Best Shoes for Posterior Tibial Tendonitis by a Foot Specialist
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Best Shoes for Posterior Tibial Tendonitis

James McCormack
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This article will discuss the best shoes for Posterior Tibial Tendonitis. We’ll explain what aspects of each shoe can relieve medial ankle pain. As a foot and ankle specialist, I’ve provided footwear advice to our patients for over 10 years.

James McCormack is a Physical Therapist specialising in knee, foot & ankle injuries. www.flawlessphysio.co.uk participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. The money earned from this helps us to create free educational content.

Hoka Gaviota 4

The first shoe that we’d recommend is the Hoka Gaviota 4. It’s one of Hoka’s stability-type shoes alongside the Hoka Arahi 6. This shoe has a 4mm heel drop, which is the difference from the back to the front of the shoe. It has a J-frame support, which is darker grey and goes around the front and towards the inside of the shoe. It comes in various widths, including a normal and wider width.

We recommend a shoe because the J-frame helps to provide support on the inner aspect of the foot. Unlike most other shoes with a medial post, we believe that most pain for Posterior Tibial tendonitis is on the inner ankle or inner aspect of the foot. In that case, this shoe tries to guide the foot throughout the gait cycle by providing support throughout the shoe on the inner aspect.

It is one of the heavier of the 3 shoes we’d recommend, but it has some of the most unique types of support. We found that it really gives patients relief if they’re suffering from severe symptoms.

Picture of the Hoka Gaviota 4

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Asics Gel-Kayano 30

The second shoe that we’d recommend is the Asics Gel-Kayano 3o. This is a staple of the Asics collection and their most stable shoe. Unlike the Hoka, it has a traditional medial posting on the inner aspect of the heel. This helps to lift and support the foot; it also puts a slight tilt on the heels so that when you run, if you have excess movement inward, it helps to control that motion, reducing the stress placed on the tendon.

It’s a lighter shoe than the Hoka Arahi 6, providing a different type of support. Typically, we recommend it to patients who have light to moderate symptoms of Posterior Tibial tendonitis and one that we typically recommend to our runners as it’s slightly lighter and a bit more responsive when you’re trying to push off.

Picture of the Asics Gel-Kayano 30

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Brooks Adrenaline GTS 23

The third shoe that we would recommend is the Brooks Adrenaline GTS 23. Brooks’s most stable shoe is the lightest of all the three shoes we recommend; it also has the firmest cushioning. So the Hoka Arahi 6 has very plush, soft cushioning, a little firmer and responsive in the Asics Gel-Kayano and the firmest of all 3 in the Brooks Adrenaline GTS. It has a 4-D guidance system to provide stability rather than a traditional posting like the Asics Gel-Kayano or the J-frame of the Hoka Arahi 6. This guided system acts like bumpers on either side of the foot, so when your foot hits the ground, it tries to keep it nice and stable and within that tram line so that your foot doesn’t deviate too much inward and place too much stress on your posterior tibial tendon. 

It has the highest drop of all 3 trainers, so that means the difference between the height at the back to the front of the shoe is 12 mm; it’s 10 mm in the Gel-Kayano and 5mm in the Arahi 6. It can be helpful for Posterior Tibial tendonitis, as lifting the heel and providing a little bit of support on the inside of the foot helps to shorten the tendon, offload and ease your pain. So if you’re looking for a firm responsive trainer that doesn’t give as much cushioning as something like the Arahi 6, this may be for you as an overload causes Posterior Tibial tendonitis; the shoes make a big difference.

Picture of the Brooks Adrenaline GTS 23

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Our YouTube video on the Best Shoes for Posterior Tibial Tendonitis

Product Reviews with Flawless Physio

James McCormack, a lower limb specialist who is an expert in treating foot conditions, wrote this article.

This is not medical advice. We recommend a consultation with a medical professional such as James McCormack if you are experiencing any of the symptoms discussed in this article. James offers weekly online physiotherapy appointments and face-to-face appointments at his London clinic.

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We are specialists in treating foot conditions such as Posterior Tibial Tendonitis, and you can see one of our Foot and Ankle Specialists in our clinic in Soho.

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