Best shoes for Achilles tendonitis

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Short answer

AAOS suggests shoes that are softer or open at the back of the heel, and heel lifts as an option. Many people also find a traditional heel-to-toe drop (around 10 mm) more comfortable than zero-drop shoes while the tendon is sore; that's common practice, not a guideline recommendation. The Brooks Ghost 18 (10 mm) is our pick; the Adrenaline GTS 25 is the stability version.

  1. Illustration: Brooks Ghost 18, black neutral running shoe with a white sole and a noticeable heel drop
    Illustration

    Best overall (10 mm drop, cushioned)

    Brooks Ghost 18

    A traditional, well-cushioned trainer with a 10 mm heel-to-toe drop. That higher heel takes some strain off the Achilles and calf, which is why it's a common pick for Achilles pain.

    • Neutral cushioning
    • 10 mm listed drop
    • Narrow to extra-wide (B–4E)
    • Removable insole
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  2. Illustration: Brooks Adrenaline GTS 25, all-black stability running shoe with a cushioned sole and higher heel
    Illustration

    If you need stability (10 mm)

    Brooks Adrenaline GTS 25

    A stability shoe that guides the foot and knee instead of blocking motion. It suits flexible flat feet and people whose arches collapse as they walk.

    • Stability (GuideRails)
    • 10 mm listed drop
    • Narrow to extra-wide
    • APMA Seal of Acceptance
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  3. Illustration: Brooks Addiction Walker 2, white leather lace-up walking shoe on a flat, stable sole
    Illustration

    Walking shoe (12 mm)

    Brooks Addiction Walker 2

    A firm, motion-control leather walking shoe. Heavy, but very stable, which many people with flat feet find comfortable.

    • Leather walking shoe
    • Motion-control rollbar
    • 12 mm drop
    • Widths B to 4E
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  4. Illustration: MARS Wellness adjustable heel lift with brown top and three removable black rubber layers
    Illustration

    Short-term heel lift

    MARS Wellness Adjustable Heel Lift

    Raises the heel slightly so the Achilles works through a shorter range. The guideline for Achilles pain allows heel lifts as a short-term measure; use one in both shoes.

    • 3 removable 1/8" layers
    • Rubber construction
    • Pack of 2
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The physical-therapy guideline's main recommendation is progressive tendon-loading exercise; heel lifts "may" be used temporarily. Shoes support that plan rather than replace it. See Achilles tendinitis.

Get urgent care if:
  • You felt or heard a pop in the back of the calf or heel (possible rupture).
  • You suddenly can't push off or stand on your toes.

Sources

  1. JOSPT/APTA Clinical Practice Guideline: Achilles Pain, 2024 revision
  2. AAOS OrthoInfo: Achilles Tendinitis