Shoe Elevations
Sole Lift – permanent, external modification of the midsole and outsole to add a prescribed amount of height to one or both shoes.
Sole Flare/ Buttress
Flare – permanent, external modification to the midsole and outsole to widen the base of support on the inside (medial) or outside (lateral) portion of the shoe.
Buttress – permanent, external modification to the midsole, outsole and the upper, to bolster the support available through the midfoot.
Rocker soles
Rocker Sole – permanent, external modification to the midsole and outsole in which material is added and the flex point of the shoe is modified to allow improved function, or protection of the foot and ankle.
External Metatarsal Bar
External Metatarsal Bar – permanent, external modification to the midsole in which a "bar" of material is added beneath the ball of the foot to change the flex point of the shoe. Similar to a Rocker Sole but with less adjustability and specificity of treatment.
Other Shoe Modifications
Closure Modifications
Closure Modification – permanent, external modification of the upper of the shoe by the addition of leather and fabric. Examples include the addition of Hook & Loop (Velcro) straps, buckles, or a closure system including both hook & loop and lacing (Lace Stitch Velcro). This modification allows the use of footwear by an individual not able to use the original closure due to bony deformity of the foot or dysfunction of the hands, back, hips or knees.
Scaphoid Pads
Scaphoid Pad (Arch Cookie) – permanent, internal modification by the addition of padding to the medial longitudinal arch of a shoe. Typically used for children, or individuals requiring a lifting of the inside arch of the foot when a custom made orthoses is not feasible.
Metatarsal Pads
Metatarsal Pads - permanent, internal modification for Individuals suffering from pain in the ball or front of the foot could have metatarsalgia, a common condition treated with supports, insoles and other products
Heel wedges
Heel Wedging – permanent or temporary, internal modification of a shoe or insole by the addition of "wedges" or "shims" to modify the angle of the rearfoot (heel) and/or forefoot (ball). Often used as a pre-orthotic trial to determine efficacy of corrective treatment. |
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Sach Heel
SACH Heel (Solid Ankle Cushion Heel) – permanent, external modification by addition of a softer durometer (compressible) material replacing a portion of the back heel base. SACH heels reduce shock at heel strike and compensates for diminished of ankle motion.
Leather Tips
Shuffle plate( leather tips) – permanent, external modification by addition of a smoother, more slippery material to the forefoot of a client’s shoe. Useful when the client is unable to fully lift the forefoot, specifically when walking in a carpeted environment.
Thomas Heel
Thomas Heel - an anterior medial extension longer than the standard heel to add rearfoot or midfoot support medially.
Sole Bar (Full Shank)
Sole Bar – A steel or carbon fibre, full-length bar, laminated between the sole to eliminate dorsiflexion.
Lateral stabilizer (Buttress)
Buttress- added to stabilize the hind foot and mid foot adds support to both the foot and the shoe