
Some children who had polio usually deal with a lot of problems with their feet at some point of their lives. For example, many people who contracted polio as a growing child may have one leg or foot that is shorter and smaller than the other. This means that they have to wear different shoe sizes on each foot. Other common signs are high arches, rolled ankles, hammertoes, muscle weakness, and stability problems.
The good news is that the correct types of shoes can help treat these problems successfully. Keep in mind that depending on the degree of your child’s foot condition, an orthotic might be required as well. For example, if your child has high arches or rolled ankles a pair of orthotics will provide extra cushioning, support, and stability.
My Experience Fitting Children’s Shoes
I work for a specialized children’s shoe store that works closely with many physical/occupational therapists to fit children in supportive shoes and orthotics. The shoe store focuses in helping children with “complicated” foot shapes as well as foot and leg problems, but we provide regular shoe fittings as well.

After being contacted by several polio survivors I decided to create this resource to help them better visualize what shoes will work best for their feet.
What Makes the Shoes I Recommend Ideal for Kids with Polio?
- In-Depth Shoe: Shoes that provide extra depth help accommodate high arches as well as orthotic devices. Take a look at the image below to visualize the difference between a shoe that provides extra depth and one that doesn’t. Keep in mind that these shoes are the same length and width, they simply provide very different levels of depth. Do you notice how the shoe on the right is a lot deeper compared to the shoe on the left?

Now let’s say you need to fit an orthotic inside your kids’ shoes to support their feet. The deeper the orthotic fits inside of the shoes, the more comfortable your kids’ feet will feel. Let’s take a look at an image of two shoes with orthotics to better visualize the importance of wearing shoes that provide extra depth. Do you notice how the orthotic inside the shoe on the right is fitting a lot deeper compared to the shoe on the left?

- Substantial Outsole: This feature helps support the feet by providing shock absorption. Take a look at the image below to visualize how a shoe with a substantial outsole looks like:

- Rigid Heel Counter:The heel counter is the back part of the shoe that fits around the heel. A firm heel counter helps support the heels and prevents them from rolling inwards or outwards. Take a look at the image below for better visualization purposes:

- Round Toe-Box: This feature helps prevent putting pressure on your kids’ hammertoes. Shoes with round toe-boxes also help prevent the toes from overlapping or rubbing against one another. Take a look at the image below for better visualization purposes:

- Removable Insoles: It’s important that the shoes come with removable insoles as this will allow extra space in case you need to fit a pair of orthotics.
How to Select the Correct Shoe Shape and Length
If you have foot problems, it is important to have a professional shoe fitter help you retrieve the right fit. I have been helping families get their right size (length and width) of their feet for many years. It’s important to understand that shoe sizes vary by style and manufacturer. You can have your feet measured, but this only gives you a guideline for what size to start with.
I suggest that you take a look at a resource I created where I describe the most effective and accurate way to determine your child’s foot shape and length from home:
How to Measure Your Kids’ Foot – 2 Simple Steps to Determine Foot Length and Foot Width
Shoe Modifications for Polio Survivors
- Extension: If your child is dealing with leg length discrepancy, an extension can be built onto the outsole of the shoe to even out the leg length and to help the child walk better.
- Extra Cushion Around the Heel: Shock absorbing material can be added around the heel to provide extra support for the heels.
Where Can you Get Shoe Modifications for Your Child’s Shoes?
I suggest that you visit a pedorthist, your local specialty shoe store or shoe repair people. A shoemaker tends to focus more on repairs but sometimes can do modifications.
What are the Best Shoes for Kids with Polio?
Below you can find a list of shoes that provide all of the features that I mentioned before. Keep in mind that all of the shoes that I recommend are available in different widths such as medium (M), wide (W), and extra wide (XW). Disclosure: Keep in mind that we may receive commissions when you click our links and make purchases.
- Fits medium, wide, and extra wide feet
- Strong rubber outsole and a cushioned midsole
- 100% leather made
- Order this shoe a whole size larger than your child’s current foot size
- Fits medium and wide feet
- Strong rubber outsole and a cushioned midsole
- Suede/mesh upper provides durability and breathability
- Order this shoe half a size larger than your child’s current foot size
- Available in medium, wide, and extra wide feet
- Lace-up closure
- Strong rubber outsole and cushioned midsoles
- Suede/mesh upper provides durability and breathability
- Order this shoe half a size larger than your toddler’s current foot size
- Available in medium, wide, and extra wide widths
- Lace-up closure
- Strong rubber outsole and cushioned midsoles
- Suede/mesh upper provides durability and breathability
- Order this shoe half a size larger than your toddler’s current foot size
- Available in medium and wide widths
- Velcro closure
- Generous toe box and instep to accommodate and support your toddler walker’s needs
- Extra deep
- Order this shoe a whole size larger than your toddler’s current foot size
- Available in medium, wide, and extra wide widths
- Velcro closure
- Generous toe box and instep to accommodate and support your toddler walker’s needs
- Extra deep
- Order this shoe a whole size larger than your toddler’s current foot size
- Extra depth to accommodate orthotics, AFOS, and internal modifications
- Ability to adjust the Hook and Loop strap length to the different feet width
- Thermoplastic rigid heel counter
- Order this boot a whole size larger than you child’s current foot size
- Fits medium and wide feet
- Extra depth to accommodate orthotics, AFOS, and internal modifications
- Triple velcro straps
- Thermoplastic rigid heel counter
- Order this shoe a half size larger than your child’s foot size
- Extra depth to accommodate orthotics, AFOS, and internal modifications
- Ability to adjust the Hook and Loop strap length to the different feet width
- Thermoplastic rigid heel counter
- Order this boot a whole size larger than you child’s current foot size
- Available in medium, wide, and extra wide widths
- Lace-up closure
- Strong rubber outsole and cushioned midsoles
- Suede/mesh upper provides durability and breathability
- Order this shoe half a size larger than your child’s current foot size
- Available in medium, wide, and extra wide widths
- ENCAP midsole cushioning provides good arch and heel support
- Leather and suede upper
- Order this shoe half a size larger than your child’s current foot size
What Shoe Size Should You Order?
In each of the descriptions of the shoes I indicate whether you need to order a half a size or a whole size bigger than your child’s foot size to provide the correct amount of growing room.
Make sure that your child’s shoes are properly tied at all times or that the velcro straps are pulled comfortably tight, as that is the only way that your child will get the full support and stability that the shoes have to offer.
Are Any Other Shoe Choices Available?
If you are having trouble finding a different pair of shoes for your child you can contact me directly at my e-mail:
fittingchildrensshoes@gmail.com
Where Can You Find Single/Mismatched Shoe Services?
Even things like finding mismatched footwear require significant effort for someone with polio. If you visit your local shoe store and ask for shoes of two different sizes, you will be advised to buy two pairs of shoes. For many families, this is simply not an option from a financial point of view.
The companies below will allow you to buy two different shoe sizes for the price of one. If you need two different sizes all you need to do is pick out the pair of shoes you like and only pay for two shoes, each one a different size. Keep in mind that to qualify for these programs some companies require that the shoe sizes must be at least one and a half size different, at least one size and one width different, or two widths different.
- Nordstrom
- Markell
- Zappos
- Healthy Feet Store
- Odd Shoe Finder
My Final Thoughts
Each experience with this disease is different. Some children have to go through years of physical limitations and rehabilitation. The correct types of shoes and orthotics can help improve your child’s foot posture and stability by supporting the weak muscles.
Providing your child with shoes that don’t fit or that don’t provide the correct amount of support can only aggravate your child’s foot or leg condition. Do not hesitate to contact me if you are having trouble finding a pair of sandals, boots or dress shoes for your child. I will be happy to help you find them!
Let me know in the comment section below if you have found a specific pair of shoes that worked well for your child. I am sure other families will greatly benefit from reading about your experiences.
This is very helpful. I have had 7 surgeries to treat my bilateral club foot. Not only are my feet extremely small as a result, but they are also different sizes and widths to accommodate an AFO. I found another company that will sell you different sizes and widths of shoes. These help all to be independent because they use the concept of Universal Design. While they are not designed for those with challenges, they do accommodate for them. The company is called Billy Footwear https://billyfootwear.com/. I highly recommend them.
Hello Sarah,
Thank you for sharing! I am sure many families will benefit from learning about Billy shoes.