Shoe and lacing considerations are the same as for general recommendations. Prefabricated insoles can provide some cushioning and support for acute or mild problems. As a general rule, the slower athletic movements require more medial support, which is best provided by straight lasted shoe. A curve lasted shoe is better adapted for faster movements which increase stress on the outer aspect of the foot. Variable width lacing is very helpful for wide or narrow foot types. Uppers are usually leather with a padded tongue and collar for comfort. A rigid heel counter is needed for support and to prevent heel slippage, as well as a soft and flexible Achilles tendon heel pad. Metal cleats usually have the split cleat with three cleats in front and two in the heel. Some models come with removable versions. Softball cleats are usually lightweight and have multi-studded cleats. Pitchers often require a toe cap for toe drag to help prevent excessive wear to the front of the shoe. Most of the baseball and softball shoes are patterned after running shoe technology, with a wider, deeper toe box, more rigid heel with Achilles pad, lacing pattern, and a sock liner/insole with more cushioning and support. Many brands and models are available to choose from—including team colors. Popular brand names include Adidas, Easton, Mizuno, New Balance, Nike, Puma, Reebok, and Under Armour, and most baseball shoes will allow adequate room for a low-profile custom foot orthosis.

Special features of baseball and softball cleats include the following: