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Back-to-School Footwear: A Podiatrist's Guide to Fitting Growing Feet

Posted on August 7, 2026

Between new backpacks, school supplies, and schedules, shoes are often the last thing on a back-to-school list — but they're one of the few items on it that directly affects how comfortably your child gets through their day. Every August, we see a wave of preventable foot pain in kids simply because their shoes didn't quite fit right on day one.

Kids' Feet Grow Faster Than Most Parents Expect

A child's foot can grow a full size or more in as little as four to six months, especially during growth spurts. That means the sneakers that fit perfectly last spring may already be too small by the time school starts back up — even if they still look fine from the outside.

The Real Signs a Shoe No Longer Fits

Kids, especially younger ones, often don't complain about tight shoes — they simply adjust how they walk to compensate. Watch for these signs instead of waiting for a complaint:

What to Look for in a School Shoe

A good school shoe should have a firm, supportive heel, a flexible sole that bends where the foot naturally bends (at the ball of the foot, not the middle), and enough width in the toe box that toes aren't compressed. Avoid shoes that fold in half easily — that flexibility usually means little to no arch or structural support, which matters over a full day of standing, walking, and recess.

Don't Forget Cleats and Athletic Shoes

As fall sports ramp up, cleats and athletic shoes deserve the same attention as school shoes — sometimes more, given the running, pivoting, and stopping involved. A cleat that's a size too big to "grow into" is a common cause of blisters, black toenails, and ankle instability during a season. Properly fitted athletic shoes, replaced as your child's foot grows rather than at a fixed yearly schedule, go a long way toward preventing overuse injuries before they start.

When to Bring Your Child In

Occasional growing pains are normal, but persistent heel pain, a visible limp, one foot that seems to hurt more than the other, or complaints that don't improve after a shoe change are worth a visit. Catching a developing issue — like flat feet, in-toeing, or a heel growth-plate irritation called Sever's disease — early in the school year makes it much easier to manage before it affects a full season of activity.

Getting your kids fitted for the school year?

Southeast Foot Care provides expert foot and ankle care for patients of all ages in San Antonio. Reach out to schedule a visit with Dr. Wilburn Thomas.

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