Name of the Procedure:

Common Name: Orthopedic Footwear, Woman's Shoe, Oxford Technical Term: Orthopedic Woman's Oxford Shoe (Used as an Integral Part of a Brace - Orthosis)

Summary

An orthopedic woman's oxford shoe, identified by the HCPCS code L3224, is a special type of footwear designed to be used as part of a brace (orthosis). This shoe provides support and stability to the foot and ankle, often helping in the treatment and management of various orthopedic conditions.

Purpose

Orthopedic shoes of this type are used to address foot and ankle issues such as deformities, instability, or alignment problems. The main goals are to improve mobility, provide comfort, prevent further injury, and aid in the healing process when used alongside a brace or orthosis.

Indications

• Foot or ankle deformities
• Joint instability
• Conditions like arthritis, tendonitis, or plantar fasciitis
• Post-surgery recovery
• Patients requiring additional support for walking/movement support

Preparation

• Consultation with an orthopedic specialist or podiatrist to assess the need for the shoe.
• Measurements and fittings are necessary to ensure proper shoe size and fit.
• No special preparation like fasting or medication adjustments are needed.

Procedure Description

1. Assessment: A healthcare provider assesses the patient's foot and ankle condition.
2. Fitting: The patient is fitted for the orthopedic oxford shoe. Custom measurements might be taken.
3. Integration with Brace: The shoe is designed to be used as part of a brace system, ensuring proper alignment and support.
4. Instructions: The patient receives instructions on how to use the shoe alongside the brace for maximum benefit.

Duration

The fitting and preparation process may take about 30 minutes to an hour. The patient will then use the shoe as part of their daily routine.

Setting

Orthopedic clinic, podiatrist's office, or specialized medical footwear provider.

Personnel

• Orthopedic specialist or podiatrist
• Medical technician (for measurements and fitting)
• Physical therapist (optional, for guidance on use)

Risks and Complications

• Skin irritation or blisters (managed by adjusting the fit or materials)
• Discomfort if the shoe is not properly fitted (requires a return to the medical provider)
• Rarely, allergic reaction to materials used in the shoe

Benefits

• Improved mobility and stability
• Reduced pain and discomfort
• Enhanced healing and recovery when used with a brace
• Prevention of further injury

Recovery

• No specific recovery time is required.
• Patients should follow up with their healthcare provider if any issues arise, such as discomfort or skin irritation.
• Regular check-ups to ensure the shoe continues to fit properly as the condition of the foot or ankle changes.

Alternatives

• Standard orthopedic shoes (not combined with a brace)
• Custom-made insoles or foot orthotics
• Surgical intervention for severe foot or ankle problems

Pros of Alternatives:

• May be less bulky or restrictive
• Certain options might be more comfortable

Cons of Alternatives:

• May not provide the same level of support or stability
• Might not be as effective in conjunction with a brace

Patient Experience

• The fitting process is generally painless and straightforward.
• Patients might feel unusual or slightly uncomfortable initially as they adapt to the shoe.
• Properly fitted, the shoe should provide noticeable comfort and support.
• Pain management generally involves over-the-counter pain relief if needed, and adjustments for comfort are readily available.