orthopedic surgeon, a rheumatologist, or a physical therapist may be needed to manage the symptoms. Also, you may consider surgery.

Is massage good for tendonitis?

Sometimes massage therapy can improve tendonitis. Besides other treatments, you can go for massage therapy for tendonitis. Massage would assist to loosen tight muscles. As well as massage breaks scar tissue that may be restricting the range of motion. It would be unfair not to mention that massage can help increase collagen synthesis and stimulate trigger points—physical therapy, which involves strengthening exercises, maybe part of your therapeutic approach. 

Final verdict

Inflamed or torn posterior tendon causes arches to fall. Due to this, your foot tends to overpronate. In this situation, you need superior arch support to deal with the pain and make the healing process rapid. You can get the arch support you need from a pair of the best shoes for posterior tibial tendonitis and get better soon.

Our expert has made an unbiased review and comparison of some premium quality shoes for PTT in the above article. So if you have Posterior Tibial Tendonitis, you can get a pair of top-notch best shoes for Posterior Tibial Tendonitis from this list without any doubt.

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