Do I need to wear orthopedic shoes? Do children need orthopedic shoes and insoles with arch supports? Does a child need orthopedic shoes?

Today, three quarters of children need orthopedic shoes. After all, one of the most common diseases of the musculoskeletal system in children is flat feet. This pathology can lead to a number of pathologies of the human musculoskeletal system. Without timely correction of the foot at an early age, disorders can lead to joint diseases, cardiovascular dystonia, and neuralgia. To prevent these serious consequences, you should understand in what cases the child needs orthopedic shoes.

According to the orthopedic doctor

The most dangerous period for the development of possible foot deformities is the age of the child from 8 months to 1.5 years. This is when the baby begins to walk independently. Due to changes in body position in space, the load on the spine, vestibular apparatus, and hip joints is redistributed and muscle work is activated. That is why parents should approach the choice of shoes for the baby with all responsibility, because a lot depends on them.

It is advisable for all children under the age of 3–4 years (and ideally up to 6–7 years old) to buy orthopedic shoes. However, at this stage, problems may arise related to parents’ understanding of the concept of “orthopedic”. After all, there is an opinion that this type of shoe is necessary only if there are foot deformities. But this is a fairly common misconception. Mass-produced children's orthopedic shoes are used only for prevention. Its main task is to prevent the development of deformity, promoting the proper development of the foot.

So, the main thing is to choose the right orthopedic shoes. The right choice is evidenced by the following facts: the feet are protected from mechanical damage, the shoes support the spring and shock-absorbing function of the feet and correspond to its anatomical and physiological characteristics. Preference should be given to models with a wide toe, arch support, anatomical insole, small stable heel, and a rigid fixed heel (the upper edge should be equipped with a soft cushion). But the most important thing is that the shoes clearly match the size (fullness, length) of the foot. After all, the shoes themselves, if they are selected without taking into account the above aspects, can cause all sorts of foot deformities. And again, diseases of neither the musculoskeletal system nor the cardiovascular system can be avoided.

If there is a foot deformity, orthopedic shoes alone are no longer enough. In such cases, therapeutic insoles-instep supports help, which, thanks to a certain micro-relief of the surface, fix the foot in the most correct position. Such insoles relax a certain muscle group and load precisely those that do not receive the necessary load due to foot deformities. Depending on the degree of flatfoot, complete recovery requires from 6 months to 3 years.

We are here We decided to lay out different points of view on this issue - so that you are aware and choose the right decision for yourself. Here is a selection of articles about wearing orthopedic training, with reservations, of course.

Many parents have questions about whether a young child (a baby or a child who is just starting to walk) should wear shoes. Is it harmful for children of this age to do without them?

We can say that shoes are a “necessary evil” for the foot. This is a tribute to the benefits of civilization that people enjoy using. Of course, if you have the opportunity to walk without shoes on the soft soil of a suburban area, or on the sand of a river bank, or on pebbles sea ​​coast, you need to take advantage of this opportunity as often as possible. But for walking in the city, for walking on hard surfaces, shoes are necessary. Shoes perform not only a protective function, but also the function of proper development of the child’s foot. Future foot and posture diseases are inherent in children's shoes. To be fair, we note that the laws and mechanisms of development of a child’s foot are so strong that it is very difficult to spoil a child’s foot with bad shoes, but it is still possible.

No shoes until the first steps!

Don't buy shoes for your child until he can walk. These shoes look so nice and soft, but they can seriously interfere with normal foot movement. If you see beautiful baby booties, know that this is a symbol of harm done to the legs of some baby. In warm weather, the baby can play in the playpen barefoot. When he starts crawling on a carpeted floor, you should let him do it barefoot.

What do you mean by the concept of “orthopedic shoes”? Quite often, the opinions of the doctor and the user on this issue differ. To determine whether your child needs orthopedic shoes and for how long, you need to consult an orthopedist.

What should children's shoes be like?

You need to walk in special orthopedic shoes. The arch of the child’s foot has not yet formed; when in contact with a perfectly flat floor in the apartment, the child’s foot relaxes, the muscles do not develop correctly, which can result in flat feet and other disorders. Some parents may object: “ That this is not natural, children did not use shoes before and still developed normally" There is one thing here - before, children walked a lot on grass, sand and the foot, adjusting to the uneven surface, was formed correctly. Orthopedists say that a baby should not walk barefoot or in socks on a flat floor, but on sand, pebbles, and grass - please. The foot must tense when walking, but on a flat surface it does not do this. That is why you need shoes from the very first steps.
You can give the child the opportunity to run barefoot on the surface of a heterogeneous structure.

However, it is not recommended to wear shoes all the time. If the ligaments in the foot are formed only by shoes, flaccid flat feet may occur. Therefore, you need to alternate between walking in boots and barefoot, thus giving your feet rest. Initially, it is generally worn for only a couple of hours a day.

The most important requirements when choosing any shoes are:
Sole. The basic rule is: than smaller child, the thinner and more flexible the sole should be. When buying boots, do not forget to check the flexibility of the sole. The question of which sole is better - rubber or leather - is also related to the problem of flexibility. Rubber soles are thicker and stiffer than leather soles, which provide greater stability. Avoid hard baby shoes. If the sole is difficult for you to bend, then it is even more difficult for a child’s foot. When the soles are hard, the child stumbles more easily when walking and may fall and hurt himself painfully.

When your child starts wearing socks, they need to be sized just as carefully as shoes. The sock does not follow the shape of the foot. It rather has the shape of a tube, tapering towards the toe. Therefore, elastic socks are especially harmful, as they constantly put pressure on the toes. If you tightly wrap a sock around a child’s foot, the toes will tend to take on the narrowed shape of the sock.

Some boots are beautiful, made of good leather and look durable, but often they are so hard that they prevent the child from moving his feet freely.

To check flexibility, take the heel in one hand and the toe in the other and bend the shoe inward. If the sole flexes just behind the toe instead of in the center, it means the shoe is incredibly stiff. Shoes for a baby should bend easily at the toe, imitating the bend of the foot when a baby walks. The sole flexibility test is carried out as shown in the figure.

A sole that is too hard is harmful and threatens the development of flat feet.

A child in such shoes will have difficulty hobbling because they will not allow him to bend his foot normally. Under no circumstances should you buy such shoes. Make sure that the outsole itself is not too thick, otherwise the shoe will still bend poorly.

Have stock in the toe section is approx. 1.0 cm (but not more), because When walking, the foot moves forward a little and this margin provides freedom for the toes. There should be a distance between the edge of the heel and the area of ​​the Achilles tendon; the tip of the little finger should pass (Figure 3).

For young children - those who are just starting to walk - it is unacceptable to use shoes with open toes and heels.

Hard high ass

• Babies under 1 year of age, when the child has already gotten up and walked, and the muscles, joints and ligaments are immature and not ready for stress. At this time, the child needs soft elastic shoes with a reinforced, stable heel and a wide toe to allow the toes to move freely. Need to the back was quite hard. Pinch the heel of the boot between your thumb and fingers. If it seems soft to the touch, then when worn, it will very quickly weaken and the shoes will constantly fall off your feet.

  Such shoes should not have heels or orthopedic insoles (except when recommended by a doctor); On account heel and instep discrepancy- Older children are told quite the opposite - they need it!

Baby shoes should be made from natural material– leather, nubuck, suede, very thick cotton fabric. The child’s skin must “breathe”; synthetic leatherettes that do not allow air to pass through are unacceptable.

When walking, the heel should not move relative to the heel of the boot; the vertical line drawn through the center of the Achilles tendon should coincide with the vertical line drawn through the heel of the boot.

- The insole of the shoe should easily absorb moisture. Children are very active and their feet sweat quickly. Check and change your socks if your feet become sweaty. (They say you sweat a lot in Kotofey).

Go shopping for shoes with your baby. Ask your child to walk around in the selected pair of shoes for 5 minutes, pay attention to the comfort of the shoes and how the shoe “sits” on the foot; after removing the shoe, look for any areas of redness or abrasions of the skin. Children's shoes do not require breaking in, like adults', i.e. molding along the foot during wear.

It is better to try on shoes in the evening, when the size of the foot is 5-8% larger (or 1/2 a size).

The right and left feet usually differ in size. Therefore, you need to measure both legs.

If during wear the boots become deformed, for example in the heel area or in the front area, then such boots should be thrown away or replaced

If this also happens with another pair of boots, consult a podiatrist.

A child should not be allowed to wear out his shoes., left over from an older brother, or a friend’s older son. Shaped by another foot, old shoes can cause your child's foot to be shaped contrary to its potential, and under the influence of someone else's shoes.

You need to pay attention to the sole of your shoes - won't it be too slippery?, which can lead to frequent falls and injuries to the child.

Periodically check that your child's shoes are not too small. Bent toes, calluses, and red, burn-like marks on the foot mean that the baby has outgrown the shoe. This happens much faster than the shoes wear out.
1-3 years ----> every 3 months
3- 6 years ----> every 4 months
6-10 years ----> every 5 months

We provide security

It is important to protect the child as much as possible from injuries that he may receive while walking. If you sit down on your knees and look around, you will see where your baby can reach, what he can throw or pull. It is necessary to put plugs in sockets, install clamps on doors, and secure the corners of furniture. The floor should not be slippery; for this you can use a carpet, or wear socks with rubberized soles. Also, to avoid dangerous injuries, many mothers advise wearing a helmet))

For steps, you need to choose a fairly wide space (the playpen in this case is already quite small);

Orthopedic shoes for a child fulfill the entire complex of the above requirements for shoes for a child.

However, it should be noted that children who have temporary deviations in the development of the foot, who need the supervision of an orthopedist and the use of special shoes or special orthopedic inserts, account for about 30%

IN AND. Ugnivenko, orthopedic traumatologist, Ph.D.

© Photo by Janko Ferlič on Unsplash

A child should learn to walk in orthopedic shoes; shoes should be looked for with arch support, a firm heel, and only for exorbitant amounts of money - we have collected the most common beliefs of parents about children's shoes. But is it really so?

We talked to a pediatric orthopedist at the Fantasy clinic and found out the truth.

Do all children need orthopedic shoes?

Many people think that orthopedic shoes are specially designed to prevent flat feet and proper development of the foot. In fact, this is self-deception! Any qualified orthopedist will confirm that such shoes are needed to cure an existing disorder and prevent its development. But not for prevention! The main function of children's orthopedic shoes is to fix the child's feet in a certain position to correct deviations. Healthy children don't need it!

Real orthopedic shoes are made to order and take into account the specific deformation of the child’s feet. And the one that is sold in stores and salons under the name orthopedic is nothing more than an advertising gimmick to promote ordinary, expensive and high-quality children's shoes.

Do I need special shoes for my baby's first steps?

Usually there is a question about the “need” of tight boots that fix the ankle joint (with the so-called high top), with a hard back. As a rule, such shoes are recommended for children with minor valgus or no pathology at all. But you can’t fix the ankle joint! It is responsible for flexion and extension of the foot; blocking the joint will lead to impaired movement and muscle imbalance in the child’s feet.

Is it true that the heel of a shoe should be hard? And the harder the better?

When worn, the back should retain its shape, be quite dense, but not too hard - without plastic inserts inside. It should be no higher than the ankles to provide the foot with the necessary support without restricting movement.

Do shoes need an instep support (a pad on the insole at the inner edge)?

This is a misconception that is firmly entrenched in the minds of not only parents, but also some doctors. Allegedly, a mass-produced insole in a shoe factory helps support the arch of the foot and prevents flat feet in children. This is wrong! It is important to know that all children under the age of 3-4 years have so-called physiological flat feet. In babies, the arch of the foot is filled with fatty tissue, and the foot looks flat. This fat layer is a kind of “natural arch support” that maintains the arch of the foot in the correct position when walking and running. The child grows, moves more - the fat layer becomes thinner, and the longitudinal arch of the foot is formed (where the arch support is on the insole).

By putting on shoes with arch supports for the baby, we provide excessive pressure on the fat pad. The child is uncomfortable: in order to remove the pressing sensation, he may begin to “clubfoot.” Having taken off such shoes, parents will see a red spot on the child’s foot, exactly where the pressure of the arch support is.

And finally, the foot is a system of three arches, supported by three points. Supporting only one arch is clearly not sufficient. Therefore, the pad on the insole (instep support) in mass-produced children's shoes has nothing to do with the treatment and prevention of flat feet.

Should I look for boots with hard soles?

The sole should be flexible and soft, not “shockproof” and inflexible. When checking the elasticity of the sole, pay attention to the fact that it should bend where the foot rolls, at the base of the toes. This way the baby’s legs will receive the correct load and optimal control of foot movements.

Do you need a heel?

But it is definitely needed! The absence of a heel leads to overload of the heel area. It also protects the child from falling backwards. For children, it is desirable that the heel be wide and stable, 5-15 mm high. For older children, the presence of a heel as a design element is not necessary - the difference in height between the front and rear parts shoes

When should you buy shoes for your child: when he is just starting to get up in his crib, or is he already taking his first steps?

To be honest, the time difference between these baby’s achievements is not that great. You can buy shoes for your child at any time, but no later than the moment he begins to actively move on his feet.

6 main rules when choosing children's shoes

Parents should adhere to the principle of maximum comfort, and not maximum “orthotics.” The right shoes for your child should be:

1. With a small (5-15 mm) heel;.

2. With elastic and flexible sole.

3. The back of the shoe should be no higher than the ankles, keep its shape and securely fix the heel.

4. With a toe box wide enough to allow the child to wiggle his toes in the boots.

5. Shoes should not be massive or heavy, so as not to restrict movement.

6. It is important to choose the right size of boots - the child’s foot should not “ride” inside.

Neither the brand name, nor the high price, nor the cool appearance of the shoes, and especially the use of the term “orthopedic”, guarantee the required quality. Only by looking through and testing more than one pair yourself will you be able to find really high-quality and reliable boots for your baby.

Most parents are faced with a dilemma: “Should I buy orthopedic children’s shoes or regular ones, should I buy an insole with an instep support or will an insole without an instep support be enough?” Let's figure it out.

Let's start with why a person needs shoes in general. To protect feet and toes from injury and keep feet dry and warm. But not all shoes are equally useful, especially for children’s still unformed feet. Main principle in choosing shoes - do no harm! It is more beneficial for a person to walk barefoot, but to walk on dirt, sand, and uneven surfaces. We are surrounded by a perfectly flat house floor and paved roads, so at every opportunity, encourage children (and adults) to walk barefoot on warm sand, non-sharp pebbles and special rugs with pimples. This has correct load on the foot muscles, thereby arranging prevention of flat feet.

Every person at a certain stage of his life has flat feet, or rather natural flat feet, and this period is infancy. Then, with the appearance of loads on the muscles and feet of the legs, the correct arch of the foot begins to form. And the formation of the arch of the foot ends only by the age of 12. Therefore, at the age of 2, 3, 4... years, it is not correct to talk about such a disease as flat feet. Of course, if flat feet are not congenital. According to a study from Atlanta, 99% of newborns have correct feet. So, natural flat feet are typical for all children and go away with age.

Some doctors claim that for the correct formation of a child’s foot, it is necessary to wear orthopedic preventive shoes, others - that it goes away regardless of whether the child wears orthopedic shoes and insoles with arch supports. The more natural the parents create conditions for the development of the child, the more this contributes to the normal development of children's legs. But they all agree that preventive measures are necessary for the development of the musculoskeletal system of children’s legs and the correct formation of the arch of the foot.

Prevention of flat feet:

• walking barefoot: on sand, on uneven surfaces, on non-sharp pebbles, on special mats with pimples
• insole with arch support- if the child is surrounded in most cases by a perfectly flat surface and shoes with flat soles
• more run barefoot
• The child's shoes must match age requirements
• preventive exercises: use your toes to collect beans or acorns scattered on the floor; walk barefoot through chestnut trees; collect straws for drinks with your toes, climb a hanging rope, ladder, wall bars, etc.
• special physical exercise for proper foot formation and gymnastics

1. It is better to measure your child’s feet to determine the size and buy shoes in the afternoon, since during this period the feet are at their largest size.
2. Try on the shoes on the child’s foot, this will allow you to determine whether the length and width of the shoe matches the child’s foot and whether it fits the arch of the child’s foot. Let the child walk around in it and say (if age allows) about the level of comfort of the foot inside the shoe. Therefore, if you purchase shoes from an online store, make sure that it provides the opportunity to return the shoes if they do not fit the child and replace them with shoes of a different size.
3. The distance from the inner edge of the shoe to the longest toe should be at least 5 mm, and preferably up to 10-12 mm (maximum 15 mm)
4. The child should be able to move all his toes freely.

General requirements for children's shoes:

1. Flexible sole
2. Natural materials
3. Small heel
4. Tight back
5. Soft, moisture-wicking footbed

What are orthopedic shoes and why are they needed?

Children's orthopedic shoes- these are shoes that have a therapeutic effect on the musculoskeletal system of the legs or serve as a prevention of leg diseases. There are therapeutic and preventive orthopedic shoes. Are there any differences?

Preventive orthopedic shoes:

1. It has a molded heel that follows the curve of a child's heel. Such a heel covers the heel, but does not rise upward.
2. Arch support (springs when you press your finger, forcing the foot to work when walking)
3. Flexible non-slip sole.
4. Thomas Heel (provides correct positioning legs and prevents the foot from falling inward)

Therapeutic orthopedic shoes:

1. It has a rigid molded heel with a high top (with an elongated internal and rigid external side) that covers the ankle joint.
2. Springy instep support. Sometimes you need to invest custom insoles, made for a specific child’s foot.
3. Thomas's heel.
4. Often shoes are made to order (taking into account the needs of a particular child)

Some sellers, encouraging buy orthopedic shoes, unconditionally claim that orthopedic shoes are mandatory for children, as they prevent various disorders in the process of foot formation, but they do not talk about what can lead to permanent the child wearing exclusively specialized orthopedic shoes. Orthopedic shoes, when worn constantly, take on all the tasks of maintaining the child’s foot in the correct position, firmly holding the leg, and do not load it at all, as a result of which the muscles do not strain, and therefore do not develop and weaken. Which in turn makes it impossible for the child to develop the muscles correctly and form the arch of the child’s foot.

When insufficient formation of the child’s foot muscles, doctors recommend purchasing insoles with arch supports for proper muscle development and so that the legs do not “fall” inward. As a rule, this is facilitated by the child’s poor lifestyle.

Orthopedic instep support- This is a thickening on the insole under the midfoot, designed to support the arch of the foot. The task of the arch support is to support the arch of the foot only when the foot is fully supported, and at other times to allow the muscles of the foot to work independently.

Shoes that have an insole with arch support must be the right size for the child! Otherwise, this will have the exact opposite effect: if the child’s shoes are much larger than his feet, then the instep support on the insole will be located in the wrong place (displaced towards the front of the foot), thereby contributing to the incorrect formation of the child’s foot.

With the aim of prevention of flat feet, it is better to use insoles with low and soft (springy) instep support. This will help the child's foot develop properly and will not harm the child's foot. A high and rigid arch support does not allow the foot muscles to work independently, doing all the work in supporting the arch of the foot onto itself, which leads to the fact that the foot muscles weaken and do not develop.

Is an insole with arch support necessary for the healthy development of a child's foot? No, nature is smart, so a person’s leg is able to form correctly on its own, but our everyday life and living environment often minimize the natural prerequisites for the development of healthy legs.

In short, insoles with arch support and preventive orthopedic shoes are intended to prevent improper formation of the foot and diseases of children's feet, and therapeutic orthopedic shoes are intended to correct the resulting disorders of the musculoskeletal system of the legs.

Remember that excess tight lacing and fasteners on children's shoes with hard, flat soles contribute to the development of flat feet, so choose your children's shoes carefully.

Parents should not get hung up on orthopedic shoes and insoles with arch supports, but rather pay more attention to preventive measures and natural stress on the foot muscles for the healthy development of children's feet. And in addition to preventive procedures, it would not be amiss to have insoles with arch supports, since we are often surrounded by a flat asphalt surface on the streets and a perfectly flat surface at home.

Each parent independently decides what to wear for their child and what insoles to use; the main thing to remember is that the child’s foot is formed before the age of 12 and preventive measures during this period are of great importance. For the health of children's feet, you don't need shoes and special insoles with arch supports, but a lifestyle as close to natural as possible!

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Parents are very concerned about how to make their child as comfortable as possible so that he or she develops properly. The issue of shoes comes first here. If a baby was born with a foot pathology, then everything is very clear; special orthopedic shoes are needed. But if yours is growing healthy baby, is it necessary to buy such things?
With what joy parents greet every stage in the baby’s life: he turned over on his tummy, sat up, tried to stand, and finally took his first step. Traditionally, the first step is considered the most significant in a child’s life, besides, of course, the birth of the baby itself. And this is understandable, the child begins to explore the vast world on his own and his personality is slowly formed.
Parents are very concerned about how to make their child as comfortable as possible so that he or she develops properly. The issue of shoes comes first here. If a baby was born with a foot pathology, then everything is very clear; special orthopedic shoes are needed. But if you have a healthy baby, is it necessary to buy such things?
Golden Rule orthopedist
Pediatric orthopedists are unanimous: healthy child Absolutely any shoes will do, it is only important to comply with the following conditions. Shoes must be of high quality, properly sewn, and, of course, correctly selected. Alas, now there is no guarantee that such shoes can be found in the nearest store or market. Nowadays, hardly any manufacturers of children's shoes comply with special medical standards. IN Soviet times this was strictly monitored and the shoes were made of high quality, although, of course, they were rather ugly.
So the only worthy alternative is special orthopedic shoes. It is designed specifically taking into account the developmental characteristics of a child's foot. Orthopedists are convinced that in order for it to form correctly, shoes must have a hard back that secures the heel and a small heel 0.5 cm high and a fairly rigid sole. When in contact with a hard surface (floor, asphalt, etc.), the arch of the foot in orthopedic shoes is not injured, so doctors recommend walking in such shoes even at home. Well, the most important thing is the insole, thanks to which the pressure on the foot is distributed correctly. With its help, those muscles that have not previously worked are also used, relieving the load from them.
Stages of the long journey
Up to two years of age, the bones of the feet are soft and flexible, similar to cartilage, and the longitudinal arch of the foot is flat. This is a normal condition, because in bone tissue the child does not have enough minerals that give bones strength, and muscular system only in the development stage. The foot looks flat because there is a thick layer of richly developed fatty tissue on it, which at the same time acts as a shock absorber.
In the second year, children usually begin to walk and the arch of the foot is influenced by physical activity is changing.
From the age of three, muscles and ligaments begin to develop strongly and the height of the arches gradually increases. Accordingly, the appearance of the foot begins to look more and more like the shapes we are used to.
The process of formation of the bones of the foot continues until 5–6 years of age. and already at this age an orthopedist can say with confidence whether the baby has flat feet.
Causes of flat feet
The reasons are varied, but in the first place is underdevelopment of the foot muscles, which, in turn, develops due to wearing incorrectly selected shoes. Flat feet can also be caused by various injuries to the foot and ankle, overweight, clubfoot. As well as long forced (for example, as a result of illness) stay in bed, weakened muscle apparatus of the foot (for example, due to rickets), X-shaped legs.
What is flat feet?
If you look at the inside of the healthy foot of a 5-6 year old child, you will immediately notice that it is raised in the middle part in the form of a semicircle. With longitudinal flat feet, the arch is lowered and the entire sole of the foot “lies” on the floor. Observe carefully: if the heels are tilted outward when standing, or when walking the child rests on the inside of the foot, this should give you serious concern and the child should be consulted by a pediatric orthopedist.
Flat feet are not just a cosmetic defect. This is a direct threat to the spine, and therefore to health. internal organs. Children who have been diagnosed with flat feet are clumsy and often fall; their legs quickly get tired. When the kids grow up, back and leg pain and headaches will soon appear. Often the foot becomes deformed and the so-called foot grows. "bone" on the thumb.
Prevention
To prevent this from happening, you need to wear special orthopedic shoes; thanks to them, the foot develops correctly, and thanks to the insoles, it is possible to absorb the collision of the foot with a hard surface when walking.
In order to prevent the appearance of flat feet, it is necessary for the baby to walk barefoot more often, but not on a hard surface. Sand, pebbles, grass are ideal. This perfectly strengthens the ligamentous apparatus.
Doctors recommend cycling, playing outdoor games, skiing, and swimming. Massage helps a lot, but it needs to be done by a professional massage therapist. You need to do gymnastics 2 times a day.

Recommendations from representatives of the ORTEKA salon
Orthopedic shoes and insoles need to be chosen correctly. It should be made of natural fabric, with a wide and stable heel, elastic sole, without seams inside.
Let the child put shoes on both feet at once and walk around a little. There is no point in asking him whether he is comfortable, since children are still too young to assess their condition. Better watch him carefully. It is advisable that the shoes be 1.5 cm larger than the baby’s foot. If the older child is left with almost new shoes, you should not pass them on to the younger one, as there is a risk of the foot forming incorrectly.

World experience
Leaders in the production of children's orthopedic shoes try to ensure that all the shoes they produce meet international standards. Thanks to the most modern technologies their products not only treat, but also prevent orthopedic problems. Special orthopedic insole keeps your toes in optimal position. It serves as a support for the front and longitudinal arch of the foot, as well as its outer edge; a special recess fixes the heel, thereby reducing the load on the ankle joint. All shoes from well-known manufacturers are made in accordance with the recommendations of orthopedic doctors. The use of the most modern materials that “remember” the shape of the leg for even greater stability helps babies feel complete comfort.
There are three main directions: preventive footwear (with anatomical arch placement), therapeutic and prophylactic footwear with a removable insole and arch support, and therapeutic footwear - sandals and shoes with high hard tops, designed to be worn with individually selected insoles. Children's orthopedic shoes are distinguished by their spectacular appearance, as well as breathability, which creates even greater comfort for the baby.
In order not to “drown” in the sea of ​​variety of manufacturers, types, sizes of children's shoes, we recommend visiting ORTEKA - in the online store www.orteka.ru anyone can ask a question to the doctor and choose cute models, and the courier can bring several sizes / colors of the model you are interested in. Visitors to the salons will also receive a kind and attentive attitude - free foot diagnostics by an experienced doctor, assistance in choosing a model and size.