For adults who rely on an ankle-foot orthosis (AFO), finding the right pair of shoes can make a world of difference. The wrong footwear can cause discomfort, limit mobility, or even make it harder to use the brace effectively. The right shoes, on the other hand, provide stability, support, and ease of movement—allowing wearers to walk with confidence.

For physical therapists, caregivers, and medical professionals, knowing how to recommend proper AFO shoes is essential. It’s not just about fit—it’s about promoting long-term comfort, preventing injury, and supporting independence.

Every AFO user’s needs are unique, depending on the type of brace, mobility level, and underlying condition. Here are the most important factors to evaluate before recommending shoes.

AFOs often add extra volume inside the shoe, so one of the first things to check is whether the shoe offers enough width and depth. Shoes that are too narrow can cause pressure points, skin irritation, or difficulty getting the brace inside.

Look for shoes labeled as wide or extra-wide. Models with removable insoles are also helpful, as they provide extra interior space once the insole is taken out. This simple feature can make a huge difference in comfort.

Many adults using AFOs struggle with flexibility, dexterity, or balance, which makes putting on shoes a challenge. Shoes with wide openings, zippers, or hook-and-loop straps simplify the process.

Adaptive shoes designed specifically for orthotics often feature extended zippers along the side or back, allowing the shoe to open fully so the AFO can slide in easily. Adjustable straps help achieve a secure fit without the frustration of traditional laces.

Stability is key for AFO users. A firm heel counter (the back portion of the shoe that wraps around the heel) helps prevent the foot from rolling inward or outward, keeping alignment steady.

In addition, the sole should be flat and non-compressible—soft soles may feel comfortable at first but can compromise balance and gait mechanics. A rigid, supportive sole ensures the AFO can do its job effectively.

Heavy shoes can quickly lead to fatigue, especially when combined with an orthotic device. Recommending lightweight materials—like mesh uppers or EVA midsoles—helps reduce strain while walking.

Look for shoes that strike the right balance between lightweight design and durable support. The goal is to make walking as effortless as possible without sacrificing stability.

A spacious, rounded toe box is another essential feature. It prevents rubbing or pressure on the toes, especially for individuals who experience swelling or have limited sensation in their feet.

Avoid narrow or pointed shoes, as these can interfere with AFO alignment and create friction. When in doubt, err on the side of extra room at the front of the shoe.

Falls are one of the biggest risks for adults with mobility challenges. Shoes with non-slip rubber outsoles add an extra layer of safety, especially on smooth indoor surfaces or wet outdoor conditions.

When recommending shoes, pay attention to tread patterns—deeper grooves typically offer better traction and confidence with each step.

Not all AFOs are the same, so it’s important to consider the specific type being used. For instance:

• Posterior leaf spring AFOs may need more heel support.
  
• Solid AFOs require more depth and rigidity.
  
• Articulated AFOs need room for ankle movement.
  

Encourage your patients to bring their AFO when trying on shoes or to look for adaptive shoe brands designed specifically for orthotic use.

Physical therapists play a critical role in helping adults adjust to life with an AFO. Beyond gait training and strengthening exercises, footwear selection is one of the most impactful aspects of long-term success.

When recommending AFO shoes, consider these steps:

• Evaluate gait patterns: Observe how the patient walks in their brace to identify stability or comfort issues.
  
• Test fit in the clinic: Have the patient try on recommended shoe styles during a session.
  
• Encourage gradual wear: Remind patients to break in new shoes gradually to prevent blisters or discomfort.
  

This collaborative, hands-on approach ensures that patients not only have the right footwear but also understand how to use it properly for everyday mobility.

For adults searching online for “AFO shoes near me” or “physical therapy near me,” the sheer number of options can be overwhelming. Remind patients to focus on comfort and function over brand or appearance.

Encourage them to:

• Bring their AFO when shoe shopping.
  
• Try shoes at the end of the day when feet are slightly swollen.
  
• Walk around for several minutes to assess comfort and fit.
  

A good pair of AFO-friendly shoes should feel secure, supportive, and natural—never forced or tight.

When guiding patients, here are a few material and style tips to keep in mind:

• Uppers: Flexible leather or stretch-knit materials accommodate movement and reduce pressure.
  
• Closures: Velcro, zippers, or elastic laces offer easy adjustability.
  
• Soles: Firm, non-flexing soles provide stability for orthotic use.
  
• Removable insoles: Allow space customization for braces or custom orthotics.
  

Many adaptive brands now design shoes that look like everyday sneakers or walking shoes but have all the functional elements required for AFO compatibility.

Recommending the right AFO shoes isn’t just about comfort—it’s about helping adults live independently and confidently. Proper footwear supports:

• Better posture and alignment
  
• Reduced fatigue and pain
  
• Increased balance and stability
  
• Greater willingness to stay active
  

When adults can walk comfortably, they’re more likely to engage in the physical therapy routines that maintain their strength and mobility over time.

For adults using ankle-foot orthoses, the right shoes are an essential part of maintaining mobility, confidence, and long-term comfort. When physical therapists take the time to evaluate and recommend proper AFO footwear, it transforms daily life for patients—turning walking from a challenge into something empowering.

If you’re searching for footwear that combines comfort, clinical functionality, and style, explore how Cadense adaptive shoes are redefining what “functional” really means. Built with insight from movement specialists and designed for real-world living, they help every step feel more natural — and every day a little easier.