Choosing running shoes with forefoot pain
Pain under the ball of the foot usually responds to offloading: a thick forefoot, an early rocker that rolls you off the forefoot sooner (the same idea as a medical rocker sole), a stiff forefoot so pressure is spread, and a roomy toe box so the forefoot is not squeezed.
What loads it
The metatarsal heads carry most of the body weight in late stance. Thin or flexible forefoots, narrow toe boxes that squeeze the bones together and running on the toes concentrate that pressure.
Nerve irritation between the toes (Morton's neuroma) is made worse by squeezing from the sides.
What to look for in a shoe
- A thick forefoot
- More midsole under the ball of the foot lowers peak pressure.
- An early rocker
- The foot spends less time loaded on the metatarsal heads before rolling off.
- A stiff forefoot
- Spreads pressure along the sole instead of concentrating it where the shoe bends.
- A roomy toe box and wide forefoot base
- Room inside the shoe matters for nerve pain; a wide base spreads load.
What to be careful with
- Narrow, pointed toe boxes and tight lacing over the forefoot.
- Thin racing flats and spikes; forefoot-striking drills.
Terrain
- Best
- Road and treadmill in a cushioned, rockered shoe; smooth trails.
- Be careful with
- Uphills (you load the forefoot more) and stony trails that press into the sole.
- Trail
- Choose a trail shoe with a rock plate and decent forefoot stack.
Changing shoes
Change one thing at a time and do it gradually: start with short, easy runs in the new shoe and keep the old pair in rotation for a few weeks. A shoe that feels right in the first few runs is a better guide than any number on this page.
Current shoes with these characteristics
Required: forefoot 30 mm or more (forefoot stack ≥ 30 mm). Ranked by how many of these also hold: earlier rocker (rocker apex ≤ 65.2 % of length (median of measured shoes)); stiffer forefoot (stiffness score ≥ 50/100); roomier toe box (toe box width ≥ 72.4 mm (median of measured shoes)); wider forefoot base (forefoot base width ≥ 117.1 mm (median of measured shoes)); everyday trainer (daily trainer, max cushion, stability or trail shoe (not racing or tempo)). Medians are over the shoes measured on this site. Only the latest version of each model is listed, and shoes without a value for a characteristic are not counted as matching it.
Road
| Shoe | Why it is listed | Drop | Heel | Forefoot | Apex | Toe tip | Stiffness |
|---|---|---|---|---|---|---|---|
| ASICS Gel-Kayano 33 |
| 8 mmStated | 41 mmMeasured | 33 mmMeasured | 65 %est. | 40 mmest. | 62Derived |
| ASICS Gel-Nimbus 28 |
| 8 mmStated | 44 mmStated | 36 mmStated | 66.4 %est. | 45 mmest. | 80Derived |
| ASICS GlideRide Max 2 |
| 6 mmStated | 46 mmStated | 40 mmStated | 62.7 %est. | 47 mm*est. | 50Derived |
| Brooks Ghost Max 4 |
| 6 mmStated | 39 mmStated | 34 mmStated | 59.8 %est. | 44 mmest. | 64Derived |
| Brooks Glycerin Max 2 |
| 6 mmStated | 45 mmStated | 39 mmStated | 68.1 %est. | 46 mmest. | 73Derived |
| Hoka Gaviota 6 |
| 6 mmStated | 39 mmStated | 33 mmStated | 65.6 %est. | 39 mmest. | 58Derived |
| Mizuno Wave Rider 30 |
| 8 mmStated | 43 mmStated | 35 mmStated | 71.8 %est. | 39 mmest. | 54Derived |
| Nike Structure Plus |
| 10 mmStated | 42 mmStated | 32 mmStated | 67 %est. | 33 mmest. | 60Derived |
| Saucony Ride 19 |
| 8 mmStated | 38 mmStated | 30 mmStated | 66.3 %est. | 37 mmest. | 58Derived |
| Adidas Adizero Adios Pro 4 |
| 6 mmStated | 39 mmStated | 33 mmStated | 63.9 %est. | 46 mmest. | 78Derived |
Showing the top 10 of 57 matching road shoes.
Trail
| Shoe | Why it is listed | Drop | Heel | Forefoot | Apex | Toe tip | Stiffness |
|---|---|---|---|---|---|---|---|
| ASICS METAFUJI Trail 2 |
| 5 mmDerived | 42 mmStated | 37 mmStated | 60.6 %est. | 54 mmest. | 70Derived |
| Brooks Cascadia 20 |
| 6 mmDerived | 38 mmStated | 33 mmStated | 63.3 %est. | 43 mmest. | 53Derived |
| Hoka Mafate 5 |
| 8 mmDerived | 44 mmStated | 36 mmStated | 61.5 %est. | 44 mmest. | 48Derived |
| New Balance Fresh Foam X Hierro v9 |
| 4 mmStated | 42 mmStated | 38 mmStated | 60.7 %est. | 44 mmest. | 54Derived |
| Adidas Terrex Agravic Speed Ultra 2 |
| 8 mmStated | 38 mmStated | 30 mmStated | 58.5 %est. | 56 mmest. | 33Derived |
| Hoka Speedgoat 7 |
| 4 mmDerived | 37 mmStated | 33 mmStated | 58.8 %est. | 42 mmest. | 34Derived |
| Salomon Ultra Glide 4 |
| 6 mmDerived | 41 mmStated | 36 mmStated | 61 %est. | 38 mmest. | 62Derived |
| Hoka Tecton X 4 |
| 5 mmDerived | 38 mmStated | 34 mmStated | 62.6 %est. | 41 mmest. | — |
| Saucony Xodus Ultra 4 |
| 6 mmStated | 38 mmStated | 32 mmStated | 63.1 %est. | 45 mmest. | 38Derived |
| Nike ACG Zegama |
| 4 mmDerived | 38 mmStated | 34 mmStated | 65.5 %est. | 34 mmest. | — |
| Topo Athletic Ultraventure 5 |
| 5 mmDerived | 35 mmStated | 30 mmStated | 65.9 %est. | 35 mmest. | — |
Questions
- Do I need a wide-fit shoe?
- If the pain is between the toes, room inside the shoe often matters most. The toe box width on each shoe page is measured inside the shoe.
Other guides
Measurements are explained on the Learn pages and in the methodology.