shoe modification

shoe modification

shoe upper/sole adaptations, to accommodate foot deformity (see Table 1); see footwear modifications
Table 1: Footwear modifications
Foot featureModification made to shoe
Excessive heel inversion/pronationButtressed heel; flared heel; floated heel: lateral/medial build out to heel to add lateral (for supinated rearfoot) or medial (for pronated rearfoot) support
Pes planovalgusThomas heel: anterior medial build out from medial distal margin of heel to give added support under waist of the shoe
Pes cavus
Talipes varus
Reverse Thomas heel: anterior lateral build out from lateral distal margin of heel to give added support under the lateral mid-third of the foot
Excessive calcaneal eversion and mobile whole-foot pronation or fixed whole-foot supinationMedial heel wedge added to the outer of the heel, or placed within the heel seat, in conjunction with a medial sole wedge, Thomas heel and medial heel flare
Excessive calcaneal inversion and mobile whole-foot supinationLateral heel wedge added to the outsole, or placed within the heel seat, in conjunction with reverse Thomas heel
Painful plantar heel; plantar heel spurExcavated heel seat, infilled with cushioning, shock absorber
Forefoot supinatus in childrenContralateral wedging: lateral sole wedge and medial heel wedge, to invert the hindfoot and evert the forefoot
Painful hallux limitus; fixed hallux rigidusRocker sole: additional outsole added to increased thickness at treadline, tapering distally and proximally to increase the toe spring and allow the foot to 'rock' rather than dorsiflex at the MTPJs
Steel stiffener: the addition of a metal plate between the outsole and the midsole to reduce movement, and therefore pain, in a foot with painful hallux limitus
Hammered toeStar-shaped split release: slits cut through the upper so that the point of intersection of the splits is centred over the prominent joint
Balloon patch (see below)
Bunion; HAVLongitudinal split release: splits cut through upper over the 1 MTJ, parallel to the medial edge of the sole, to increase the width of the upper and ease tension over the prominent joint
Balloon patch: a hole cut in the upper over the prominence of the joint, repaired with a stretch patch of leather dyed to match the shoe upper, to provide a wide pocket to accommodate digital deformity
Oedematous footFacings extended proximally with the addition of extra eyelets, to increase the internal dimensions of the vamp
Elastic laces
Velcro straps
Severe digital deformityVamp replacement: replacement of the vamp with one that incorporates extra depth and/or width
Digital and/or nail trauma; plantar heloma miliareTongue pad: clinical or orthotic padding added to the inner aspect of the tongue of a Derby or Oxford shoe, to retain the foot into the heel cup and prevent distal slip of the foot against the inner of the shoe

MTPJ, metatarsophalangeal joint; HAV, hallux abductovalgus; MTJ, midtarsal joint.

References in periodicals archive ?
High Pheels are interchangeable skins for heels that, not only allows a wearer to simply change the color of their heels, but also provides more comfort by lining the inside of the heel with a moisture absorbing fabric; without any shoe modification.
1990), Shoes for the insensitive foot: the effect of a "rocker bottom" shoe modification on plantar pressure distribution, Foot Ankle, vol.
Whether a less invasive approach such as shoe modifications, orthotic devices and physical therapy or more intensive interventions such as bracing, steroid injections or surgery; a foot and ankle surgeon can advise parents on which treatment offers the best long-term prognosis for their children.
In spite of controversy, however, the orthotist must properly implement the prescription as given him by the orthopedic surgeon, otherwise, his knowledge of shoe modifications will be of little value to the patient.
It sells custom orthotic shoes and provides the following services: shoe modifications, leather dyeing, full soles and heels, half soles, rubber heels, leather patching, handbag repair, luggage repair and much more.
In addition to stocking New York City's largest selection of comfort shoes, available in virtually every size and width imaginable, Eneslow offers orthopedic and therapeutic footwear, foot orthoses and shoe modifications.
They can offer advice about shoewear and shoe modifications to help your foot problem.
Zamosky's 1964 article on various shoe modifications in lower-extremity orthotics starts with this observation [1].
For children who do exhibit symptoms, the physician may recommend physical therapy, shoe modifications, anti-inflammatory medications like ibuprofen to reduce pain and inflammation, or an orthotic device.
In most cases, these forms of heel pain can be treated with anti-inflammatory medications, stretching exercises, padding and strapping, and shoe modifications.
These include stretching, the use of reusable hot and cold pads, shoe modifications, orthotics, over-the-counter medications such as ibuprofen and weight control as excessive weight is often a trigger for heel pain.