Current Pedorthics | July-August 2016 | Vol.48, Issue 4 | Page 28

Kid’s Shoes..."The Question" Well, let’s start with the question... “What is the best shoe for this child‘s feet?” You will get this question often, so let’s evaluate their feet and then make a determination is the best way to proceed. The majority of children have flexible developing feet. For the most part they develop and grow into healthy active adult feet, which are easily fit with the heel set firmly in the heel counter, a slight space in front of the toes providing some grow room. “What size are their feet?” When measuring the feet there is foot size and there is shoe size. These seldom match, particularly with children. We need to incorporate that additional 3/8 to 5/8” space for growth. Oh, wait there is also the width concern. “Do they come in wide?” Some do and some don’t, it depends on the manufacturer. The shoes can’t be tight, just wide enough so there is growth space and never compressing the feet. “How long will the shoes last?” 26 Pedorthic Footcare Association www.pedorthics.org This is a common question that depends on type of shoe and activity or activities for its answer. Are these play shoes or church shoes? Running, jumping, walking, hopping, standing on tippytoes. These activities help build muscle strength balance and coordination. We want to encourage these activities which develop all of the body including the feet, but they are hard on shoes and will shorten the life of the product. As the child gets older and growth slows down they may have a longer opportunity to wear the shoes out before they grow out of them. Now it’s your turn to ask some questions... How old are they? You can then determine where the child is in bone and muscle development. Generally, 11 months to 3 years the feet may grow 1-2 sizes in 4 months time. 3-7 years their growth slows and now they start to wear the shoes out or break them down or get them very dirty.