Shoes for Orthotics: SMO, AFO & Orthotic-Friendly Shoe Guide

Shoes for Orthotics

What to look for and parent-tested picks.

Rose gold glitter Billy Footwear adaptive high-top sneakers with side zip closure, shown dangling over a wooden ledge in a warm interior setting

Understanding Common Orthotics

Orthotics come in many forms, from custom shoe inserts to braces that support the ankle and lower leg. The type of orthotic you're using can have a big impact on which shoes will fit comfortably. Understanding which type you use can help narrow down the features and shoe styles most likely to work.

SMO Orthotics

Low-profile brace that sits just above the ankle
Often used to improve stability, balance, and foot alignment
Usually fit inside a wider variety of shoe styles than AFOs

AFO Braces

Extend above the ankle and lower leg
Often used to support walking, ankle stability, and foot positioning
Usually need extra depth, wider openings, and other specialized shoe features

Custom Orthotic Inserts

Custom inserts designed to support foot alignment, comfort, and stability
Frequently fit into standard shoes with removable insoles

Choose the Guide That Matches Your Orthotic

SMO Orthotics

✓ Lower profile braces
✓ Usually fit inside more shoe styles
✓ Removable insoles are often helpful
✓ Adjustable closures make fitting easier

Read our complete SMO Shoe Guide

Child independently putting on BILLY adaptive shoes over an AFO brace.

AFO Braces

✓ Extend above ankle and lower leg
✓ Often require extra depth
✓ Wide openings are important
✓ May need sizing adjustments

Read our complete AFO shoe guide

What to Look for in Shoes for Orthotics

✓ Wide opening

✓ Removable insole

✓ Extra depth

✓ Adjustable closure

✓ Stable sole

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Shoe Brands Frequently Recommended for Orthotics

BILLY Footwear
Best known for wraparound zippers that open wide, making it easier to fit SMOs, AFOs, and other orthotics.
Explore BILLY
New Balance
Frequently recommended for orthotics because many styles offer extra depth, removable insoles, and wide-width options.
Shop New Balance Picks
See Kai Run
Popular among younger children who wear SMOs or other orthotics and need lightweight shoes with flexible fit options.
Explore See Kai Run
Friendly Shoes
Designed with wide openings and removable insoles that can make fitting orthotics easier.
Explore Friendly

FAQ

Can orthotics fit in regular shoes?

Yes, many orthotics can fit in regular shoes. However, shoes with removable insoles, adjustable closures, and extra depth often provide a more comfortable fit. AFOs typically require more room than SMOs or custom orthotic inserts.

Should I remove the shoe's insole?

In many cases, yes. Removing the factory insole can create additional depth and make it easier to accommodate orthotics. Always follow the recommendations provided by your orthotist or healthcare team.

Do I need to size up for orthotics?

Not always. Some people can wear their normal shoe size, while others need additional width or extra depth rather than extra length. AFOs are more likely to require sizing adjustments than SMOs or custom inserts.

What features should I look for in shoes for orthotics?

Look for shoes with:

Removable insoles
Wide openings
Adjustable closures
Extra depth
Stable soles

These features can make it easier to fit orthotics comfortably and securely.

Are adaptive shoes required for orthotics?

No. Many standard shoes work well with orthotics. However, adaptive shoes often provide features like wraparound zippers, wider openings, and removable insoles that can make dressing and fitting orthotics easier.

What's the difference between shoes for SMOs and AFOs?

SMOs are lower-profile braces and typically fit inside a wider variety of shoe styles. AFOs extend higher on the leg and often require shoes with more depth, wider openings, and additional room to accommodate the brace.

Which shoe brands are most often recommended for orthotics?

Families, therapists, and orthotic users frequently recommend brands such as BILLY Footwear, New Balance, Friendly Shoes, and See Kai Run because many styles offer removable insoles, adjustable closures, extra depth, and wider openings.

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