The selection of shoes should be the same as for other clothing. The shoe should protect the foot from injury and cold and be acceptable in appearance. The best shoes are those that interfere least with function and simulate the barefoot state. High-top shoes are necessary in the toddler to keep the shoes on the feet. Proper fit is desirable, not to promote support but to avoid falls and com pression of the toes.
Falls are more common if the shoes are too long or have sole material that is slippery or sticky.
Some shoe modifications are helpful. These are not for correction but to improve function or provide comfort. Shoe lifts may be useful if leg length difference exceeds 2.5 cm. Orthotics are effective in evenly distributing loading of the sole of the foot. Shock-absorbing footware may be helpful for the adolescent in reducing the incidence of overuse syndromes.