Shoes

The following information may help you make more rational decisions when you need to buy shoes for your infant.

Shoes Versus Bare Feet

  • The only purpose of shoes is protection from injury, cold, or burns (from hot asphalt surfaces). No shoes are needed except when your child walks in rough terrain. Children who are walking inside a house or outside on sand or grass do not require shoes.
  • Before your child starts walking, keep your child’s feet warm with booties or socks during the winter.
  • Once your child begins to walk, he will prefer to walk barefoot because it gives him a better sense of where his feet are and enables him to use his toes for balance. Shoes may interfere with learning to walk.

Types of Shoes

  • When your child finally needs shoes, buy tennis shoes (sneakers) or some other shoe with a flexible sole that allows free movement of the foot. Tennis shoes have the advantages of comfort, ventilation, and excellent traction. Many brands are easy to wash and inexpensive. During the first year of walking, be sure the shoes are lightweight, very flexible and have a skid-proof sole.
  • Hand-me-down shoes are fine if they fit and are still in good condition (the sole is still skidproof). It is not true that shoes with a previous wear pattern on the heels will cause leg or foot pains in the next user.
  • Expensive “special” shoes have no advantage at any age for 99 percent of children. Arches do not “fall.” Save your money for something more important.
  • Heels are not essential at any age, and they can cause tripping during the first 2 or 3 years.
  • High-top shoes are generally not useful, and children who wear them are often teased. Rarely an older child will need high-top sneakers because his or her feet continually slip out of low-cut shoes.
  • Even children with flat feet rarely need a special shoe or heel. Tennis shoes work fine for most of these children. Flat feet are usually a normal variant and cause no symptoms.

Shoe Size and Fit

  • With a little practice, most parents can determine whether or not a shoe fits. Check the fit with your child standing and putting weight on the shoes. The shoe should be approximately one half inch (the width of an index finger) longer than the big toe. The width of the shoe is correct if you can grasp a small piece of shoe at the widest portion of the foot (the pinch test). The heel area should be snug enough to keep the shoe from flopping up and down during walking. Also, maximum flex should be where the foot flexes and not in the middle of the shoe.
  • In young growing children, shoes often become too tight before they wear out. During the second and third years of a child’s life, shoe size can change three times a year. Check the fit at least every 3 months.
Written by Barton D. Schmitt, MD, author of “My Child Is Sick,” American Academy of Pediatrics Books.
Pediatric Advisor 2015.1 published by RelayHealth.
Last modified: 2010-06-04
Last reviewed: 2014-06-10
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Copyright ©1986-2015 Barton D. Schmitt, MD. All rights reserved.

Patient Portal

myTuftsMed is our new online patient portal that provides you with access to your medical information in one place. MyTuftsMed can be accessed online or from your mobile device providing a convenient way to manage your health care needs from wherever you are.

With myTuftsMed, you can:

  1. View your health information including your medications, test results, scheduled appointments, medical bills even if you have multiple doctors in different locations.
  2. Make appointments at your convenience, complete pre-visit forms and medical questionnaires and find care or an emergency room.
  3. Connect with a doctor no matter where you are.
  4. Keep track of your children’s and family members’ medical care, view upcoming appointments, book visits and review test results.
  5. Check in on family members who need extra help, all from your private account.

PATIENT PORTAL >

Your privacy is important to us. Learn more about ourwebsite privacy policy. X