Shoes for AFOs and SMOs – The Ultimate Parent’s Guide
Finding shoes that fit is one of the most common challenges parents face after their child is fitted for orthotics. This guide covers what to look for, which brands to consider, and answers the most commonly asked questions we hear.
Why Sizing Up Isn’t the Answer
The most common mistake is simply buying shoes two or more sizes larger than usual. They’ll fit over the orthotics, but oversized shoes introduce their own problems. AFOs and SMOs are designed to provide stability. Shoes that are too big can make walking harder, which can cause tripping or clumsiness.
In most cases, what you need isn’t a longer shoe, but a wider one. When shopping, look for shoes that offer:
- Wide or extra wide sizing
- A deep toe box
- Removable insoles
- A large opening at the ankle
Recommended AFO Shoes & SMO Shoes
When asked, your fellow AFO and SMO parents often recommend:
- Billy Footwear (Make sure to check out their extra wide and extra deep Billy GOAT styles)
- New Balance
- Tsukihoshi
- Plae
- Stride Rite
- Vans
- See Kai Run
- Ikiki
- Friendly Shoes
Note: Brand availability and styles change frequently. Always check if the specific style you’re buying comes in wide or extra wide widths before ordering.
AFO & SMO Boot Recommendations
Boots add an extra fitting challenge, but several brands make styles that work well with orthotics. Good places to start your search:
As with regular shoes, check for wide widths and removable insoles before buying.
Getting the Right Fit
Once you have a pair to try, keep these tips in mind:
- Push the shoe on while rocking the heel back and forth. It helps seat the orthotic properly.
- Remove the insole if you need a little extra room.
- If the shoe slides on too easily, try a half size down.
- Choose laces over Velcro, when possible, for a more secure fit.
- If Velcro straps are too short, see if strap extensions are available or if your orthotist can extend the straps for you.
- Always check the return policy before purchasing. Some trial and error is normal!
Surestep Shoes for AFOs & SMOs
Surestep shoes are designed specifically for children who wear AFOs and SMOs. Available in toddler and youth sizes, they’re built with the extra width and depth that orthotic wearers need so you’re not working around the shoe, you’re working with it.
What About Socks?
Socks are essential with any orthotic. They help protect the skin, reduce friction, and wick sweat. The height of the sock is critical; the sock needs to be taller than the AFO or SMO to offer enough protection to the skin.
Types of Socks
Standard cotton socks tend to trap moisture, which can cause discomfort over time. They can often have seams that can bother or irritate kids with sensory sensitivities. Socks that are too big can bunch up inside the SMO or AFO and can actually result in a poor fit and discomfort.
To solve these common challenges, look for socks that are made of moisture-wicking materials, have seamless construction, and have a tube shape for a smoother fit. Be sure to check out our AFO and SMO socks as they check all the boxes. You can find more about socks here.
Finding the right shoes for AFOs and SMOs takes some trial and error, but you don’t have to start from scratch. Use these recommendations as your starting point, lean on your orthotist when you have questions, and know that plenty of parents have navigated this before you.
