Gout occurs in 3.9 percent of the American population. It’s caused by a build-up of uric acid crystals in the blood, and symptoms usually appear in the metatarsal area of the foot first.
It can be extremely painful, so if this is something you struggle with you should consider getting the best shoes for gout.
The Saucony Echelon 8 is our top pick. It has a spacious toe box, a light but cushioned PWRRUN footbed, and a flexible TRI-FLEX outsole.
If gout is plaguing you, buying one of the shoes on this list can help relieve your pain. Let’s have a look at our favorite shoes for gout!
Top 3 Best and Favorite
Saucony Echelon 8
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Brooks Addiction 14
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Hoka One One Gaviota 3
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1. Saucony Echelon 8
The Saucony Echelon 8 is an ideal shoe for someone suffering from gout.
It has a comfortable, spacious engineered mesh toe box that reduces pressure points on your joints. Ideal to help relieve the pain of gout.
The platform is wide and stable, so your feet shouldn’t be chafing when you walk or run. The heel-to-toe drop is 8mm, which is not too high or low and is comfortable for most people. A high to midsize drop (like the Echelon) helps to reduce the amount of pressure on your forefoot, which can help relieve symptoms.
The mesh upper is airy and uses FORMFIT technology to create a comfortable fit around your foot. Flat laces reduce any pressure on the top of the foot.
Underneath your feet is a Foundation Platform sockliner that is orthotic-friendly and feels soft and plush. A PWRRUN midsole keeps your feet comfortable with soft cushioning while keeping the shoe fairly lightweight.
The 3D heel counter stops your foot from moving around too much and creating chafing or pressure. It also keeps the foot in alignment so that the pressure of every step is evenly distributed throughout the foot.
The TRI-FLEX outsole promotes natural foot movement and helps to disperse the shock of landing evenly across the foot. It is flexible and offers good traction on a variety of surfaces.
Some may find these shoes to be a little heavy, at 11 ounces.
- Spacious toe box
- FORMFIT mesh upper
- 3D heel counter
- PWRRUN midsole cushioning
- Some may find these shoes to be heavy on their feet
Most Supportive Shoe
2. Brooks Addiction 14
The Brooks Addiction 14 is a stability shoe, so if you’re an overpronator who needs a shoe that will alleviate pain from gout, this is an ideal choice.
The fine-engineered mesh upper is breathable and form-fitting. It also features synthetic overlays in the mid and rearfoot for extra stability.
A spacious toe box lets toes splay comfortably and helps to reduce the chances of inflammation due to pressure. It has a 12mm drop, which may place some pressure on the forefoot but the generous BioMoGo DNA cushioning in the midsole helps to reduce any forefoot pain.
The Extended Progressive Diagonal Rollbar keeps pronation under control as you walk.
On the outer sole, HPR Plus rubber delivers good traction thanks to its tread pattern. It’s also highly durable. The outsole also features flex grooves which promote natural flexibility as the foot moves.
In addition to the regular flex grooves, it also has a Segmented Crash Pad. This is a set of flex grooves that are deeper than the others and reach into the midsole. They do a great job keep the shoes flexible.
Some wearers may find that this shoe feels heavy on their feet as it weighs 12 ounces per shoe—men’s—and almost 10 ounces for the women’s.
- BioMoGo DNA midsole cushioning
- Extended Progressive Diagonal Rollbar
- Heel Segmented Crash Pad
- Padded tongue and collar
- At 12 ounces, this shoe may feel heavy for some
3. Hoka One One Gaviota 3
Individuals who need a lot of cushioning would benefit from choosing a Hoka One One shoe.
The Gaviota is a stability shoe that’s created to help with overpronation. That being said, even neutral runners should find the shoe comfortable thanks to its plush cushioning.
If breathability is a concern, these shoes are less breathable due to the extreme padding. They’re not only cushioned underneath, but there’s a generously cushioned ankle collar and a tongue that’s 10mm thick, which is nearly double other shoes. This is comfortable but sacrifices airflow a bit.
The Gaviota is also a fairly wide shoe, which allows those suffering from gout plenty of space to splay their toes. The traditional lacing system provides a good fit, but the H-Frame design may be difficult for some to work with.
The midsole is made from a single piece of RMAT EVA foam. It has a 5mm heel-to-toe drop, which is ideal to prevent added pressure on the forefoot. A J-Frame made of dense rubber provides support for overpronators.
There’s also a late-stage meta-rocker in the midsole, with the fulcrum being immediately after the metatarsal heads. These shoes are designed with flat-waisted geometry, which means the shoe has a straight last. This is more stable than a curved last.
- Dual-density RMAT midsole
- J-Frame construction
- Wide, stable base
- Late stage Meta-Rocker
- These shoes may be less breathable than others due to heavy padding
4. Nike React Miler 2
The Nike React Miler weighs just over 10 ounces. Much of that is in the outsole cushion, but it remains fairly light for the amount of cushioning it contains. The upper has also been redesigned to lower the weight.
Light engineered mesh offers good ventilation and has a toe guard section to protect against bumps and abrasion. Synthetic “fit bands” at the midfoot provide extra support around the midfoot when you tighten your laces.
To keep the foot stable in the shoe and prevent unnecessary movement that could aggravate gout, a TPU heel clip supports the foot and locks it in. This is further supported by the plush ankle collar and tongue. A wide forefoot also provides more stability and comfort.
In the midsole, Nike React foam offers a stiff rather than soft feeling. It’s durable and stable thanks to the larger stack height. Individuals who will be running in this shoe can expect a pleasant amount of responsiveness, which is complemented by a rocker midsole.
High-abrasion rubber is placed in strategic areas of the outsole for the best traction. These shoes run small, so you may need to order a size up from your usual size.
- Lightweight mesh upper
- Full-length Nike React midsole cushioning
- Stiff TPU heel clip
- Rocker midsole geometry
- These shoes run small and you may need to order a size up
Top Wide Toe Box
5. Altra Paradigm 5
Gout often affects the joint of the big toe first and the other metatarsals next. A shoe with a wide toe box is important to prevent aggravation of these joints.
The Altra Paradigm features a FootShape toe box, which guides the foot into a natural position and prevents pressure hotspots.
It’s a stability shoe but has been specifically designed to provide support only when the user needs it. That means neutral runners should be able to wear this shoe just as comfortably as overpronators.
The shoe uses a GuideRail system that utilizes StabiliPod technology underfoot to guide the foot into a natural and aligned gait. It does so by providing three separate stability zones in the shoe to prevent arch collapse.
It also has a zero drop, which lessens the pressure on the forefoot quite significantly. The 30mm Altra EGO midsole is soft but still responsive, providing comfort and good energy return. This shoe is great for walking or running.
These shoes have been awarded the APMA Seal of Acceptance, which is only granted to footwear that the American Podiatric Medical Association finds to promote good foot health.
If you wear custom orthotics, they may not fit very well into these shoes because they are a little shallow. They also run small, so you may need to order a size up.
- Wide FootShape toe box
- StabiliPod technology
- GuideRail system
- Altra EGO midsole cushioning
- These shoes run slightly small so you may need to order a size up
6. Mizuno Wave Horizon 5
The Mizuno Wave Horizon 5 is a light stability shoe that’s effective for mild overpronation. Because the stability feature is subtle, it should be comfortable for people who don’t overpronate too.
The upper—which includes a roomy and comfortable toe box—is made from jacquard mesh and has been redesigned to offer both breathability and a good foot lockdown. Midfoot overlays provide structural support and help create a snug fit when the laces are tied.
Mizuno Enerzy Foam in the midsole offers more bounce than the previous EVA technologies. It consists of U4icX foam and a U4icX Strobel board for comfort and softness underfoot.
It also features Mizuno’s Foam Support Wave, which is a specially-designed foam shape to provide the most optimal comfort for your feet.
The X10 outsole is made of carbon rubber that’s long-lasting and delivers excellent grip.
These shoes run a half-size smaller so you may need to order a half-size up from your regular size.
- Mizuno Enerzy midsole cushioning
- Foam Support Wave
- Jacquard mesh upper
- Carbon rubber outsole
- These shoes run a half-size smaller
Best For Plush Support
7. Saucony Hurricane 23
If you want a shoe that offers plush comfort as well as light support, the Saucony Hurricane is an excellent choice.
Saucony shoes are designed with a wide toe box that allows plenty of space for a natural toe splay. This can reduce pressure on problem areas for those who suffer from gout. The 8mm heel drop also reduces the amount of pressure that’s placed on the forefoot bones.
In addition to the comfortable forefoot space, the PWRRUN+ cushioning feels luxuriously soft without eliminating the spring in your step. The shoe is made even more comfortable by the plush ankle collar—helpful for those suffering from gout in the ankles—suede tongue and breathable mesh upper.
In the midfoot, an underfoot TPU guidance frame offers structural support which works with the upper to create a snug fit on your foot. The crystal rubber outsole keeps you stable on any surface.
These shoes run a half-size too big so you may need to order a half-size smaller.
- PWRRUN+ cushioning
- Supportive guidance frame
- Breathable mesh upper
- Durable, crystal rubber outsole
- These shoes run half a size too big
Top Men’s Dress Shoes
8. OrthoFeet Gramercy
If you suffer from gout, wearing dress shoes can be extremely uncomfortable. But the Orthofeet Gramercy is designed to keep your feet comfortable and pain-free even when the occasion calls for smarter shoes.
They are available in medium, wide, and extra wide so you can find the right width for your foot. Individuals suffering from gout in their big toes specifically may appreciate the choice of widths.
The leather upper provides structural support and looks professional. A lace-up closure allows makes it easy to get a custom fit. All linings are seam-free to prevent chafing and possibly aggravating sore spots.
Underneath your feet, there are multiple layers of shock-absorbing padding. The Ortho-Step insole is anatomically designed to provide support and comfort. Underneath that there are two “spacers”—1/16 and ⅛-inch thick). These can be removed to add a custom orthotic.
You can also purchase a separate Arch Booster if the arch support in this shoe isn’t enough.
Finally, the Ergonomic-Stride outsole is lightweight so you can move your feet with ease. It mitigates shock and provides good grip on slippery surfaces.
In the heel, a plastic heat-molded heel counter keeps the foot properly aligned. The merchant has specified that the heat-molding should be done by a qualified cobbler.
- Leather upper
- Seam-free lining
- Heat moldable heel counter
- The merchant recommends getting the heel counter molded by a cobbler
Runner-up Men’s Dress Shoes
9. Skechers GOwalk Arch Fit Togpath
The GOwalk Arch Fit is a slightly more casual shoe but still looks smart enough to wear for events. It’s also available in a variety of colors.
It’s a great choice for those suffering from gout, as it has an easy Stretch Fit slip-on design with a comfortable toe box. The upper is soft and flexible to allow for swollen toes.
ULTRA GO cushioning provides a stable but soft platform from heel to forefoot. It’s paired with an air-cooled Goga Max insole that provides an extra layer of cushion to protect your joints.
For better rebound, Comfort Pillar Technology has been integrated into the shoe’s midsole. The dual-density rubber outsole also helps you stay safe on all terrains.
They run a half-size small, so you may need to choose a half-size larger when buying to get a snug fit.
- Stretch Fit slip-on design
- Soft, ULTRA GO cushioning
- Comfort Pillar Technology
- Dual-density traction outsole
- These shoes tend to run half a size small
Top Women’s Dress Shoes
10. OrthoFeet Wichita
These shoes are smart and warm, so they’re ideal for winter wearing.
They feature a soft, stretchy upper made of synthetic material and Spandex for elastic quality. It also comes with a hook-and-loop strap to takes these shoes on and off easily. This is ideal for swollen feet due to gout.
A wide toe box removes pressure from possible problem joints. There’s enough space in the shoe to accommodate an orthotic, thanks to the unique spacing system. There are two spacers—2mm and 3mm thick—which can be removed to find a perfect fit for your feet.
The upper, tongue and collar are also extra padded for protection and comfort. A deep heel cup keeps the foot from moving in the shoe and possibly causing pain by bumping sore joints.
The anatomical insole features arch support. If it’s not enough, a custom orthotic can be inserted. The ergonomic outsole and midsole are one unit, made of polyurethane foam, which offers excellent shock absorption and good traction.
- Synthetic leather and spandex upper
- Adjustable space in the shoe
- Hook-and-loop strap
- Ergonomic soles
- Individuals with high arches may not find enough support in this insole
Runner-up Women’s Dress Shoes
11. Gravity Defyer G-Defy Compass 2.0
These are the ideal shoes for work, as they look smart but offer a variety of features that help to relieve the pain of gout. The full-grain leather upper is soft enough to be comfortable while providing support at the same time.
The toe box is spacious and removes pressure on gout-ridden areas. Elasticized gussets on the upper are great for slipping the shoes on and off without struggling.
The midsole incorporates Hybrid VersoShock Technology. It’s a combination of VersoShock technology—designed to relieve pain—and shock-absorbing VersoCloud spring cell foam.
It also has a pronounced rocker sole that reduces stress on the feet by propelling you forward more easily. The outsoles are certified slip-resistant, keeping you safe on any surface. The insoles are removable and your purchase includes a free podiatrist-grade orthotic.
- Soft, full-grain leather upper
- VersoCloud spring cell sole
- Elasticized gussets
- Removable insoles
- May not be suitable for those with narrow feet
What is gout?
Gout is a metabolic disorder—and a type of arthritis—in which the joints become inflamed and painful due to a build-up of crystallized uric acid in the joints and soft tissues.
Gout symptoms in the feet
Gout usually shows up in the feet first. Look out for the following symptoms:
- Pain in a joint or soft tissue
- Tenderness to the touch
- Inflammation or swelling
- Sensations of cold or heat
- Redness around the site
- A reduced range of motion
Key shoe features for gout sufferers
Wide toe boxes
Gout usually begins in the toes, so a wide toe box is important. It allows the toes to splay naturally and gives extra room for any swelling that may occur. It also prevents any pressure points on sore joints.
The outsoles should contain some technology that helps to propel you forward. This reduces stress on the feet which can help to alleviate pain. A rocker sole, flex grooves, or guidance technology are all good options.
Choosing the proper arch support for your feet will ensure that your body weight is evenly dispersed so there is no extra pressure on one side that could aggravate gout symptoms.
Cushioned footbeds will keep the feet comfortable whether walking or running. They absorb shock that could have a detrimental effect on the feet and joints.
Stretchy uppers are also important so that they can stretch with the foot to accommodate swelling. They should also be soft against the skin to be comfortable.
Extra padding under forefoot areas
The forefoot—metatarsals—are often the most affected by gout. Extra padding in the forefoot can help to protect these areas.
Safe, sturdy outsoles will keep you safe on all terrain and prevent slipping that could hurt swollen areas. Breathability is also important, as heat build-up can make your inflamed joints feel worse.
Heel locks and heel cups help to keep the feet stable in the shoe and prevent the toes from hitting the front of the toe box. If there is gout in the heel, extra cushion—possibly gel cushion—in the heel is necessary.
Adjustable straps may be necessary for those who often experience swelling of the feet. Individuals who suffer from gout in the ankles should look for padded ankle collars.