If you experience technical difficulty, a downloadable form is available to ensure timely completion.
Appointments are confirmed only after completed intake forms are received by our office.

Many parents overlook key signs that affect kids foot health before buying new shoes. Improper shoe fitting can lead to heel pain, flat feet discomfort, and even toe crowding. Knowing what to watch for can prevent long-term problems and keep your child comfortable throughout the school year. For more information about pediatric foot conditions, visit this helpful resource. Let’s explore seven crucial checks every parent should make before purchasing school shoes.
The foundation of kids foot health begins with proper shoe fitting. When shopping for school shoes, check that there is adequate room in the toe box. Your child should be able to wiggle their toes freely without restriction. Press down gently on the front of the shoe while your child is standing. There should be approximately a thumb’s width of space between the longest toe and the shoe’s end.
The heel counter should fit snugly without allowing the foot to slide up and down during walking. Excessive heel slippage can cause blisters and affect your child’s natural gait pattern. A secure fit around the heel provides stability and support during daily activities.
Heel pain is one of the most common complaints among school-aged children, particularly those involved in sports. This discomfort often indicates Sever’s disease, a growth plate inflammation that affects active kids between ages 8 and 14. If your child complains of heel pain after running or jumping, schedule an evaluation before the condition worsens.
While many children naturally have flat feet during early development, persistent pain or fatigue requires professional assessment. Observe your child’s arch when they stand. Some degree of arch flattening is normal in younger children. Pain, limping, or difficulty keeping up with peers during physical activities may signal that supportive footwear or orthotics are needed.
Before purchasing new shoes, examine your child’s toenails carefully. Look for redness, swelling, or tenderness around the nail borders. Tight shoes can worsen existing ingrown toenails and create new problems. If you notice thick, discolored, or painful nails, these may require professional treatment.
Check the soles of your child’s feet for small, rough bumps or lesions. Warts spread easily in school locker rooms and sports facilities. Early identification allows for prompt treatment and prevents transmission to others.
Watch how your child walks naturally. Limping, toe-walking, or turning feet inward or outward can indicate underlying biomechanical issues. These gait changes often become more noticeable when children wear improper footwear or experience growth spurts.

Growing feet need adequate space to develop properly. Toe crowding occurs when shoes are too narrow or short, forcing toes into unnatural positions. This pressure can lead to hammertoes, bunions, and chronic discomfort. Children’s feet grow rapidly, so measure both feet every time you shop for shoes.
If your child experiences persistent foot pain, visible deformities, or nail problems, a clinical evaluation is warranted. Thick nails often require medical debridement before treatment, and conditions like fungal infections respond well to laser therapy.
If you are struggling with thick, discolored, or fungal toenails, schedule a clinical nail evaluation at Lansdowne Podiatry to learn about laser treatment and nail restoration options. Protecting your child’s foot health today sets the foundation for comfortable, active years ahead.
What are the signs my child’s shoes don’t fit properly?
Look for redness on the skin, blisters, or complaints of pinching and pressure. Your child may also remove their shoes frequently or walk differently than usual. Always check for adequate toe room and secure heel fit when evaluating shoe size.
How often should I replace my child’s school shoes?
Children’s feet grow approximately half a size every three to four months during peak growth years. Check the fit monthly by pressing the toe area while your child stands. Replace shoes when there is less than a thumb’s width of space or when visible wear appears.
When should I worry about my child’s flat feet?
Flat feet are common in young children and often resolve naturally. Consult a podiatrist if your child experiences pain, fatigue during normal activities, or difficulty participating in sports. Asymmetry between feet or rigid flat feet also warrant professional evaluation.
What causes heel pain in active children?
Heel pain in children aged 8 to 14 typically results from Sever’s disease, an inflammation of the growth plate. This condition affects active kids who participate in running and jumping sports. Rest, proper footwear, and stretching exercises usually provide relief within several weeks.
How much room should be in the toe box of children’s shoes?
There should be approximately a thumb’s width (about half an inch) between your child’s longest toe and the end of the shoe. This space allows for natural toe movement and accommodates growth. Measure both feet while your child is standing, as feet expand under body weight.