First step guide: How to choose the perfect baby shoes?

MEDICENTER TV / ANTALYA, TURKEY — NOVEMBER 28, 2025

Child Health and Diseases Specialist Dr. Alp Tunç has issued a critical guide for parents regarding the selection of "first step shoes," emphasizing that choosing footwear based on physiological needs rather than aesthetics is vital for muscle and joint development.

While colorful and miniature shoes may look appealing in shop windows, experts warn that incorrect choices can hinder a baby's ability to walk and may lead to long-term orthopedic issues. Dr. Tunç advises that babies should remain barefoot or in socks for as long as possible to support natural foot arch development.

The "No Shoe" rule until walking begins

Babies possess a "stepping reflex" until the 4th month, which naturally disappears. Dr. Tunç warns families not to force babies to stand during this period, as it may damage hip and leg joints.

Real standing usually begins around 8-9 months, with walking occurring between 12 and 18 months. During this pre-walking phase, shoes are not recommended.

"Instead of shoes, parents should use cotton booties or thick socks with non-slip soles," says Dr. Tunç. "It is crucial for the baby to feel the ground with their soles to develop foot muscles and arches. Wearing hard, ankle-supporting shoes too early prevents muscle development and does more harm than good."

Features of the ideal first shoe

Once a baby starts walking outdoors, it is time for shoes. However, Dr. Tunç suggests continuing with socks or bare feet inside the house. When purchasing the first pair, the following criteria must be met:

• Flexible: The shoe must be soft and bend easily with the foot's movement. Rigid shoes should be avoided.

• Lightweight: Since babies are still mastering balance, heavy shoes make walking difficult.

• Breathable: Materials must allow air circulation to prevent fungus and infection.

• Non-slip Sole: Essential for preventing accidents.

• Velcro: Preferable over laces for ease of use.

• No Ankle Support: Scientifically, high ankle cuffs (boots) are not necessary for support.

The "Pinky Finger" test for size

Fit is crucial for safety and comfort. Dr. Tunç recommends a simple test: "When the baby's foot is inside the shoe, your pinky finger should be able to fit in the heel area."

If the shoe is too loose, it disrupts balance; if it is too tight, it can cause ingrown toenails or infections. Since baby feet grow rapidly, parents are advised to check the fit every 3-4 months and replace shoes as needed, rather than buying expensive pairs meant to last a long time.

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