Some shoe listings show a foot-health seal. This guide explains what one of them, the American Podiatric Medical Association (APMA) Seal of Acceptance, means according to the APMA itself, and what it leaves out. It is general information, not medical advice: for a foot problem, see a podiatrist. We make no claim that any particular shoe or brand carries the seal.

This guide is based on the public source listed below. We have not tested any shoe or store. For measuring and sizing, see our guides to buying shoes online and children's shoes.

What the seal is

Source: APMA, FAQ about the APMA Seal Program. The page shows a 2026 copyright and no update date. Last checked: 17 October 2026.

  • There are two seals. The Seal of Approval covers therapeutic agents and regulated medical devices. The Seal of Acceptance covers footwear, materials, insoles, hosiery and equipment.
  • The APMA says the seal recognises products it considers beneficial to foot health when used as part of daily foot care and regular professional treatment.
  • A product earns it only if an APMA panel finds that it supports normal foot function and quality foot health, and that its usefulness and safety are supported by evidence.

What it does not mean

  • It is not an endorsement: the APMA calls it a recognition granted to a product.
  • Products are rejected if claims lack evidence, if they are mainly cosmetic, if they hinder normal foot function or do not promote foot health.
  • The seal says nothing about whether a shoe will fit you. Fit still comes from measuring both feet and checking the seller's size chart.

How it is awarded

The manufacturer applies for each product and submits packaging, fees and documents on composition, properties, safety and evidence, quality control, labeling and advertising, plus objective clinical or laboratory data for its claims. A seal lasts up to three years, and the maker must request renewal. The page gives no public lookup for seal status: questions go to the APMA by email or phone.

What to check on a listing

  1. Does it name the exact product that holds the seal, and the date?
  2. Does the seller link to the APMA, or can you confirm it with the APMA?
  3. Compare the size chart with your own measurements and check the toe room and width.
  4. Read the return policy, because worn shoes are often not returnable.

What we could not confirm

  • Which products currently hold the seal, the application fees and equivalent marks in other countries.

Source: APMA, FAQ about the APMA Seal Program.