Does the Shoe Fit?

Constriction of the toes is one of the chief causes of deformity in children's feet. Deformities may self-correct up to age seven, but beyond this they are usually irreversible.

• Encourage babies and toddlers to go barefoot on soft ground or in sandals.

• Teenage feet are supple and can often be squeezed into constricting shoes without pain. But bones are still growing - a shoe that fits in January may be too small by July.

• Ensure a thumb-width gap at the front. The sole should flex with the toes' natural blend

• Fashion shoes seldom come in a range of widths. As a compromise, put kids in "sensible" shoes during the day and save fashion shoes for special occasions.

• Avoid the temptation to let kids squeeze into expensive football boots or trainers they have outgrown.