The Best Orthotics for Pronation – STOP Your Kids’ Foot and Leg Pain!
All children 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. The best orthotics for pronation can help improve your child’s walking gait, overall posture, and prevent foot and leg pain. Certain orthotics are a lot more effective than others, and I will show you my top two recommendations based on my many years of shoe and orthotic fitting experience.
Has Your Child Been Diagnosed with a Foot Problem?
Most children who deal with pronation are flat-footed. 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.
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.
What Is the Main Purpose of Wearing 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. Let’s take a look at a picture of a flat-footed child standing barefoot. 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 straighter the feet are?
After Image: Supportive Orthotic
The orthotic prevents the child’s feet from collapsing, which helps 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 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 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.
The Best Orthotics for Mild Cases of Pronation
Fits Toddler Shoe Size 5 up to Big Kid Shoe Size 3
- Order the Footlogics full-length supportive insole on Amazon
- Fits a toddler shoe size 5 up to a big kid shoe size 3
- Medically approved insoles with targeted cushion and support
- Deep heel cup with strong arch support
- Made from lightweight yet supportive cushioning material with shock-absorbing heel and forefoot padding
- They can be trimmed to size with scissors if needed
Fits Big Kid Shoe Size 3 1/2 and Above
- Order the Footlogics full-length supportive insole on Amazon
- Fits a big kid shoe size 3.5 up to a big kid shoe size 7 (available in adult sizes so you need to convert to kids’ shoe sizes)
- Built-in metatarsal raise
- Deep heel cup
- Developed by Australian podiatrists
- They can be trimmed to size with scissors if needed
If you try these orthotics and fit them properly in the correct type of shoes, they should help align your kids’ feet and legs by helping your child walk and run straighter. With that said, 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.
Do You Need to Remove the Original Shoe Insoles Before Fitting This Orthotic?
Yes, you will have to remove the original insoles of the shoes before placing this orthotic inside the shoes.
The Best Orthotics for Moderate or Strong Cases of Pronation
1. Deep heel cup that helps control the alignment of the heel and lower leg.
2. Medial and lateral flanges to help keep the foot aligned over the orthotic.
3. It’s not necessary to remove the original insoles of the shoes when fitting this orthotic.
You Must Enter a Referral Code to Order this Orthotic
To place an order for littleSTEPS® Orthotics, you must submit a Referral Code in the Discount Window during the ordering process: JVFCS100121
Do You Need to Remove the Original Shoe Insoles Before Fitting This 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:
Are You Unsure About Which Orthotic You Should Choose?
Do not hesitate to contact me if you are unsure about which orthotic will work best based on your child’s degree of pronation:
fittingchildrensshoes@gmail.com
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 supportive outsoles, 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.
I created a different resource that describes deep and supportive shoes for orthotics.
Be Proactive and Prevent Foot Pain!
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.
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.
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.
Thank you, Juan. We will give them a try.
Best,
Rob
Keep me posted.
Thank you so much for your fast response. We will wait until we receive the inserts in order to buy the shoes.
Sounds good. Keep me posted.
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.
Hello Ann,
Based on the measurements that you sent me your son needs a shoe size 5 in order to allow for growing room. Make sure that you order the shoes in your son’s correct foot shape (narrow, medium, wide, extra wide).
The shoe size 5 will accommodate the inserts. Which ones did you get?
I suggest that you apply this shoe lacing technique: How to Tie Shoes with Orthotics – Stop Heel Slippage
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.
Hello Ann,
Are you looking for orthotics to treat your son’s ankles? There is a specific orthotic I recommend and you can learn about it here: Orthotics to Help Strengthen and Straighten Kids’ Ankles – The Best Alternative to Custom Orthotics!
Make sure that the orthotics are paired up with the correct type of shoes. The shoes need to be the correct size as well, so if you are unsure about your son’s foot shape or what size to order follow the instructions here: How to Measure Your Kids’ Foot – 2 Simple Steps to Determine Foot Length and Foot Width
Thank you, Juan!
I also found these with removable liners. Maybe we can fit the orthotics in it. Hopefully the heel is sturdy enough. Thank you so much for all your help.
https://amzn.to/3Y2V8eA
Hello Lenka,
They seem sturdy and supportive. The only downside is that they are not available in wide widths, and orthotics take a lot of extra space inside the shoes.
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.
Hello Lenka,
These boots are insulated and provide more support than other regular boots. Please find below my recommendations:
Insulated Boot: Option 1
I hope this helps.
Also, doe he need orthopedic shoes to wear at home or can he be barefoot?
I aporeciate your help.
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!
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?
thanks.
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.