Shoes and footwear

When healthy and well, each of our feet carries the weight of our whole body through its relatively small structures. There is a clear sequence in how each foot strikes the ground, absorbs the body’s weight, and pushes off the ground as the body transfers its weight to the other foot. We learn the sequence in our early years and from then take each pain free step for granted.

Any pain, swelling or stiffness in a child’s lower back, or hips, or knees or ankles can disrupt the normal weight bearing function of a child’s feet. Also any arthritic disease within the foot itself (either at the forefoot or hindfoot) can disrupt the normal flexible structures of the foot and cause considerable pain or potential deformity.

It is an important priority therefore to monitor your child’s feet and pattern of walking. The hospital doctor or G.P. can do this but a referral to a podiatrist would be helpful.

Seek a podiatrist’s advice early and help them monitor your child’s feet. Ankle and foot misalignments are common complications and require professional aid. Innersoles individually made for your child are far more effective than ‘off the shelf’ products. Get your GP or consultant to refer you to a NHS podiatrist who may make a pair of innersoles that helps prevent deformities and relieves pain.

General tips

  • Buy the lightest shoes possible.
  • Go shopping in the afternoon so that if the child’s feet swell, you make sure you get the right size.
  • Modern shoes should be comfortable immediately. They should not need to be ‘worn in’.
  • Look for shoes with a contoured inner sole. This helps to support the foot and relieves pain.
  • Try to find shoes that rock slightly when on a flat surface. These shoes are easier for children than shoes that sit flatly on the level surface. They are sometimes called ‘rocker’ shoes.
  • Trainers may be necessary for school. Choose lightweight ones that have a protected toe cap, and good soft rubber/plastic soles.
  • Allow your child to have one pair or trendy fashion shoes for special occasions with their friends. This enormously helps their morale when they have to wear ‘sensible’ shoes the rest of the time.
  • Laces may be easier to manage than Velcro fastenings, so help your child to learn to tie laces as soon as possible.

The Foot Health Register holds a updated register of shoe shops that measure children’s feet professionally. Contact

Foot Health Register
P O Box 123
Banbury, Oxon
OX15 6WB

www.shoe-shop.org.uk
email: cfhr@netcomuk.co.uk

or contact

The Society of Chiropodists and Podiatrists
I Fellmonger’s Path
Tower Bridge Road,
London SE1 3LY
www.feetforlife.org
Telephone: 020 7234 8620