Best Orthotics for Kids with Moderate or Strong Pronation – Let’s Treat Your Child’s Foot Condition!

Have you noticed your child walking or running differently lately? Has your child been falling more often? Some parents take their children to their medical professionals because they notice something is wrong with their child’s feet, but in most cases, parents are told not to worry as the condition might resolve on its own. I understand that you might still be worried. It is a fact that some children do outgrow having flat feet and their walking gait and overall posture improves as they grow, but many children don’t. Taking early action can save your child from developing so many different conditions along the line.
Please trust your parental intuition. You know when there is something wrong with your child, you are living with your child, not your doctor. I have helped hundreds of children with flat feet improve their walking gait and balance by simply fitting them in the correct pair of shoes and orthotics.
If you’re pressed for time, you can jump directly to the selection of the best orthotics for kids with moderate or strong pronation.
Is it Normal for Children to Have Flat Feet?
When children are between 1 to 5 years of age, it’s normal for their feet to be flat. Almost every child below the age of 4 has flat feet. However, not all flat feet are the same. There are different degrees of flat feet, and it can certainly be treated at any age. Why wait until age five when the child’s misalignment may well be more severe?
Children under the age of 5 don’t have pain, they don’t complain, but they have a treatable condition. At age of 6, children are not supposed to have flat feet.
Flat feet might cause your child a biomechanics problem at some point in your child’s life. It might not be on the foot, it might be the knee, the hip, the back, all of the structures and joints above the feet depend on the feet.
am experienced in fitting children in AFOS, SMOs, full-length orthotics, as well as 3/4 length orthotics. There is one specific orthotic that has proven to be the most effective one for children with moderate or strong pronation, and I will show you this orthotic shortly.
Can Orthotics Help Children with Flat Feet?
Orthotics are motion control devices that provide support to key areas of the foot. The correct type of orthotics can improve your child’s walking gait and overall posture tremendously.
If we can isolate the foot structure early enough with the correct type of orthotics, we can save a child from many different conditions along the line.
Will Orthotics Make Your Child’s Muscles Weaker?
There is a common misconception when it comes to fitting a child in orthotics and supportive shoes.
Orthotics don’t make the muscles “lazy” or “weaker”. They simply provide the child with structural support which is not going to take away from the musculature. This means that orthotics allow the child’s foot and leg muscles to develop on their own while supporting them.
What a Difference the Correct Type of Orthotics Can Make!
Let’s take a look at a flat-footed child with rolled ankles standing barefoot. Do you notice how the child’s feet are collapsing and turning inwards? This child is also dealing with rolled ankles which are throwing the feet out of alignment:

Now let’s take a look at an image of the same child standing on a pair of the orthotics I recommend. Do you notice how the child’s feet are a lot straighter? The deep heel cup and medial and lateral flanges are aligning the child’s feet in the correct position:

Wow! What a difference the correct pair of orthotics can make!
What Makes the Orthotics I Recommend Effective for Flat Feet?
Most parents of children with flat feet make the common mistake of assuming that they need to find an orthotic that provides good arch support.
When a child has a flat foot, you don’t only support the arch, you mechanically support the pieces of the foot that causes the foot to be flat such as the heels.


What Are the Best Orthotics for Kids with Flat Feet?
The best type of orthotic for kids with flat feet depends on the degree of your child’s flat feet and rolled ankles.
Take a look at the images below to check if they look familiar. They are examples of children with moderate and strong pronation.
Examples of Children’s Feet with Moderate Pronation


Examples of Children’s Feet with Strong Pronation


There is one specific orthotic that I recommend that has proven to be the most effective one for helping children with flat feet who are dealing with moderate to strong pronation.
Best Orthotics for Kids with Moderate or Strong Pronation
1️⃣ Deep heel cup that helps control the alignment of the heel and lower leg.
2️⃣ Medial and lateral flanges to help keep the foot aligned over the orthotic.
You Must Enter a Referral Code to Order this Orthotic
To place an order for littleSTEPS® Orthotics, you must submit a Referral Code during the ordering process. Enter the referral code JVFCS100121 in the Discount Window and you will get 10% off your order.
Do You Need to Remove the Original Insoles of the Shoes?
You won’t have to remove the original insoles of your child’s shoes before placing this orthotic inside the shoes.
How to Order the Correct Orthotic Size
Take a look at the chart below to figure out what size to order based on your child’s shoe size:

What Type of Shoes are Best for Orthotics?
Keep in mind that the shoes and the orthotics work together in helping treat and improve your child’s foot condition.
It’s important that your kids’ shoes provide these 3 important features:
1️⃣ Substantial outsole: This feature is going to provide a stable base of support for your child’s feet.

2️⃣ Firm heel counter: This feature is going to support your child’s heels and ankles.

3️⃣ Correct amount of flexibility: Your kids’ shoes should always bend at the ball of the foot but no further.

The Best Shoes for Kids with Moderate to Strong Pronation
Below is a selection of shoes that provide these 3 important features and are ideal for children who wear orthotics. All of these shoes are available in different widths such as medium (M), wide (W), and extra wide (XW), so please choose the shoe width accordingly. Disclosure: Some links in this post may be affiliate links and we may receive a small commission (at no extra cost to you) when you click our links and make purchases. This allows us to create free content and resources for many families around the world.
- The New Balance shoe style 990V6 is available for toddlers, little, and big kids
- Available in laces and velcro
- Fits children with medium, wide, or extra wide feet
- Suede/mesh upper provides durability and breathability
- Order this shoe half a size larger than your toddler’s current foot size
- The New Balance shoe style 990V6 is available for toddlers, little, and big kids
- Available in laces and velcro
- Fits children with medium, wide, or extra wide feet
- Synthetic/mesh upper provides durability and breathability
- Order this shoe half a size larger than your toddler’s current foot size
- The Stride Rite shoe style Elliot is available for toddlers
- Lace-up closure
- Fits toddlers with medium, wide, or extra wide feet
- 100% leather made
- Order this shoe half a size larger than your toddler’s current foot size
- The Stride Rite shoe style Emilia is available for toddlers
- Lace-up closure
- Fits toddlers with medium, wide, or extra wide feet
- 100% leather made
- Order this shoe a whole size larger than your toddler’s current foot size
- The Stride Rite shoe style Rover is available for toddlers
- Velcro closure
- Fits toddlers with medium, wide, or extra wide feet
- Water-friendly
- Order this shoe a whole size larger than your toddler’s current foot size
- The New Balance shoe style 990v6 is available for toddlers and little kids
- Available in velcro and laces
- Fits children with medium, wide, or extra wide feet
- Synthetic/mesh upper provides durability and breathability
- Order this shoe a whole size larger than your toddler’s current foot size
- The New Balance shoe style 990V6 is available for toddlers, little, and big kids
- Available in velcro and laces
- Fits children with medium, wide, or extra wide feet
- Synthetic/mesh upper provides durability and breathability
- Order this shoe a half size larger than your toddler’s current foot size
- The Memo shoe style Gabi is available for toddlers and little kids
- Double velcro straps
- Fits children with medium or wide feet
- Genuine leather and breathable mesh
- Thermoplastic asymmetric stiff heel counter for proper feet protection and stabilization
- Order this shoe half a size larger than your toddler’s current foot size
- The Memo shoe style Gabi is available for toddlers and little kids
- Double velcro straps
- Fits children with medium or wide feet
- Genuine leather and breathable mesh
- Thermoplastic asymmetric stiff heel counter for proper feet protection and stabilization
- Order this shoe half a size larger than your toddler’s current foot size
- The Saucony shoe style Cohesion is available for toddlers
- Velcro closure
- Fits toddlers with medium or wide feet
- Heel grid system for stable cushioning
- Compression molded EVA footbed for comfort
- Order this shoe a whole size larger than your toddler’s current foot size
- The Saucony shoe style Cohesion is available for toddlers
- Velcro closure
- Fits toddlers with medium or wide feet
- Heel grid system for stable cushioning
- Compression molded EVA footbed for comfort
- Order this shoe a whole size larger than your toddler’s current foot size
- The Timberland shoe style Bootie fits toddlers and little kids
- Double velcro straps
- Fits children with medium or wide feet
- Padded collar for a comfortable fit around the ankle
- Water-friendly
- Order this shoe a whole size larger than your toddler’s current foot size
- The Memo shoe style Princessa fits toddlers and little kids
- Double velcro straps
- Fits children with medium or wide feet
- This is an ORTHOPEDIC shoe
- Rigid heel counter
- Order this shoe half a size larger than your toddler’s current foot size
- The Saucony shoe style Cohesion 14 is available for little and big kids
- Velcro closure
- Fits children with medium and wide feet
- Heel grid system for stable cushioning
- Compression molded EVA footbed for comfort
- Order this shoe a half size larger than your child’s current foot size
- The Saucony shoe style Cohesion 14 is available for little and big kids
- Velcro closure
- Fits children with medium and wide feet
- Synthetic and mesh upper
- Heel grid system for stable cushioning
- Order this shoe half a size larger than your child’s current foot size
- The New Balance shoe style Fresh Foam Arishi is available for toddlers, little, and big kids
- Velcro closure
- Fits children with medium, wide, or extra wide feet
- Synthetic and mesh upper
- Extra deep
- Order this shoe half a size larger than your child’s current foot size
- The Memo shoe style Polo is available for little and big kids
- Triple velcro straps
- Fits children with medium or wide feet
- This is an orthopedic shoe
- Thermoplastic rigid heel counter
- Order this shoe a half size larger than your child’s current foot size
- The Memo shoe style Chicago is available for little and big kids
- Triple velcro straps
- Fits children with medium or wide feet
- This is an orthopedic shoe
- Thermoplastic rigid heel counter
- Order this shoe a half size larger than your child’s current foot size
- The New Balance shoe style 2022 is available for little and big kids
- Lace-up closure
- Fits children with medium or wide feet
- Durable leather/suede mesh upper
- Stability Web outsole technology provides added arch support
- Order this shoe a half size larger than your child’s current foot size
- The Adidas shoe style Cross Them Up is available for little and big kids
- Lace-up closure
- Fits children with medium or wide feet
- Supportive outsoles and firm heel counter
- Order this shoe a half size larger than your child’s current foot size
- The New Balance shoe style Coco CG1 is available for little and big kids
- Lace-Up closure
- Fits children with medium or wide feet
- Non-marking outsole
- Order this shoe a whole larger than your child’s current foot size
- The New Balance shoe style Fresh Foam 880V12 is available for little and big kids
- Lace-up closure
- Fits children with medium, wide, or extra wide feet
- Strong rubber outsole and cushioned midsoles
- Order this shoe half a size larger than your child’s current foot size
- The New Balance shoe style Fresh Foam 880V12 is available for little and big kids
- Lace-up closure
- Fits children with medium, wide, or extra wide feet
- Strong rubber outsole and cushioned midsoles
- Order this shoe half a size larger than your child’s current foot size
- The Saucony shoe style Kinvara LTT is available for little and big kids
- Lace-up closure
- Fits children with medium or wide feet
- Cushioned footbed
- Order this shoe a whole size larger than your child’s current foot size
- The Saucony shoe style Kinvara LTT is available for little and big kids
- Lace-up closure
- Fits children with medium or wide feet
- Cushioned footbed
- Order this shoe half a size larger than your child’s current foot size
- The Saucony shoe style Cohesion 14 LTT is available for little and big kids
- Lace-up closure
- Fits children with medium or wide feet
- Supportive leather and mesh upper for breathability and durability
- Order this shoe a whole size larger than your child’s current foot size
- The New Balance shoe style FuelCell Rebel v3 is available for little and big kids
- Lace-up closure
- Fits children with medium or wide feet
- ENCAP midsole cushioning provides good arch and heel support
- Order this shoe half a size larger than your child’s current foot size
- The New Balance shoe style 327 is available for little and big kids
- Lace-up closure
- Fits children with medium or wide feet
- Suede and mesh upper
- Order this shoe a whole size larger than your child’s current foot size
- The New Balance shoe style 527 is available for little and big kids
- Lace-up closure
- Fits children with medium or wide feet
- Suede and mesh upper
- Order this shoe half a size larger than your child’s current foot size
- The New Balance shoe style 527 is available for little and big kids
- Lace-up closure
- Fits children with medium or wide feet
- Suede and mesh upper
- Order this shoe half a size larger than your child’s current foot size
How to Tie Shoes with Orthotics? – Extra Support and Stability
I always recommend shoelaces over velcro closure for children who need to wear orthotics inside their shoes. Shoelaces provide better support, stability, and help keep the orthotic in place better than shoes with velcro closure. I know this might sound frustrating to some parents of children who don’t know how to tie their shoes just yet but trust me that it does make a difference.
There is actually a shoe tying method I use to tie shoes for children who wear orthotics.
Final Thoughts on Orthotics for Children with Flat Feet
Believe it or not, children with high arches tend to have more problems than children with flat feet. Remember that the earlier you start treating your child’s foot condition, the better!
Don’t take the “wait and see approach” when it comes to treating your child’s foot conditions. If you are not satisfied with your medical professional diagnosis get a second opinion! Waiting for your child’s foot condition to resolve on its own might only lead to the condition getting worse.
There are 3 different degrees of pronation:
- Mild
- Moderate
- Strong
If you are unsure about the degree of your child’s pronation please follow the instructions in the article below and I will get back to you in less than 24 hours.
Are Any Other Shoe Choices Available?
Do not hesitate to contact me through the comments section below or via email if you are having trouble finding a particular shoe for your child with flat feet. I have fitted dress shoes, sandals, and winter boots for children with flat feet so I will be able to show you the most supportive styles.
Hi there,
When ordering shoes to fit the orthotics in, do you have to size up to accommodate them? I’m ordering the littleSteps orthotics in size LS000, and New Balance 2002 Hook and Loop in size 5 for my 2.5 year old girl, and also these in size 5… https://amzn.to/4571fSL
My daughter has strong pronation and definitely needs the extra orthotic support.
Do you think the orthotics will fit and be comfortable to wear?
Thank you
Hello Tabitha,
You don’t need to size up to accommodate the littleSTEPs orthotics as they are 3/4 length and don’t take extra space inside the shoes. Just make sure that you get shoes that accommodate your daughter’s foot shape.
I also suggest that you make sure that you either pull the velcro straps or laces of the shoes comfortably tight so your daughter can get the full support and stability that the shoes/orthotics have to offer.
Let me know if you have any other questions.
Hi
Thank you for such a detailed report on orthotics . I am an adult with moderate to severe pronation . Do your recommendations stand for adults as well as children ? . I invested £350 in custom made orthotics a few months ago but they are really hard & sore under my feet after walking a short distance .
Any advice would be very much appreciated .
Thank you .
Hello,
I am glad you find the website informative.
I helped older children in their teenage years who were already wearing men’s and women’s shoe sizes, so I am familiar with adult shoes and orthotics as well.
If you tell me your shoe size and whether your are a man or a woman I will be able to guide you in the right direction.