A Guide to AFO (Ankle Foot Orthosis) Compatible Footwear

For individuals who rely on Ankle Foot Orthoses (AFOs), or Knee Ankle Foot Orthoses (KAFOs), finding the right footwear is more than just a matter of style - it’s essential not only for comfort, but also for mobility, and independence, and therefore overall well-being. As a caregiver, you play a crucial role in ensuring that your loved one has shoes and socks that work seamlessly with their orthotic devices. Fortunately, many shoe brands now offer adaptive footwear designed to accommodate AFOs, making the search for the perfect pair easier than ever.

In this guide, we’ll explore what makes a shoe AFO-compatible, key features to look for, and what we consider to be the best brand offering stylish and adaptive footwear, Billy Shoes. Whether you’re shopping for a child, an adult, or a senior, this resource will help you navigate the world of special needs shoes with confidence.

 Understanding AFO-Compatible Footwear

AFOs provide critical support and stability for individuals with mobility challenges, but standard shoes often fail to accommodate their unique shape and structure. 

AFO-compatible footwear is specially designed to provide:

• Extra depth and width to comfortably fit the orthotic device.

• Wide openings and adjustable closures for easy on-and-off access.

• Supportive soles that enhance mobility and reduce strain.

• Durable materials that withstand wear from daily use with an AFO.

By choosing shoes that meet these criteria, caregivers can help their loved ones avoid discomfort, pressure sores, and improper gait patterns.

Key Features to Look for in AFO-Compatible Shoes

When selecting shoes for someone who wears an AFO, keep the following features in mind:

1.Wide and Deep Toe Box

Shoes should provide enough space to accommodate both the foot and the orthotic device without causing pressure points. Extra depth ensures a secure fit without cramping the toes.

2. Removable Insoles

Many AFO users benefit from shoes with removable insoles, allowing extra space for the brace while maintaining comfort and support.

3. Easy Entry & Closure Mechanisms

Look for shoes with zippers, Velcro straps, or elastic laces that allow the shoe to open widely. This makes it easier to slide the foot and AFO in without struggling with tight openings.

4. Firm, Non-Slip Soles

A sturdy, non-slip sole provides stability and traction, reducing the risk of falls. A flexible sole can also be beneficial, depending on the user’s mobility needs.

5. High-Quality, Durable Materials

AFO braces can put additional strain on shoes, so choosing well-constructed, durable materials helps ensure longevity and comfort.

Our Top Brands for AFO-Compatible Footwear

Our brands recognize the need for adaptive footwear, making it easier than ever to find stylish and functional options. 

Billy Shoes are the No.1 favourite among caregivers and AFO users due to their innovative design. Featuring wrap-around zippers that allow the shoe to open completely, Billy Shoes make it simple to slide the foot and brace in without hassle. They offer a variety of styles for children and adults, combining functionality with fashionable designs.

Friendly Shoes is making footwear accessible for everyone with its stylish range of shoes. Created by an occupational therapist, the shoes are helping children who couldn't previously find comfortable, functional and fashionable footwear to fit. Thanks to a unique patented zip opening, Friendly Shoes are incredibly easy to get on or off. The zip opens the shoe up wide (either down the side or at the back) so you can see deep inside the shoe and effortlessly slide your whole foot in.

Tips for Caregivers: Finding the Perfect Fit For Adaptive Shoes

As a caregiver, you want to ensure the best fit for your loved one’s shoes. Here are some tips to make the process smoother:

• Measure with the AFO on: Have the individual wear their AFO while measuring their foot to ensure the correct shoe size.

• Opt for half a size larger if needed: A slightly larger shoe can help accommodate the brace comfortably without being too loose.

• Test the shoes for ease of use: Make sure the wearer can easily put on and remove the shoes with minimal assistance.

• Look for return-friendly policies: Since fit can vary, choose retailers with flexible return policies to allow exchanges if needed.

• Different sized feet?: Check with your supplier if they have a service to assist when you need to buy two different sizes.

• Look for AFO and KAFO friendly socks: To complement your AFO friendly shoes you can find AFO and KAFO socks in our store.  Extra long with enough sock to turn over the top of the brace, stretching in all directions to fit the contours of the feet and legs, no heel pocket fuss, no seams, lumps or bumps.  Maximum comfort. 

Finding AFO-compatible footwear can feel overwhelming, but with the right knowledge and resources, caregivers can confidently choose shoes that enhance mobility, comfort, and independence. Brands like Billy Shoes and Friendly Shoes are making adaptive footwear more accessible, allowing AFO users to find stylish, functional, and supportive options.

Your role as a caregiver is invaluable, and by helping your loved one find the right shoes, you’re empowering them to move through life with confidence and ease. Keep exploring, ask for expert advice when needed, and remember that the perfect fit is out there!

If you’ve found a great AFO-friendly shoe brand or have any tips to share, we’d love to hear from you.