littleSTEPS® orthotics are a standard ¾ length orthotic with no forefoot posting so follow the fit instructions for littleSTEPS®. Advise parents that if the child goes up in shoe size it is likely that they will have outgrown their littleSTEPS® orthotic, so that is when they should schedule a time to see you to have the size and fit checked on their littleSTEPS® orthotics.

littleSTEPS® orthotics can be heat adjusted for minor adjustments. Please see our How-To Videos to learn how to Heat Flare a littleSTEPS® orthotic.

The littleSTEPS® Orthotic Is The Right Length But It Seems Too Narrow, How Can I Adjust This?
If the littleSTEPS® orthotic is the right length but doesn’t appear to be wide enough, try the next size up. As the models get longer they also get wider. If the next size width looks good, then check the length, if the length is only slightly too long then we recommend you leave it alone as the child will likely grow into it rapidly. If it is way too long, estimate how much too long, 1/8” or 1/4” and the shell of the Little Step orthotic can easily be cut or ground shorter, so it’s the right length and width.

The littleSTEPS®Orthotic Is The Right Length And Width, But It Seems A Bit Tight Around The Heel Cup, Can The Heel Cup Fit Be Adjusted?
The littleSTEPS® orthotic heel cup can be flared out with a heat gun to make it wider (please see our How-To Video). If you’re not set-up to make this adjustment, we can do this for you. Let us know if there is a particular spot where it seems too tight, for example the lateral heel cup. Or take a picture of the child’s foot in the orthotic and email it to us, so we can visualize exactly where and how much to flare the cup.

I Have A Patient And The littleSTEPS® Orthotic Length Is Correct But They Have Narrow Feet And The Device Seems Too Wide, Especially Around The Heel Cup. Can I Add A Topcover To Reduce The Width?
Adding a topcover is a good way to fill up the heel cup for narrower feet. You can add 1/16” EVA topcovers (snugs up about 1/8” total since you are covering both sides of the heel cup); or 1/8” topcovers which snugs up about 1/4” total. So, just estimate how much snugging you need and let us know if you’d like us to add a topcover for you.

Download Full Sizing Chart here >

Foot orthotics for toddlers to teens!

An affordable alternative to expensive custom foot orthoses while delivering a prescription based correction.

• They have a 30mm ultra deep heel cup to maximize rearfoot control and realign the Achilles Tendon
• Excellent arch support with a deep flare to assure both comfort and correction
• Provide an affordable alternative to custom orthoses, enabling early intervention and treatment of many common musculoskeletal conditions

An affordable alternative to expensive custom foot orthoses while delivering a prescription based correction.

• They have a 30mm ultra deep heel cup to maximize rearfoot control and realign the Achilles Tendon
• Excellent arch support with a deep flare to assure both comfort and correction
• Provide an affordable alternative to custom orthoses, enabling early intervention and treatment of many common musculoskeletal conditions