Common Footwear Adjustments
The most common footwear adjustments we are called to make are to the midsole of the shoe. These may be simple heel raises for patients with severe leg length differences or they may be angle wedged to allow force to be applied to the foot in a particular direction and thus reinforcing the function of any device being used inside the shoe. We can also make accommodative changes to the upper of the shoe in order to reduce pressure on bony or soft tissue prominences.
Lump and Bump Bubbles
We can create a bubble accommodation in most shows to facilitate lumps and bumps. This can be done with simple bubble stretching or by making a custom bubble insert.
Standard Heel Raise
Normally used in conjunction with a heel raised insole or orthotic. This allows a large leg length discrepancy to be reduced whilst not appearing obtrusive.
Eversion/ Inversion Wedging
Used in conjunction with a stabilising orthotic, this modification prevents compression of the midsole laterally or medically and therefore augments the function of the device inside the shoe.
Transverse Offset Rocker Facilitation Heel Raise
This is a heel raise which is set at an angle within the mid-sole of the shoe in order to facilitate the use of angulated rocker. The front edge corresponds to the fulcrum of the rocker and facilitates even greater function. This is used for patients who are severely laterally unstable and have a plantarflexion deformity but who have enough mobility in their rearfoot to allow them to be rocked both forward and medially