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Footwear: A Guide to Selecting Shoes for Modification

Download PDF, 1.1MB, PDF

What are Footwear Modifications?

Footwear modifications – either on their own or combined with custom-made orthoses and/or orthopaedic shoes – are a useful way to help patients with certain foot conditions.

How Do I Know if My Shoes Need to be Modified?

Shoe modifications may be necessary if you are experiencing the following:

Leg length discrepancy (LLD): when one leg is shorter than the other
Ankle in fixed in downward position
Walking instability

Following your consultation with the Prosthetist & Orthotist (P&O), you would be advised on the type of shoe modification you may require, such as:

Shoe raise
Heel raise
Flares

How are Your Shoes Modified?

Shoe modifications involve alterations to the sole of the shoe
The shape of the sole can be changed by adding or removing a foam-based material called ethylene-vinyl acetate (EVA)
This material is used on the soles of most sports shoes
It is important to select a shoe that has a sole which can easily be altered.

What Shoes are Suitable for Modification?

You are encouraged to modify a pair of relatively new shoes that you are comfortable to wear for a long term
Most sandals, sports shoes and orthopaedic shoes are suitable for modification
There are several aspects you can look out for when getting shoes for modification

Covered shoes provide protection to your toes and heel

Shoe fasteners like straps or laces ensure your shoes provide adequate grip on your feet

Shoe soles need to be

Flat
Thick and firm
Made of EVA foam material

If you are unsure of whether your shoes are suitable, please consult your attending P&O

What Shoes are Not Suitable for Modification?

Slippers or flip flops

Shoes with rubber based soles
Shoes with thin or deep patterned soles

What Happens During the Consultation?

At your first outpatient appointment visit, you would be assessed accordingly by your clinician
You would then be seen on a second appointment for fitting of the modified shoes
If necessary, you would be scheduled for a review to check on your progress with the shoes

2021/06/11