Best Running Shoes for Achilles Tendinopathy: A Physio’s Guide

Introduction

Achilles tendinopathy, a common ailment among runners, can be a debilitating condition. As a physiotherapist with years of experience treating this issue, I’ve seen firsthand how the right footwear can make a significant difference in managing symptoms and promoting recovery. In this blog, I’ll share my recommendations for the best running shoes for those suffering from Achilles tendinopathy.

Understanding Achilles Tendinopathy

Achilles tendinopathy involves the degeneration of the Achilles tendon, which connects the calf muscles to the heel bone. It often results from overuse, improper footwear, or a sudden increase in physical activity. Symptoms include pain, stiffness, and swelling in the tendon area.

4 Key Features to Look for in Running Shoes

When selecting running shoes for Achilles tendinopathy, it’s crucial to consider the following features:

1. Heel Drop: A higher heel drop (8-12mm) can reduce strain on the Achilles tendon by slightly elevating the heel. This is ok in the short term to keep an unhealthy tendon happier, but in the long term, it is essential to return the tendon to good health and ideally a neutral heel.
2. Cushioning: Good cushioning helps absorb shock and reduce impact on the tendon.
3. Arch Support: Proper arch support can distribute pressure evenly and prevent additional strain.
4. Fit and Comfort: Shoes should fit well and be comfortable to avoid additional stress on the Achilles.

Tips for Managing Achilles Tendinopathy

In addition to choosing the right running shoes, here are some tips to manage Achilles tendinopathy:

1. – Gradual Increase in Activity: Avoid sudden increases in running distance or intensity.
2. – Regular Stretching and Strengthening: Focus on calf stretches and eccentric exercises for the Achilles tendon. Ensure adequate strength in both the Soleus and Gastrocnemius muscles.
3. – Ensure good Alignment and Biomechanics: This is essential to offload the Achilles Tendon.
4. – Proper Warm-Up and Cool-Down: Always warm up before and cool down after runs to prevent strain.
5. – Listen to Your Body: If you experience pain, take a break and consult with a healthcare professional.

I cover all of this in my Online Achilles Tendinopathy Program.

NOT SURE IF YOU HAVE ACHILLES TENDINOPATHY/TENDONITIS? – Find out here

Top Running Shoes for Achilles Tendinopathy

I have always stuck with New Balance and Asics trainers but there are other great options on the market. Here are some of the best running shoes recommended for those suffering from Achilles tendinopathy:

Brooks Adrenaline GTS 23

• Heel Drop: 12mm
• Cushioning: DNA LOFT v2 for a soft yet responsive feel.
• Support: Guiderails holistic support system reduces strain by guiding your stride.
• Why It’s Great: The GTS 23 continues Brooks’ tradition of blending support and cushioning, ideal for managing Achilles discomfort while staying active.
• Buy on Amazon UK Men
• Buy on Amazon UK Women

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ASICS Gel-Nimbus 25

• Heel Drop: 8mm
• Cushioning: FF BLAST+ ECO for ultra-soft landings and high energy return.
• Support: Redesigned midsole and heel create a stable, smooth ride.
• Why It’s Great: One of the softest running shoes ASICS has ever made — perfect for minimizing impact on sore Achilles tendons.
• Buy on Amazon UK Men
• Buy on Amazon UK Women

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Saucony Triumph 21

• Heel Drop: 10mm
• Cushioning: PWRRUN+ midsole remains luxuriously soft and springy.
• Support: FORMFIT technology adapts to your foot for a secure, supportive fit.
• Why It’s Great: A plush, reliable daily trainer that offers comfort, cushion, and minimal stress on the Achilles.
• Buy on Amazon UK Men
• Buy on Amazon UK Women

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Hoka Bondi 8

• Heel Drop: 4mm
• Cushioning: Upgraded EVA midsole for thick, pillow-like comfort.
• Support: Rear crash pad and early-stage Meta-Rocker reduce impact and promote a gentle heel-to-toe transition.
• Why It’s Great: Maximum cushioning makes this shoe a go-to for people with Achilles issues, despite the lower drop.
• Buy on Amazon UK Men
• Buy on Amazon UK Women

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New Balance Fresh Foam X 1080v13

• Heel Drop: 6mm
• Cushioning: Fresh Foam X midsole for smooth, plush comfort.
• Support: Updated geometry offers a better blend of support and flexibility.
• Why It’s Great: A lightweight feel combined with premium cushioning — perfect for runners with sensitive Achilles tendons.
• Buy on Amazon UK Men
• Buy on Amazon UK Women

These Blogs Maybe Helpful –

Learning more about Achilles Tendinopathy (Tendonitis)

Essential Stretches for Achilles Tendons: A Physio’s Guide

Eccentric Loading – Is This The Magic Ingredient In Achilles Tendinopathy?

Has running cause my Achilles Tendinopathy?

Achilles Tendinopathy: Your Questions Answered by a Physio

Conclusion

Selecting the right running shoes is a critical step in managing Achilles tendinopathy. But to fully resolve the problem you must regain tendon health through appropriate rehab. The shoes mentioned above offer a combination of cushioning, support, and comfort that can help alleviate symptoms and promote recovery. Remember, every runner is different, so it may take some trial and error to find the perfect pair for you. If you have persistent pain, consult with a physiotherapist or healthcare professional for personalised advice.

As a physiotherapist, I understand the importance of finding the right gear to support your health and fitness goals. I hope this guide helps you make an informed decision and keeps you running comfortably and pain-free. If needed I would also love to help you fully resolve your problem and regain tendon health – click the link below.

Take care, Helen

Helen Manders BSc (Hons) MCSP HCPC

Chartered Physiotherapist

Treating Achilles Tendons Since 2001

P.S. Find out what’s going on with your tendon – FREE MASTER CLASS – Join me and find out if you have Achilles Tendinopathy/ Tendonitis? – and what to do about it.