What are the Best Shoes to Wear When You Have Plantar Fasciitis?

Plantar fasciitis is the bane of many runners’ existence.

It’s the third-most common running injury, accounting for one in every twelve doctor visits for a runner.1

The aching, stabbing pain in your heel that rears its ugly head every morning when you get out of bed is a constant reminder that your body is still injured.

Plantar fasciitis has a nasty reputation for becoming a chronic, long-lasting injury that sticks around for months or even years.

But it’s not just about what you do while your running shoes are on.

Today we are going to look at things you might be doing in your daily life that explain why your plantar fasciitis is not healing, most importantly focusing on shoes for plantar fasciitis that will help you recover, rather than make it worse.

Before we begin, if you are looking for our plantar fasciitis exercises, you can find it in our treatment for plantar fasciitis article, including a plantar fasciitis home treatment plan.

Now:

Let’s help you find the best plantar fasciitis running shoes, dress shoes for plantar fasciitis, best work shoes for plantar fasciitis, and even sandals!

For runners suffering from plantar fasciitis, the work shoes, dress shoes, and running shoes you wear all affect how long it takes to heal. We help you find the best shoes to cure your heel pain.

Part of the reason plantar fasciitis feels like it never heals is because it isn’t just aggravated by running.

Yep, it’s true:

Plantar fasciitis is common among sedentary people who never run.

It gets worse:

According to one study published in 2005, up to ten percent of the adult population may suffer from plantar fasciitis.2

Risk factors for plantar fasciitis among the general population include obesity, spending long hours on your feet, and poor ankle range of motion.

Did you notice they all have something in common?

All three of these factors put increased stress on the plantar fascia.

Even if you have the best running shoes for plantar fasciitis and heel spurs, if you are trying to get over plantar fasciitis, reducing plantar fascia stress in your daily life is a big part of the solution.

What does that mean?

No factor is more important than the shoes you wear.

Could it be that your work shoes, dress shoes, or even house shoes are to blame for your aching heel?

Actually, yes.

Kristin Marvin talked about this in the podcast episode about how our lifestyles are actually why we are injured, not so much that we are injuring ourselves in running.

Although of course that is part of it.

Think about it this way:

The plantar fascia acts as a “tie bar” that helps hold the arch up.

Therefore the shoes best for plantar fasciitis problems involve reducing stress on the plantar fascia by holding up the arch through external support.

“Arch support” might be one of the misused terms when it comes to shoe support, but it’s the pivotal factor when it comes to finding shoes that will help, not hurt, your arch pain.

Most traditional running shoes have some type of molded foam build in to support the arch.

Will arch supports help my plantar fasciitis pain?

Shoes marketed as “support shoes” have denser layers of foam underneath the arch and softer foam elsewhere in the shoe.

This type of design, called a medial post, was originally designed to counter pronation, though it isn’t particularly effective at its task.3

Nevertheless, a support shoe might be a good place to start if you’re looking for an athletic shoe to take stress off your arch, since a medial post should still reduce stress on the plantar fascia.

These factors make a quality running shoe a great choice both for walking around and for actual running if you’re getting over plantar fasciitis.

How to Find the Best Shoes for Plantar Fasciitis Pain?

Beyond the structure of the midsole, the overall firmness of the shoe will affect the amount of stress on your arch as well.

The specifics of how soft or firm your shoe ought to be will depend on the structure of your foot.

What if I have a high arch?

If you have a fairly rigid foot with a high arch, you may need a softer shoe, since a firm surface will put a lot of localized stress on your forefoot and heel, which will translate into tension in the plantar fascia.

Don’t go too soft, however:

If there isn’t enough rigidity, the shoe’s arch support will just crush down uselessly.

For this reason, cheap insoles from brands like Dr. Scholl’s are not a good choice for augmenting your shoes—the support structure is too soft to make a difference.

What if I have a low arch?

If you are a pronator, you have a lower arch and a foot that tends to pronate more, you might benefit more from a rigid shoe, albeit still with good arch support.

Birkenstocks are often popular sandals for plantar fasciitis runners for this reason—the cork molds to your foot’s shape and reduces strain on your arch by providing firm, rigid support along the length of your foot.

Using Shoe Insoles for Plantar Fasciitis

Sometimes the best options aren’t feasible.

Running shoes or cork sandals aren’t going to cut it at a business meeting.

This is where insoles can come in handy.

A firm, supportive insole from a brand like Superfeet or Powerstep can transform a pain-inducing dress shoe or boot into a supremely comfortable footwear choice.

Supportive insoles also have a strong body of evidence behind them when it comes to their use in treating plantar fasciitis.

However, custom orthotics don’t seem to be any more effective than prefabricated over-the-counter orthotics.

A clinical trial published in 2006 by Karl Landorf, Anne-Maree Keenan, and Robert Herbert in the Archives of Internal Medicine tested the effects of a custom orthotic, an over-the-counter orthotic, and a sham device (a thin, flat piece of foam) on plantar fasciitis over the course of a year.

Both the custom and prefabricated orthotics were equally effective at speeding the pace of recovery when compared to the sham orthotic, but the custom design fared no better than the pre-fab insert.4

However, don’t throw your custom orthotics out just yet:

They may be useful if you have specific needs that can’t be met by an over-the-counter insole.

For example, a strangely-shaped foot, or an extremely narrow shoe or boot that a standard orthotic won’t fit into.

What are the Best Work Shoes for Plantar Fasciitis?

Beyond arch support and rigidity, there are a few other shoe-related factors that might affect the amount of stress you put on your plantar fascia.

But what are the best dress shoes for plantar fasciitis?

Dr Nick Campitelli recommends mens Vivo Barefoot shoes for work shoes and Vivo Barefoot dress shoes for women.

Dr Mark Cucuzzella recommends Lems Nine2Five for men and OESH or Ahinsa Ballerina’s as the best women’s plantar fasciitis shoes.

Kristin Marvin explained that if you must wear dress shoes to work, be sure to walk around barefoot around your house to combat the time your feet are in shoes, and start to add in foot exercises to strengthen your foot muscles to help get rid of your plantar fasciitis.

High Heels for Plantar Fasciitis

Heel height is a big one.

In theory, a shoe with an elevated heel should decrease pain by reducing tension on the plantar fascia.

But here’s the deal:

Shoes with an elevated heel also put more direct compressive force on the heel.

Tension on the fascia is assumed to be the main cause of plantar fascia pain, but direct compression might cause aggravation too.

Give your work shoes or dress shoes a test-run before you wear them out for the day.

Will Foot Strength Help Cure Plantar Fasciitis?

The Vivo Barefoot shoes work to strengthen your foot with a minimalist, flexible shoe.

We also know there has been a great deal of attention on minimalist shoes and barefoot running, but what has the research found about strengthening our feet?

To date, only a few small studies have looked at this prospect.

A 2015 paper published by Michael Ryan and other researchers at the University of British Columbia examined whether a plantar fasciitis rehab program done in Nike Frees (a shoe with a highly flexible sole, albeit with some cushioning and arch support) was more effective than the same program done in a standard athletic shoe.5

The study was small, and it had some methodological flaws, but did appear to show a more rapid improvement in pain levels in the Nike Free-wearing group.

Another paper presented at the 2005 American Society of Biomechanics conference demonstrated that athletes who warmed up in ultra-flexible Nike Frees experienced an increase in the size and strength of the small muscles that control the toes, foot, and ankle.6

Given that other researchers have proposed a connection between foot muscle weakness and increased stress on the plantar fascia, it’s not outrageous to hypothesize that a program like this might be helpful with plantar fasciitis.7

At this point, it’s not possible to say whether cautiously introducing a controlled amount of physical activity in flexible, minimalist shoes is advisable if you have plantar fasciitis.

There are certainly no controlled studies of such a program.

If this is something you’re interested in, realize that you’re very much into hypothetical/untested territory, so proceed at your own risk.

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It’s a PDF with an outline of the conservative and aggressive treatment options to help you get through your plantar fasciitis.

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Listen to our interview with Dr Mark Cucuzzella for more about the importance of shoes for your plantar fasciitis pain.

What are the Best Running Shoes for Plantar Fasciitis?

As much as we would love to be able to give you one particular pair of shoes that will help cure your plantar fasciitis pain, there is no such shoe.

Unfortunately, when it comes to finding the best running shoes for plantar fasciitis, a lot of it comes down to finding out what works for you.

This may mean you have to purchase a few different brands and styles of shoes, and monitor each pair over a few weeks to see if you notice an improvement.

This will include varying levels of arch support, heel to toe drop, and cushioning.

Both Dr Mark Cucuzzella and Dr Nick Campitelli, two running experts in the area of biomechanics, recommend developing foot strength and moving towards minimalist shoes with minimal heel to toe drop and limited cushioning.

However, if you are used to a higher drop shoe, this may put too much pressure on those muscles, making it worse.

Remember:

Every runner is different. We all have our own running style, our own walking style, and our own source of comfort.

Yes, that may mean you have to try a few different pairs before you find the pair that finally works for you, but if it saves you hundreds in physical therapy bills, it is worth it.

Besides, once your plantar fasciitis goes away, you may be able to give the other shoes (or the shoes you want to transition into) another try.

How Do I Know if my Plantar Fasciitis is Getting Better?

Ultimately, the day-to-day and week-to-week trend in your heel pain will tell you if you are making the right decisions when it comes to footwear for plantar fasciitis.

Your best bet is to stick with well-made shoes that offer good arch support, like running shoes or Birkenstocks.

If these aren’t an option, or if you need extra support to avoid pain, try custom or over-the-counter orthotics, as long as they’re firm and supportive enough to make a difference.

Don’t forget, shoes are only part of the equation.

If you have plantar fasciitis, you should also be stretching your calf muscles, stretching your plantar fascia, and possibly using a night splint as well.

Be sure to read our plantar fasciitis for runners article to help you figure out whether you can run through it or if you should stop running, what causes plantar fasciitis and what you can do to prevent it in future. Most importantly, we share the best exercises for plantar fasciitis and an effective plan of treatment for plantar fasciitis.

Cross Training While Injured and During Recovery

Cross training is recommended while you’re injured and as you slowly return to running.

The best form of cross training for this injury is Aqua Jogging. Studies have shown that aqua jogging can enable a well-trained runner to maintain running fitness for up to 4-6 weeks.

Aqua jogging is a form of deep water running that closely mimics the actual running movement.  Your feet don’t actually touch the bottom of the pool, so it is zero impact and safe for almost any type of injury. In my experience, the only time to avoid aqua jogging is when you have a hip flexor injury, which can be aggravated by the increased resistance of the water as you bring your leg up.

Because aqua jogging closely mimics natural running form, it provides a neuromuscular workout that, in addition to aerobic benefits, helps keep the running specific muscles active. The same can’t be said for biking and swimming.

The only downside to aqua jogging is that you need a pool that is deep enough to run in without touching the bottom. If you’re lucky enough to have access to a pool of this size, aqua jogging should be your first cross training choice.

In one study, a group of ten runners trained exclusively with deep water running for four weeks and compared 5km race times pre deep water running and post deep water running.

The researchers found no statistical difference in 5k time or other markers for performance, such as submaximal oxygen consumption or lactate threshold.

In a second study, researchers measured the effects of aqua jogging over a six week period.

This time, 16 runners were separated into two groups – one who did aqua jogging workouts and the other who did over land running.

Using the same training intensities and durations, the researchers found no difference between the groups in maximal blood glucose, blood lactate, and body composition.

It get’s better:

Research has also demonstrated that aqua jogging can be used as a recovery tool to facilitate the repair of damaged muscles after hard workouts.

These findings make aqua jogging an important recovery tool in addition to being the best cross training method for injuries.

Need one more reason?

The calories burned aqua jogging are even higher than running on land, so if you want to avoid weight gain while you take time off from running, this is definitely the exercise for you!

Aqua Jogging Workouts For Runners

If you’re interested in aqua jogging to rehab your injury, then the absolute best way is to use one of my favorite programs, Fluid Running.

First, it comes with an aqua jogging belt and waterpoof bluetooth headphones so you have everything you need to aqua jog effectively.

Second, they have an app that pairs with the headphones so you can get workouts, guided instructions on how to aqua jog properly, and motivation while you’re actually pool running.

This has been an absolute game changer for me when I am injured.

I used to dread aqua jogging workouts because they were so boring and it took all my mental energy to stay consistent.

But, with workouts directly in my ear, it’s changed the whole experience and I actually look forward to the workouts. So much so that I now use aqua jogging as a cross training activity in the summer, even when I am not injured.

Fluid running is an awesome deal when you consider it comes with the belt (highly recommended for better form), the waterproof headphones (game changer for making pool workouts fun), a tether (to add variety to the workouts you can do) and the guided workout app (to make your cross training structure and a whole lot more interesting).

That’s why we’ve partnered with them to give you 2 additional running-specific workouts you can load into the app when you use the code RTTT .

Check out the product here and then on the checkout page, add the code RTTT in the coupon field and the workouts will be added to your order for free.

If you’d rather do the aqua jogging workouts on your own, here are some great ideas to get you started!

Medium Effort Workouts

The Pyramid

10 minutes easy warm up – 1:00 hard, 30 seconds easy – 1:30 hard, 30 seconds easy – 2:00 hard, 30 seconds easy – 2:30 hard, 30 seconds easy, go to 5:00 in 30 second intervals and then come back down the pyramid (4:30 hard, 30 easy, 4:00 hard, 30 easy etc). Finish with 10 minutes easy cool down.

Wave your hands in the air like you just don’t care

10 minutes easy warm up, 1 minute medium (87-92% of maximum heart rate or what feels like tempo effort), 1 minute sprint (95-100% of maximum heart rate or all out sprint), 30 seconds hands in air (keep moving your legs in the running motion, but put your hand above your head), 1 minute rest, Repeat 10-15 times. 10 minutes easy cool down.

Hard Workouts

One of the difficulties of cross training is replicating those truly lung-busting, difficult workouts.

So, if you’re going to be pool running quite a bit due to injury or limited training volume, invest in a bungee cord designed for sprinters.

Tie one end of the resistance band to a sturdy object (pole, lifeguard stand, pool ladder) and bring the other into the water with you.

Put the strap around your waist and begin aqua jog away from your starting point.

You’ll begin to notice the bungee tighten and resist against you (depending on the length of your pool, you may need to wrap the bungee around the supporting object or tie it in knots to make it shorter to feel resistance).

Spend a few moments testing yourself to see how far you can pull the bungee.

This is a great challenge and a fun way to compete with yourself during an otherwise boring cross training activity.

Now for the hard part:

Pick a point on the pool wall or side of the pool that you feel stretches the bungee to a very hard sprint that you could maintain for 60-90 seconds.

This will be your “sprint” marker that you’ll use on sprint intervals (95-100% of maximum heart rate or all out sprint).

Now:

Find a point that feels like the end of a hard tempo run.

Mark this spot as your “medium” interval distance.

When you complete the hard workouts, you can use these reference points to ensure that you maintain a very hard effort.

The springboard

10 minutes easy warm up, 90 seconds easy (slowly moving out and stretching the bungee), 2 minute medium, 1 minute sprint, 1 min rest (let the bungee pull you back – this is kind of fun). Repeat 10 times. 10 minutes easy cool down.

The race simulation

10 minutes easy warm up, 90 seconds easy (slowly moving out and stretching the bungee), 5 minutes medium (focus and concentrate, just like during the hard part of a race), 30 seconds sprint, 2 minutes rest. Repeat 4 times. 10 minutes easy col down

The lactic acid

10 minutes easy warm up, 90 seconds easy (slowly moving out and stretching the bungee), 2 minutes sprint, 90 seconds rest. Repeat 12 times, 10 minutes easy cool down.

I guarantee that with the bungee, you’ll get your heart rate through the roof.

You can challenge yourself and make aqua jogging more fun by seeing how long you can stay at your maximum stretched distance or seeing how far you can push it.

Likewise, if you have a friend who is injured (or someone willing to be a good sport) you can try pulling each other across the pool for some competitive fun.

Cross training can be tough, especially when you’re injured or want to be increasing your volume faster.

However, I hope that providing a variety of workouts, either through the Fluid Running app (which also makes it easier to keep track of the workout while in the water) or on your own can add a fun challenge in the pool and you can emerge from your injury with minimal fitness loss.

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References

Taunton, J.; Ryan, M.; Clement, D.; McKenzie, D.; Lloyd-Smith, D.; Zumbo, B., A retrospective case-control analysis of 2002 running injuries. British Journal of Sports Medicine 2002, 36, 95-101.
Cole, C.; Seto, C.; Gazewood, J., Plantar Fasciitis: Evidence-Based Review of Diagnosis and Therapy. American Family Physician 2005, 72 (11), 2237-2242.
Nigg, B., The Role of Impact Forces and Foot Pronation: A New Paradigm. Clinical Journal of Sports Medicine 2001, (11), 2-9.
Landorf, K. B.; Keenan, A.-M.; Herbert, R. D., Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Archives of Internal Medicine 2006, 166 (12), 1305-1310.
Ryan, M.; Fraser, S.; McDonald, K.; Taunton, J. E., Examining the degree of pain reduction using a multielement exercise model with a conventional training shoe versus an ultraflexible training shoe for treatment of plantar fasciitis. Physician and Sportsmedicine 2009, 37 (4), 68-74.
Brüggemann, G.-P.; Potthast, W.; Braunstein, B.; Neihoff, A. In Effect of increased mechanical stimuli on foot muscles functional capacity, ISB XXth Congress - ASB 29th Annual Meeting, Cleveland, Ohio, Cleveland, Ohio, 2005; p 553.
McKeon, P. O.; Hertel, J.; Bramble, D.; Davis, I., The foot core system: a new paradigm for understanding intrinsic foot muscle function. British Journal of Sports Medicine 2014, 49 (290), 1-9.

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