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?
- 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
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