Name of the Procedure:

Heel Stabilizer, Prefabricated, Off-the-Shelf, Each
Common Names: Heel Stabilizer, Foot Orthotic
Technical Term: Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each (L3170)

Summary

A heel stabilizer is a prefabricated medical device used to support and stabilize the heel of the foot. Made of materials like plastic or silicone, this off-the-shelf orthotic helps to improve foot comfort, alignment, and function.

Purpose

The heel stabilizer addresses various foot conditions by providing support and cushioning to the heel. It aims to reduce pain, improve walking stability, and prevent further injury or complications.

Indications

• Heel pain or discomfort
• Plantar fasciitis
• Achilles tendonitis
• Heel spurs
• Recovery from foot injuries
• Patients with flat feet or high arches needing additional support

Preparation

• Generally no special preparation is required.
• Patients should ensure they wear the footwear they typically use when fitting the heel stabilizer.
• In some cases, an assessment by a podiatrist or orthopedist might be recommended to ensure the best fit.

Procedure Description

1. Assessment: The patient's foot is visually and physically assessed to determine the need for a heel stabilizer.
2. Selection: An appropriately sized prefabricated heel stabilizer is selected based on the assessment.
3. Fitting: The heel stabilizer is placed inside the patient's shoe to ensure proper fit and adjust as necessary.

4. Evaluation: The patient walks a few steps to evaluate comfort and fit, with adjustments made if necessary.

   Tools Used: Heel stabilizers made of plastic, silicone, or similar materials.
   Anesthesia: None required.

Duration

The entire fitting process typically takes about 15-30 minutes.

Setting

Heel stabilizers are usually fitted in outpatient clinics, podiatry offices, or specialized orthopedic centers.

Personnel

• Podiatrist or Orthopedist
• Medical Assistant/Nurse

Risks and Complications

• Mild discomfort initially as the patient adjusts to the new support
• Rare cases of skin irritation or allergic reaction if sensitive to the materials used
• Potential improper fit leading to worsening of symptoms (managed by readjusting or selecting a different device)

Benefits

• Immediate relief from heel pain
• Improved foot function and stability
• Prevention of further injury with regular use
• Enhanced comfort during walking and standing

Recovery

• No downtime or significant recovery period.
• Patients should gradually get used to the heel stabilizer by starting with short periods of use and gradually increasing the duration.
• Regular follow-up appointments may be suggested to ensure optimal fit and function.

Alternatives

• Custom-made orthotics: Tailored specifically for the patient’s foot for a precise fit. More expensive and time-consuming.
• Footwear modifications: Shoes with built-in support features.
• Physical therapy: Exercises and treatments to strengthen foot muscles.
• Medications: Anti-inflammatory drugs for pain relief.
• Surgical intervention: In severe cases where non-invasive treatments fail.

Patient Experience

• The patient may initially feel a need to adapt to the new support in their shoe.
• Mild discomfort may be felt during the adaptation phase.
• Pain relief and improved mobility can usually be expected within a few days to weeks.
• Various comfort measures, like wearing moisture-wicking socks and ensuring proper shoe fit, can enhance the experience.