Foot, Insert, Removable, Molded to Patient Model, Longitudinal Arch Support, Each (L3010)

Name of the Procedure:

Common Name(s):

• Custom foot orthotics
• Arch supports

Technical or Medical Term:

• Removable molded foot inserts

Summary

This procedure involves creating custom orthotic inserts for shoes that are molded to the patient's foot. These inserts provide support for the longitudinal arch of the foot and are removable, allowing for use in different pairs of shoes.

Purpose

The procedure aims to address issues related to foot alignment, comfort, and support. It is commonly used to alleviate pain in the feet, ankles, knees, and lower back by providing proper arch support and distributing weight more evenly.

Indications

• Flat feet (Pes planus)
• High arches (Pes cavus)
• Plantar fasciitis
• Metatarsalgia
• Heel spurs
• Overpronation or supination
• Diabetic foot ulcers

Preparation

• No specific fasting or medication adjustments are generally required.
• The healthcare provider may conduct a physical examination and diagnostic imaging (like X-rays) to better understand the foot structure.

Procedure Description

1. Initial Consultation: The healthcare provider assesses the patient's foot structure through a physical examination and possibly with diagnostic imaging.
2. Foot Impressions: The patient's feet are placed in a moldable material to create an accurate model of the foot's contours.
3. Custom Fabrication: Using the foot model, custom inserts are precisely crafted to fit the unique shape and arch of the patient's feet.
4. Fitting Appointment: The patient returns to the clinic to test the fit of the custom orthotics. Adjustments are made if necessary.

Tools and Equipment:

• Molding material (plaster casting or foam box)
• Custom orthotic fabrication equipment

Duration

• Initial examination and impressions: 30-45 minutes.
• Fitting appointment: 15-30 minutes.
• Fabrication of orthotics usually takes 1-2 weeks.

Setting

• Outpatient clinic
• Orthopedic office
• Podiatry office

Personnel

• Orthopedic specialist
• Podiatrist
• Trained medical technician

Risks and Complications

• Discomfort during the initial adjustment period.
• Rare allergic reactions to materials used in the orthotics.
• Inadequate fit requiring adjustments.

Benefits

• Improved foot alignment and overall biomechanics.
• Reduction in pain and discomfort in the feet, knees, hips, and back.
• Enhanced mobility and functionality.
• Benefits might be realized within a few days to a couple of weeks as the patient adjusts to the new support.

Recovery

• No recovery time is generally needed.
• Patients should gradually increase the time they wear the orthotics, starting with a few hours a day and progressing to full-day use.
• Follow-up appointment to ensure the orthotics are working effectively.

Alternatives

• Over-the-counter orthotic inserts
• Physical therapy
• Foot exercises
• Surgery for severe cases

Pros and Cons:

• Custom orthotics are tailored to fit the patient, offering better outcomes, while over-the-counter solutions may be less effective.

Patient Experience

• During the molding process, the patient will feel the foot being shaped but this is painless.
• Initial wear may cause slight discomfort as the foot adjusts to the new support.
• Pain management includes gradually increasing wear time to enhance comfort.

Orthotics provide immediate and long-term benefits, significantly improving the patient's quality of life by alleviating pain and enhancing mobility.