Name of the Procedure:

• Common Name(s): Orthopedic Shoe, High-Top with Supinator or Pronator
• Technical/Medical Term: HCPCS Code L3206

Summary

An orthopedic high-top shoe designed for children to correct and support foot deformities such as supination or pronation. This specialized footwear helps in aligning the foot properly, reducing pain, and preventing further complications.

Purpose

• Addresses issues like flat feet (pronation) or high arches (supination).
• Aims to correct the alignment of the foot and ankle.
• Helps improve walking comfort and reduce associated pain.
• Prevents progression of foot deformities and potential complications.

Indications

• Symptoms like pain or discomfort while walking.
• Diagnosed conditions such as flat feet or excessively high arches.
• Pediatric patients with gait abnormalities or foot deformities.
• Recommended by orthopedic specialists when regular footwear does not provide adequate support.

Preparation

• No specific preparation like fasting or medication adjustment is usually required.
• A thorough assessment by an orthopedic specialist is essential.
• Foot measurements and possibly a gait analysis might be conducted.

Procedure Description

1. Assessment: Initial evaluation by an orthopedic specialist.
2. Measurement: Accurate measurement of the child’s feet for proper fit.
3. Selection: Choosing the appropriate high-top shoe with built-in supination or pronation correction.
4. Fitting: Ensuring the shoe fits properly and comfortably.
5. Adjustment: Any necessary adjustments are made for optimal support and comfort.

• Tools/Equipment: Measuring devices, specialized orthopedic shoes.
• Anesthesia/Sedation: Not applicable.

Duration

• The fitting process typically takes about 30 minutes to 1 hour.

Setting

• This procedure is performed in an orthopedic clinic or a specialized shoe fitting center.

Personnel

• Orthopedic specialist (doctor or therapist).
• Certified orthotist or specialized shoe fitter.

Risks and Complications

• Minor risks: Initial discomfort as the child adjusts to the new shoes.
• Possible complications: Skin irritation, blisters, or pressure points if the shoe is not properly fitted.
• Management: Regular follow-ups for adjustments and to monitor progress.

Benefits

• Improved foot alignment and walking comfort.
• Reduced pain and discomfort in the feet, ankles, and legs.
• Prevention of further foot deformities and complications.
• Benefits are typically noticed within a few days to weeks.

Recovery

• No specific recovery time is needed.
• Continuous use of the orthopedic shoes as recommended.
• Regular follow-up appointments for adjustments and to ensure proper fit.

Alternatives

• Custom orthotic inserts: Can be placed in regular shoes; however, they might not offer the same level of support.
• Physical therapy: To strengthen foot muscles, though it may not be sufficient alone.
• Pros: Less costly, conservative
• Cons: May be less effective in severe cases compared to specialized shoes.

Patient Experience

• The child may initially feel some discomfort as they get used to the new shoes.
• Gradual improvement in comfort and walking as they adjust.
• Pain and discomfort may be managed with over-the-counter pain relief and proper shoe break-in procedures.