Shoe Shopping Tips from a Pediatric PT

If you’ve ever stood in the kids’ shoe aisle wondering which pair is best, you’re not alone! Parents ask me all the time: “What kind of shoes should my child wear?” The truth is, there’s no single “perfect” shoe—but there are a few simple things to look for that can make a big difference for your child’s comfort and movement.

Here are my go-to shoe shopping tips, straight from a pediatric physical therapist (and fellow parent who’s spent plenty of time chasing wiggly feet around the store!).

Kids’ feet grow fast—sometimes a whole size in just a few months! A snug, comfortable fit is the most important thing you can give their feet.

Try this:

• Leave about a thumb’s width of space between the longest toe and the end of the shoe.
• Make sure your child can wiggle their toes freely.
• Check for rubbing or red marks after they wear new shoes—those are early signs the fit isn’t right.

A good rule of thumb (pun intended!): if you’re unsure between two sizes, go with the bigger one.

Kids’ feet are meant to move! A flexible sole helps little muscles get stronger and improves balance and coordination.

Quick test:
Bend the shoe in your hands—it should flex easily where your child’s toes naturally bend (the ball of the foot). If it’s stiff or bends in the middle, it’s probably too rigid.

A little structure around the heel helps keep the shoe from slipping and supports stability.

Here’s what to look for:

• The heel should feel snug but not tight.
• The back of the shoe (the heel counter) should feel firm, not squishy.
• Avoid shoes that slip off easily or need constant re-tying.

Many kids’ shoes have all sorts of bells and whistles—thick soles, arch supports, lights, air bubbles—but most children don’t need all that!

For toddlers and preschoolers, choose shoes that are:

• Lightweight (they shouldn’t feel clunky)
• Flexible (so feet can move naturally)
• Flat (no built-in lift or big cushion)

For older kids or athletes, look for sport-specific shoes (like running shoes or cleats), but comfort should still come first.

Whenever it’s safe, let your child play barefoot—indoors, on grass, sand, or a soft surface. Barefoot play strengthens the small muscles in the feet and ankles and helps kids develop balance and awareness of where their body is in space (we call that proprioception).

If you notice:

• Shoes wearing down unevenly
• Frequent tripping or toe-walking

Foot, leg, or knee pain
…it might be time for a quick check-in with a pediatric physical therapist. Sometimes a simple tweak in footwear—or some strengthening exercises—can make a big difference.

The best shoe for your child is one that fits well, feels comfortable, and lets them move with ease. You don’t need fancy features or expensive brands—just shoes that support your child’s natural movement as they explore, play, and grow.

Happy shoe shopping (and happy feet)!