Outside of the Foot Pain [Lateral Foot Pain]

Fibularis (Peroneus) Longus Tendonitis: [Best Treatment For Tendon Pain!]

Fibularis (peroneus) longus tendon overuse and inflammation can lead to painful peroneus longus tendonitis: We show the 100% best treatment to FIX IT!

  • It usually occurs due to chronic overuse or inversion ankle sprain!

What are the Peroneal Tendons:

The Peroneus Longus & The Peroneus Brevis:

  • There are two peroneal tendons on the outside of your foot and ankle.
  • Both tendons begin in the upper outside leg.
  • Both course down through the outside of your ankle.
  • The Peroneus (Fibularis) Brevis inserts onto the outside of your foot.
  • The Peroneus (Fibularis) Longus courses under your foot and the base of your 1st metatarsal.
  • They are both. They are responsible for turning your ankle out.
  • The Peroneus (Fibularis) Brevis turns your foot up and out.
  • The Peroneus (Fibularis) Longus turns your foot down and out.

Peroneus Longus Tendon Anatomy:

The peroneus longus origin and insertion: The origin is the superior two-thirds of the lateral shaft of the fibula and fascia. The insertion of the peroneus longus muscle is the plantar aspect of the medial cuneiform and the plantar first metatarsal base.

  • This picture diagrams the peroneus longest tendon anatomy.
  • The peroneus longest tendon originates in the proximal 50% of the outside of the leg and inserts along the lateral aspect of the ankle and into the plantar foot.
  • This is a very complex route, and it is detailed below.
  • The peroneus longest tendon is subject to split tears and overuse injuries.

fibularis peroneus longus muscle tendon anatomy

  • The peroneus longest tendon inserts into the plantar aspect of the first metatarsal joint. This is shown in the picture below.
  • The peroneus longest tendon is a much more complex route to its insertion than the peroneus brevis tendon, which has its insertion into the styloid process of the fifth metatarsal.
 
Peroneus longus muscle tendon insertion
Peroneus longus muscle tendon insertion

Peroneus longus innervation:

  • The peroneus longus innervation is supplied by the superficial fibular (peroneal) nerve.

Peroneus longus function & action:

Plantarflexion of the 1st metatarsal, eversion of the foot, and support of the arches.

The Peroneus Longus Muscle Tendon:

The peroneus longus muscle runs from your high outside leg to the outside of your foot and inserts underneath your foot to the first metatarsal base.

  • Its motion includes plantarflexion & eversion of the foot.
  • It can dislocate, causing a clicking noise.
  • It can also be inflamed from chronic overuse.
Outside of the ankle pain
Outside of the ankle, the pain usually occurs at the head of the fibula. But it can also be the subtalar joint or the peroneal tendons.

Fibularis (Peroneus)Longus Tendonitis Causes:

Tendinitis means there is inflammation of the tendon:

  • This means there is burning, swelling, and redness of the tendon.
  • Peroneus longus tendinitis occurs from the overuse of the motions of turning your foot out while pushing off simultaneously.
  • This is a motion that is not all that popular. Thus, this muscle is not all that well known.
  • But this muscle is constantly working hard to maintain your foot balance.
  • Any sport or action that requires maintaining your balance is definitely utilizing the peroneus longus tendon.
Peroneus longus tendonitis treatment peroneus brevis tendonitis treatment
This is a posterior-lateral view of the peroneal tendons going behind the fibula. Here you have the peroneus longus and peroneus brevis muscle tendons.

Most common activities:

  • Any sport requiring balance and pushing off.
  • Working a long shift.
  • Standing for prolonged periods of time.
  • Much more susceptible to this if you have previously rolled your ankle.

 

Fibularis (Peroneus) Longus Tendonitis Symptoms:

  • This is an overuse injury.
  • Swelling on the outside of your leg.
  • Swelling on the outside of your ankle.
  • Pain that gets better as you start moving.
  • Pain is worse in the morning.
Outside of the ankle pain and below the outside of the ankle pain
The peroneal tendons (peroneus brevis and peroneus longus) wrap around the bottom of the fibula.

Fibularis (Peroneus) Longus Tendonitis Treatment:

1)Rest.

  • No athlete wants to hear it.
  • Any high-impact activity will prolong the healing time. Try to find an activity that puts less strain on the peroneus longus tendon.
  • These include swimming or biking for at least a week or two.
  • At least until the inflammation calms down.

2) Cryotherapy:

  • This is most beneficial after activity & soreness.
  • Icing 2-3x per day for about 15-20 minutes will decrease the flow of inflammatory cells into the muscle.
  • Afterward, the arteries will vasodilate, further flushing out inflammatory cells from the region.
  • Ice has deeper penetrating power than heat.
  • Do not use heat after activity or further irritation of the region.

Best Foot & Ankle Manual Massage Devices:
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 Multifunctional Foot Massager - Relieve Tension for Plantar Fasciitis and Aching Feet - Gain Myofascial Release Through Acupressure - Wood Therapy Massage Tools, Small
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:
Price not available
$10.99
$11.99
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.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Manual Massage Devices:
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:
Price not available
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.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Manual Massage Devices:
Most Cost Effective Massage Roller.
TheraFlow Multifunctional Foot Massager - Relieve Tension for Plantar Fasciitis and Aching Feet - Gain Myofascial Release Through Acupressure - Wood Therapy Massage Tools, Small
Price:
$10.99
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!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Manual Massage Devices:
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:
$11.99
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.
Affiliate Link (Buying through these links will connect you to Amazon):

3)Elevation:

  • If possible, elevate your leg while watching TV.
  • This prevents stasis of the venous backflow within the leg.
  • This is not as essential as cryotherapy, but if possible, it will help!

4)Compression:

  • This is similar to the elevation treatment.
  • Compression socks & stockings are available that could really help you out!
  • It will increase the backflow of venous blood and help flush out inflammatory cells.
  • Use an ACE bandage or any other type of compression wrap.
  • It should not be so tight that it cuts off blood flow!

Best Heel & Ankle Compression Braces:
Best Premium Brace (Support & Compression)
Budget Brace With Some Compression & Some Support.
Bauerfeind - MalleoTrain - Ankle Support Brace - Helps Stabilize the Ankle Muscles and Joints For Injury Healing and Pain Relief - Right Foot - Size 1 - Color Black
POWERLIX Ankle Orthopedic Brace Compression Support Sleeve (Pair) for Swelling, Sprain, Plantar Fasciitis, Arthritis, Tendinitis
Price:
$166.03
$21.49
Overview:
This is The Top Level Brace – Does Compression, Support & Great Fit.
This brace attempts mild compression and mild support.
Pros:
Excellent brace: Best overall mix of compression & support, and it still fits in most shoes! If you have a chronic injury and need to wear normal shoes => This is the BEST CHOICE.
Good rating at 4.3 with 2,000 reviews. It is cost effective and gives some support with some compression. Does both ok, but excellent when price is factored in.
Cons:
Expensive. It doesn’t do any single thing the best. There are cheaper and more supportive braces, there are cheaper and more compressive braces. But no braces combine the two and still fit in a shoe.
Does not really do anything well. Weak support and not the best compression. Meant as an assist for chronic pain and low activity. Not for an acute injury.
Important Tips:
This is a high durability brace for everyday use. If you have chronic arthritis or pain with a high need for activity, this is your brace to use! **Gel inside seems to deteriorate after daily washing at about 1 year old**
This is mean for lower activity and better fit than a true supportive brace. Don’t use this for an acute sprain or injury.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Heel & Ankle Compression Braces:
Best Premium Brace (Support & Compression)
Bauerfeind - MalleoTrain - Ankle Support Brace - Helps Stabilize the Ankle Muscles and Joints For Injury Healing and Pain Relief - Right Foot - Size 1 - Color Black
Price:
$166.03
Overview:
This is The Top Level Brace – Does Compression, Support & Great Fit.
Pros:
Excellent brace: Best overall mix of compression & support, and it still fits in most shoes! If you have a chronic injury and need to wear normal shoes => This is the BEST CHOICE.
Cons:
Expensive. It doesn’t do any single thing the best. There are cheaper and more supportive braces, there are cheaper and more compressive braces. But no braces combine the two and still fit in a shoe.
Important Tips:
This is a high durability brace for everyday use. If you have chronic arthritis or pain with a high need for activity, this is your brace to use! **Gel inside seems to deteriorate after daily washing at about 1 year old**
Affiliate Link (Buying through these links will connect you to Amazon):
Best Heel & Ankle Compression Braces:
Budget Brace With Some Compression & Some Support.
POWERLIX Ankle Orthopedic Brace Compression Support Sleeve (Pair) for Swelling, Sprain, Plantar Fasciitis, Arthritis, Tendinitis
Price:
$21.49
Overview:
This brace attempts mild compression and mild support.
Pros:
Good rating at 4.3 with 2,000 reviews. It is cost effective and gives some support with some compression. Does both ok, but excellent when price is factored in.
Cons:
Does not really do anything well. Weak support and not the best compression. Meant as an assist for chronic pain and low activity. Not for an acute injury.
Important Tips:
This is mean for lower activity and better fit than a true supportive brace. Don’t use this for an acute sprain or injury.
Affiliate Link (Buying through these links will connect you to Amazon):

5)Topical anti-inflammatories or analgesics:

  • There are anti-inflammatory creams that can be prescribed by your podiatrist that can decrease the inflammation and speed up your healing time.
  • Over-the-counter include Capsaicin.
  • Voltaren or any diclofenac gel works great.
  • Biofreeze or anything with menthol in it.

Best Foot & Ankle Muscle/Ligament 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, Arthritis Pain Reliver, Knee & Lower Back Pain Relief, Sore Muscle Relief, Neck Pain Relief, Pharmacist Recommended, FSA Eligible, 3 Pack (4 FL OZ Biofreeze Menthol Gel)
Biofreeze Pain Relief Roll-On, 3 oz. Roll-On, Fast Acting, Long Lasting, & Powerful Topical Pain Reliever, Pack of 3 (Packaging May Vary)
Biofreeze Menthol Pain Relieving Gel 1 Gallon Bottle With Pump Topical Pain Relief For Sore Muscles, Arthritis, Backache, And Joint Pain, Original Green Formula, (Packaging May Vary)
HEMPACTIV Joint & Muscle Relief Cream, Infused with Hemp, Menthol, MSM & Arnica, Soothe Discomfort in Your Back, Muscles, Joints, Neck, Shoulder, Knee, Nerves - 2 Fl Oz
Price:
$34.95
$29.95
$175.00
$19.99
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.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
Best & Proven Pain Relieving Gel.
Biofreeze Pain Relief Gel, Arthritis Pain Reliver, Knee & Lower Back Pain Relief, Sore Muscle Relief, Neck Pain Relief, Pharmacist Recommended, FSA Eligible, 3 Pack (4 FL OZ Biofreeze Menthol Gel)
Price:
$34.95
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**
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
Roll On Version of Biofreeze Gel.
Biofreeze Pain Relief Roll-On, 3 oz. Roll-On, Fast Acting, Long Lasting, & Powerful Topical Pain Reliever, Pack of 3 (Packaging May Vary)
Price:
$29.95
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.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
A giant container of value size biofreeze.
Biofreeze Menthol Pain Relieving Gel 1 Gallon Bottle With Pump Topical Pain Relief For Sore Muscles, Arthritis, Backache, And Joint Pain, Original Green Formula, (Packaging May Vary)
Price:
$175.00
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!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
Menthol Based Ointment with Hemp Extract
HEMPACTIV Joint & Muscle Relief Cream, Infused with Hemp, Menthol, MSM & Arnica, Soothe Discomfort in Your Back, Muscles, Joints, Neck, Shoulder, Knee, Nerves - 2 Fl Oz
Price:
$19.99
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.
Affiliate Link (Buying through these links will connect you to Amazon):

6)Oral NSAIDs:

  • These include Ibuprofen & aspirin.
  • This can be over the counter or prescription.
  • Do not take these unless instructed to do so by your physician or podiatrist.
  • Take a 1-2 week course to decrease inflammation and speed up your healing time.
  • Take 2-3x doses per day as instructed. This builds up anti-inflammatory enzyme levels in your system.
  • Taking just 1-2 pills and then stopping does nothing for inflammation!

7)Get Good Shoes:

  • Use a Brannock device to fit your shoes properly.
  • Make sure your toe and pinky toes fit properly.
  • Make sure it is a rigid soled shoe (that does not twist very easily).
  • Fit your shoes at night when they are the most swollen.
Best Podiatrist Recommended Shoes
Best Podiatrist Recommended Shoes

 8) OTC Orthotics:

  • Some biomechanical abnormality is causing this strain in the first place.
  • If your foot is off balance, there is abnormal tension in your peroneus longus muscle.
  • An orthotic can counteract this abnormal biomechanical positioning.
  • This will prevent excess strain on your peroneus longus tendon.

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)
Best Women’s Orthotics
PowerStep Original Insoles - Arch Pain Relief Orthotics for Tight Shoes - Foot Support for Plantar Fasciitis, Mild Pronation and Foot & Arch Pain - Shoe Inserts for All (M 8-8.5, F 10-10.5)
Powerstep Pinnacle Maxx Orthotic Insoles - Orthotics for Overpronation with Maximum Stability & Comfort - Firm + Flexible Angled Heel Style to Help Flat Feet - Heavy Duty Inserts (M 10-10.5, F 12)
[New 2024] Orthotic Work Insoles - Work Boot Insoles for Standing All Day - Anti Fatigue Medium Arch Support Shoe Insoles Men Women Insert for Plantar Fasciitis Flat Feet Leg Feet Pain Relief Size XL
Superfeet All-Purpose Women's High Impact Support Insoles (Berry) - Trim-To-Fit Orthotic Arch Support Inserts for Women's Running Shoes - Professional Grade - Size 8.5-10 Women
Price:
$42.46
$47.66
Price not available
$59.95
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.
Great Support & Better Fit
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.
Sleek, supportive and have a better fit than the orthotics above.
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.
A little bit more expensive.
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.
These will have a harder time fitting in flats and pointed shoes.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Overall Orthotic For Everything (Medium Thick Fit)
PowerStep Original Insoles - Arch Pain Relief Orthotics for Tight Shoes - Foot Support for Plantar Fasciitis, Mild Pronation and Foot & Arch Pain - Shoe Inserts for All (M 8-8.5, F 10-10.5)
Price:
$42.46
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!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Heavy Duty Orthotic (Thickest Fit)
Powerstep Pinnacle Maxx Orthotic Insoles - Orthotics for Overpronation with Maximum Stability & Comfort - Firm + Flexible Angled Heel Style to Help Flat Feet - Heavy Duty Inserts (M 10-10.5, F 12)
Price:
$47.66
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!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Medium to Heavy Duty Heel Pain Orthotics:
Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)
[New 2024] Orthotic Work Insoles - Work Boot Insoles for Standing All Day - Anti Fatigue Medium Arch Support Shoe Insoles Men Women Insert for Plantar Fasciitis Flat Feet Leg Feet Pain Relief Size XL
Price:
Price not available
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.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Women’s Orthotics
Superfeet All-Purpose Women's High Impact Support Insoles (Berry) - Trim-To-Fit Orthotic Arch Support Inserts for Women's Running Shoes - Professional Grade - Size 8.5-10 Women
Price:
$59.95
Overview:
Great Support & Better Fit
Pros:
Sleek, supportive and have a better fit than the orthotics above.
Cons:
A little bit more expensive.
Crucial Tips:
These will have a harder time fitting in flats and pointed shoes.
Affiliate Link (Buying through these links will connect you to Amazon):

Best Flat Shoe (Non-Lace Up) Orthotics:
Best Choice For Tight Women’s Shoes or High Heels..
Powerstep SlenderFit Fashion Orthotic-W
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.
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Best Flat Shoe (Non-Lace Up) Orthotics:
Best Choice For Tight Women’s Shoes or High Heels..
Powerstep SlenderFit Fashion Orthotic-W
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.
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Best Dress Shoe Orthotics:
Best Fitting Dress Shoe Orthotic (3/4″)
Best Full Length Dress Orthotic.
Great Heavy Duty Insole for Men
Powerstep Signature Dress 3/4-Length Insoles – Dress Shoe Insoles for Men and Women
Powerstep Signature Dress Full-Length Insoles for Men and Women
Superfeet Casual Men's Easyfit Insoles - Comfort Shoe Inserts for Men - Anti-Fatigue Orthotic Insoles for Dress Shoes - Professional Grade - Size 7.5-9 Men
Price:
Price not available
Price not available
$34.95
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.
Great price and heavy duty insole for Oxford 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.
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.
These fit in most shoes and have really good predictable results
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.
They are not full length and thus do not provide as much support
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.
Get these for Oxford and pointed shoes. This will provide best results.
Affiliate Link (Buying through these links will connect you to Amazon):
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.
Affiliate Link (Buying through these links will connect you to Amazon):
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.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Dress Shoe Orthotics:
Great Heavy Duty Insole for Men
Superfeet Casual Men's Easyfit Insoles - Comfort Shoe Inserts for Men - Anti-Fatigue Orthotic Insoles for Dress Shoes - Professional Grade - Size 7.5-9 Men
Price:
$34.95
Overview:
Great price and heavy duty insole for Oxford shoes.
Pros:
These fit in most shoes and have really good predictable results
Cons:
They are not full length and thus do not provide as much support
Crucial Tips:
Get these for Oxford and pointed shoes. This will provide best results.
Affiliate Link (Buying through these links will connect you to Amazon):

9)Physical Therapy:

  •  There is a great deal of scientific evidence showing that this will greatly improve healing time.

10) Podiatrist:

A podiatrist can assess your biomechanical abnormalities & get to the root of the problem!

Muscle & Tendon Pain:

Best Podiatrist Recommended Shoes
Best Podiatrist Recommended Shoes