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Best Walking Shoes for Perimenopause: Key Features to Look For

Joint pain and foot changes are common in perimenopause. Choosing the right walking shoes can prevent injury and make daily movement feel far more comfortable.

4 min readFebruary 28, 2026

How Perimenopause Affects Your Feet and Joints

Many women notice that their feet change in perimenopause. Declining estrogen reduces the collagen in tendons and ligaments, which can cause arches to flatten slightly, feet to widen, and previously comfortable shoes to start causing pain. Joints throughout the body, including ankles, knees, and hips, can become more vulnerable to impact. This makes shoe choice genuinely important rather than just a comfort preference. A good walking shoe can absorb impact, support your gait, and reduce fatigue during everyday movement.

Cushioning and Shock Absorption

Adequate cushioning is one of the most important features to look for, particularly in the heel and forefoot. Midsole foam that returns energy while absorbing impact reduces the stress transmitted to joints with every step. Women with joint pain often find that shoes with a thick, responsive midsole make a meaningful difference to how their knees and hips feel after longer walks. Look for EVA or PEBA foam midsoles in the technical specification, as these tend to offer the best balance of cushioning and durability.

Width, Toe Box, and Arch Support

As feet widen with age and hormonal changes, a narrow toe box becomes increasingly uncomfortable and can contribute to bunions, hammer toes, and forefoot pain. Look for shoes described as 'wide fit' or with a generous toe box that allows your toes to splay naturally. Arch support matters too. Neutral shoes suit those with normal arches, motion control or stability shoes help those who overpronate (feet roll inward), and neutral, well-cushioned shoes often work for high arches. If you are unsure of your foot type, a good running shop will assess this as part of a gait analysis, usually free of charge.

Grip, Stability, and Sole Durability

A grippy outsole reduces the risk of slipping on wet pavements, grass, or uneven terrain. Rubber soles with a defined tread pattern offer the best all-weather grip. For walking on harder urban surfaces, a flatter, smoother tread wears more slowly. Heel counter stiffness, the back of the shoe that wraps around your heel, affects stability. A firmer heel counter prevents the foot from rolling and provides a secure, supportive fit. Avoid shoes where the heel counter collapses easily when you press it with your thumb.

Getting the Right Fit

Feet are generally at their largest in the afternoon due to natural swelling. Try on new walking shoes later in the day and wear the socks you plan to use. There should be roughly a thumb's width of space between your longest toe and the end of the shoe. The shoe should feel snug but not tight across the widest part of your foot, and your heel should not slip. Walk around the shop for several minutes. Comfort at the time of purchase is a far better indicator than breaking shoes in over painful weeks.

Replacing Shoes Before They Fail

Most walking shoes lose meaningful cushioning after 500 to 800 kilometres, even if they still look intact. If you are walking daily, that can mean replacing shoes every six to twelve months. Increased knee or hip discomfort on familiar routes is often the first sign that your shoes have compressed beyond usefulness. Keeping track of your walking habits, including distance and frequency, in an app like PeriPlan can help you time replacements sensibly rather than waiting for obvious pain to prompt action.

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Medical disclaimerThis content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. PeriPlan is not a substitute for professional medical advice. If you are experiencing severe or concerning symptoms, please contact your doctor or emergency services immediately.

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