The Best Shoes for Elderly Fall Prevention

Written by: Winny Lee

Medically Reviewed By: Sarah Falcone, BSN, RN

Last Updated On: Mar 26, 2025

Of all the factors that make a good shoe to help prevent falls, the perfect fit may be the biggest one – be prepared to take the time to find the perfect shoes for an elderly or frail person. While selecting the right shoes can be challenging, it’s very important to choose well. Choosing the right footwear is crucial in addressing the changing needs of older adults and reducing the risk of dangerous falls. Falls are the leading cause of injuries among seniors, resulting in over 800,000 hospitalizations each year, primarily from head and hip injuries.

Seniors often shuffle their feet when walking, which already increases the risk of falling—especially when wearing improper footwear. High heels, floppy slippers, and slick-soled shoes are among the worst options, as they offer little to no stability. Additionally, shoes with laces can become hazardous if they come undone, posing a tripping risk.

To help minimize these dangers, we’ve researched and compiled a list of the best shoes for elderly fall prevention, ensuring both safety and comfort.

Choosing the Right Footwear to Reduce Fall Risk in Seniors

To help prevent falls, the NIH recommends wearing appropriate footwear. But what makes a shoe suitable for older adults? Here are key factors to consider.

Heel Height

Heel height is critical for balance and stability. Seniors should opt for shoes with low or no heels, as high heels shift the center of gravity and increase the risk of tripping. Ideally, the heel should be no higher than one inch. Flat shoes or those with a slight elevation offer better support and stability, helping to prevent falls.

Soles

The sole material should provide both grip and flexibility to support natural foot movement. Rubber soles are a great choice, as they offer excellent traction and shock absorption. However, the soles should not be too thick, as this can reduce sensitivity to the ground, nor too thin, as inadequate cushioning may lead to discomfort and instability.

Tread

A non-slip tread pattern significantly reduces the risk of slips and falls. Look for shoes with deep grooves or patterns that provide traction on various surfaces, including slippery or wet floors. However, avoid overly aggressive treads, as they can catch on carpets or rugs and cause tripping. The key is finding a balance between grip and ease of movement.

Weight

The weight of a shoe affects mobility and balance. Heavy shoes can lead to fatigue and make lifting the feet more difficult, increasing the risk of tripping. Conversely, ultra-light shoes may lack the necessary support. The best option is a lightweight shoe with sufficient structural integrity to provide both comfort and stability.

Fit

Proper fit is essential. Shoes that are too tight can cause discomfort and restrict circulation, while loose-fitting shoes can lead to instability and increase fall risk. A well-fitting shoe should provide ample toe room without slipping off the heel. Adjustable features like Velcro straps or laces can help achieve a secure, customized fit, especially for seniors who experience foot swelling. A wide toe box can also prevent blisters and pressure sores, enhancing overall comfort and safety.

By selecting the right footwear, seniors can improve their stability and reduce the likelihood of falls, promoting greater confidence and mobility in daily life.

Our List of the Best Shoes for Elderly Fall Prevention

Here are our top shoe recommendations in preventing slips and falls for seniors. And remember when it comes to laces, just say NO!

1. New Balance 577 – Men’s & Women’s

The New Balance 577 is one of our top picks in the elderly shoe category. This shoe features a comfortable Velcro closure and exceptional shock absorption., It is built to be durable and long-lasting.

Sale

New Balance Men's 577 V1 Lace-up Shoe, Black, 10.5 X-Wide

Abzorb cushioning in the heel for exceptional shock absorption
Leather upper
Medicare / HCPCS code = A5500, may be eligible for Medicare reimbursement
Polyurethane Midsole for stable cushioning
Reflective accents designed to catch the light

Sale

New Balance Women's 577 V1 Hook and Loop Shoe, White, 8 Wide

Abzorb cushioning in the heel for exceptional shock absorption
Leather upper
Medicare / HCPCS code = A5500, may be eligible for Medicare reimbursement
Polyurethane Midsole for stable cushioning
Reflective accents designed to catch the light

2. Propet Stability X – Men’s & Women’s

The Propet Stability X is another top pick of ours. With a modern and stylish look, the shoe provides all-day comfort, and the added grip in the rubber outsole is a great help in preventing slips and falls.

Sale

Propét Men's Stability X Strap Closure Shoes Extra Cushion Removable Insoles, Black, 11 XX-Wide

Double insoles - with the Propet EV (Extra Volume) insole system, customized fit and comfort is easy
Features a footbed that can be removed to accommodate custom orthotics
Adjustable hook and loop strap closure

Sale

Propét Women's Stability X Strap Shoe, black/berry, 9 Medium US

Double insoles - with the Propet EV (Extra Volume) insole system, customized fit and comfort is easy
Features a footbed that can be removed to accommodate custom orthotics
Adjustable hook and loop strap closure

3. Skechers Go Walk 2 Hypo – Women’s

With a large assortment of colors and sizes, this lightweight Skechers slip-on provides all-day comfort and style. Also features an Ortholite antimicrobial sock liner for women that prefer a sock-less walking experience.

Skechers Performance Women's Go Walk 2 Hypo Walking Shoe,Black Multi,8 M US

Nearly Weightless Fitknit Custom Designed Fabric Upper
Proprietary Lightweight Injection Molded Compound with Memory Retention Midsole
V-Stride Technology Features Unique Angled Outsole
Soft Smooth Fabric Lining
Soft Smooth Fabric Lining

4. Hush Puppies Gil – Men’s

The Hush Puppies Gil is a casual, lightweight shoe with adjustable straps and unique shock-absorbing technology. These leather sneakers are crafted with a durable ZeroG outsole, making it easier than ever to tackle long days on your feet.

Hush Puppies men's Gil loafers shoes, Black Leather, 10.5 Wide US

ZeroG Elon midsole and Rubber Lon outsole for light weight
Strobel construction for flexibility and comfort
Strobel construction for flexibility and comfort

5. Propet Olivia – Women’s

The Propet Olivia is a Medicare-approved diabetic shoe. A slip-on leather shoe with adjustable straps, the Olivia has an exclusive removable insole that can be replaced with custom orthotics.

Sale

Propét Womens Olivia Walking Shoes, Black, 8 Wide US

Full-grain leather and stretchable man-made leatherette upper with oblique toe character and wide opening for easy entry. Rigid heel counter adds stability.
Breathable Open Cell PU moves moisture from foot for a cooler, healthier footbed. EVA spacer to customize fit.
Shank-reinforced wide based PU outsole provides cushion, traction and durable wear
Care Instructions - Spot Clean
Closures - Hook and loop

Fall Prevention Shoes: Things to Look For

As we age, our walking patterns change, often leading to more shuffling, which increases the risk of tripping. To minimize fall hazards, seniors need supportive, well-fitting shoes. Avoid high heels, floppy slippers, and slick soles, as they can cause instability. Additionally, laces that come undone pose a tripping risk, making them a less desirable option.

Fit and Comfort

Ill-fitting shoes can restrict movement, impair balance, and increase the likelihood of falls. While it may be difficult to part with well-worn favorites, older shoes often lose their structure and no longer provide the necessary support.

When choosing footwear, ensure the fit is snug but not too tight. Adjustable options like Velcro straps or laces can help achieve a secure fit, while wide-width shoes can provide extra comfort for those experiencing foot swelling. If insoles are needed, make sure they don’t take up too much space and alter the fit.

Resist the temptation to buy shoes that feel uncomfortable with the hope that they will break in over time. If they don’t feel good right away, they’re not the right pair. Discomfort can affect balance and gait, increasing the risk of falls while also causing unnecessary pain and blisters.

Sturdy and Supportive Design

The best shoes for seniors have low heels to maximize ground contact and provide stability. High heels—anything over an inch—can increase the risk of ankle twists or falls.

A well-designed shoe should offer flexibility without losing its shape. High-back shoes provide essential support for the heel and ankle, while wide, stable soles help maintain balance. Shock-absorbing materials also reduce joint impact, enhancing comfort and mobility.

Non-Skid Soles

Proper traction is key to preventing slips. Look for shoes with non-slip soles that provide a reliable grip on both wet and dry surfaces. If a shoe’s sole is worn and no longer grips effectively, it’s time to replace it before an accident occurs.

For those who prefer not to wear shoes indoors, non-slip socks can be a good alternative. Brands like Bombas offer socks with PVC grips that help prevent slipping on hard floors, and many other brands provide similar features.

Custom Shoes for Unique Needs

Feet change over time, so it’s important to get professionally measured rather than relying on past shoe sizes. Aging, health conditions, and lifestyle changes can all affect foot size and shape, making proper measurement essential for a comfortable fit.

For seniors with specific health concerns, podiatrists may recommend custom-made shoes or orthotics. If orthotics are required, bring them along when shopping to ensure the new shoes can accommodate them properly.

By choosing the right footwear, seniors can maintain their stability, reduce fall risks, and stay comfortable and confident in their daily activities.

Selecting the right pair of shoes for an elderly loved one may be a demanding task, but it’s worthwhile to enhance their safety and reduce their risk of falls. Don’t forget to read about the best medical alert system for your loved one for added safety and peace of mind.