Shoe Modifications

Heel Wedge:

• applied to the medial heel to prevent excessive eversion

• applied to lateral heel to prevent excessive inversion

• can be used to treat symptoms associated with pes planus or pes cavus

Heel lift:

• commonly used to take pressure off of the achilles tendon

• used to limit the effects of leg length discrepancy

Heel cushion:

• decrease pain in the heel

• used for calcaneal spur or plantar fasciitis

Heel cup:

• covers the plantar surface of the calcaneus and extends upwards on all three sides

• helps stabilize the the calcaneus in a neutral position

• provide some shock absorption for the heel

• used for calcaneal spur or plantar fasciitis

Metatarsal bar/pad:

• helps relieve pressure from the metatarsal heads by transferring it to the metatarsal shafts

• helps relieve pain for patients with metatarsalgia

Rocker bar:

• assists patients who have difficulty with the terminal stance phase of gait secondary to limited mobility within the foot, especially the great toe

• helps relieve pressure from the metatarsal heads for patients with pain in that region