One of the most important yet most abused parts of the human body is our feet. Feet are designed to take body weight and give mobility. Whilst vast amounts of money are spent in educating people to look after themselves nutritionally and physically, little effort is made to educate them on the importance of foot health. Feet are often crammed into the most unsuitably shaped shoes (often made of plastic). The only time feet are given a thought is when they hurt. There is no doubt that from birth to early teens feet are at their most vulnerable, in fact there are 26 bones in the foot, and they do not completely ossify (harden) until around the age of eighteen. Qualified Shoe Fitters and Chiropodists spend the majority of their time trying to correct damage and ease discomfort that could have been avoided if shoes had been correctly fitted when purchased.

1)      Have feet measured by a qualified fitter.  Do not be afraid to ask what qualification the staff have attained in your shoe shop.  Both feet should always be measured for size and width because one foot may be different from the other (and that is not unusual). The larger foot usually dictates the size needed.

2)     A fitting gauge is merely a guide. Fitting Gauges all vary in calibration. Sizes and fittings vary dependent on style, country of origin, manufacturer etc. There is no standardisation of shoe sizing in the UK that is why a qualified shoe fitter is so important to interpret the correct shoe for the shape of the foot. What it says on the Fitting Gauge may not be the size or fitting you actually require, it is only a starting point.

3)     Feet may be “measured” sitting or standing and foot gauges are calibrated accordingly, but the final assessment should be made whilst standing, as the feet spread when standing weight is applied.

4)     Buy footwear made of natural materials e.g. leather, cotton etc. as these materials breathe and mould to your foot. Man-made materials e.g. plastic; make feet perspire and return to their original shape - this can cause fungal infections and abrasions. Some materials have been treated with chemicals to allow them to breathe i.e. Goretex and Sympatex, and these are often found in linings, leisurewear and clothing.

5)     Look after your shoes. Polish them and they will look better and last longer. Protect nubuck with spray before wearing to keep clean and repel water.

6)     Diabetics should take extra special care of their feet and eyes; they can be problem areas. Shoes should always be comfortable, and feet kept warm and dry. Make sure shoes and hosiery are secure – but not tight.

7)     Wear the right shoe for the right occasion! Buy your shoes before your outfit – your shoes will stay on longer than your hat, and will be worn far more often than your clothes. Comfortable feet will keep you smiling for the photographs!

8)     When does a child need their first pair of shoes? The simple answer is “when the child is walking most of the day and wants to walk outside”. At that time the child needs a pair of shoes to protect his or her feet. This can be between seven months and two years. Never push your child to walk if they are not ready, just because your friend’s child has been walking for months.

9)     Look for shoes that are available in different fittings. The type of shoes you choose for an infant should be designed around the shape of the feet (slim at the heel and wide at the front). Ideally they should also be made in a variety of width fittings, after all there is no standardisation of shoe sizing and feet do not conform to a standard either.

10)     Children’s shoes with a lace/strap/Velcro fastening across the instep, allow for a finer adjustment without restriction, giving a better overall fit.

11)     Never rely on the question “do they feel comfortable?” when fitting very young children. Distortion and cramping can be present without feeling pain and discomfort, and children will often say shoes are comfortable if they like them! If in doubt ask a Supervisor for a second opinion at the time of purchase.

12)     Children’s shoes should be professionally checked for correct fit every 4-6 weeks for infants (0-3 years) 6-8 weeks (3-4 years) and 10–12 weeks thereafter. That is not to say your child will need new shoes each time their feet are measured - a qualified shoe fitter will not sell a pair of shoes unless needed, and will be happy to measure and advise accordingly. Children’s feet grow erratically in fits and starts; during this period feet can grow by at least half a size, so it is wise to regularly visit your fitter for advice. Walk out of any shop that asks you the size of your child’s foot and then takes your word for it without checking.

13)     Never hand shoes down, they take on the shape of the previous wearer – they will rub and not support in vital areas and can harbor infections.

14)     Monitor your child’s sock drawer and discard outgrown or misshapen socks. Buy cotton or wool socks, avoid stretch socks, and check toe seams for a “casting-off” knot that can rub toes (particularly important if you have diabetes). Socks and baby-grows that are too small at the toes, will restrict growth and circulation.

15)     No one style of shoe has been designed or constructed to meet all of your child’s needs. Structured shoes are needed for every day support, plimsoll's and trainers for sports and occasional wear, and Wellingtons for wet conditions.

16)     Saturday’s are the busiest days for shopping, so if you and your child need advice, try to find a quieter time in the week to seek assistance. To keep your feet fit and healthy, you may like to try some exercises overleaf? However, if you have any concerns about your feet, always seek professional advice from your Podiatrist or G.P. and for shoe related queries; a qualified Shoe Fitter from The Society of Shoe Fitters.