Best Shoes for Achilles Tendonitis: Choosing the Right Support - Orthopedics

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What type of shoes should be worn for Achilles tendonitis?


What type of shoes should be worn for Achilles tendonitis and foot muscle inflammation? How should one choose knee and ankle braces?

Fan, 20~29 year old female. Ask Date: 2016/05/11

Dr. Shi Guozheng reply Orthopedics


Achilles tendinitis, also known as inflammation of the Achilles tendon, is often associated with friction.
It may be related to prolonged rubbing of the tendon by shoes, so it is recommended to temporarily wear shoes without a heel to avoid friction on the Achilles tendon.
Additionally, engaging in overly strenuous activities, such as running or jumping, can also lead to inflammation at the junction of the tendon and bone due to improper pulling.
Treatment methods include rest, heat therapy, and medication, as well as avoiding continuous pulling or friction on the tendon.
Wearing an ankle brace may not necessarily be beneficial.

Reply Date: 2016/05/11

More Info


When dealing with Achilles tendonitis, selecting the right footwear is crucial for both comfort and recovery. The Achilles tendon, which connects the calf muscles to the heel bone, can become inflamed due to overuse, improper footwear, or biomechanical issues. Here are some key considerations for choosing the best shoes and supports for Achilles tendonitis.


Footwear Recommendations
1. Cushioning: Look for shoes that provide ample cushioning to absorb shock and reduce impact on the heel and Achilles tendon. Shoes with a soft midsole, such as those made from EVA foam or gel, can help alleviate pressure.

2. Heel Height: A shoe with a slightly elevated heel can reduce strain on the Achilles tendon. This is particularly beneficial for individuals with tight calf muscles. However, avoid excessively high heels, as they can lead to other issues.

3. Arch Support: Proper arch support is essential, especially for those with flat feet or high arches. Shoes that offer good arch support can help maintain proper foot alignment and reduce strain on the Achilles tendon.

4. Stability: Choose shoes that provide stability and control. This is particularly important for those who overpronate (roll their feet inward) or have other biomechanical issues. Stability shoes often have a firmer midsole and a supportive heel counter.

5. Fit: Ensure that the shoes fit well. There should be enough room in the toe box to wiggle your toes, and the heel should fit snugly without slipping. A proper fit can prevent blisters and other foot injuries.

6. Flexibility: The shoe should allow for natural foot movement. Look for shoes that are flexible in the forefoot area, which can help facilitate a natural gait.

7. Avoid Worn-Out Shoes: If your shoes are old or worn out, they may not provide the necessary support and cushioning. Regularly replace your shoes, especially if you notice signs of wear.


Supportive Gear
In addition to proper footwear, consider using supportive gear such as ankle braces or orthotic inserts:
1. Ankle Braces: If you have a history of ankle instability or if your Achilles tendonitis is accompanied by ankle pain, an ankle brace can provide additional support. Look for braces that offer compression and stability without restricting movement.

2. Orthotic Inserts: Custom or over-the-counter orthotic inserts can provide additional arch support and cushioning. They can help correct biomechanical issues that contribute to Achilles tendonitis.

3. Heel Lifts: Heel lifts can be beneficial for individuals with tight calf muscles. They can reduce strain on the Achilles tendon by elevating the heel, allowing for a more comfortable walking experience.


Additional Tips
- Gradual Return to Activity: If you are recovering from Achilles tendonitis, gradually return to your regular activities. Avoid sudden increases in intensity or duration of exercise.

- Stretching and Strengthening: Incorporate calf stretches and strengthening exercises into your routine. This can help improve flexibility and strength in the calf muscles, reducing the risk of future injuries.

- Consult a Specialist: If you continue to experience pain or discomfort, consider consulting a physical therapist or orthopedic specialist. They can provide personalized recommendations based on your specific condition and needs.

In summary, when selecting shoes for Achilles tendonitis, prioritize cushioning, heel height, arch support, stability, fit, and flexibility. Additionally, consider supportive gear like ankle braces and orthotic inserts to enhance comfort and prevent further injury. Always listen to your body and consult with a healthcare professional if you have concerns about your condition.

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