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Google · Ben C · Feb 2026
“His professional expertise and kind demeanor made my treatment feel effective and comfortable.”
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“Every time I come with pain I leave this place feeling great!”
Google · Wendy Aguilar · Nov 2024
“A front office that runs smoothly — you know the doctor MUST be a true professional.”
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“This is the greatest doctor I've ever met — professional, polite, and knows what he does.”
Google · Don Jair Casas · Dec 2025
“Dr. P, Ms. Theresa, and Ms. Maria are some of the kindest people you'll ever meet.”
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Varsity Sports Shoes for Girls That Fit Orthotics: Soccer, Basketball, Softball, Volleyball, Tennis, Track and the Weight Room

One growing foot, one custom orthotic and five pairs of shoes a season: a podiatrist explains what the high-school injury research shows about girls' knees and ankles, why heel pain in a teenager is different, and how to get the device into each sport's shoe without fighting it.

Dr. Grigoriy N. Patish, DPM November 8, 2026
18 min read

A high-school athlete is the hardest patient we fit. Her foot is still growing. She plays two or three sports a year, each in a different shoe. She wears whatever her teammates wear, in whatever size was on the shelf. Often it is a shoe built on a boy's foot shape. And when her heel hurts, the adults around her call it growing pains and tell her to stretch. This guide is for that girl and the parent who buys her shoes. It covers what the high-school injury research actually shows about girls' knees, ankles, braces and cleats. It explains why heel pain in a growing athlete is its own problem. And it walks through each varsity sport. It tells you which shoes take a custom orthotic and which do not.

Cartoon family of feet lined up together
Before you read on. This article is general information, not medical advice. If your daughter has diabetes, numb feet, a bone or joint condition, or a history of stress fractures, talk to a podiatrist before you rely on anything here. A shoe that rubs can cause a wound a teenager will hide until it is bad. If a shoe hurts, she should stop wearing it. Nothing in this guide is a promise about pain, performance or injury.

We cover the growing foot first, because it changes every rule below. We cover heel pain, ankles, knees and cleats, with the research behind each, and we say why the knee research matters more for girls. Then we go sport by sport: soccer, basketball, softball, volleyball, tennis, cross-country and track, golf and the weight room. Each sport has a full women's guide, linked in its section, for the girl already in women's sizes. We have a separate guide for boys, and guides to everyday athletic shoes for kids and flat feet in children. For younger players, each sport also has its own youth guide: soccer, basketball, tennis, pickleball, cross-country and track, softball, flag football and volleyball.

A Growing Foot Changes the Rules

A girl's foot can change a full size in a season, and most parents measure it once a year at most. The research on children's shoes is blunt about the result. Klein and colleagues (2009) measured the feet and the shoes of 858 pre-school children in Austria. Most of the children wore indoor shoes that were too short for their feet. A majority wore outdoor shoes that were too short as well. The children in short shoes had a higher risk of a big toe that angled outward. Hollander and colleagues (2017) compared 810 children and adolescents who grew up mostly barefoot with matched children who grew up in shoes. Habitual shoe wearing was linked to a lower arch and a more angled big toe across every age group in that study. The lesson for a varsity athlete is simple. The shoe has to fit the foot she has this season, not the foot she had last fall. It has to leave her toes room to spread.

There is a second problem for girls. Most youth and unisex athletic shoes are built on a boy's foot shape and sold down into smaller sizes. Wunderlich and Cavanagh (2001) measured the feet and legs of young men and women. After adjusting for foot length, women's feet still differed in shape. The arch, the outer side, the big toe and the ball of the foot were all different. Krauss and colleagues (2008) scanned 847 feet and concluded that shoe measurements should be set separately for each size and each sex. Frey and colleagues (1993) surveyed 356 women for the American Orthopaedic Foot and Ankle Society. Most wore shoes that were too small for their feet, and most had foot pain or a deformity. The habit of buying too narrow starts young. Once a girl is in women's sizes, a shoe built on a women's last usually holds her heel better. It gives her toes more room. That is where the women's sport guides linked below come in.

That matters twice over for a girl with a custom orthotic. The device was molded to a foot of a certain length and arch height. When the foot grows, the arch of the device no longer sits under the arch of the foot. The heel cup no longer holds the heel. A teenager in a sport often needs the orthotic remade or adjusted more than once before she graduates. Bring her in when her shoe size changes, not when the device starts to hurt. And resist hand-me-downs from an older sibling. A shoe molds to the first foot that wears it. A cleat that fit the first child's heel will not fit the second's.

Heel Pain in a Growing Athlete

The most common cause of heel pain in a girl between about eight and fourteen is not plantar fasciitis. It is irritation of the growth plate at the back of the heel. That is where the Achilles tendon and the plantar fascia pull on a piece of bone that has not yet fused. Wiegerinck and colleagues (2014) searched the records of 34 family practices in the Netherlands. The condition was diagnosed in 3.7 of every 1,000 registered patients aged six to seventeen in that study. The authors noted the true number is probably higher. It is the heel pain we see most in soccer and basketball players at the start of a season. Cleats make it worse, because the studs sit right under the sore spot.

The treatment research is thin but useful. James and colleagues (2016) randomized 124 children aged eight to fourteen with this heel pain. They got a heel raise or a prefabricated orthosis, with or without new shoes. At one and two months, the heel raise had a small advantage on a physical-function score in that trial. By six and twelve months, every group had improved and no treatment beat another. In the office, that matches what we do. A soft heel raise or a cushioned heel cup in every shoe, including the cleat. Calf stretching. A shoe with a firm heel counter and some cushion, not a flat thin cleat for every practice. And time. A girl with this heel pain does not need to stop her sport in most cases. She does need someone to confirm that is what it is. Heel pain that does not fit the pattern needs an exam. So does heel pain that comes with swelling, limping or night pain. Read our guide to heel pain that won't go away.

Ankles: What the High-School Research Shows

Nelson and colleagues (2007) reviewed a national sample of high-school sports injuries over a school year. There were an estimated 326,396 ankle injuries nationally in that study. Boys' basketball had the highest rate, followed by girls' basketball and boys' football. Ankle injuries happened at more than twice the rate in competition as in practice, and most were ligament sprains. Girls' volleyball was the one sport in that study where the practice rate was not lower than the competition rate. That fits what we see. The injury happens landing under the net, in drills as much as in matches. McKay and colleagues (2001) found three risk factors for an ankle sprain in basketball players. A previous sprain raised the odds almost fivefold, and skipping a warm-up stretch more than doubled them. Shoes with air cells in the heel were linked to about four times the risk in that study.

Two things have been shown to work, and neither is a shoe. McGuine and colleagues (2011) randomized 1,460 high-school basketball players to lace-up ankle braces or none for a season. In that trial, the braced group had an acute ankle injury rate of 0.47 per 1,000 exposures compared with 1.41 in the control group. The protection held whether or not the player had been sprained before. McGuine and colleagues (2012) ran the same trial in 2,081 high-school football players. The braced group's rate was 0.48 compared with 1.12 in that trial, with no difference in knee injuries. McGuine and Keene (2006) randomized 765 high-school soccer and basketball players to a balance-training program or standard conditioning. The program roughly halved the sprain rate in that trial, and a previous sprain doubled the risk. Dizon and Reyes (2010) pooled seven trials and found braces cut sprain risk by about 69 percent in previously injured athletes.

The shoe itself has not been shown to prevent a sprain. Barrett and colleagues (1993) randomized 622 players to high-top, low-top or air-chambered high-top basketball shoes and found no significant difference in ankle sprains. So the hierarchy for a boy with a loose ankle is this. A lace-up brace under the sock in every court and field sport. A balance program, which takes a few minutes a day. A firm, low, wide shoe. And a proper exam after any sprain. Gribble and colleagues (2016) found that sprains recur often and a large share of people go on to chronic ankle instability. Read our guides on ankle sprains and strengthening after a sprain.

Knees and Cleats: Why This Section Matters More for Girls

Swenson and colleagues (2013) reviewed six seasons of high-school knee injuries. Football had the highest knee injury rate of any sport in that study, and girls' soccer was second. Girls had higher knee injury rates than boys in every sport both play. In that study they were more than twice as likely to tear an anterior cruciate ligament. They more often needed surgery. Knee injuries were more than three times as common in competition as in practice. The cleat research points at one modifiable factor: how hard the shoe grips the ground. Lambson and colleagues (1996) followed 3,119 high-school football players for three seasons. The cleat design with longer studs around the edge of the sole gripped the ground hardest. In that study it also had a significantly higher rate of anterior cruciate ligament tears than the other designs. Thomson and colleagues (2015) pooled three prospective studies of nearly 5,000 male athletes in football codes. The high-traction group had about 2.5 times the odds of a lower-limb injury in that review. Cass and colleagues (2025) looked at this in female athletes. They compared 128 soccer and lacrosse players who had torn an anterior cruciate ligament with 128 matched players who had not. In that study, 75 percent of the injured players were wearing cleats, compared with about 56 percent of the uninjured players. The odds in that study were about 2.9 times higher in conical studs than in turf shoes. For a girl, that means studs matched to the surface, never the longest ones in the store, and a turf shoe or artificial-grass sole on turf. For a girl with a knee history playing on turf, a turf shoe is a reasonable choice where her level of play allows it.

One Orthotic, Five Pairs of Shoes

A varsity girl with a custom orthotic owns a school shoe, a running or training shoe, a court shoe and a cleat. Often she owns a weight-room shoe too. The device does not fit all of them the same way. Here is the honest map:

  • School and everyday trainers: yes. Deep, removable insole, plenty of width options. The device lives here most hours of the day.
  • Running and cross-training shoes: yes. Nearly every one has a removable insole, though no maker says so on the page. Pull it out in the store.
  • Court shoes (basketball, tennis): usually. Deep enough, but the snug midfoot can pinch a bulky device. A slimmer device often works better.
  • Cleats (soccer, softball): sometimes, with a slim three-quarter device built for the cleat. Many insoles are glued. Bring the cleat to the fitting.
  • Raised-heel lifting shoes: no, in most cases. Too shallow, and the heel wedge already does what a heel lift would do. The device stays in the flat training shoe.
  • Track spikes and racing flats: no. Too thin. Save the device for warm-ups and training miles.

Is the device worth the juggling? Bonanno and colleagues (2017) pooled randomized trials of foot orthoses for injury prevention, mostly in young military recruits. In that review, contoured orthoses lowered the risk of overall injuries and stress fractures, with a relative risk of 0.72 for all injuries. Flat shock-absorbing insoles did not. Those were not high-school athletes, so this is supporting evidence, not proof. In the office, three groups of girls get the most out of a device. Those with heel pain. Those with a flat foot that collapses on the plant. And those with pain under the ball of the foot.

Sport by Sport

Soccer

The thinnest, narrowest shoe she owns, and the one most likely to aggravate heel pain. Choose a leather or soft-knit boot with the studs matched to the surface, and a turf or artificial-grass sole for practice on turf. A slim orthotic built for the cleat is possible; a full device is not. One maker builds its cleats on a women-specific last and states that the insoles are removable. Puma sells women's versions with a removable sockliner. In youth sizes, New Balance sells its 442 Team cleat, firm-ground and turf, in standard and wide; most other youth cleats run narrow. Full details in our soccer cleat guide.

Basketball

The highest ankle-injury rate of any girls' sport in the national data. A lace-up brace under the sock is the single most useful piece of equipment she can own. Choose a low, firm, wide shoe with a locked heel, not the tallest collar or the softest foam. Almost no basketball shoe is sold in a wide; the workaround is a roomy toe box, the thick factory insole removed, and a slimmer orthotic. A women's signature shoe built on a women's last helps with heel slip. Full details in our basketball shoe guide.

Softball

Softball is the one cleat sport where several makers build the shoe for women on purpose. New Balance sells its youth softball cleat in standard and wide. For a girl with heel pain, a stiff big toe or an orthotic, molded cleats spread the load better and are the kinder choice over metal. Turf trainers belong in the bag for practice and the cage. Sliding is the signature injury, and softball players are hurt sliding more often than baseball players. Practice it before the season. Full details in our softball cleat guide.

Volleyball

The volleyball ankle sprain happens at the net, landing on a teammate's or an opponent's foot. The brace trials were done in basketball players, but the mechanism is the same. A lace-up brace under the sock is the sensible choice for any girl who has sprained an ankle before. Choose a low, firm court shoe with a locked heel and a non-marking sole, not a running shoe. A court shoe usually takes a full orthotic. Jump landings load the heel and the ball of the foot. A device with a cushioned top cover helps a growing heel.

Tennis

A court shoe, not a running shoe. Tennis is kinder to a wide foot than most court sports. New Balance, K-Swiss and ASICS sell women's court shoes in widths, and New Balance sells one in a women's narrow. A court shoe usually takes a full orthotic, though the snug midfoot can pinch a bulky one. Full details in our tennis shoe guide.

Cross-Country and Track

The running shoe is the easiest shoe to fit an orthotic into. The brands that sell real widths, from a women's narrow to an extra-wide, are listed in our running shoe guide. Two rules matter more for a teenager than for an adult. First, rotate two pairs. Malisoux and colleagues (2015) followed 264 recreational runners for 22 weeks. Those who ran in more than one pair of shoes had a lower injury risk in that study. Second, keep spikes and racing flats for races and hard workouts only. They are too thin for a device, and a growing heel does not want to log its training miles in them. Lace to the top eyelet with a heel-lock loop. Hagen and Hennig (2009) found that firm seven-eyelet lacing lowered loading rates and heel pressure in runners with no loss of comfort.

Golf

Golf shoes are shallow and the orthotic question is its own topic. We wrote a full guide for varsity golf girls, including which spiked and spikeless shoes take a device. It also carries the honest news that no junior golf shoe comes in a wide width.

The Weight Room

Every varsity program lifts now. A flat, firm, closed training shoe with a removable insole is the right tool for a teenager, and the orthotic goes in it. Raised-heel lifting shoes change the squat, as Legg and colleagues (2017) and others showed in adult lifters. No study has tested them in adolescents, and the device does not fit in them. Keep the lifting shoe for later, if at all. Sandals, slides and socks do not belong under a barbell.

Widths for Teen Girls

Here is the honest state of the market. Most varsity girls are in women's sizes by freshman year. That is good news, because women's running and court shoes come in more widths than any youth shoe. The women's widths in each sport guide above apply, from a 2A narrow to an extra-wide in running shoes. In true youth sizes, New Balance says its wide kids' shoes add about a half inch of width. It also sells a youth softball cleat in standard and wide. New Balance also sells its youth 442 Team soccer cleat in standard and wide. We found no youth basketball shoe or golf shoe in a wide. Buldt and Menz (2018) reviewed the research on shoe fit. In that review, between 63 and 72 percent of people wore shoes that did not match the length or width of their feet. Poor fit was linked to foot pain and toe problems. Menz and Morris (2005) linked shoes narrower than the foot to corns, bunions and foot pain. A girl who grows a half size midseason is wearing a shoe that is too short for the second half of it.

Varsity Sports Shoes for Girls to Try

No shoe company pays for placement here. No brand sponsors this article. Every shoe here is our own pick, based on the features above and on what we see in the office.

We do run a separate website, footshop.cc. Patients kept asking where to find the products we talk about in the exam room. So we built a separate site that keeps the links in one place. It includes links to Amazon and other retailers. Every affiliate link over there is disclosed where it appears. If you buy through one of those links, we earn a small commission. It costs you nothing extra. We run it as a convenience for our patients, not as a condition of care. You are free to buy any of these shoes anywhere you like, at whatever price you find, with or without our links. Our advice is the same either way.

Medical footwear is not part of that. Prescription shoes, inserts, boots and braces are never on our affiliate site. They are not a shopping link, and we will not treat them like one.

Checked in November 2026. We confirmed widths on the makers' and major retailers' pages. The models below are women's-sizing picks that take an orthotic, for the girl who has outgrown youth sizes. Shoes change every season, so we name model lines, not version numbers, and leave out prices. Nothing here is a performance claim. Check the brand's site before you buy, and have her try the shoe on with her orthotic in it.

Everyday and Training

  • Brooks Ghost: a neutral running shoe sold in women's narrow, medium, wide and extra-wide, with a flat footbed and a firm counter. The shoe we suggest first for school, practice and the weight room.
  • New Balance 880: a neutral daily trainer sold in women's narrow, standard, wide and extra-wide. Deep enough for a full-length device.

Court

  • New Balance 996 and New Balance 796: court shoes sold in women's narrow, medium, wide and extra-wide for tennis and volleyball, and a steadier choice than a running shoe for any court sport.
  • Nike Sabrina: a women's signature basketball shoe in women's sizing, low and firm. Pair it with a lace-up brace, not a taller collar.

Cleats

  • IDA Sports Rise (soccer): built on a women-specific last, with insoles the maker states are removable and suitable for orthotics. One width, in firm-ground, turf and indoor versions.
  • New Balance Velo (softball, molded): sold in women's standard and wide, and in a youth version in standard and wide. The molded sole is the kinder choice for a sore heel.

For every shoe on this page, lift the insole in the store. If it comes out and the orthotic sits flat with her heel still inside the counter, you are in business. If it is glued, bring the shoe to us and we will build to it.

What to Check Every Season

  • Measure both feet standing, at the end of the day, and buy for the longer one. A thumb's width of room at the toe.
  • Put the orthotic in every new shoe at the store. If the heel lifts, the shoe is wrong for that device.
  • Replace the orthotic's fit when the shoe size changes, not when it hurts.
  • Check the cleats before the first practice. Studs worn flat on one side change how the foot lands.
  • Buy the brace before the season if she has ever sprained an ankle. Start the balance program at the same time. The knee research above says it matters most for girls.
  • Ask about heel pain, black toenails and blisters. Teenagers hide all three.

When to See a Podiatrist

Bring her in for heel pain that lasts more than a couple of weeks, or that comes with limping, swelling or night pain. Bring her in after any ankle sprain that is still swollen after a week, or any ankle that has rolled more than once. Come in for pain under the ball of the foot or a toenail that is black and loose. Come in for a shoe that causes pain that does not settle after a few practices. If she already wears orthotics and has grown a size, bring the orthotics and every shoe she plays in. Our page on custom orthotics explains how we make them, and our guide on how custom orthotics work covers the rest.

For more, read our guides to everyday athletic shoes for kids and foot care for athletes. If you are shopping for a son, see our varsity guide for boys.

Sources: Barrett JR, Tanji JL, Drake C, Fuller D, et al. High- versus low-top shoes for the prevention of ankle sprains in basketball players. A prospective randomized study. The American Journal of Sports Medicine, 1993. Bonanno DR, Landorf KB, Munteanu SE, Murley GS, et al. Effectiveness of foot orthoses and shock-absorbing insoles for the prevention of injury: a systematic review and meta-analysis. British Journal of Sports Medicine, 2017. Buldt AK, Menz HB. Incorrectly fitted footwear, foot pain and foot disorders: a systematic search and narrative review of the literature. Journal of Foot and Ankle Research, 2018. Bus SA, Sacco ICN, Monteiro-Soares M, Raspovic A, Paton J, Rasmussen A, Lavery LA, van Netten JJ. Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2023 update). Diabetes/Metabolism Research and Reviews, 2024. Cass Z, Williams S, Slaminko C, Sethi K, et al. Cleats May Be a Risk Factor for ACL Tears in Female Lacrosse and Soccer Players. Orthopaedic Journal of Sports Medicine, 2025. Dizon JM, Reyes JJ. A systematic review on the effectiveness of external ankle supports in the prevention of inversion ankle sprains among elite and recreational players. Journal of Science and Medicine in Sport, 2010. Frey C, Thompson F, Smith J, Sanders M, et al. American Orthopaedic Foot and Ankle Society women's shoe survey. Foot & Ankle, 1993. Gribble PA, Bleakley CM, Caulfield BM, Docherty CL, et al. Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. British Journal of Sports Medicine, 2016. Hagen M, Hennig EM. Effects of different shoe-lacing patterns on the biomechanics of running shoes. Journal of Sports Sciences, 2009. Hollander K, de Villiers JE, Sehner S, Wegscheider K et al. Growing-up (habitually) barefoot influences the development of foot and arch morphology in children and adolescents. Scientific Reports, 2017. James AM, Williams CM, Haines TP. Effectiveness of footwear and foot orthoses for calcaneal apophysitis: a 12-month factorial randomised trial. British Journal of Sports Medicine, 2016. Klein C, Groll-Knapp E, Kundi M, Kinz W. Increased hallux angle in children and its association with insufficient length of footwear: a community based cross-sectional study. BMC Musculoskeletal Disorders, 2009. Krauss I, Grau S, Mauch M, Maiwald C, et al. Sex-related differences in foot shape. Ergonomics, 2008. Lambson RB, Barnhill BS, Higgins RW. Football cleat design and its effect on anterior cruciate ligament injuries. A three-year prospective study. The American Journal of Sports Medicine, 1996. Legg HS, Glaister M, Cleather DJ, Goodwin JE. The effect of weightlifting shoes on the kinetics and kinematics of the back squat. Journal of Sports Sciences, 2017. Malisoux L, Ramesh J, Mann R, Seil R, et al. Can parallel use of different running shoes decrease running-related injury risk? Scandinavian Journal of Medicine & Science in Sports, 2015. McGuine TA, Keene JS. The effect of a balance training program on the risk of ankle sprains in high school athletes. The American Journal of Sports Medicine, 2006. McGuine TA, Brooks A, Hetzel S. The effect of lace-up ankle braces on injury rates in high school basketball players. The American Journal of Sports Medicine, 2011. McGuine TA, Hetzel S, Wilson J, Brooks A. The effect of lace-up ankle braces on injury rates in high school football players. The American Journal of Sports Medicine, 2012. McKay GD, Goldie PA, Payne WR, Oakes BW. Ankle injuries in basketball: injury rate and risk factors. British Journal of Sports Medicine, 2001. Menz HB, Morris ME. Footwear characteristics and foot problems in older people. Gerontology, 2005. Nelson AJ, Collins CL, Yard EE, Fields SK, et al. Ankle injuries among United States high school sports athletes, 2005-2006. Journal of Athletic Training, 2007. Nigg BM, Baltich J, Hoerzer S, Enders H. Running shoes and running injuries: mythbusting and a proposal for two new paradigms: 'preferred movement path' and 'comfort filter'. British Journal of Sports Medicine, 2015. Swenson DM, Collins CL, Best TM, Flanigan DC, et al. Epidemiology of knee injuries among U.S. high school athletes, 2005/2006-2010/2011. Medicine and Science in Sports and Exercise, 2013. Thomson A, Whiteley R, Bleakley C. Higher shoe-surface interaction is associated with doubling of lower extremity injury risk in football codes: a systematic review and meta-analysis. British Journal of Sports Medicine, 2015. Whittaker GA, Munteanu SE, Menz HB, Tan JM, et al. Foot orthoses for plantar heel pain: a systematic review and meta-analysis. British Journal of Sports Medicine, 2018. Wiegerinck JI, Yntema C, Brouwer HJ, Struijs PA. Incidence of calcaneal apophysitis in the general population. European Journal of Pediatrics, 2014. Wunderlich RE, Cavanagh PR. Gender differences in adult foot shape: implications for shoe design. Medicine and Science in Sports and Exercise, 2001.

Authoritative Medical Resources: American Podiatric Medical Association · American College of Foot and Ankle Surgeons

Dr. Grigoriy N. Patish, DPM, DABMSP

Triple board-certified podiatrist in Fallbrook, California. Specializing in minimally invasive foot surgery and advanced pain management.

Frequently Asked Questions

Can a teenager wear custom orthotics in sports shoes?

Yes, in most of them. Running shoes, trainers and court shoes take a full device. Cleats take a slim three-quarter device built for the cleat. Raised-heel lifting shoes and track spikes do not. A growing athlete usually needs the device adjusted or remade when her shoe size changes.

Why does my daughter's heel hurt during soccer season?

In a girl between about eight and fourteen, the most common cause is irritation of the growth plate at the back of the heel, where the Achilles and the plantar fascia pull on bone that has not fused. Wiegerinck and colleagues (2014) found it in 3.7 of every 1,000 registered patients aged six to seventeen in Dutch family practices. Cleats make it worse. A heel raise, calf stretching and a firm, cushioned shoe help, and she should be examined to confirm the cause.

Do high-top shoes protect a teenager's ankle?

No. Barrett and colleagues (1993) found no difference in ankle sprains between high-top and low-top basketball shoes. What works is a lace-up brace, which cut acute ankle injuries to about a third in high-school basketball players in the trial by McGuine and colleagues (2011), and balance training, which roughly halved sprains in the trial by McGuine and Keene (2006).

Which girls' sport has the most ankle injuries?

Girls' basketball, in the national data. Nelson and colleagues (2007) found girls' basketball had the second-highest ankle injury rate of all high-school sports, behind only boys' basketball. Girls' volleyball was the one sport where practice injuries were not less common than competition injuries.

Are girls really at higher risk of knee injuries than boys?

Yes. Swenson and colleagues (2013) reviewed six seasons of high-school injuries and found girls had higher knee injury rates than boys in every sport both play, and were more than twice as likely to tear an anterior cruciate ligament. Balance training, studs matched to the surface, and a turf shoe on turf are the modifiable pieces.

Should my daughter wear metal or molded softball cleats?

Molded, if she has heel pain, a stiff big toe or an orthotic. Metal spikes concentrate pressure under the heel and ball of the foot through a thin plate. Molded studs spread the load, are legal in more leagues and are the right choice on artificial turf.

Do longer cleats make my daughter safer?

The opposite. Lambson and colleagues (1996) found a higher rate of anterior cruciate ligament tears in high-school football players wearing cleats with long studs around the edge of the sole. Cass and colleagues (2025) found that 75 percent of female soccer and lacrosse players who tore an anterior cruciate ligament were wearing cleats, compared with about 56 percent of matched uninjured players. Match the studs to the surface, and consider a turf shoe on turf.

Do youth athletic shoes come in wide widths?

A few. New Balance says its wide kids' shoes add about a half inch of width, and it sells a youth softball cleat in standard and wide. New Balance also sells its youth 442 Team soccer cleat in standard and wide. We found no youth basketball shoe or golf shoe in a wide. Most varsity girls are in women's sizes, where the widths in our women's sport guides apply, from a 2A narrow to an extra-wide in running shoes.

How often should a growing athlete's orthotics be replaced?

When the shoe size changes, not when the device starts to hurt. The arch and heel cup were molded to a foot of a certain length, and a growing foot moves off them. Bring the orthotics and his shoes in each season.

Can my daughter share cleats with an older sibling?

We would not. A shoe molds to the first foot that wears it, and the heel counter and insole take that child's shape. A worn cleat also has studs ground flat on one side, which changes how the second child's foot lands.

Should a high-school athlete lift in weightlifting shoes?

A flat, firm training shoe with her orthotic in it is the right tool. Raised-heel lifting shoes change the squat in adult studies such as Legg and colleagues (2017), but no trial has tested them in adolescents, and the orthotic does not fit in them.

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