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The Best Orthotics for Pronation – STOP Your Kids Foot and Leg Pain!


Editor’s Note: This post has been updated and revised for accuracy on February 2022 and reflects an up-to-date selection of the best orthotics for pronation.

Has your child been experiencing foot and leg pain and been diagnosed with pronation? I will shortly show you a selection of the best orthotics for pronation that will help improve your child’s walking gait, overall posture, and prevent foot and leg pain.

We all have a certain degree of pronation, but the problem arises when it’s excessive and leads to foot and leg pain. This is usually referred to as overpronation.

Most children who deal with pronation are flat-footed or have rolled ankles. In certain cases, children only need a pair of supportive shoes to treat their pronation and significantly reduce or fully eliminate their foot and leg pain. However, if you tried a pair of supportive shoes and your child’s walking gait doesn’t improve and the pain persists, then the next step is to try a pair of orthotics.

An orthotic is a shoe insert that is specifically designed to provide cushioning, support, and stability, and to relieve pressure areas of the foot.

There is one particular orthotic that I have fitted before that has proven to be the most effective one when it comes to improving the way a child walks.

The main reason why I recommend this orthotic is because it provides excellent arch and heel support, and at the same time is not as invasive as other orthotics. This means that this orthotic allows the child’s foot and leg muscles to develop on their own while supporting them.

My Experience Fitting Children’s Shoes

I have been fitting children’s shoes and orthotics for the last 10 years in a shoe store that works with children that have foot and leg problems. Over the years I became familiar with the best orthotics for kids with pronation.


I always recommend parents to be proactive and don’t take the “wait and see approach” when it comes to treating their children’s foot conditions. Leaving your children’s foot conditions untreated can only lead to the condition getting worse.

Best Orthotics for Pronation — What a Difference These Orthotics Can Make!

Let’s take a look at a picture of a flat-footed child standing barefoot. Does it look familiar?

When children are flat-footed, their feet collapse and turn inwards, which leads them to put pressure on parts of their body where they are not supposed to, and this normally leads to foot and leg pain.

Before Image: Child Standing Barefoot

Now let’s have that same child stand on a pair of the orthotics I recommend. Do you notice how much straighter the feet are?

After Image: Supportive Orthotic


The orthotic is preventing the child’s feet from collapsing, which is helping align the child’s feet and legs. This is going to improve the child’s overall posture.

Choosing the correct type of orthotic for your child is not an easy thing to do, as there are all different types of orthotics such as soft, semi-rigid, or rigid.

Image of the Same Child Standing on a Pair of Unsupportive Orthotics

For example, let’s see what happens when we fit that same child in a pair of unsupportive orthotics:


The good news is that I know exactly which orthotics are more effective in treating a child’s pronation.

The Consequences of Not Dealing with Your Child’s Pronation 

Once your child is diagnosed with pronation, it’s important that you act fast. The first step is to provide your child with a pair of good supportive shoes and orthotics, otherwise, pronation will lead to the following foot issues:

  • Calluses
  • Foot Rigidity
  • Hammer Toes
  • Ankle Sprain and Foot Instability
  • Hammer Toes and Claw Toes
  • Plantar Fasciitis
  • Back and Hip Pain

The most simple way to prevent all of those issues is to provide your child with the correct type of shoes and the correct type of orthotics.

One of the biggest issues with pronation is that kids who pronate might be more inclined to sit rather than run and play due to the extra stress their feet and legs take. This means that when your kids are walking or running long distances they will experience foot and leg fatigue and they might refuse to participate in certain activities or sports.

This fatigue happens because your children’s muscles are working harder due to the body’s poor positioning.

I only write reviews of shoes and orthotics that I have fitted before, so I can personally assess how well-made they are, the amount of support that they provide, and how well they fit. Without further ado, let’s take a look at the best orthotics for pronation.

The Best Orthotics for Mild Cases of Pronation

✅ The orthotic comes with a built-in arch to prevent your child’s feet from collapsing while the moderate heel cup provides extra ankle support.

✅ This orthotic is designed to mold over time to fit each child’s unique foot. It’s a perfect resolution to heel and arch pain.

✅ The orthotic has grip pads located on the bottom to prevent the orthotic from slipping/moving inside your child’s shoes.

If you try these orthotics and fit them properly in the correct type of shoes, they will help align your kids’ feet and legs by helping your child walk and run straighter.

How effective these orthotics will be in re-aligning your child’s feet and improving your child’s walking gait depends specifically on the degree of your child’s pronation.

The Best Orthotics for Moderate or Strong Cases of Pronation

✅ 30mm heel cup helps control the alignment of the heel and lower leg, and supports the arch:

✅ Medial and lateral flanges help keep the foot aligned over the orthotic.

You won’t have to remove the original insoles of your child’s shoes before placing this orthotic inside the shoes.

Take a look at the chart below to figure out what size to order based on your child’s shoe size:


Do not hesitate to contact me if you are unsure about which orthotic will work best for your child’s degree of pronation:


Do You Have the Right Shoes to Wear with the Orthotics? – Let’s Find Out!

There are certain features that a shoe must provide to work well with an orthotic. For example, the shoes must provide extra depth and a supportive outsole, but the shoes need to be lightweight and flexible at the same time. It’s also important that the shoes provide a firm heel counter and excellent arch and ankle support.

To fit an orthotic inside your kids’ shoes, the shoes must come with removable insoles, otherwise, you will be raising your children’s feet, giving them the impression that their feet are coming out of the shoes.

It’s important to understand that your children won’t get the full benefits of the orthotic if you don’t provide them with the correct type of shoes. The shoes and the orthotics work together in trying to align your kids’ feet and legs.

What are the Best Shoes for Kids Who Wear Orthotics?

If you are unsure whether your child’s shoes are supportive enough for the orthotics, please refer to an article I wrote where I describe the best kids’ shoes for orthotics. Go to the link below:

The Best Kids’ Shoes for Orthotics – Supportive and Comfortable Shoes

Please don’t forget to remove the original insoles of the shoes before placing your child’s orthotics.

Keep in mind that we all have a certain degree of pronation, but when it’s visible and excessive that’s when the problems arise. Your children’s bodies are always growing and constantly changing. If you notice that there is a slight roll in your kids’ ankles, it doesn’t mean that you need to rush off to see a pediatrician or physical therapist.  However, please be alert and watch out for pain, fatigue, clumsiness, and developmental delays. Those are all symptoms of overpronation.

If you notice that your children have any of these symptoms, start by taking them to your pediatrician or physical therapist. They will be able to lead you on to the next steps to take, which could be physical therapy, be fitted for an orthotic, or both.

Have you tried a particular orthotic that has worked well for your child’s pronation? Please share your findings below so other parents can benefit from your experiences.


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23 Comments on The Best Orthotics for Pronation – STOP Your Kids Foot and Leg Pain!

  1. Above you indicated: Below you can find a selection of the best orthotics for pronation!

    But I don’t see the selection… there is only the kidsole… Is that the only one?

    • Hello Kay,

      Sorry for the confusion. Yes, that is the only one. While there are several different orthotic styles for children with pronation, I have found that particular style to be the most effective one when it comes to improving children’s posture and preventing their feet from collapsing.

  2. Hi,

    Our 3.5-year-old son has just received orthotics for overpronation and we also got him New Balance shoes 990V you recommend. Thank you! Could you please recommend good Fall and Winter shoes as well? Also, how long will it take for our son until his feet are nice and straight?

    • Hello Lenka,

      As long as the shoes were properly fitted and the orthotic provides good support, you should see an improvement in the way your child walks between 2 weeks. Just out of curiosity, what type of orthotic is your child wearing?

      What is your son’s foot width? Is it narrow, medium, wide, or extra wide? Once I know that I can provide you with specific Fall and Winter shoe recommendations.

      • Hi Juan,

        Thank you for your reply. The orthotics were fitted at the special clinic per our son’s orthopedic’s recommendation and they are bilateral custom molded foot orthotics with full lenght soft top cover and 3/4 length semi-rigid material, full heel post and deep heel cups. We were told he would need to wear them up until puberty! Does it seem right? We were hoping up to 2 years he should be fine as he is a mild case and very flexible at this age… His feet are medium width.

        • Hello Lenka,

          It’s hard to tell if your son will have to wear the orthotics until puberty because it will depend on how well he adjusts to the orthotics. I have seen several cases where children wear the orthotics for a couple of years and then they just wear good supportive sneakers. In some cases children have to wear their orthotics for most of their lives.

          Your son can be barefoot at home but he should wear his shoes and orthotics as much as possible.

          Do you need Fall and Winter shoes that he can wear with the orthotics?

          • Yes please, kindly recommend the Fall and Winter shoes. He is wearing 990v4 new balance sneakers in size 9.5 with orthotics. Without the orthotics, he is size 9.

          • Hello Lenka,

            All of the shoe styles below are waterproof and you will be able to fit your kids’ orthotics if you have to. Please find below my recommendations:

            Winter/Fall Shoe for Orthotics: Option 1

            Winter/Fall Shoe for Orthotics: Option 2

            Winter/Fall Shoe for Orthotics: Option 3

            Are these the type of shoe styles that you had in mind?

            I hope this helps!

  3. Thank you. I was thinking about shoes that have warm interior for cold weather like duck boots and insulated winter boots for sledding. Something he can wear in the snow.

  4. Hello Juan,

    Thank you for this post.My son is 12 yo and he is a competitive gymnast. He practices between 3 to 4.5 hours a day,6 days a week.He is also homeschooled, so a lot of barefoot time unfortunately.He’s had 2 fractures on his left ankle,and he also has Sever’s disease.Now he started having pain in right heel,along with pain in his left ankle.I see his ankles are turning inwards which makes me believe he has pronation.We are now looking into the new balance shoes you recommend, but was wondering about some really good insoles too,but not for flat feet.Amazingly he doesn’t have flat feet.
    I also have extremely high arch, and custom made insoles that were a fortune did not help.

  5. Thank you so much.Just measured his feet,and unfortunately he is in between sizes.His foot measures 22 cm.Should I go with the bigger size in this case?
    His feet look just like in the pictures posted on this site.Also,when buying the new balance sneaker,what size should I go with to accomodate the inserts?
    We wears a size 4 US,but I’m sure his feet will keep growing.
    I apologize for the million questions.As of right now he is wearing the Tulli’s cheetah and the heel cups.Helping a bit,but not a whole lot.

  6. Our family has a long athletic history with college hall of fame athletes. However, we also have a long high arch, pronation history. Many of us had to wear orthotics while playing sports. My grandson is 4 years old and has started youth hockey lessons. He is already an incredible athlete with extraordinary hand eye coordination for his age. But his favorite sport is hockey. In his hockey skates, his feet pronate badly, which tilts his skate blades off perpendicular, making skating very difficult. What orthotics would you recommend for him for inside of his hockey skates? Thanks very much.

    • Hello Rob —

      It’s really encouraging to know how having foot conditions didn’t get in the way of performing at a competitive level.

      It seems like your grandson is dealing with moderate to strong pronation. The biggest issue we have is that most orthotics are hard to fit inside hockey skates. The orthotic I have in mind fits like a heel cup and it won’t take as much space inside the skates as a full eight orthotic. I suggest that you try the littleSTEPS which is the second orthotic recommended in this article.

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