Why Finding Shoes for SMO Orthotics Is So Hard

When my son got his first pair of SMO orthotics, I assumed shoe recommendations would come with them.

They didn’t.

What followed was a lot of trial and error—empty-handed store visits, late-night searches, and more returned boxes than I care to count.

Over time, patterns started to emerge. Certain shoe features mattered far more than brand names. Some “popular” options didn’t work at all. But once we knew what to look for, finding shoes became much easier.

This guide pulls together everything we learned so you can confidently choose shoes that are easier to get on, comfortable to wear, and still look like kids’ shoes.

What to Look for in SMO-Friendly Shoes

Before jumping into picks, here’s what consistently makes a positive difference:

  • Wide openings so the foot and orthotic can go in together
  • Low or flexible tongue seams that don’t block the orthotic
  • Removable insoles (often necessary) to create enough depth
  • Adjustable closures to handle volume
  • Enough internal depth without squeezing or forcing the foot

You don’t need every feature, but the more boxes a shoe checks, the smoother mornings tend to be.

Our Top Picks for SMO-Friendly Shoes

Young boy standing in a kitchen wearing BILLY adaptive high top sneakers in jersey grey over SMO orthotics with jeans and a green polo.

BILLY Footwear - Classic Lace Highs

This was our aha shoe and the pair that completely changed our mornings. After months of struggling to get orthotics into shoes (and onto an impatient toddler), these were the first ones that just worked. We also loved that they were functional and stylish, which felt like a big win at the time.

Shop the Pick

Why they work:
These unzip completely around the shoe, so the foot and orthotic slide in together without forcing or struggle.

What to know:

  • Fully opens around the sole
  • Covers the orthotic completely
  • Saves time and energy during dressing
  • Get the look of laces without the fuss

Trade-offs:
Higher price point. Some wear over time with mild foot dragging.

🎯 Update: BILLY styles are now sold at retailers like Target, where pricing can be significantly lower.

Side by side images of a toddler wearing New Balance sneakers over SMOs outdoors — one on a playground, one at an urban park

New Balance K574v1

This was the first shoe we found that worked with my son’s SMO orthotics, thanks to the tongue opening far enough for the orthotic to slide in. We loved the style and color options, but not the laces with a busy toddler.

Shop the Pick

Why they work:
Reliable depth and a generous tongue opening make these a dependable choice for SMO orthotics. Long laces and wide sizing options help accommodate feet and orthotics comfortably.

What to know:

  • Often requires removing the insole to create enough depth
  • Wide width usually needed—even for narrow feet

Trade-offs:
Laces can be tough with younger kids.

Toddler wearing Converse low-tops over SMOs, holding a sensory toy indoors

Converse Kids Chuck Taylor All Star

Why they work:
Soft canvas and a low tongue seam make this classic style easy to get on over SMO orthotics.

Trade-offs:
The flexible canvas provides minimal support or structure, and lace closures require extra patience and time.

Shop the Pick
Three photos of the same boy wearing BILLY retro jogger sneakers over SMOs in different everyday settings — at an outdoor event, trick-or-treating in a Tom Tom costume, and relaxing in a chair

BILLY Retro Joggers

Why they work:
Same zipper concept as the BILLY Classic High Tops, ensuring easy on/off and reliable SMO fit. This sportier style works well for kids who don't love high-tops or want to switch up their look.

Shop the Pick
Young child independently putting on an athletic shoe over an SMO while seated on the floor

Cat & Jack Toddler Sneakers (Target)

Why they work:
If you already shop at Target, this is a convenient and affordable option. Many Cat & Jack toddler sneakers are velcro-based, have a compatible tongue seam, and offer fun, kid-friendly styles that can work with SMO orthotics.

What to know:
Fit can be snug. Strap closure may be tight.

Shop the Pick
Close-up of a child's feet wearing black and pink high-top Air Jordan sneakers over SMOs, indoors

Air Jordan Kids

Why they work:
These high-tops have enough internal space to accommodate orthotics, and the high-top style keeps them completely hidden. Not adaptive by design — but inclusive in function.

What to know:
These are the heaviest of the bunch, which can be tiring for kids who are still building stamina. Laces add a layer of effort on busy mornings. Price varies across styles and colorways.

Shop the Pick
Two photos of a young boy wearing brown cowboy boots with side zip over SMOs — dressed in western costume on steps and in casual summer outfit on a porch

Cowboy Boots (Side Zip Styles)

Why they work:
Side zippers + wide shafts can accommodate SMOs surprisingly well. We were surprised by how much my son loved these shoes!

Shop the Pick
  • Friendly Shoes

    Designed specifically for easier on/off and volume needs. A strong option for families looking beyond mainstream brands

    Learn More 
  • See Kai Run

    Not fully adaptive, but their adaptive line allows room for SMOs, AFOs, and custom insoles

    Learn More 

A Quick Note on Affiliate Links

The links on this page help support Bolster at no extra cost to you.

Every product listed here is included because it worked for us, or families that we trust.

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