Name of the Procedure:

Common Name: Orthopedic Ladies Shoe Medical Term: Depth Inlay Orthopedic Footwear for Women (HCPCS L3216)

Summary

Orthopedic ladies shoes with depth inlay are specialized footwear designed to support and alleviate foot conditions. These shoes include added depth to accommodate custom orthotics or insoles, providing additional room and comfort for the wearer.

Purpose

Orthopedic ladies shoes aim to:

• Address medical conditions such as arthritis, diabetes, bunions, and plantar fasciitis.
• Relieve pain and improve foot function.
• Prevent further foot complications.
• Provide a comfortable fit, especially for those with deformities or swelling.

Indications

Specific conditions that warrant the use of orthopedic footwear include:

• Diabetes with diabetic foot complications.
• Severe arthritis or rheumatoid arthritis.
• Foot deformities such as bunions or hammertoes.
• Plantar fasciitis or chronic foot pain.
• Post-surgery foot conditions needing extra support.

Preparation

• There is typically no special preparation required for trying on orthopedic shoes.
• Patients may need to bring their orthotics or custom insoles to ensure proper fitting.

Procedure Description

1. Assessment: A healthcare provider evaluates the patient's foot condition and shape.
2. Measurement: Detailed measurements of the feet are taken to ensure an accurate fit.
3. Fitting: The patient tries on the orthopedic shoes equipped with depth inlay to ensure comfort and support.
4. Adjustment: Any necessary modifications are made to accommodate orthotics or unique foot structures.
5. Instruction: The patient receives guidance on proper wear and care of the shoes.

Duration

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

Setting

The procedure is usually conducted in:

• Orthopedic or podiatry offices.
• Specialized footwear or medical supply stores.

Personnel

Healthcare professionals involved include:

• Podiatrist or orthopedic specialist.
• Trained fitting specialist or orthopedic shoe technician.

Risks and Complications

Common risks:

• Initial discomfort as the patient adjusts to new footwear.
• Potential for improper fit if measurements are inaccurate.

Rare risks:

• Skin irritation or pressure sores.
• Allergic reaction to shoe material.

Benefits

• Significant pain relief and discomfort reduction.
• Improved mobility and daily function.
• Prevention of further foot complications.
• Enhanced quality of life with proper footwear support.

Recovery

• Immediate comfort and support upon proper fitting.
• No prolonged recovery period.
• Patients may need follow-up to ensure fit and address any issues.

Alternatives

Other treatment options include:

• Over-the-counter orthotics and insoles.
• Custom-made orthotics.
• Surgery for severe foot deformities or pain.
• Regular physical therapy and foot exercises.

Pros of alternatives:

• Non-surgical options can be less invasive.
• Custom orthotics provide specific support based on foot structure.

Cons of alternatives:

• May not provide the same level of comfort or support as depth inlay shoes.
• Custom orthotics alone may be insufficient without suitable footwear.

Patient Experience

• During the fitting, patients might feel slight pressure as the measurements are taken and shoes are adjusted.
• Afterward, patients typically report relief and increased comfort.
• Pain management is minimal, often resolved with the proper fit and adjustment period.