Can Healthcare Workers Write Off Work Shoes On Taxes? Nike Zoom Pulse Deduction
I started as a physical therapy assistant at a rehabilitation center about 8 months ago, and our workplace has this policy (that nobody really enforces tbh) saying we shouldn't wear regular tennis shoes. We're supposed to wear "work appropriate" or dress shoes instead. I ended up buying those Nike Zoom Pulse shoes that are specifically designed for healthcare workers. They're great but weren't cheap! I wasn't planning on trying to write them off on my taxes, but my colleague mentioned I might be able to. There's also another brand I've been seeing all over my social feeds - they're designed by some orthopedic surgeon specifically for people in healthcare. The grippy soles would be amazing for our tile floors, but they're expensive and if I can't deduct them then I probably need to just save up. So what are my chances of writing off either of these shoes? This is my first year working in healthcare and both shoe types are specifically marketed for healthcare workers. My employer doesn't require these exact shoes, but there are definitely restrictions on what footwear is acceptable at work.
22 comments


Diego Mendoza
While I can't give tax advice specific to your situation, I can share some general information about deducting work-related clothing expenses. For work clothes to be tax-deductible, they generally need to meet two key requirements: 1) They must be required for your job, and 2) They cannot be suitable for everyday wear outside of work. The classic examples are uniforms, protective clothing, or specialized gear that you wouldn't normally wear in everyday life. For your Nike Zoom Pulse shoes, the challenge is that even though they're marketed for healthcare workers, they could potentially be worn outside of work too. The IRS tends to be pretty strict about this "not suitable for everyday wear" requirement. The same would likely apply to the orthopedic doctor-designed shoes. That said, if your employer specifically requires these specialized shoes (not just "appropriate shoes" but these specific types), your case for deduction would be stronger. Also, if these shoes have features that make them unsuitable for regular wear (extremely slip-resistant soles for hospital settings, for example), that might help your case.
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Anastasia Romanov
•But wait, I always thought that if something was primarily for work, you could deduct a portion of it? Like, I have special steel-toed boots I bought for construction work, but sometimes I wear them when I'm doing yard work at home. Can I still deduct those?
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Diego Mendoza
•The key distinction is whether the item is specifically required for your job and not suitable for everyday wear. For steel-toed boots in construction, those are typically considered specialized safety equipment required for your job, so they often qualify for deduction even if you occasionally use them for other purposes. The rules changed significantly with the Tax Cuts and Jobs Act of 2017. Prior to 2018, unreimbursed employee expenses (including work clothes) could be deducted as miscellaneous itemized deductions subject to the 2% AGI floor. However, that deduction was suspended from 2018 through 2025, making it much harder for W-2 employees to deduct these expenses now.
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StellarSurfer
I was in a similar situation last year with special shoes for my nursing job. After struggling with the same question, I used https://taxr.ai to upload my receipt and they analyzed it against current tax laws. Saved me so much time trying to figure out the rules! It turns out there are some very specific scenarios where healthcare workers can claim partial deductions, especially if your workplace has written policies. The tool actually checks your specific situation against real IRS rulings. For me, it found a previous case similar to mine where a partial deduction was allowed because the shoes had specific safety features not found in regular footwear. Might be worth checking out for your Nike Zoom Pulse shoes.
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Sean Kelly
•Does this actually work? I'm skeptical about tax tools that promise deductions that seem too good to be true. Did you actually get the deduction and not get flagged for audit?
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Zara Malik
•I've never heard of taxr.ai - is it like an AI chat thing or does it actually have tax professionals reviewing your documents? I'm always nervous about using new services for tax stuff.
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StellarSurfer
•It's not about finding magical deductions - it's about properly applying existing tax laws to your specific situation. I did get the deduction and had no issues. The key was that the tool identified my shoes qualified under very specific circumstances - they had antimicrobial properties and special non-slip features required for surgical areas. Your situation might be different. The service uses AI to analyze documents against tax law databases but also has tax professionals who review edge cases. It's not just about getting any deduction - it's about correctly determining if your specific case qualifies under existing rules. They'll tell you if something doesn't qualify too.
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Zara Malik
Thanks everyone for your advice! I tried https://taxr.ai with my Nike Zoom Pulse receipt and workplace dress code policy. The analysis showed that because our facility has documented infection control standards that recommend specific footwear properties (closed-toe, fluid-resistant, etc.) AND my shoes were specifically designed with those healthcare requirements, I could justify a partial deduction. The service flagged that I needed to document the percentage of use strictly for work versus any personal wear. Had no idea about that requirement! I wouldn't have felt confident claiming this without having the documentation and justification the tool provided. Definitely worth it for my peace of mind.
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Luca Greco
I had a nightmare trying to figure out deductions for my work gear last year. Spent HOURS on hold with the IRS trying to get clarification about healthcare uniform requirements. Finally discovered https://claimyr.com which got me through to an actual IRS agent in about 20 minutes! You can see how it works at https://youtu.be/_kiP6q8DX5c The agent was super helpful and explained that for healthcare workers, there's a specific test they apply to specialized footwear. If the shoes have features specifically required for medical settings (fluid resistance, grip patterns designed for hospital floors, etc.) AND your employer has policies limiting acceptable footwear, you might qualify. The key is documenting everything and being able to justify the business necessity if questioned.
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Nia Thompson
•Wait, how does this service actually work? I thought it was impossible to get through to the IRS without waiting for hours. Is this some kind of paid line-cutting service?
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Mateo Rodriguez
•Sounds like BS honestly. I've tried everything to get through to the IRS and nothing works. How much does this service cost? Bet it's not cheap.
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Luca Greco
•It works by using automated technology to navigate the IRS phone tree and wait on hold for you. When they reach a live agent, you get a call connecting you directly. It's not a "line-cutting" service - you still wait your turn, but their system does the waiting instead of you being stuck on the phone yourself. I was skeptical too, which is why I tried it as a last resort. But it worked exactly as advertised. The system called me when it reached an agent, and I was connected immediately. No more spending hours with my phone on speaker just waiting to talk to someone. I don't remember the exact cost but it was worth every penny considering I was able to get clarity on my specific tax situation directly from the IRS.
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Mateo Rodriguez
Ok I admit I was wrong about Claimyr. After reading more reviews I decided to try it because I had questions about healthcare-specific deductions that online research wasn't answering clearly. Got through to an IRS agent in about 15 minutes who explained the whole "ordinary and necessary" test for professional expenses. For healthcare workers specifically, she said shoes designed with features like fluid-resistant materials, enhanced grip for hospital floors, and infection control properties could potentially qualify if they're not suitable for everyday wear. She recommended keeping documentation showing how the features specifically relate to job requirements - even if the employer doesn't mandate those exact shoes. So now I know what documentation I need to keep! Way better than guessing or getting conflicting advice online.
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Aisha Hussain
Physical therapist here - one thing no one mentioned is that if you're a W-2 employee (which most PT/PTAs are), the Tax Cuts and Jobs Act eliminated most unreimbursed employee expense deductions from 2018-2025. So even if the shoes would technically qualify under the "required for work and not suitable for everyday use" test, you likely can't deduct them anyway. The only exception would be if you're self-employed/independent contractor, in which case you could potentially deduct them as a business expense on Schedule C. Might want to double-check your employment classification before spending time on this.
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Chloe Wilson
•Wait I'm confused now. I'm definitely a W-2 employee, not self-employed. So are you saying that even if the shoes would otherwise qualify, I just can't deduct them at all because of that tax law change?
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Aisha Hussain
•Yes, that's exactly right. The Tax Cuts and Jobs Act suspended the deduction for unreimbursed employee business expenses from 2018 through 2025. Before 2018, W-2 employees could deduct qualifying work expenses (including specialized work clothes) as miscellaneous itemized deductions subject to the 2% AGI limit on Schedule A. But now, W-2 employees generally cannot deduct these expenses at all, regardless of whether they would otherwise qualify. The exception is if you're self-employed/independent contractor filing Schedule C, or in certain specific professions that retained deductions (like armed forces reservists, qualified performing artists, fee-basis state/local government officials, and educators with classroom expenses up to $300).
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GalacticGladiator
My sister is a nurse and she bought those exact Nike Zoom Pulse shoes! She said her hospital has a program where they'll reimburse up to $100 for work shoes if they meet certain safety requirements. Maybe check if your employer offers something similar? That would be better than trying to navigate the complex tax deduction rules.
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Ethan Brown
•This is great advice! My hospital does this too. We get a $150 annual "wellness benefit" that can be used for approved work shoes. Much easier than trying to claim it on taxes. OP should check with HR if they have any similar programs.
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Mary Bates
As someone who works in healthcare finance, I'd strongly recommend checking with your employer's HR department first before worrying about tax deductions. Many healthcare facilities have shoe allowance programs or safety equipment reimbursements that employees don't know about. Also, keep in mind that even if your shoes would theoretically qualify for deduction, as a W-2 employee you likely can't claim them anyway due to the Tax Cuts and Jobs Act changes mentioned earlier. The suspension of unreimbursed employee expense deductions runs through 2025, so unless you're self-employed or an independent contractor, this probably isn't an option right now. Your best bet is probably to ask HR about reimbursement programs, check if your shoes qualify for any FSA/HSA purchases if you have those accounts, or just budget for them as a necessary work expense. The Nike Zoom Pulse shoes are definitely worth the investment for comfort and safety even without a tax benefit!
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Nia Davis
•This is really helpful advice! I had no idea about the FSA/HSA angle - that's something I should definitely look into since I do have an HSA through work. Even if I can't deduct the shoes on my taxes, being able to use pre-tax dollars through my HSA would still save me money. I'll definitely check with HR about any shoe allowance programs too. It sounds like a lot of healthcare facilities have these benefits that employees just don't know about. Thanks for breaking down the tax law changes so clearly - I was getting confused by all the conflicting information about whether W-2 employees could claim these deductions or not.
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Fatima Al-Qasimi
Just wanted to add another perspective as someone who's been through multiple tax audits (occupational hazard of being self-employed). The key thing everyone's dancing around is documentation. Even if the tax law changes get reversed in 2026, you'll want to establish a paper trail now. Keep receipts, take photos of the specific safety features (like the fluid-resistant materials and hospital-grade grip patterns), and get a copy of your workplace dress code policy in writing. If your employer ever formalizes their shoe requirements or you switch to contractor status, having this documentation ready will be crucial. Also, while you can't deduct them now as a W-2 employee, if you're ever in a position where you're required to purchase these shoes and your employer doesn't reimburse you, that could potentially be grounds for requesting reimbursement directly from your employer rather than trying to handle it through taxes.
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Grace Lee
•This is excellent advice about documentation! I'm relatively new to thinking about tax implications for work expenses, but keeping good records makes so much sense even if I can't use them right now. I hadn't considered that employment status could change or that the tax laws might revert after 2025. Starting that paper trail now seems like a smart move regardless. Plus, having documentation of the specific safety features could be useful if I ever need to justify the expense to my employer for reimbursement purposes. Do you think it's worth documenting things like how often I wear them strictly for work versus any personal use? I saw someone mention earlier that usage percentage matters for deductions.
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