AFO Comfort & Fit Guide: How to Stop Pain, Pressure, and Shoe Problems

AFO Comfort & Fit Guide: How to Stop Pain, Pressure, and Shoe Problems

Stop pressure spots, rubbing, and shoe fit issues with simple, proven fixes.

Össur Dynamic Carbon Fiber AFO side profile
Össur Dynamic Carbon Fiber AFO
Össur Carbon Fiber AFO Light angled view
Össur Carbon Fiber AFO Light

Quick Fix: Stop the “hard plate” feel

  1. Remove the shoe’s insole to create space.
  2. Place the AFO on the shoe’s midsole (inside the shoe).
  3. Add a thin comfort insole (e.g., Dr. Scholl’s) above the AFO so your foot rests on the insert—not on carbon/metal.

This simple change eliminates direct contact and reduces most underfoot discomfort.

Dial in Fit & Position

  • Snug, not tight: You should slide one finger between brace and leg at mid-calf.
  • Heel fully seated: Center the brace and make sure your heel sits all the way into the heel cup.
  • Recheck after changes: Swelling or weight change can alter fit—adjust or see a clinician.

Size Range & When to Trim

Many AFOs are sold in size ranges (S/M/L/XL). Example: a Medium may cover up to a men’s size 12. If you’re a size 10, the footplate might run long/bulky and not fit your shoe well.

  • Option 1: Choose the next smaller size range if it still meets your support needs.
  • Option 2: Have a professional trim the footplate (orthotist/clinic) for a perfect shoe fit.

Socks, Liners & Padding

  • Use thin, seamless, moisture-wicking socks (avoid cotton), smoothed with no wrinkles.
  • Interface liners reduce friction and wick sweat for longer wear.
  • Spot-pad pressure areas with thin foam/gel; start minimal to avoid new hot spots.

Shoes That Work with AFOs

  • Removable insoles (essential) + deep toe box + firm heel counter.
  • Adjustable closures (laces/straps) to fine-tune volume.
  • Often 1–2 sizes larger is needed once the AFO is inside.
  • Avoid narrow slip-ons or high heels.

Heat, Moisture & Break-In

  • Wash/dry skin before wear; consider antiperspirant per provider advice.
  • Air the brace during the day if possible; always remove at night.
  • Clean with mild soap/water; dry fully to prevent skin issues.
  • Break-in: start 1–2 hours/day, add time gradually; most adjust in 2–4 weeks.

Maintenance & Skin Care

  • Inspect edges/straps for wear; replace worn parts promptly.
  • Moisturize skin at night (not right before wear) to avoid slippage.
  • Stop use and contact a clinician for persistent redness, blisters, numbness, or swelling.

Explore Our Carbon Fiber AFO Options

These models are offered in size ranges (S/M/L/XL). If a footplate runs long for your shoe, a prosthetic & orthotic clinic can trim it for a proper fit.

Need help sizing or fitting your AFO?

Email help@orthotape.com — our team can guide insoles/liners, shoe choices, and when trimming makes sense.

Frequently Asked Questions

How do I stop the AFO from feeling hard under my foot?

Remove the shoe’s insole, place the AFO inside on the midsole, then add a thin comfort insert above the AFO. Your foot rests on the insert instead of carbon/metal.

Do I need bigger shoes for an AFO?

Usually yes — 1–2 sizes larger with a removable insole, deep toe box, and adjustable closures.

My size 10 foot doesn’t fit a Medium AFO. What now?

Either choose the next smaller size range (if support needs allow) or have a clinician trim the footplate for a proper shoe fit.

What socks are best?

Thin, seamless, moisture-wicking socks (avoid cotton). Smooth out wrinkles before donning.

How long is the break-in period?

Start with 1–2 hours/day and increase gradually; most users adjust in 2–4 weeks. Persistent pain or redness means stop and call a clinician.