Common Mistakes People Make When Wearing AFOs

Ankle-Foot Orthoses (AFOs) can make a world of difference for people who need extra support, stability, or help with walking due to conditions like stroke, cerebral palsy, or multiple sclerosis. But even with the best AFO, comfort and effectiveness depend heavily on how it’s used — and what shoes it’s paired with.

It’s easy to overlook small details that can lead to big problems: discomfort, limited mobility, or even skin irritation. This guide breaks down the most common mistakes people make when wearing AFOs and offers practical advice on how to fix them.

One of the biggest challenges AFO users face is finding shoes that actually fit over their brace. Regular shoes often don’t provide the space, structure, or adjustability needed for a secure and comfortable fit.

The problem:

• Shoes that are too tight can cause pressure points or skin breakdown.
  
• Shoes that are too loose can reduce stability and make walking awkward.
  
• Poor shoe design can interfere with the AFO’s function, limiting ankle movement or creating an uneven gait.
  

The fix:
Look for AFO-compatible or adaptive shoes that feature wider openings, removable insoles, and adjustable closures like zippers or straps. These features make it easier to insert the AFO and ensure a secure, even fit. Brands like Cadense design shoes specifically for AFO users — giving the right balance between function and everyday comfort.

Even if your shoes and AFO fit perfectly on day one, that doesn’t mean they always will. Swelling, weight changes, or simple wear and tear can affect how your device fits.

The problem:
Over time, an AFO might start rubbing or shifting, causing discomfort or misalignment. Ignoring these small issues can lead to bigger problems, like skin irritation or reduced mobility.

The fix:
Check the fit of your AFO and shoes regularly — ideally once a month. Make sure the heel sits snugly, straps are secure but not overly tight, and your toes have room to move. If anything feels off, consult your orthotist or physical therapist before adjusting it yourself.

It might seem like a small detail, but the right socks can make a huge difference in comfort and skin health when wearing an AFO.

The problem:

• Bare skin against the AFO can lead to friction and irritation.
  
• Thick or poorly fitted socks can make your device too tight, affecting circulation.
  

The fix: Always wear seamless, moisture-wicking socks made from breathable materials like cotton or bamboo. Some AFO users prefer compression socks to help manage swelling. The key is to avoid wrinkles or folds that could create pressure points under the brace.

AFOs are durable medical devices — but they’re not maintenance-free. Over time, dirt, sweat, and debris can affect how they function and feel.

The problem:

• Build-up can cause unpleasant odors or bacterial growth.
  
• Worn-out straps or padding can make the brace unstable or painful.
  

The fix: Wipe your AFO daily with a damp cloth and mild soap. Check straps and fasteners regularly, and replace them when they start to loosen or fray. Keeping your AFO clean not only improves hygiene but also extends its lifespan.

Pain, redness, or blisters are never “normal” signs when wearing an AFO. Ignoring them can lead to serious skin breakdown or infection.

The problem:
Many users assume that discomfort is just part of adjusting to a brace, but persistent irritation often means something isn’t fitting right — whether it’s the brace, the shoe, or both.

The fix: If you notice any redness that lasts more than 20 minutes after removing your AFO, contact your orthotist or healthcare provider. They may need to adjust the brace or suggest a different shoe style to reduce pressure. The right footwear can relieve stress points and evenly distribute weight, improving comfort immediately.

Even the best AFO won’t work well if it’s paired with shoes that have lost their structure or cushioning.

The problem:
Shoes wear out unevenly, which can throw off your alignment and cause pain in the knees, hips, or lower back. For AFO users, this imbalance can make walking more difficult or unsafe.

The fix:
Replace your shoes every 6–12 months, or sooner if the soles are visibly worn or uneven. Look for signs like reduced traction, compressed insoles, or loose stitching. Adaptive shoes are an investment — and replacing them on time keeps you safe and supported.

Many AFO users assume that supportive shoes have to look bulky or “medical.” But that’s not the case anymore.

The problem:
Choosing shoes purely for looks (without considering fit) can cause pain or limit mobility, while picking shoes that feel overly clinical can affect confidence.

The fix:
Modern adaptive footwear — like the designs from Cadense — combine support, adjustability, and clean, stylish design. You shouldn’t have to choose between feeling good and looking good. The right pair of shoes supports your brace and your sense of self.

Many people try to figure out their AFO-shoe setup on their own. But professionals like physical therapists and orthotists can save you time, money, and discomfort.

The problem:
Without guidance, you might pick shoes that limit your mobility or cause long-term alignment issues.

The fix: Ask your therapist or orthotist for shoe recommendations tailored to your gait and brace type. Some clinics even partner with footwear specialists like Cadense to ensure the shoes match your medical and lifestyle needs perfectly.

Wearing an AFO doesn’t have to mean compromising on comfort or confidence. Most problems stem from small oversights — like shoe choice or fit — that can be easily corrected once you know what to look for.

If you’re experiencing pain, slipping, or limited motion with your brace, it’s worth revisiting your footwear. The right shoes not only make your AFO more effective but can also restore your comfort and independence in daily life.

Explore cadense.com for AFO-friendly adaptive shoes designed to help you move with confidence and comfort every day.