What Are the Best Shoes for Runners with Foot Issues?

For runners, the right shoes are more than just comfort—they’re essential for performance and injury prevention. Poor footwear can worsen existing problems such as bunions, plantar fasciitis, or Achilles pain. That’s why choosing supportive running shoes for runners with specific design features is key to keeping you moving without setbacks.

At SA Running Injury Clinic, we guide athletes and recreational runners towards footwear that supports healthy biomechanics, reduces injury risk, and enhances recovery.


Why Footwear Matters for Runners

Every step in running places force through the foot and up the kinetic chain to the knees, hips, and back. Shoes that don’t match your foot structure or running style increase the risk of overuse injuries.
The right running shoes, on the other hand, help absorb impact, support alignment, and reduce strain on vulnerable areas like the forefoot and Achilles.


Altra Shoes: A Natural Fit for Runners

One brand we often recommend to our patients is Altra, known for designs that prioritise natural foot function. Unlike many traditional running shoes, Altra incorporates two key features that make a difference:

  • Wide toe box – encourages natural toe splay, improving balance, reducing bunion pressure, and allowing stronger push-off during runs.

  • Zero-drop platform – keeps the heel and forefoot level, promoting a midfoot strike that reduces load on the knees and lower back.

These design choices support better biomechanics and reduce common stress points—ideal for runners managing foot or lower limb pain.


Choosing the Right Altra Model

Altra’s range caters to different running needs:

  • Altra Rivera 4 – lightweight and responsive, great for road runs and speed training.

  • Altra Torin 7 – versatile everyday trainer with balanced cushioning.

  • Altra Lone Peak 8 – designed for trail runners needing grip and durability.

  • Altra Olympus 5 Hike Low GTX – cushioned and protective, ideal for long-distance trail runs or mixed terrain.

Cushioning levels vary from minimal (for strength and ground feel) to maximum (for joint protection during long distances or recovery runs).


Transitioning to Zero-Drop Shoes

Switching to Altra or any zero-drop shoe should be gradual. Start with short runs and alternate with your current footwear. This gives your calves, Achilles tendon, and plantar fascia time to adapt.
Complementing the change with calf strengthening and flexibility exercises further reduces the risk of discomfort.


Beyond Shoes: Complete Support for Runners

Footwear is just one piece of the puzzle. At SA Running Injury Clinic, we also provide:

  • Gait analysis to match footwear to your running style

  • Custom orthotics (Voxelcare and 3D-printed options) for optimal alignment

  • Dry needling and LightForce laser therapy for recovery from tendon or muscle overload

  • Strength programmes tailored to prevent common running injuries


Final Thought

For runners, footwear isn’t just gear—it’s a performance tool and injury shield. Choosing the right running shoes for runners, like those from Altra, helps reduce pressure points, support natural movement, and keep you training with confidence.

At SA Running Injury Clinic, we’re here to help you find the right combination of footwear and treatment to stay injury-free and reach your running goals.