Current Pedorthics | July-August 2016 | Vol.48, Issue 4 | Page 29

Generally, it takes about 5 months to break or outgrow a pair of shoes. Muscles grow, bones solidify. As stated before, it has been my experience to give most kids 3/8 to 5/8” toe space, which allows room to grow and flexibility to develop muscle strength and balance. Children with a foot posture that limits their activity are a different story. We will need to provide a more structured, firm soled, supportive type of shoe. Bare feet are a part of the development… it is up to us to offer protection from the cold, harsh, flat world we live in. Splinters, sharp rocks, slippery floors, wooden steps. These hard, flat surfaces take their toll…. and with much less barefoot on soft uneven surfaces available than when their parents and grandparents were young. This flat environment accelerates the degradation of the feet. Obesity works the muscles of the feet harder making it more difficult to move around. This increases muscle weakness in the feet and body. Youth sports and sport shoes can create damage with tight shoes and unyielding playing surfaces. Not to mention the stresses of twisting, turning, sprinting, running, and stopping. So... “What shoe is best for this child’s feet?” This should start quite a conversation, don’t you think? • Current Pedorthics July/August 2016 27