Shoes for Kids with Spina Bifida – Supportive and Deep to Accommodate Your Child’s Orthoses!

July 22, 2025 Shoes for Orthotics Juan Valenzuela 2 - Comments

Finding the right shoes for children with spina bifida is essential for comfort, stability, and mobility. These kids often need shoes that can accommodate orthotics or AFOs, offer extra depth, and provide strong support. Since spina bifida can cause partial or full paralysis in the legs and feet, properly fitted footwear plays a key role in helping children move safely and comfortably. As a shoe fitter with experience assisting children who wear orthotics, I’ll guide you through the best shoes for kids with spina bifida that offer the fit and features they need.

No two children with spina bifida are the same—some may have only mild mobility challenges, while others require more support. While certain children can walk independently, others may rely on braces, crutches, or wheelchairs to move around. Understanding your child’s specific needs is key to finding the right footwear that supports their daily mobility and comfort.

How Can Shoes Help Children with Spina Bifida?

Whether your child walks independently or uses a wheelchair, protecting their feet is essential—especially if there’s any nerve damage involved. The right combination of shoes and braces can offer crucial support for weak muscles, helping to keep the feet and legs properly aligned for standing and walking. When fitted correctly, shoes and orthotics work together to improve posture, enhance mobility, and promote greater independence in your child’s everyday life.

What a Difference a Pair of Supportive Shoes Can Make!

child-with-flat-feet-wearing-unsupportive-shoes
In the before image, the child is wearing unsupportive shoes, and you can clearly see the feet rolling inward. This inward collapse could be a sign of flat feet, weak ankles, low muscle tone, or underdeveloped calf muscles.
supportive-shoes-with-straight-lasts-for-children-with-flat-feet
Now take a look at the after image—this is the same child, but now wearing a pair of properly supportive shoes. Notice how much straighter the feet appear? The improved alignment helps promote better posture, enhances stability, and allows your child to walk and run with greater ease and confidence. It’s a powerful reminder of how the right shoes can make a big difference.

Has Your Child Been Fitted for a Pair of Orthotics?

Certain orthotics and AFOs (Ankle Foot Orthoses) are specifically designed to support children with foot and leg conditions like low muscle tone, knock knees, or weak ankles. For children with Spina Bifida, AFOs are commonly prescribed as they offer excellent stability and support. However, a major challenge is finding shoes that can properly accommodate these bulky orthotics, as the options are quite limited.

Orthotics come in various types, each aimed at improving body alignment, enhancing balance, and reducing the effort needed for walking. The right type depends on your child’s specific needs and mobility challenges.

Your child’s pediatrician or physical therapist will determine how much stability is required. While some children may not need orthotics at all, others—especially those struggling to bear weight or stand independently—often benefit greatly from the added structure and strength that orthotics provide.

Key Features of Shoes for Kids with Spina Bifida

Shoes with extra depth are crucial as they provide room for orthotic devices without compromising the fit or comfort. This feature ensures that orthoses can be worn comfortably, allowing for prolonged wear without discomfort.
shoes-with-round-toe-boxes-for-kids-with-flat-feet
Round toe-boxes ensure that there is enough space for toe movement, which is crucial for comfort and preventing pressure points. Adequate toe room also allows for the natural spread of toes during walking, which contributes to better balance and coordination.
Oversized openings in shoes make it easier to insert orthotic devices and put on the shoes. This feature is particularly helpful for children who may struggle with dexterity issues. Easy accessibility encourages independence and makes daily wear more convenient for both children and caregivers.
supportive-shoes-for-children-with-flat-feet
Supportive shoes provide a stable base of support, which is essential for children with spina bifida. A stable base helps maintain balance and promotes proper alignment, reducing the risk of falls and injuries.
children's-shoes-with-heel-support
Firm Heel Counters are crucial as they stabilize the back of the foot, helping to prevent excessive movement of the heel. This stability is vital for maintaining proper posture and reducing fatigue. Shoes with robust heel counters offer the support needed for active children.

As a shoe fitter with years of experience, I’ve witnessed firsthand the transformation that a well-fitted shoe can bring. Disclosure: Some links may be affiliate links, meaning we earn a small commission (at no extra cost to you) if you make a purchase.

Best Shoes for Kids with Spina Bifida – Orthotic-Friendly Options

Choosing the right pair of shoes can be overwhelming, but I’m here to help. Here are my top shoe recommendations for 2025 that are perfect for children with spina bifida and can accommodate orthotics. These options have been carefully selected based on their ability to meet the unique needs of these children.

1. Shoe Style 990v6 by New Balance. This is the deepest and most supportive shoe for kids with Spina Bifida, and can accommodate full or 3/4 length orthotics, as well as AFOs and SMOs. Parents consistently praise the 990v6 for its durability, comfort, and support, noting improvements in their children’s posture and gait. The downside that many parents complain about is the high price tag.

990v6 New Balance shoe with laces in black for kids.
New Balance 990 for kids with laces in purple color.
990v6 New Balance shoe with laces in black for kids.

Key Features

  • Available for toddlers, little, and big kids.
  • You can order the 990v6 with laces on the New Balance website, Amazon, or Zappos.
  • Available in medium, wide, and extra wide widths.
  • Also available in pink and navy blue.
  • There is also a Velcro version of these shoes available in navy blue and pink.
  • ENCAP midsole technology provides excellent support and durability.
  • I suggest that you get this shoe a half size larger than your child’s current foot size.

2. Shoe Style Gabi by Memo (Orthopedic Shoe). These orthopedic shoes for Spina Bifida are specifically designed to improve foot posture and comfort, and can accommodate full or 3/4 length orthotics, as well as AFOs and SMOs. Podiatrists and orthopedists often recommend the Gabi shoe for its superior support and compatibility with orthotics. The higher price point is a common complaint parents have but the investment in orthopedic shoes is often justified by their specialized design and effectiveness in addressing flat feet.

Orthopedic shoe for kids made by Memo in grey and yellow with double velcro straps.
Orthopedic shoe for kids made by Memo in grey and pink with double velcro straps.

Key Features

  • Available for toddlers and little kids.
  • You can order the shoe style Gabi by Memo on Amazon.
  • Fits medium and wide feet.
  • Also available in a Mary Jane style and a version for older kids called Memo Polo.
  • Reinforced heel counter helps maintain correct foot positioning, essential for effective orthotic function.
  • I suggest that you get this shoe a half size larger than your child’s current foot size.

3. Shoe Style Elliott by Stride Rite. These high-top booties by Stride Rite offer excellent support and a comfortable fit, making them a top choice for kids with Spina Bifida. I only recommend fitting 3/4 length orthotics inside these high-top booties. Moreover, this shoe is affordable and despite the limited color choices, the Elliott shoes are celebrated for their supportive qualities and comfortable fit.

Supportive brown Stride Rite bootie for toddlers with flat feet.
Supportive Stride Rite white bootie for toddlers with flat feet.

Key Features

  • Available for toddlers.
  • You can order the shoe style SRT Elliot by Stride Rite on Amazon or Zappos.
  • Available in medium, wide, and extra wide widths.
  • I suggest that you get this shoe a whole size larger than your child’s current foot size.

4. Shoe style 574 by New Balance. This New Balance shoe combines style with functionality and it offers solid support and cushioning, making it suitable for kids who wear orthotics. This shoe can fit full or 3/4 length orthotics, as well as SMOs. The shoe is offered at a lower price point.

New Balance kids shoe style 574 in purple color for girls.
New Balance shoe style 574 in grey for boys.

Key Features

  • Available for toddlers, little, and big kids.
  • Order the shoe style 574 New-b V1 by New Balance on Amazon or the New Balance website.
  • Available in medium, wide, and extra wide widths.
  • Also available with laces on the New Balance website, Amazon, and Zappos.
  • I suggest that you get this shoe a half size larger than your toddler’s current foot size.

5. Shoe Style Tracks by Timberland. The sturdy design ensures that children can enjoy outdoor activities without compromising on foot stability or comfort, but this style is slightly heavier than my other shoe recommendations. I only recommend fitting full or 3/4 length orthotics inside this shoe.

Supportive Timberland high-top boot for kids with flat feet.
Supportive Timberland high-top boot for kids with flat feet.

Key Features

  • Available for toddlers and little kids.
  • Order the shoe style Tracks by Timberland on Zappos or Amazon.
  • Fits medium and wide feet.
  • Water-friendly
  • I suggest that you get this shoe a whole size larger than your child’s current foot size.

6. Shoe Style Cohesion by Saucony. These shoes are ideal for kids with foot problems who must wear orthotics, as they offer excellent cushioning and stability. However, I only recommend fitting 3/4 length orthotics inside this shoe. The affordable pricing also makes them accessible to a wide range of families.

Supportive Saucony Cohesion for boys with flat feet.
Supportive Saucony kids Cohesion for girls with flat feet.

Key Features

  • Available for little and big kids.
  • Order the shoe style Cohesion KDZ on Zappos or Amazon.
  • Available in medium and wide widths.
  • Also available with laces on Zappos and Amazon.
  • I suggest that you get this shoe a whole size larger than your child’s current foot size.

7. Shoe Style Fresh Foam Arishi v4 by New Balance. This is a versatile shoe that provides a soft and comfortable fit while supporting your child’s feet and orthotics. Moreover, I only recommend fitting full or 3/4 length orthotics inside this shoe. Families appreciate how this shoe is offered at a very reasonable price.

New Balance kids Fresh Foam Arisihi with wide toe-boxes in navy blue for boys.
New Balance Fresh Foam Arishi v4 in light blue for toddler girls.

Key Features

  • Available for toddlers, little, and big kids.
  • Order the shoe style Fresh Foam 650 by New Balance on the New Balance website or Amazon.
  • Available in medium, wide, and extra wide widths.
  • Also available with laces on Zappos and Amazon.
  • I suggest that you get this shoe a whole size larger than your child’s current foot size.

8. Shoe Style 2002 by New Balance. The 2002 model by New Balance is another great option for children with Spina Bifida who wear orthotics at a more affordable price point than the 990v6. However, this shoe won’t accommodate AFOs or SMOs, only full or 3/4 length orthotics.

Supportive New Balance shoe with laces and green color.
Supportive New Balance shoe with laces and white and pink color for girls.

Key Features

  • Available for toddlers, little, and big kids.
  • Order the shoe style 2002 by New Balance on the New Balance website.
  • Available in medium and wide widths.
  • I suggest that you get this shoe a whole size larger than your child’s current foot size.

9. Shoe Style Cross Em Up by Adidas. The Cross Em Up by Adidas is a basketball-inspired shoe that offers great support for kids who wear orthotics. The versatility of the shoe makes it suitable for both sports and everyday wear, adding value for parents looking for multi-functional footwear. Additionally, I only recommend fitting full or 3/4 length orthotics inside this shoe.

Adidas kids basketball shoe with wide toe-boxes in purple for girls.
Supportive Adidas high top shoe for boys.

Key Features

  • Available for little and big kids.
  • Order the shoe style Cross Em Up Select by Adidas on Zappos or Amazon.
  • Available in medium and wide widths.
  • I suggest that you get this shoe a whole size larger than your child’s current foot size.

10. Fresh Foam 650 by New Balance. The shoe features a wide toe box and plush cushioning, making it perfect for everyday wear. Parents often highlight the shoe’s ability to maintain its shape and support even after prolonged use, underscoring its durability. Furthermore, I only recommend fitting full or 3/4 length orthotics as well as SMOs.

New Balance Fresh Foam 650 with round toe-boxes in navy blue for boys.
New Balance Fresh Foam 650 with round toe-boxes in white and pink for girls.

Key Features

  • Available for toddlers, little, and big kids.
  • Order the shoe style 650 by New Balance on the New Balance website or Zappos.
  • Available in medium and wide widths.
  • Also available with laces on Zappos and Amazon.
  • I suggest that you get this shoe a whole size larger than your toddler’s current foot size.

Do You Need Specific Shoe Recommendations?

If you’re unsure about which shoes would be best for your child, don’t hesitate to reach out. By providing details about your child’s foot shape and the type of orthotic they use, I can offer personalized shoe recommendations. Tailored advice can help navigate the complexities of choosing the right footwear.

Physical Therapy Can Also Help

Your physical therapist will guide your child through exercises designed to improve strength, flexibility, and overall mobility. One important thing to keep in mind is that children with Spina Bifida may not feel certain parts of their feet or ankles, which means blisters, calluses, or sores can go unnoticed—and untreated. That’s why prevention is key. Providing your child with properly fitted orthotics, supportive shoes, and seamless socks can make a big difference in protecting their feet and avoiding complications.

Physical therapy can also help in determining the best footwear for children with spina bifida. Therapists can offer insights into the specific needs of a child’s gait and movement, which can guide the shoe selection process. Collaborating with a physical therapist ensures that footwear choices align with therapeutic goals.