Achilles Tendon Heel Pain: Best Shoes, Orthotics & Home Treatment!

Achilles tendon heel pain treatment can take 3-6 months to start to improve. FIX your tight & sore Achilles tendon pain as FAST as possible!

 

 

 

Causes:

  • Achilles tendon pain is most commonly caused by two types of Achilles tendon injury.
  • These are Achilles Tendonitis: Insertional Achilles tendonitis (heel pain) and non-insertional Achilles tendonitis (2-6cm above the heel):
Insertional Achilles tendonitis heel spur pain
This is the Achilles tendon inserting into the calcaneus. As you get Achilles tendonitis for many years, it gradually rips out of the bone and causes an Achilles tendon heel spur.

 

Achilles Tendinopathy (Tendonitis):

  • The most common cause of Achilles tendon pain is a Achilles tendinopathy or Achilles tendinitis: This is when you have inflammation and even partial split tears throughout the tendon.
  • This occurs when the tendon is extremely tight, painful and swollen.
  • This is most likely to occur in people who have put on weight, and have decreased flexibility through the Achilles tendon.
  • It can also occur with significant overload.
  • We would probably estimate that this is over 80% of all Achilles tendon injuries that we see in the office.

 

Achilles tendonitis insertional heel spur surgery recovery time
This patient has both a large plantar heel spur and posterior heel spur. This is definitely a large lump felt through the skin!

Insertional Achilles Tendonitis:

  • Insertional Achilles tendinitis is where the tendon actually inserts into the back of the calcaneus.
  • The calcaneus is also known as your heel bone.
  • If your pain is at the bottom of the hill bone, this is most likely called plantar fasciitis.
  • If the pain is at the back of your calcaneus, this is known as insertional Achilles tendinitis.
  • If this goes on for numerous years, it is possible to develop back of the heel spur.
  • This is called an insertional Achilles tendon spur.
  • The spur is a sign of chronic Achilles tendinitis.

 

Non-insertional Achilles Tendonitis:

  • Non-insertional Achilles tendinitis is when it is about 2 to 6 cm above the heel bone.
  • This is the more common type of Achilles tendinitis people who are jumping and running regularly.
  •  This means that you have a short were tight Achilles tendon.
  • The key is to protect this and take pressure off of it, as continued pressure can cause a possible rupture in the future.
  • Basketball players are especially at risk for this.

 

Achilles Tendonitis Heel Pain After Running
The Achilles tendon is most susceptible to pain in the 2-6cm region above the calcaneus. This is called Achilles tendonitis.

 

Other causes of Achilles tendon pain:

 

Ruptured or torn Achilles tendon:

 

  • This most likely occurs when you land really hard on your Achilles tendon and you actually hear a pop and it ruptures.
  • This is a very severe injury that sometimes does require surgery. This is most common during falls, coming up or down the stairs, or playing basketball.
  • This is a very severe injury that requires you to see your podiatrist as quickly as possible.

 

Achilles Tendon Tear From chronic achilles tendonitis
Back of the heel pain can be dangerous. This is an Achilles tendon tear from chronic Achilles tendonitis.

Partially torn Achilles tendon:

 

  • It is possible to have a partially torn Achilles tendon, this can also be very severe, you should go in for evaluation most immediately.
  • This occurs when only some of the fibers in the tendon are torn.

 

Sharp Pain in the Achilles Tendon: Causes & Best Treatment 2019
Sharp pain in the Achilles tendon can eventually lead to a ruptured Achilles tendon if not treated correctly, don’t let this happen to you!

 

Achilles tendon strain:

 

  • In Achilles tendon strain is also extremely common.
  • This usually happens towards people who, for example are playing tennis and pushoff very fast.
  • You can feel a pull, it is not quite torn, but is very sore and bruised.
  • This can be very sore for 2 to 4 weeks.

 

Symptoms:

Symptoms of Achilles tendon pain can include:

 

Achilles tendinitis(insertional or non insertional):

  • Sore achilles tendon in the morning:
  • Swollen achilles tendon
  • Bruised achilles tendon
  • Inflamed achilles tendon
  • Chronic achilles tendon

 

Achilles tendon tear or injury:

  • It can feel like a pop or a snack when it happens.
  • It is usually a traumatic injury.
  • This strain can be pushing off and is more of the leg in the muscle.
  • Care, or a partial tear, or important tendon will usually be a traumatic injury about to 6 cm above the heel.
  • A tear usually does not happen in the muscle just below the knee.

 

 

Risk factors for Achilles tendinitis:

  • Flat or unsupportive shoes.
  • Recent increases in weight, or being overweight for a repetitive activity such as running or long-distance walking.
  • Exercising on uneven surfaces.
  • A recent increase in heavy-duty activity.
  • Excessive activity after a long period of inactivity.
  • Weakness in the muscles to support your upper body.
  • Foot issues such as being flat-footed or having a short were tight Achilles tendon.
  • A recent ankle sprain or injury.

 

Achilles & Calcaneal Tendon Anatomy:

 

What is the Achilles tendon?

  • The Achilles tendon and gastrocnemius is the strongest and most durable muscle in your body.
  • Achilles tendon is a very strong bundle of fibers that attach the calcaneus(heel bone) to the calf muscle which is called the gastrocnemius.

 

Pain Above the Heel in the Back of the Foot
Pain Above the Heel in the Back of the Foot is called Achilles tendonitis in most cases. There may even be a spur there!

 

How does one get a short Achilles tendon?

  • As we get older and exercise and stretch less, it is possible for the muscle to get we current contract.
  • If many years go by without stretching or high-intensity activity, the tendon can become shorter and weak.

 

What does the Achilles tendon do?

  • The Achilles tendon is the most powerful and essential muscle for running, jumping, and even long-distance walking.

 

Why does the Achilles tendon get injured?

  • It is a very durable muscle, but even it has its limits!
  • It can be prone to wear and tear.
  • It is very good at up-and-down bending of the foot, but when the foot starts bending up and down and twisting out at the same time, it can become at risk for injury and rupture.
  • This is a very strong and durable muscle, but in the center. It does have less blood flow than other parts of the body.
  • The most likely area for developing Achilles tendinitis and worker rupture is 2 to 6 cm above the calcaneus insertion site.

 

Achilles Tendinosis:

  • Achilles tendinosis is when the tendon is so damaged that the center starts to die.
  • The center can actually read and develop Mucinous fluid at the center.
  • This means that the center of the tendon is dying and is at risk for rupture.

 

Muscle Pain in the Back of the Ankle due to Achilles Tendinitis
Muscle Pain in the Back of the Ankle due to Achilles Tendinitis can lead to a partial Achilles tendon tear. This can lead to big problems if not treated in time!

 

Achilles Peritendinitis:

  • This means that the sheath surrounding the tendon is inflamed.
  • This is another way of saying Achilles tendinitis.

 

Achilles Heel Spur:

  • An Achilles heel spur develops when the Achilles tendon rips of the calcaneus for very long period of time.
  • This is a very dangerous situation to develop, as the spur can allow the Achilles tendon to rupture and create further damage.

 

 

The Best Achilles Tendon Heel Pain Treatment for insertional heel spur
This is a very large insertional Achilles tendon heel spur. This can take years to develop for the patient. At this point the spur will not go away without a procedure.

 

Achilles Tendon Pain & Running:

 

Achilles tendon pain running:

  • Runners and people who are running are some of the most at risk people for Achilles tendon pain.
  • We see thousands of patients come in, with pain in their Achilles tendon when they start a new exercise routine like walking or running.
  • This is most common in patients who have not been running or jogging for very long time, and start into very high levels of activity.
  • This can put you at risk for significant injury.
  • It is very difficult to start high level of activity without having an elastic and well stretched Achilles tendon or other muscles. It is very important to start crosstraining in doing other types of activities that can strengthen your muscles and strengthen your Achilles tendon without injuring it first.
good shoes with orthotics for Achilles tendon pain
These are good shoes with orthotics for Achilles tendon pain.

 

What can I do about my sore Achilles after running:

  • The best thing you can do is work on decreasing inflammation: start by taking pressure off your Achilles tendon.
  • What we recommend for patients is usually to start riding a bike, swimming and weightlifting during this time.
  • It can take a month or two for your Achilles tendinitis to calm down.
  • It is very important to do this before the problem gets worse. It definitely sucks that you have Achilles tendinitis, but don’t make the problem worse and damage or tendon or put yourself out for even more months!

 

Achilles Tendonitis and Running Treatment Options:

  • Read the treatment guide below to find out exactly what you can do.
  • The key is to decrease inflammation, get your Achilles tendon more flexible, and start other exercise programs like swimming, bike riding or weightlifting.
  • Focus on good shoes, good orthotics, good flexibility, and strengthening your other muscles while reducing your weight.

 

 

Achilles Tendonitis Treatment:

To treat your Achilles tendinitis. There are two stages to this important process.

 

Control pain and inflammation:

 

Step number one is to control the pain and inflammation of the Achilles tendon:

  • This can involve resting foot and ankle while the tendon gets better.
  • What we know about tendon healing is sometimes at this can take weeks or even months!.
  • If you are putting hundreds of pounds of body weight onto it. Tens of thousands of times every single day with running or jogging, this can make it impossible to heal. We get it, it sucks. We wish you could get better quicker, and this is the number one complaint we hear from people. But get over it, you have to start getting better as quick as possible!

Anti-inflammatories:

  • Anti-inflammatory medication such as aspirin and ibuprofen can be. Successful.
  • We personally don’t recommend this as you can get side effects from using this. So use these at your own risk, they definitely do decrease the inflammation, but consider that you’re only reducing your pain enough to cause even more damage.
  • Don’t rely on just anti-inflammatories. They do have side effects and they are not meant for long-term use.
  • They do not actually heal your medical problem, they only let you feel better.

 

Icing vs. heat:

This is probably the most effective.

  • Studies showed that ice is effective for 20 minutes at a time, with a short break in between so you don’t freeze your skin.
  • There are some great options for devices that can both ice and massage at the same time.

 

Creams and gels:

  • There are some great options for both creams and gels, one of our favorites is mental based creams.
  • Bio freeze is a cost-effective mental based cream that has been studied well.
  • Essentially, it performs a similar function to ice, in that it relieves pain for about two times as long as ice.
  • This also helps you avoid sitting around for 20 minutes at a time with an ice pack stuck to the back of your leg!

 

Best Bottom of the Foot & Heel Pain Relief Products
Best & Proven Pain Relieving Gel.
Roll On Version of Biofreeze Gel.
A giant container of value size biofreeze.
Menthol Based Ointment with Hemp Extract
Biofreeze Pain Relief Gel, 4 oz. Tube, Pack of 3 (Packaging May Vary)
Biofreeze Pain Relief RollOn 3 oz RollOn Fast Acting Long Lasting  Powerful Topical Pain Reliever Pack of 3 Packaging May Vary
Biofreeze Pain Relief Gel, 1 Gallon Pump, Green
HEMPACTIV Hemp Pain Relief Cream  | Hemp + MSM + Arnica + Menthol | Relieve Muscle, Joint & Arthritis Pain | Effective Hemp Pain Cream | 2oz
Price:
$30.78
$24.06
$121.38
$29.99
Overview:
The Proven and Scientifically Published Menthol Based Gel
Same as biofreeze gel, but the roll-on is prefered by some people for their feet, less messy.
8.1 lbs(3.67 kg) of Value Sized Biofreeze!
This is an alternative cream: Basically Biofreeze + hemp extract.
Pros:
Scientifically proven to loosen up and relief pain up to 2x longer than Ice. Less effort than ice and great reviews. 900+ 5 star reviews on Amazon.
The roll-on application of this biofreeze can be easier to apply. Less overall mess.
If you know you already love it and trust the reviews. This is a great value that lasts a long time.
It has great reviews, loved by the all natural crowd. 100s of 5 star reviews with a near perfect rating.
Cons:
Don't put this on open sores or mucous membranes, it will burn! It can run out quick and doesn't prevent pain, just helps it.
Not as easy to spread in other areas, main difference is the roll on applicator, same solution.
A gigantic bottle that could fall over and injure you! Seriously this could be too big in some situations.
Basically looks like menthol(active Biofreeze ingredient), but with hemp extract SKYROCKETING the price.
Important Tips:
Menthol is the active ingredient in this and other hemp based creams. It works similar to ice, but once you apply it you can just move on rather than waiting 20 minutes. **Works great to get your through the night if you have pain sleeping**
Roll-on method is best for the bottom of the feet. No other real advantage. Most patients like it prior to bed for easy sleeping without foot pain.
If you know you love it, this stuff works all over the sore areas in your body not just your foot. I have had many people get me to order this for them in the past and LOVED IT!
The hemp extract is almost nothing and likely a marketing gimmick. It's basically Biofreeze with some hemp extract raising the price.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"Like I stated earlier, I am a huge fan of this product and I will happily buy this product again. I'm so glad I finally found it online (lol), rather than having to make a trip to the pharmacy."
"The main ingredient is menthol and the cool sensation is long lasting. You have to try this product. Trust me, I've tried them all and there's no comparison!"
"This stuff is GREAT! Value sized!!"
"The cream helps with my nerve pain for several hours , giving me relief on the job. It doesn't take much , I use very little , it goes along way, as long as it is rubbed in properly. I will definitely be purchasing this again. I also gave to a friend that has fibromyalgia, she said it helped with her aches and pains to relieve pressure for a few hours. This is definitely a 5 star purchase."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Bottom of the Foot & Heel Pain Relief Products
Best & Proven Pain Relieving Gel.
Biofreeze Pain Relief Gel, 4 oz. Tube, Pack of 3 (Packaging May Vary)
Price:
$30.78
Overview:
The Proven and Scientifically Published Menthol Based Gel
Pros:
Scientifically proven to loosen up and relief pain up to 2x longer than Ice. Less effort than ice and great reviews. 900+ 5 star reviews on Amazon.
Cons:
Don't put this on open sores or mucous membranes, it will burn! It can run out quick and doesn't prevent pain, just helps it.
Important Tips:
Menthol is the active ingredient in this and other hemp based creams. It works similar to ice, but once you apply it you can just move on rather than waiting 20 minutes. **Works great to get your through the night if you have pain sleeping**
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"Like I stated earlier, I am a huge fan of this product and I will happily buy this product again. I'm so glad I finally found it online (lol), rather than having to make a trip to the pharmacy."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Bottom of the Foot & Heel Pain Relief Products
Roll On Version of Biofreeze Gel.
Biofreeze Pain Relief RollOn 3 oz RollOn Fast Acting Long Lasting  Powerful Topical Pain Reliever Pack of 3 Packaging May Vary
Price:
$24.06
Overview:
Same as biofreeze gel, but the roll-on is prefered by some people for their feet, less messy.
Pros:
The roll-on application of this biofreeze can be easier to apply. Less overall mess.
Cons:
Not as easy to spread in other areas, main difference is the roll on applicator, same solution.
Important Tips:
Roll-on method is best for the bottom of the feet. No other real advantage. Most patients like it prior to bed for easy sleeping without foot pain.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"The main ingredient is menthol and the cool sensation is long lasting. You have to try this product. Trust me, I've tried them all and there's no comparison!"
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Bottom of the Foot & Heel Pain Relief Products
A giant container of value size biofreeze.
Biofreeze Pain Relief Gel, 1 Gallon Pump, Green
Price:
$121.38
Overview:
8.1 lbs(3.67 kg) of Value Sized Biofreeze!
Pros:
If you know you already love it and trust the reviews. This is a great value that lasts a long time.
Cons:
A gigantic bottle that could fall over and injure you! Seriously this could be too big in some situations.
Important Tips:
If you know you love it, this stuff works all over the sore areas in your body not just your foot. I have had many people get me to order this for them in the past and LOVED IT!
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"This stuff is GREAT! Value sized!!"
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Bottom of the Foot & Heel Pain Relief Products
Menthol Based Ointment with Hemp Extract
HEMPACTIV Hemp Pain Relief Cream  | Hemp + MSM + Arnica + Menthol | Relieve Muscle, Joint & Arthritis Pain | Effective Hemp Pain Cream | 2oz
Price:
$29.99
Overview:
This is an alternative cream: Basically Biofreeze + hemp extract.
Pros:
It has great reviews, loved by the all natural crowd. 100s of 5 star reviews with a near perfect rating.
Cons:
Basically looks like menthol(active Biofreeze ingredient), but with hemp extract SKYROCKETING the price.
Important Tips:
The hemp extract is almost nothing and likely a marketing gimmick. It's basically Biofreeze with some hemp extract raising the price.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"The cream helps with my nerve pain for several hours , giving me relief on the job. It doesn't take much , I use very little , it goes along way, as long as it is rubbed in properly. I will definitely be purchasing this again. I also gave to a friend that has fibromyalgia, she said it helped with her aches and pains to relieve pressure for a few hours. This is definitely a 5 star purchase."
Affiliate Link (Buying through these links helps support the site): Thank you!

 

Massaging:

  • Studies show that massage sticks and massaging can help temporarily remove your inflammation.
  • This is not a situation we can just keep massaging for the rest of time and will keep getting better and better.
  • Studies show that before walking around and moving around. You should massage for about 30 to 60 seconds, and this gives you a few hours of increased flexibility and decreased pain.
  • Don’t go crazy with this and waste half your afternoon massaging like some people do. Stick to what the study show which is 30 to 60 seconds, and then start stretching afterwards.
  • These are some of our recommended and favorite massage devices.

 

Massage Rollers:

Massage rolling can help relieve the inflammation in the foot and ankle:

 

 

These are our favorite and most reviewed massage roller sticks and foam rollers.

Best Plantar Fascia Arch & Heel Massage Rollers:
Best Premium Massage Roller
Most Cost Effective Massage Roller.
Cost Effective Freezable Massage Roller.
Recoup Fitness Cryosphere Cold Massage Roller - 6 Hours Cold Relief - Ice Cup - Myofascial Release- Great for Recovery - Free Rolling Removable Ball - Deep Tissue Massage - Pain Relief - Ice Pack
TheraFlow Foot Massager Roller - Relieve Foot Arch Pain, Plantar Fasciitis, Muscle Aches, Soreness. Stimulates Myofascial Release for Relaxation. Soothes Foot Tension/Tightness.
Theraband Foot Roller for Foot Pain Relief, Massage Ball Roller for Arch Pain, Plantar Fasciitis Treatment, Heel Spurs Reliever, Tired Feet, Best Foot Massager with Ridges for Self Myofascial Release
Price:
$39.95
$6.95
$12.88
Overview:
Premium freezable metal ball that stays cold for up to 6 hours. Great for plantar fascia, neck, shoulders and calf muscles.
Amazing Price, Great Reviews - Non-Freezable Massage Rolling Stick
Great price and it is freezable. Budget friendly freezable massage roller.
Pros:
Great reviews - near 5 star. Stays cold for a long time with deep penetrating plantar fascia massage. Used by professional athletes. Stays cold for HOURS!
Great for what it does. You roll it back and forth along your plantar fascia massaging the swelling and irritation out. Decreases pain. Thousands of 5 star reviews on Amazon.
Excellent reviews. It massages and ices, so it is a step up over the massage rollers. Near 5 star reviews with >500 reviews.
Cons:
More expensive than some of the other options, but near perfect reviews.
Is not freezable like the other two options. Massaging a sore muscle without the cold sensation can be very painful and render it useless to you if really sore.
It does a great job doing what it is supposed to do. Main downside is that it does not stay cold as long as the premium metal ball.
Important Tips:
Use it with a sock to start (could be too cold). Massaging and icing definitely loosens you up and makes you feel better, but you still have to prevent the pain in the first place. You still need stretching, orthotics and good shoes to prevent the initial damage.
Two things: Without the freezing component, it may be really painful for a very sore arch (So make sure to use ICE also). Also this only reduces pain, it does not stop the cause! You still need good orthotics, shoes and stretching to stop the pain in the first place!
Start with socks at first, especially if you have peripheral neuropathy => don't freeze your foot! Remember that you still need good orthotics, good shoes and inserts as well as temporary activity reduction.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"elps relieve soreness caused by two spur in my right foot. This is much better than using a recycled water bottle filled with ice, which is messy when ice starts to thaw, causing condensation. I use with a pair of thin socks, I find it too intense with bare foot on the ball itself. "
"I stepped on this and moved my foot back and forth and I could hear all the little joints in my foot cracking and relaxing. A week of doing this and icing my foot and I am no longer worried about continuing to train for some marathons! I am healed!"
"This is such a great foot massager. I bought it for myself and then I bought more to give out as gifts. I normally keep mine under my desk. It's so gratifying to use it while you're doing work on the computer. You really feel the pressure! "
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Plantar Fascia Arch & Heel Massage Rollers:
Best Premium Massage Roller
Recoup Fitness Cryosphere Cold Massage Roller - 6 Hours Cold Relief - Ice Cup - Myofascial Release- Great for Recovery - Free Rolling Removable Ball - Deep Tissue Massage - Pain Relief - Ice Pack
Price:
$39.95
Overview:
Premium freezable metal ball that stays cold for up to 6 hours. Great for plantar fascia, neck, shoulders and calf muscles.
Pros:
Great reviews - near 5 star. Stays cold for a long time with deep penetrating plantar fascia massage. Used by professional athletes. Stays cold for HOURS!
Cons:
More expensive than some of the other options, but near perfect reviews.
Important Tips:
Use it with a sock to start (could be too cold). Massaging and icing definitely loosens you up and makes you feel better, but you still have to prevent the pain in the first place. You still need stretching, orthotics and good shoes to prevent the initial damage.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"elps relieve soreness caused by two spur in my right foot. This is much better than using a recycled water bottle filled with ice, which is messy when ice starts to thaw, causing condensation. I use with a pair of thin socks, I find it too intense with bare foot on the ball itself. "
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Plantar Fascia Arch & Heel Massage Rollers:
Most Cost Effective Massage Roller.
TheraFlow Foot Massager Roller - Relieve Foot Arch Pain, Plantar Fasciitis, Muscle Aches, Soreness. Stimulates Myofascial Release for Relaxation. Soothes Foot Tension/Tightness.
Price:
$6.95
Overview:
Amazing Price, Great Reviews - Non-Freezable Massage Rolling Stick
Pros:
Great for what it does. You roll it back and forth along your plantar fascia massaging the swelling and irritation out. Decreases pain. Thousands of 5 star reviews on Amazon.
Cons:
Is not freezable like the other two options. Massaging a sore muscle without the cold sensation can be very painful and render it useless to you if really sore.
Important Tips:
Two things: Without the freezing component, it may be really painful for a very sore arch (So make sure to use ICE also). Also this only reduces pain, it does not stop the cause! You still need good orthotics, shoes and stretching to stop the pain in the first place!
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"I stepped on this and moved my foot back and forth and I could hear all the little joints in my foot cracking and relaxing. A week of doing this and icing my foot and I am no longer worried about continuing to train for some marathons! I am healed!"
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Plantar Fascia Arch & Heel Massage Rollers:
Cost Effective Freezable Massage Roller.
Theraband Foot Roller for Foot Pain Relief, Massage Ball Roller for Arch Pain, Plantar Fasciitis Treatment, Heel Spurs Reliever, Tired Feet, Best Foot Massager with Ridges for Self Myofascial Release
Price:
$12.88
Overview:
Great price and it is freezable. Budget friendly freezable massage roller.
Pros:
Excellent reviews. It massages and ices, so it is a step up over the massage rollers. Near 5 star reviews with >500 reviews.
Cons:
It does a great job doing what it is supposed to do. Main downside is that it does not stay cold as long as the premium metal ball.
Important Tips:
Start with socks at first, especially if you have peripheral neuropathy => don't freeze your foot! Remember that you still need good orthotics, good shoes and inserts as well as temporary activity reduction.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"This is such a great foot massager. I bought it for myself and then I bought more to give out as gifts. I normally keep mine under my desk. It's so gratifying to use it while you're doing work on the computer. You really feel the pressure! "
Affiliate Link (Buying through these links helps support the site): Thank you!

 

 

The best shoes for Achilles tendon pain:

  • There’s no way around it, if you are wearing flimsy and flexible minimalist shoes, you will have significant Achilles tendon and foot pain.
  • Especially for ankle and Achilles tendon pain, you need is shoe that does not been in the back or the bottom.
  • In the associated video, Dr. Tom Biernacki goes over specifically what you want to look for an issue.
  • But in summary here: you want to get a shoe that does not bend across the bottom except for the big toe, does not bend in the back, and it has enough room to fit in orthotic.
  • Other than that, you don’t have to get too fancy and blow hundreds of dollars.

 

How to buy and fit shoes:

  • We love brands like ASICs,New Balance, Hoka, Saucony, and Brooks are excellent. If you get one of the issues you basically can’t go wrong.
  • If you need help trying to fit the shoes, watch this video about how to fit your shoes online!

 

 

The best orthotics for Achilles pain:

  • Great shoes are essential for getting your Achilles tendinitis pain better, but really good orthotics are crucial as well to get that pain, feeling much better.
  • Custom orthotics are amazing, but you’ll have to make your first car for Ferrari! Start with something that will get you from point A to point B.
  • Over-the-counter inserts can work really well and for a lot of time you can get them immediately for pretty low price.
  • Yes your foot type, does matter, yes it does matter how much you pronated, but getting some of these inserts is 100 times better than the cheap, flimsy gel pads you will get at the convenience store.
  • It doesn’t matter if you step on a machine that checks your foot, this is just a marketing gimmick!
  • The bottom line is, these are one dollar made in China gel pads, it doesn’t matter if a machine tells you which one of them is the best.

 

 

Full length orthotics are the most supportive orthotics:

  • Full-length orthotics are what you should go with if you are able to.
  • These give you the best results in the most control, the only downside is they don’t fit in every type of shoe.
  • If you have really bad Achilles tendinitis, go with a full-length supportive orthotic. Don’t try to where flimsy shoe that can only fit half orthotic.
  • You are cheating yourself and making your foot take much longer to heal.

 

Best Medium to Heavy Duty Heel Pain Orthotics:
Best Overall Orthotic For Everything (Medium Thick Fit)
Best Heavy Duty Orthotic (Thickest Fit)
Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)
Powerstep Pinnacle Plus Met Insoles, Red/Blue
Powerstep Pinnacle Maxx Orthotic Insole, Maroon, Men's 10-10.5 / Women's 12
Plantar Fasciitis Arch Support Insoles for Men and Women Shoe Inserts - Orthotic Inserts - Flat Feet Foot - Running Athletic Gel Shoe Insoles - Orthotic insoles for Arch Pain High Arch - Boot Insoles
Price:
Price not available
$32.43
$19.99
Overview:
These work best in shoes with laces and running shoes. Not good for dress shoes or women's cute shoes.
Biggest and most corrective option. Only use for running shoes or work boots. Not cute shoes.
These are full length inserts, but softer. Great if you can't tolerate the firmer ones. Best for very sore and sensitive feet.
Pros:
Pretty much guaranteed to help you if it fits in your shoes and you give it 2 weeks to get used to. 5,000+ amazon reviews, great track record.
My personal favorite, but not for everyone. Amazing reviews over 3,500. But not for everyone. Only for bigger shoes that can fit them
They are softer and the initial break in time is AMAZING. But longer term benefits are less. >500 Almost 5 star amazon rating.
Cons:
Do not wear these in cute or dress shoes!
Bigger and bulkier than all the other ones. You will be dissappointed if you have a cute women's shoe or dress shoe. This is meant for running shoes and boots.
Great to start with, but don't correct long term as much as the other ones.
Crucial Tips:
Ease in to these, 1-2hrs a day. They are like braces for your teeth, they suck at the beginning! But they will make your feet pain free as 1-2 weeks go by. Don't give up on them after 1 or 2 days. Everyone feels off at the beginning!
This has the most correction, but hardest break in time! IF SENSITIVE, USE A SOFTER PAIR FIRST! But if you get these, you must break them in. Give it 1-2 hours a day, but then you will start to have excellent results. The bad reviews are all people who couldn't fit it into their shoes and gave up too quickly. You have been WARNED!
If you are very sore, TRY THESE FIRST! These are easiest to break in with initially. If you are very sore and rigid, don't use the heavy duty ones to start with.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"These have worked well for my plantar fasciitis. It's not cured, but has helped. I wish they had a higher arch, but they are doing what they are intended to do. Some others have complained about the durability. I've had them for about 5 months, and they are just fine. "
" The Powerstep inserts are definitely the best for me in terms of arch support and comfort, and the Pinnacle Maxx inserts make a MAJOR positive difference in my comfort and ability to get around."
"Plantar Fasciitis pain was getting pretty bad, so I bought these insoles looking for some relief. On Day One, I noticed that it was not as painful to walk as the prior day; still sore but a marked improvement. It's now Day Two and I'm not nearly feeling the pain that I felt before I tried these insoles"
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Best Medium to Heavy Duty Heel Pain Orthotics:
Best Overall Orthotic For Everything (Medium Thick Fit)
Powerstep Pinnacle Plus Met Insoles, Red/Blue
Price:
Price not available
Overview:
These work best in shoes with laces and running shoes. Not good for dress shoes or women's cute shoes.
Pros:
Pretty much guaranteed to help you if it fits in your shoes and you give it 2 weeks to get used to. 5,000+ amazon reviews, great track record.
Cons:
Do not wear these in cute or dress shoes!
Crucial Tips:
Ease in to these, 1-2hrs a day. They are like braces for your teeth, they suck at the beginning! But they will make your feet pain free as 1-2 weeks go by. Don't give up on them after 1 or 2 days. Everyone feels off at the beginning!
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"These have worked well for my plantar fasciitis. It's not cured, but has helped. I wish they had a higher arch, but they are doing what they are intended to do. Some others have complained about the durability. I've had them for about 5 months, and they are just fine. "
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Heavy Duty Orthotic (Thickest Fit)
Powerstep Pinnacle Maxx Orthotic Insole, Maroon, Men's 10-10.5 / Women's 12
Price:
$32.43
Overview:
Biggest and most corrective option. Only use for running shoes or work boots. Not cute shoes.
Pros:
My personal favorite, but not for everyone. Amazing reviews over 3,500. But not for everyone. Only for bigger shoes that can fit them
Cons:
Bigger and bulkier than all the other ones. You will be dissappointed if you have a cute women's shoe or dress shoe. This is meant for running shoes and boots.
Crucial Tips:
This has the most correction, but hardest break in time! IF SENSITIVE, USE A SOFTER PAIR FIRST! But if you get these, you must break them in. Give it 1-2 hours a day, but then you will start to have excellent results. The bad reviews are all people who couldn't fit it into their shoes and gave up too quickly. You have been WARNED!
Amazon Reviewer Comments (Make sure to do your own review research through the link):
" The Powerstep inserts are definitely the best for me in terms of arch support and comfort, and the Pinnacle Maxx inserts make a MAJOR positive difference in my comfort and ability to get around."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Medium to Heavy Duty Heel Pain Orthotics:
Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)
Plantar Fasciitis Arch Support Insoles for Men and Women Shoe Inserts - Orthotic Inserts - Flat Feet Foot - Running Athletic Gel Shoe Insoles - Orthotic insoles for Arch Pain High Arch - Boot Insoles
Price:
$19.99
Overview:
These are full length inserts, but softer. Great if you can't tolerate the firmer ones. Best for very sore and sensitive feet.
Pros:
They are softer and the initial break in time is AMAZING. But longer term benefits are less. >500 Almost 5 star amazon rating.
Cons:
Great to start with, but don't correct long term as much as the other ones.
Crucial Tips:
If you are very sore, TRY THESE FIRST! These are easiest to break in with initially. If you are very sore and rigid, don't use the heavy duty ones to start with.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"Plantar Fasciitis pain was getting pretty bad, so I bought these insoles looking for some relief. On Day One, I noticed that it was not as painful to walk as the prior day; still sore but a marked improvement. It's now Day Two and I'm not nearly feeling the pain that I felt before I tried these insoles"
Affiliate Link (Buying through these links helps support the site): Thank you!

 

The best dress shoe orthotics:

  • We understand here at Michigan foot doctors.com that people do have to wear dress shoes at work.
  • These are are recommended in favor dress shoe orthotics.

 

Best Dress Shoe Orthotics:
Best Fitting Dress Shoe Orthotic (3/4")
Best Full Length Dress Orthotic.
Powerstep Signature Dress 3/4-Length Insoles – Dress Shoe Insoles for Men and Women
Powerstep Signature Dress Full-Length Insoles for Men and Women
Price:
Price not available
Price not available
Overview:
This is my top choice due to best fit. It is a little less supportive than full length, but fit is the key in dress shoes!
Best option if you can fit a full length orthotic. This does give you most control.
Pros:
Excellent overall fit. This will fit in almost every dress shoe. Excellent reviews and reasonable cost overall. Can't go wrong in most cases.
Great color dress option. Not the most corrective, but very color and dress appropriate. Great Reviews. Better correction and relief than the 3/4" length.
Cons:
Less correction than full length and heavy duty orthotics.
These can have a poor fit in in some shoes. If you have tight shoes, DO NOT BUY the full length orthotic! You have been warned.
Crucial Tips:
If you haven't used dress orthotics before, get this one and avoid poor fit. If you wear dress shoes every day with room, the full length might give you more support.
This is will work great in most men's shoes that are not pointy. If you have a rounded toe box, this will probably work well. If a tight shoe go with the 3/4" length.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"Great orthotics. Ease in to shape to your foot just enough, yet comfortable right out of the box. Leather construction makes them breathable. They are good for a wide foot, while not over stretching and ruining one's shoes!"
"I have bought many different OTC orthotics due to plantar fasciitis. These are among the best. I use them exclusively now and they feel good inside both sports and shoes I wear to the office that have removable insoles."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Dress Shoe Orthotics:
Best Fitting Dress Shoe Orthotic (3/4")
Powerstep Signature Dress 3/4-Length Insoles – Dress Shoe Insoles for Men and Women
Price:
Price not available
Overview:
This is my top choice due to best fit. It is a little less supportive than full length, but fit is the key in dress shoes!
Pros:
Excellent overall fit. This will fit in almost every dress shoe. Excellent reviews and reasonable cost overall. Can't go wrong in most cases.
Cons:
Less correction than full length and heavy duty orthotics.
Crucial Tips:
If you haven't used dress orthotics before, get this one and avoid poor fit. If you wear dress shoes every day with room, the full length might give you more support.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"Great orthotics. Ease in to shape to your foot just enough, yet comfortable right out of the box. Leather construction makes them breathable. They are good for a wide foot, while not over stretching and ruining one's shoes!"
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Dress Shoe Orthotics:
Best Full Length Dress Orthotic.
Powerstep Signature Dress Full-Length Insoles for Men and Women
Price:
Price not available
Overview:
Best option if you can fit a full length orthotic. This does give you most control.
Pros:
Great color dress option. Not the most corrective, but very color and dress appropriate. Great Reviews. Better correction and relief than the 3/4" length.
Cons:
These can have a poor fit in in some shoes. If you have tight shoes, DO NOT BUY the full length orthotic! You have been warned.
Crucial Tips:
This is will work great in most men's shoes that are not pointy. If you have a rounded toe box, this will probably work well. If a tight shoe go with the 3/4" length.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"I have bought many different OTC orthotics due to plantar fasciitis. These are among the best. I use them exclusively now and they feel good inside both sports and shoes I wear to the office that have removable insoles."
Affiliate Link (Buying through these links helps support the site): Thank you!

 

The best women’s shoe orthotics:

  • If by some chance you do have to wear nice cute shoes: try these favorites that we have.
  • Just keep in mind that if you keep wearing unsupportive shoes like heels or flats, your Achilles tendon pain will take much longer to get better than it would in a good running shoe, with a good full-length orthotic.

 

Best Flat Shoe (Non-Lace Up) Orthotics:
Best Overall 3/4" length option. (Not Heavy Duty, But Fit Focused)
Best Choice For Tight Women's Shoes or High Heels..
Thin Arch Support Shoe Orthotic Inserts for Women and Men by Powerstep, SlimTech 3/4 Length, Original Cushioning Shoe Insoles, Relieves Plantar Facsiitis, All Arch Types, Foot, Heel and Knee Pain
Powerstep SlenderFit Women's Fashion Orthotic High Heel Insole
Price:
Price not available
Price not available
Overview:
Great 3/4" choice. These work great in every shoe without laces. Not meant for heavy duty correction.
These are the best fitting for the most narrow shoes. Some but not great correction.
Pros:
Excellent fit, they are reliable with excellent reviews. You are going to be happy with these, just never SUPER happy because they don't correct as much.
They will fit in even the tightest shoes! Guaranteed to make you feel better, but you know what you are getting in a tight shoes. Great reviews and price.
Cons:
They are not super corrective. In some cases its like trying to using a 2 seat car to haul gravel. It looks and feels great but does
At the end of the day high heels and slender orthotics help, but never cure all your pain. Make the best of a painful shoe!
Crucial Tips:
These have a faster break in period than the heavy duty type. If after a few weeks
**WARNING***: If your shoe almost just barely fits onto your foot, this WILL NOT FIT! Be aware, it still needs a small amount of space to fit.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"This orthotic is the best I have tried, the other Powerstep have too high an arch for my feet, and are too thick in one's shoes, this one is just perfect, mild pronation and arch support, they are very comfortable yet do not give way due to their rigid support underneath, I use them in all my shoes as they are 3/4 and I do not have to take the sole from my shoes nor order a size up as I used to."
"These insoles provide as much support as the Powerstep originals. The insoles are comfy and they are long lasting. I've had one pair for a year now and they are just starting to show signs of wear. "
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Flat Shoe (Non-Lace Up) Orthotics:
Best Overall 3/4" length option. (Not Heavy Duty, But Fit Focused)
Thin Arch Support Shoe Orthotic Inserts for Women and Men by Powerstep, SlimTech 3/4 Length, Original Cushioning Shoe Insoles, Relieves Plantar Facsiitis, All Arch Types, Foot, Heel and Knee Pain
Price:
Price not available
Overview:
Great 3/4" choice. These work great in every shoe without laces. Not meant for heavy duty correction.
Pros:
Excellent fit, they are reliable with excellent reviews. You are going to be happy with these, just never SUPER happy because they don't correct as much.
Cons:
They are not super corrective. In some cases its like trying to using a 2 seat car to haul gravel. It looks and feels great but does
Crucial Tips:
These have a faster break in period than the heavy duty type. If after a few weeks
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"This orthotic is the best I have tried, the other Powerstep have too high an arch for my feet, and are too thick in one's shoes, this one is just perfect, mild pronation and arch support, they are very comfortable yet do not give way due to their rigid support underneath, I use them in all my shoes as they are 3/4 and I do not have to take the sole from my shoes nor order a size up as I used to."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Flat Shoe (Non-Lace Up) Orthotics:
Best Choice For Tight Women's Shoes or High Heels..
Powerstep SlenderFit Women's Fashion Orthotic High Heel Insole
Price:
Price not available
Overview:
These are the best fitting for the most narrow shoes. Some but not great correction.
Pros:
They will fit in even the tightest shoes! Guaranteed to make you feel better, but you know what you are getting in a tight shoes. Great reviews and price.
Cons:
At the end of the day high heels and slender orthotics help, but never cure all your pain. Make the best of a painful shoe!
Crucial Tips:
**WARNING***: If your shoe almost just barely fits onto your foot, this WILL NOT FIT! Be aware, it still needs a small amount of space to fit.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"These insoles provide as much support as the Powerstep originals. The insoles are comfy and they are long lasting. I've had one pair for a year now and they are just starting to show signs of wear. "
Affiliate Link (Buying through these links helps support the site): Thank you!

 

 

Consider Plantar Fasciitis:

If your foot pain is at the bottom of the foot, consider plantar fasciitis pain as well.