In fact, children don’t grow proportionally, the length of their body and foot increases intermittently during growth spurts. It‘s quite impossible to predict such a spurt, therefore, shoes have a length allowance for foot growth. The allowance is 10 mm. If you are ready to spend money on an extra pair of shoes when your child will quickly and unexpectedly grow up, the length allowance can be reduced to 5mm.
In a case of peep shoes, you should tightly fix the foot heel to the counter of the shoe and determine the distance from the first toe to the edge of the insole. In a case of closed footwear, you can use the following technique: a removable orthopedic insole should be removed from the shoe (Twiki shoes have the removable insoles) and the child’s foot is placed on the insole. The shoes are chosen when a child is standing.
Foot fixation is ensured by Velcro fasteners (or simply Velcro). If the Velcro can be shortened in length (just like in Twiki shoes), then the fixation will be secure.
The shoes shouldn’t rub the Achilles tendon, inner and outer ankle, even in the maximum fixation position.
We recommend getting used to a new pair of shoes at home, gradually increasing the time of its use. It usually takes several days for the child to get used to a new pair of shoes. In the beginning, you will have to regularly check the child's feet. If he has any rubs around his ankles or the Achilles tendon, you should use talcum powder or baby powder.
The usage time of orthopedic shoes during the day isn’t limited. The breaks will be simultaneous with daytime sleep, playing games, watching a child’s favorite cartoons, having meals, etc. A child can’t wear orthopedic shoes for more than 6 months. The deformation may be corrected or changed. The decision is made by the orthopedist.
These recommendations can be applied to all brands of orthopedic footwear that can be found in special shoe stores.