“Give a girl the right shoes, and she can conquer the world.” True enough, but Marilyn Monroe probably wasn’t thinking about bunions and plantar fasciitis when she delivered her famous line.
Choosing the right shoe becomes more important and more difficult as we age, thanks to the fact that older feet are more likely to have issues.
Plantar fasciitis, a common cause of heel pain, is usually diagnosed in people aged 40 to 60. An estimated 1 in 3 people over age 65 have bunions, the majority of them women. A 2023 survey found that 68 percent of Americans have purchased shoes specifically because of pain or a health issue.
Whether you currently have foot problems or not, the shoes you wear matter, and more people are starting to realize it. “Shoes are our first line of support against life and the ground and hard surfaces,” says Dr. Brad Schaeffer, DPM, a foot and ankle surgeon with Central Park SOLE. Shoe recommendations from podiatrists have become so common that many athletic shoe manufacturers now include them on their websites.
If you’ve been shoe shopping lately, you may realize why so many people feel like they need a prescription for footwear. The selection is vast, and the technology advances faster than Apple puts out new iPhones. It’s easy to get lost in terms like stack height, EVA and nitrogen-infused midsole.
The most important thing, according to Dr. Schaeffer, is making sure you have an appropriate level of support and stability. This varies from person to person, depending on individual biomechanics, gait and other factors, but you want to strike a balance between cushion and rigidity. In other words, a shoe can feel soft but should also feel supportive — you don’t want your foot to slide around a lot inside. He also recommends orthotic inserts, such as these by Dr. Scholl’s.
Dr. Schaeffer says it's important to match the shoes you wear with the activity you’re participating in. Shoes have become so specialized that there is a big difference between one designed for hiking trails, which has more ankle support, and one designed for running, which will be lightweight and have more breathable fabric.
After consulting experts and testing dozens of brands and shoes, these are our top picks for any activity or condition.
Best for walking or standing
If you’ve noticed sneaker soles getting taller, it’s a thing. Manufacturers are packing in more cushioning, often curving the sole into what is known as a “rocker sole,” which Dr. Schaeffer says mimics a foot’s natural curve and offloads the pressure of your heels and toes striking the pavement. This can be great for people who are on their feet all day.
Our tester liked the more subtle version of a rocker heel on this shoe, which relieves pressure, and the generous cushion.
$140, Saucony Guide
Best for running