Parents, before you head to the store to buy your kids shoes, follow these helpful guidelines from the American College of Foot and Ankle Surgeons (ACFAS) to prevent or minimize foot problems from poorly fitting or worn out shoes.

Shoes should fit

Your child’s feet can grow up to two sizes in six months, so you need to account for growth when buying shoes. That doesn’t mean you should buy shoes that are too big—oversized shoes cause the foot to slide forward, putting excessive pressure on the toes. Foot and ankle surgeons suggest a good fit is about a finger’s width from the end of the shoe to the tip of the big toe.

Tight shoes can cause blisters, corns and calluses on your child’s toes, blisters on the back of the heels or worse, ingrown nails, which can become infected. Signs of infection from ingrown nails include pain, redness or fluid draining from the area. If you notice any of these symptoms, schedule an appointment with a foot and ankle surgeon, who can perform a simple, safe in-office procedure to remove the nail.

Shoes wear out

Shoes lose their shock absorption over time, so inspect new and old shoes for proper cushioning and arch support. Foot and ankle surgeons caution, worn-out shoes elevate the risk for heel pain, Achilles tendonitis and even ankle sprains and stress fractures. Replace any shoes with wear and tear around the edges of the sole. When buying shoes, check to see that the toe box flexes easily and the shoe doesn’t bend in the middle of the sole.

Children with flat feet

Children with flat feet need shoes with a wide toe box, maximum arch support and shock absorption. The best shoes to buy are oxford, lace-up shoes that have enough depth for an orthotic insert, if necessary.

For more information on your children’s or your family’s foot and ankle health, visit FootHealthFacts.org, the patient education website for the American College of Foot and Ankle Surgeons.

The American College of Foot and Ankle Surgeons is a professional society of 7,000 foot and ankle surgeons. Founded in 1942, the College’s mission is to promote research and provide continuing education for the foot and ankle surgical specialty, and to educate the general public on foot health and conditions of the foot and ankle through its patient education website, FootHealthFacts.org.

SOURCE American College of Foot and Ankle Surgeons.