Choosing the Best Footwear for the Elderly to Prevent Falls

As we age, our feet go through all sorts of changes, from swelling and reduced flexibility to a little less balance than we might be used to. It means that shoes which were once perfectly fine can suddenly feel uncomfortable, unsteady or even unsafe.

The right footwear can make a real difference. Good shoes help prevent trips and falls, ease joint pain and support day-to-day comfort and movement. Whether you’re choosing for yourself or helping a loved one, knowing what to look for is key.

In this guide, we’ll share seven simple tips to help you choose shoes that feel good and support safer, more confident steps.

1. Look for a proper fit

It might sound obvious, but a good fit is one of the most important things to get right. As we get older, our feet can become wider, flatter or more prone to swelling, and shoes that once fitted well may no longer feel comfortable or secure.

Make sure there’s enough space around the toes, especially if there are bunions, hammer toes or other pressure points. Shoes should feel snug around the heel without slipping, but not tight or restrictive across the top of the foot.

If possible, try shoes on later in the day when feet are naturally a little larger. Always measure both feet, and go with the size that fits the larger foot. A professional fitting is worth considering, particularly if the person has medical conditions like diabetes or arthritis.

When the fit is right, walking feels easier and more stable, and the risk of blisters, pressure sores or falls is greatly reduced.

2. Prioritise non-slip soles

A firm, slip-resistant sole can make all the difference when it comes to staying steady on your feet. As balance and strength change with age, the risk of slipping becomes more of a concern, especially on smooth or wet surfaces.

Look for shoes with a textured rubber sole that grips the ground well. Avoid thin or shiny soles, which can become slippery over time. A good tread pattern helps provide traction and stability, especially when walking outdoors or on tiled floors.

Low, flat heels are best. Anything too high or too narrow can throw off balance and increase the risk of tripping. A sole that is both flexible and firm offers the right mix of comfort and support.

Choosing footwear with proper grip is a simple but effective step in reducing falls and helping your loved one feel safer with every step.

3. Choose secure and easy fastenings

Fastenings play a big role in how supportive and practical a shoe is. Older adults may find it difficult to manage laces, buckles or fiddly clasps, especially if they have arthritis, limited grip or reduced dexterity.

Look for shoes with Velcro straps, zips or elastic fastenings. These are much easier to handle and still provide a snug, secure fit. Shoes that slip on too easily may feel convenient but often lack the support needed for safe walking.

A well-fastened shoe helps prevent the foot from sliding around inside and reduces the risk of tripping or falling. It also means the shoe stays in place during movement, which is especially important for stability and confidence.

Choosing a fastening that suits your loved one’s ability can make getting dressed simpler and safer, while also supporting independence.

4. Ensure good support and cushioning

As feet lose natural padding and joints become more sensitive, proper support becomes essential. A well-designed shoe helps reduce pressure, improve posture and make walking more comfortable.

Look for shoes with cushioned insoles and structured arch support. A firm heel cup can also help with alignment and balance. These features work together to ease strain on the ankles, knees and hips — especially important for those who experience joint pain or arthritis.

Good support is not just about comfort. It also helps reduce fatigue and improves stability, which can make everyday tasks like walking to the kitchen or going for a short stroll feel easier and safer.

If your loved one spends a lot of time on their feet or tends to walk with a shuffle, extra cushioning underfoot can provide much-needed relief throughout the day.

5. Select breathable and lightweight materials

The materials a shoe is made from can make a big difference to overall comfort. Breathable fabrics help keep feet cool and dry, which is especially important for those who are prone to swelling, irritation or skin problems.

Look for shoes made from soft leather, mesh or other breathable fabrics that allow air to circulate. This can help reduce the risk of fungal infections and discomfort from overheating. Padded linings and smooth seams are also helpful for preventing rubbing or pressure marks on sensitive skin.

Weight matters too. Shoes that feel heavy can make walking more tiring and may lead to dragging or shuffling. A lightweight shoe is easier to lift with each step and can help improve balance and reduce the risk of falls.

Choosing footwear that feels good and works with the body rather than against it is a simple but effective way to support comfort throughout the day.

6. Consider specialist or orthopaedic footwear

For some older adults, everyday shoes may not provide the level of support or comfort needed. If your loved one has diabetes, arthritis, bunions or swollen feet, specialist footwear can make a big difference to their mobility and wellbeing.

Orthopaedic shoes are designed with extra depth, wide toe boxes and removable insoles to accommodate custom inserts or swollen feet. They often have soft, seamless interiors to prevent rubbing and irritation, which is particularly important for those with sensitive skin or circulation problems.

If you are unsure whether specialist footwear is needed, it is worth speaking to a podiatrist or health professional for advice. They can recommend styles or features that match your loved one’s specific needs.

7. Maintain and replace shoes regularly

Even the best pair of shoes will wear out over time. Worn soles, flattened cushioning or stretched fastenings can all reduce the support and safety the shoes once provided. That is why it is important to check footwear regularly and replace it when needed.

Look for signs like uneven wear on the soles, fraying seams or a loss of grip. If the shoe no longer holds the foot securely or feels uncomfortable, it may be time for a new pair. Insoles can also wear down and may need replacing more often, especially if they are providing key support.

Keep shoes clean and dry, and encourage your loved one to wear the right pair for the right setting — indoor slippers should still offer grip and structure, and outdoor shoes should be kept in good condition.

How Country Cousins can help

At Country Cousins, we understand that mobility issues can affect every part of daily life from getting dressed and moving around the home to feeling safe and confident outside. That is why our live-in carers are carefully matched to provide the right level of support, while always encouraging independence.

Whether your loved one needs help getting to their feet or simply having someone nearby for reassurance, we provide bespoke care that fits around their routine. Our carers are experienced in assisting with walking aids, mobility exercises and any daily tasks that require a little extra help.

Talk to our team today

We are the UK’s longest-serving introductory live-in care agency, having provided bespoke live-in care to those who need it in their own homes since 1959.

Call our experienced team today on 01293 224706 to discuss your live-in home care needs and receive a free, no obligation quotation.