Name of the Procedure:

Orthopedic Footwear for Ladies – High-top Depth Inlay Shoe (HCPCS Code: L3217)

Summary

Orthopedic footwear, specifically a high-top depth inlay shoe for women, is a custom-fitted shoe designed to provide adequate support and alleviate discomfort caused by various foot conditions. These shoes are deeper than standard footwear to accommodate orthotic inserts, providing enhanced comfort and foot health.

Purpose

This specialized orthopedic footwear addresses foot deformities, diabetic foot, arthritis, and other conditions requiring extra support and accommodation of orthotic devices. The goal is to alleviate pain, prevent further foot injuries and deformities, enhance mobility, and improve overall foot health.

Indications

• Diabetic foot conditions requiring therapeutic shoes to reduce plantar pressure and prevent ulcers.
• Arthritis causing significant foot pain and deformities.
• Structural deformities such as bunions, hammertoes, or Charcot foot.
• Post-surgical patients in need of extra protection and support.

Preparation

• No specific fasting or medication adjustments are required.
• A thorough foot examination by a podiatrist or orthopedic specialist to assess the suitability of the shoe.
• Possible recommendation and fitting for custom orthotic inserts before getting the shoes.

Procedure Description

1. A foot specialist evaluates the patient's foot structure and any existing conditions.
2. Measurements of the foot are taken to ensure a proper fit.
3. Custom orthotic inserts may be recommended and fitted.
4. The high-top depth inlay shoe is fitted to the foot, ensuring comfort and proper support.
5. Adjustments are made to the shoe and inserts as needed for optimal fit.

Tools/Equipment:

• Measurement devices for foot sizing.
• Custom orthotic inserts.
• High-top depth inlay orthopedic shoes.

Duration

The fitting process typically takes about 30 minutes to an hour. Customization of orthotic inserts, if needed, may take additional time.

Setting

The procedure is carried out in a medical office, podiatrist’s clinic, or an orthopedic specialist's office.

Personnel

• Podiatrist
• Orthopedic specialist
• Trained medical assistants
• Orthotic technicians

Risks and Complications

• Minor discomfort as the patient gets accustomed to the new footwear.
• Potential for improper fit leading to calluses or blisters.
• Rarely, allergic reactions to materials used in the shoe or insert.

Benefits

• Enhanced comfort and support, leading to reduced foot pain.
• Better foot health and prevention of further deformities or complications.
• Improved mobility and overall quality of life, often noticeable within a few days.

Recovery

• Immediate use of the shoes is possible after fitting.
• Follow-up visits may be required to adjust the fit as needed.
• Regular check-ups to monitor foot health and effectiveness of the footwear.

Alternatives

• Standard orthopedic shoes without depth inlay.
• Custom-made orthotics inserted into regular footwear.
• Surgical interventions for severe deformities or conditions.
• Each alternative comes with its own set of pros and cons, with custom orthopedic shoes often providing the most tailored and effective support.

Patient Experience

Patients may feel significant relief from foot pain and discomfort soon after wearing the shoes. It may take a few days to a week to fully adjust to the new footwear. Pain management techniques and comfort measures, such as wearing moisture-wicking socks, are recommended during the adjustment period.