The Best Shoes for Kids with Down Syndrome – Protect Their Feet!

Choosing the right shoes for children with Down syndrome is essential for their comfort, stability, and mobility. Many kids have flatter, wider, and more pronated feet, requiring shoes with a stable base, roomy toe boxes, and easy-to-use Velcro closures. As a passionate shoe fitter with over a decade of experience, I’ll guide you to the best options that support proper foot posture and balance while ensuring a comfortable fit.

Many children with Down syndrome display a wider gait, which can contribute to an uneven distribution of weight across the foot. This gait pattern may lead to increased wear on the insides of their shoes and potential discomfort during prolonged activities.

Do Most Children with Down Syndrome Have Flat Feet?

Yes! The unique foot structure of children with Down syndrome, such as low muscle tone and flat feet, presents distinct challenges when selecting footwear. These characteristics can impact gait and balance, making it essential to choose shoes that provide the necessary support and fit.

An image of a child with flat and wide feet standing barefoot.
child-with-flat-feet
A picture of a different child with flat and wide feet standing barefoot.

Challenges of Finding Shoes for Kids with Down Syndrome

Finding the right shoes for kids with Down syndrome can be challenging, as they need extra width and proper support. With experience fitting many children, I know which styles offer wide and extra-wide options while ensuring comfort and stability.

Can Shoes Help Improve Your Child’s Stability Issues?

Did you know that children with Down syndrome often struggle with stability? The wrong shoes—whether too tight, too loose, or lacking proper support—can make balance even harder and lead to foot problems. That’s why finding the right fit is crucial. Since some children may not always express discomfort, choosing well-fitted, supportive shoes can make a world of difference in their comfort, mobility, and overall well-being.

An image of a joyful family lifting their child high in the air, celebrating love, support, and togetherness.

Before and After: The Impact of Supportive Adaptive Shoes

Seeing the before and after images of children with flat feet standing barefoot versus wearing supportive adaptive shoes can be eye-opening. These visual transformations showcase the significant improvements in posture, balance, and overall comfort that the right shoes can bring.

child-with-flat-feet
Before image of a child with flat feet and low muscle tone standing barefoot.
supportive-shoes-with-straight-lasts-for-children-with-flat-feet
An image of the same flat-footed child now wearing one of the supportive sneakers I recommend. Notice how much straighter and more aligned their feet appear, showcasing the shoe’s stabilizing effect!

Key Features of Shoes for Kids with DS

Choosing the right pair involves considering several key features that address the unique needs of children with Down syndrome.

Cushioned Outsole for Shock Absorption

Supportive Adidas high-top shoe for kids.
A cushioned insole helps distribute weight evenly, reducing the impact on joints and minimizing the risk of injury.

Wide Toe Box for Comfort and Growth

Extra wide Mary Jane for kids.
Children with Down syndrome often have wider feet, and a wide toe box prevents unnecessary pressure on the toes, allowing for natural movement.

Firm Heel Counter for Stability

Back to school Nike shoe with a firm heel counter.
A robust heel counter provides stability and helps maintain the proper alignment of the foot. This feature is crucial for children with Down syndrome, who may experience balance issues.

Adjustable Fastenings for a Customized Fit

Supportive Saucony high-top shoe for kids with foot problems.
Shoes with Velcro closure simplify the process of putting on and taking off shoes, promoting independence. 

Supportive shoes not only improve physical alignment but also enhance a child’s confidence and mobility. With the right footwear, children can move more freely and explore their environment with greater assurance.

Below you will find my top shoe recommendations for 2025 that can help children with Down syndrome, each designed with specific features to address their unique needs. Disclosure: This post contains affiliate links, and we may earn a small commission at no extra cost to you.

Shoes for Kids with Down Syndrome to Improve Posture and Balance

The shoes below enhance stability, promote natural movement, and boost confidence in children with Down syndrome. Plus, they accommodate various foot shapes, including medium, wide, extra wide, and high insteps.


990 Series with Velcro

These shoes for kids with Down syndrome offer exceptional support, stability, and comfort. Featuring an easy-to-use Velcro closure and a wide, accommodating fit, this shoe provides a secure feel while promoting mobility and independence.

New Balance 990v6 toddler shoe in black and grey and with velcro closure.
Durable 990 New Balance Kids' Shoes in Pink and Velcro.
  • You can order the 990v6 with velcro on the New Balance website, Amazon, or Zappos
  • Also available in grey and black
  • Available in medium, wide, and extra wide widths
  • I suggest that you get this shoe a half size larger than the end of your child’s longest toe

Dean Adapt II by See Kai Run

See Kai Run offers some of the best shoes for kids with Down syndrome that are supportive and have a lightweight design at the same time.

See Kai Run kids adapt for kids who wear AFOs.
See Kai Run kids adapt for girls who wear AFOs.

Key Features

  • Available for toddlers and little kids
  • Order the shoe style Dean Adapt II by See Kai Run on Zappos or Amazon
  • Not available in wide or extra wide widths but fits naturally wide
  • I suggest that you get this shoe a whole size larger than the end of your child’s longest toe

Shoe style Holly Mary Jane by Stride Rite

Stride Rite has an adaptable line and one of its most popular shoes is a stylish Mary Jane that parents love because their children can use it for casual wear or dressier occasions.

Stride Rite Holly Mary Jane in gold for girls.

Key Features

  • Available for toddlers and little kids
  • Order the shoe style SR Holly by Stride Rite on Zappos or Amazon
  • Available in extra wide widths
  • I suggest that you get this shoe a whole size larger than the end of your child’s longest toe

Ikiki Shoes

These adaptive shoes for kids with Down syndrome feature a wide opening, adjustable Velcro straps, and a supportive yet flexible sole. These fun, high-top shoes provide stability and encourage proper foot development while making it easier for children to put on and take off their shoes independently.

Ikiki shoes for toddlers with wide feet.
Ikiki shoes for kids who wear AFOs.

Key Features

  • Available for toddlers and little kids
  • Order the shoe style by Ikiki on Amazon
  • Not available in wide or extra wide widths but fits naturally wide
  • Wide opening to make it easy to put on and take off shoes
  • Synthetic vegan leather
  • Squeaks can be turned on/off with a switch
  • I suggest that you get this shoe a half size larger than the end of your child’s longest toe

M2P Journey 3.0 Adapt by Stride Rite

These adaptive shoes for kids are part of the Stride Rite adaptable line and come with extra long velcro straps and are available in extra wide widths.

Stride Rite M2P Journey 3.0 Adapt in pink for toddler girls.
Stride Rite M2P Journey 3.0 Adapt in grey for toddler boys.

Key Features

  • Available for toddlers and little kids
  • Order the shoe style M2P Journey Adapt by Stride Rite on Zappos or Amazon
  • Available in extra wide widths
  • I suggest that you get this shoe a whole size larger than the end of your child’s longest toe

Billy Shoes

Billy shoes have become a favorite among families. Their unique zipper design allows for easy on-and-off, making them a convenient choice for kids with Down syndrome.

Pink Billy shoes for girls who wear AFOs.
Black-Billy-shoes-for-kids-who-wear-AFOs

Key Features

  • Available for little and big kids
  • Order the shoe style Classic DR High II by Billy on Zappos or Amazon
  • Available in extra wide widths
  • Leather upper
  • I suggest that you get this shoe a whole size larger than the end of your child’s longest toe

Ryder Adapt by See Kai Run

These See Kai Run adaptive shoes for kids with Down syndrome are lightweight and feature an extra-wide, deep toe box. The removable insoles help provide extra space, and an easy-open design for hassle-free wear.

See Kai Run Adapt for kids who wear orthotics.
See Kai Run adaptable shoe for orthotics.

Key Features

  • Order the shoe style Ryder Adapt by See Kai Run on Zappos or Amazon
  • Available for toddlers
  • Extra long straps can be cut for a secure and custom fit with AFOs
  • Mesh lining and removable insoles
  • I suggest that you get this shoe a whole size larger than the end of your child’s longest toe

The shoes I recommend are the same ones trusted by physical and occupational therapists to support flat feet and low muscle tone, helping children move with better stability and confidence.

Contact Me for Personalized Recommendations

If you’re struggling to find the right shoes for your child, feel free to reach out. You can contact me via email, and I would be more than happy to provide specific shoe recommendations tailored to your child’s unique foot shape and condition. With years of experience in the industry, I can help guide you through the selection process, ensuring your child receives the best possible support and comfort.

Are You Unsure About Which Shoe Size You Should Order Online?

Many children with Down syndrome may struggle to communicate whether their shoes fit properly, making it even more important to ensure they wear the right size and style for optimal support and comfort. That’s why I always recommend visiting a trusted local kids’ shoe store, where professionals can accurately measure and fit their feet. However, I understand that not all parents have access to a reliable store nearby.

To help, I created a virtual shoe fitting service that allows you to determine your child’s exact shoe size from home. This resource will guide you in identifying whether your child has narrow, medium, wide, or extra wide feet, as well as whether they have a high instep—ensuring a comfortable and supportive fit every step of the way.

An image of a child wearing comfortable and supportive shoes.

Bonus Resource: Orthotics for Kids with Down Syndrome

In addition to supportive shoes, orthotics can be a valuable tool in managing foot conditions in children with Down syndrome. Orthotics provide additional support and alignment, enhancing the effectiveness of their footwear. However, before trying an orthotic, I always start by fitting children in good supportive shoes and observing how they react to them. If the child is still pronating after wearing a pair of supportive shoes, that means that it might be the right time to try a pair of orthotics.

Do Children Outgrow Their Flat Feet? – They Don’t Always Do!

I have heard several parents say how they don’t want their kids to become dependent on good, supportive shoes or orthotics, and that they prefer to have their children walk barefoot to strengthen their ankles. Trust me when I tell you that it is a MYTH that orthotics and good supportive shoes interfere with strength development!

Several parents have asked me if their children will ever outgrow their flat feet. This is hard to predict, and in most cases, but in most cases, children will remain flat-footed for the rest of their lives. The key is to minimize or eliminate any sort of foot or leg pain that they might be experiencing and allow them to perform their everyday activities without pain.

Child with stability issues keeps falling due to wearing shoes that are too big.
An image of a child with flat feet and low muscle tone having stability issues.

At What Age Do Children with Down Syndrome Usually Start Walking?

Most children with Down syndrome learn how to walk at an average of 24 months, but some of them might take as long as 42 months. The main reason for this delay is their low muscle tone.

I’ve helped many families who were amazed by the life-changing impact of the right shoes. One family, referred by their occupational therapist, came in desperate for a solution. Their child struggled with frequent falls, and despite hoping stability would improve over time, it only got worse. The mother feared a serious injury, but with the proper footwear, everything changed.

The child had been wearing shoes that were far too long because his mother, unaware that extra wide, deep shoes existed, thought it was the only way to accommodate his high instep and wide feet. This poor fit made walking unstable, leading to frequent falls. It was frustrating, but the parents already felt terrible—they simply didn’t know better. Wouldn’t you struggle to walk in oversized shoes too?

I found a perfectly fitting extra-wide, stable shoe, and when the child tried them on—magic happened! He walked and ran effortlessly, and his mother was so overjoyed she started crying.

The journey of finding the right shoes for kids with Down syndrome can be challenging but immensely rewarding. Some parents don’t understand the importance and the positive impact that shoes can have on their children’s lives. Please remember this: “Any structure built on a weak foundation will collapse”. Our feet are the foundation for our entire body, and we must take good care of them!