Impact of Footwear on Achilles Tendonitis: Recommendations and Reviews

Impact of Footwear on Achilles Tendonitis: Recommendations and Reviews

Imagine going for a morning run, feeling energised and motivated, but halfway through, a sharp pain shoots up the back of your ankle. You try to shake it off, but the discomfort lingers, making each step more painful than the last. What you’re likely experiencing is Achilles tendonitis, a condition caused by inflammation of the Achilles tendon — the largest tendon in your body, connecting your calf muscles to your heel bone.

One of the main factors that can influence both the onset and management of Achilles tendonitis is the type of footwear you use. Here’s why. 

1. Achilles Tendonitis: The Role of Footwear

When it comes to Achilles Tendonitis treatment, the right shoes can offer critical support to the tendon, alleviate discomfort, and help prevent further damage. Therefore, when shopping for suitable shoes, pay close attention to the following features:

Arch Support:

Shoes with good arch support help maintain the natural alignment of the foot, which can alleviate stress on the Achilles tendon. This is particularly important for individuals with flat feet or high arches, as the right footwear helps minimise strain on the tendon and prevent discomfort.

Cushioning:

Proper cushioning absorbs impact forces during walking or running, reducing the shock that travels up the foot and into the Achilles tendon. Footwear with responsive cushioning, especially in the heel and midsole can help mitigate pain and discomfort associated with tendonitis.

Heel Height:

Shoes with a slightly elevated heel (around 10-12mm) aid in reducing the stretch on the Achilles tendon, preventing excessive tension. However, excessively high heels or flat shoes should be avoided, as they can exacerbate the condition by placing additional pressure on the tendon.

2. Footwear Considerations for Athletes

Athletes are particularly susceptible to Achilles tendonitis due to the repetitive stress placed on their tendons during training and competition. To lessen the risk of developing or aggravating this condition, athletes should invest in specialised athletic footwear designed to support the unique demands of their sport.

Running Shoes:

For runners, shoes that provide a balance of support, cushioning, and stability are crucial. Look for running shoes with a slight heel lift and firm arch support to reduce tension on the Achilles tendon. The cushioning should be responsive enough to absorb the repetitive impact forces of running, particularly in the heel area.

Cross-training Shoes:

Athletes engaging in high-impact sports or varied activities should opt for cross-training shoes. These shoes typically offer reinforced arch support, flexible soles for multi-directional movement, and cushioned midsoles to minimise tendon stress.

Basketball or Soccer Shoes:

For sports that involve sudden accelerations, decelerations, and frequent jumping, shoes with ample cushioning, ankle support, and heel stability are essential. A good athletic shoe should reduce excessive foot movement within the shoe, preventing overexertion on this particular tendon.

Achilles tendon illustration

 

3. Custom Orthotics and Shoe Modifications

For individuals who are already suffering from this condition, custom orthotics and shoe modifications can offer a more tailored solution to support recovery. 

Custom Orthotics:

Orthotics are specially designed insoles or inserts that address specific foot mechanics, offering improved alignment and shock absorption tailored to individual needs. These custom inserts are particularly beneficial for those with biomechanical abnormalities such as overpronation (excessive inward rolling of the foot) or supination (outward rolling). They provide targeted arch support and cushioning that can realign the foot, reducing tension on the Achilles tendon. 

Heel Lifts and Wedges:

Another effective modification involves adding heel lifts or wedges to footwear. By slightly elevating the heel, heel lifts reduce the amount of stretching the Achilles tendon must endure, alleviating pain. This modification is especially helpful during the acute phase of Achilles tendonitis when minimising tendon strain is needed for healing.

Shoe Modifications:

Modifications to footwear, such as replacing insoles or adding custom padding, can also help distribute pressure more evenly across the foot. Specialised shoes with rocker soles, which encourage a smoother heel-to-toe transition, can reduce the load on the Achilles tendon when walking or running.

The impact of footwear on this common condition cannot be overstated. Whether you’re an athlete or someone dealing with tendonitis due to everyday activities, selecting the right footwear can prevent further injury and ease discomfort. 

So if you’re experiencing symptoms of this injury or looking for expert advice on the best footwear options for your needs, don’t hesitate to reach out to the Specialist Orthopaedic Centre. Our in-house orthopaedic doctor is here to provide personalised assessments and treatment plans that prioritise your comfort and mobility.

Contact our orthopaedic clinic today to schedule your consultation and take the first step towards a pain-free lifestyle!