How to Choose Shoes for Your Child

Dr. Benjamin Kamel
November 5, 2024
2 Min

Children's feet grow quickly, often requiring new shoes every 3-4 months. The frequency of replacement depends on their activity level and growth rate.

Growth Rates

  • Under 16 months: Grow over half a shoe size every 2 months
  • 16-24 months: Grow about half a shoe size every 3 months.
  • 2-3 years old: Grow approximately half a shoe size every 4 months.
  • Over 3 years old: Increase by half a shoe size every 4-6 months.

Key Considerations for Selecting Shoes

1. Fit
  • Length, Width, and Depth: Proper fit prevents toe problems, ingrown toenails, hammertoes, blisters, calluses, and bunions.
  • Removable Insert Test: Remove the insert and have your child stand on it. There should be about half an inch of space between their toes and the front.
  • Non-Removable Insert Test: With the shoe on, press the front to ensure you can fit your fingertip between the toes and the front.
  • Depth Check: Ensure the top of the shoe does not press on the toes or toenails.
  • Toe Box: Look for rounded toe boxes for more toe room.

Shoes should be comfortable from the start. If they need to be "broken in," they may not be the right fit. Regularly check for redness or blisters, which indicate a need for larger or wider shoes.

2. Construction
  • Upper Part: Should be made of breathable materials like leather, canvas, or mesh. Avoid plastic and other man-made materials.
  • Insole: Look for absorbent materials and consider padded insoles. Special arch supports are generally unnecessary for most children.
  • Outer Sole: Provides traction, cushioning, and flexibility. Avoid overly sticky or thick soles that can cause falls.
  • Heel: Toddlers do not need heels. For older children, keep heels low (no higher than one inch) to avoid cramping the toes.

3. Appropriate Shoe for Age
  • Pre-Walking Shoes: Babies and crawlers need only booties, warm wide socks, or pre-walking shoes that do not bind their feet. Flexible shoes that mimic the foot's shape are ideal. Barefoot is fine indoors in a protected environment.
  • Toddler Shoes (9 months - 3 years): Shoes should breathe well to accommodate heavy perspiration. High-top shoes stay on better for 9-18 months olds. Choose lightweight shoes with smooth soles to prevent falls.
  • School-Age Shoes: Style and fit are important. Options include athletic shoes, sandals, and hiking shoes. Look for reasonably priced, flexible, well-ventilated shoes that allow room for growth. If you encounter fitting difficulties or foot problems, consult an orthopedic surgeon.

Choosing the right shoes for your child ensures their feet grow healthily and helps prevent potential foot problems. Regularly monitor their feet and shoe fit to ensure comfort and proper development.

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