Name of the Procedure:

Custom Orthopedic Shoe, Depth Inlay (L3230)

Summary

A custom orthopedic shoe with a depth inlay is a specially designed shoe made to fit an individual's unique foot dimensions and conditions. The shoe provides additional depth to accommodate orthotic inserts, which can help alleviate foot problems and provide better comfort and mobility.

Purpose

This custom orthopedic shoe addresses medical conditions such as severe arthritis, diabetes-related foot problems, foot deformities, and other foot issues that require specialized footwear for proper support and comfort. The goal is to reduce pain, improve foot function, and prevent further complications.

Indications

Specific symptoms or conditions that warrant the use of a custom orthopedic shoe include:

• Severe arthritis
• Diabetic neuropathy or ulcers
• Foot deformities (e.g., bunions, hammer toes)
• Poor circulation
• Chronic pain or discomfort in the feet
• Anomalies that prevent the use of standard footwear

Patients who find standard shoes inadequate for their foot care needs are ideal candidates.

Preparation

Before designing the custom shoe, patients may need:

• A foot examination by a podiatrist or orthopedic specialist.
• Foot measurements and molds taken for accurate fitting.
• Possible imaging tests (e.g., X-rays) to assess foot structure.
• Patients should disclose any medications or existing medical conditions to the healthcare provider.

Procedure Description

1. Assessment: The process begins with a thorough assessment of the foot by a healthcare professional.
2. Measurements and Molding: Detailed foot measurements and molds are taken. This may involve using a foam box, plaster cast, or 3D scanning technology.
3. Design and Fabrication: Using the obtained measurements, a custom shoe is designed. This involves creating a shoe with extra depth to accommodate any orthotic inserts.
4. Fitting: Once the shoe is fabricated, the patient is called in for a fitting session. Adjustments are made to ensure comfort and function.
5. Final Adjustments: Any minor tweaks needed after initial wear are performed to ensure the best fit and support.

Duration

The entire process, from assessment to the final fitting of the shoe, typically takes 4-6 weeks. Each visit for assessment, measurement, and fitting can range from 30 to 60 minutes.

Setting

The initial assessment, measurements, and fitting typically occur in an outpatient clinic, podiatry office, or orthopedic center. The shoes are fabricated at specialized orthopedic labs.

Personnel

• Orthopedic specialist or podiatrist
• Orthotist or prosthetist (specialists in designing and fabricating orthopedic devices)
• Nurses or medical assistants may assist in the process

Risks and Complications

While generally safe, potential risks include:

• Discomfort or poor fit if measurements are inaccurate
• Skin irritation or pressure sores
• Adjustment period with potential minor pain Most complications can be managed through follow-up appointments and shoe adjustments.

Benefits

• Personalized comfort and support
• Improved mobility and reduced pain
• Prevention of further foot complications
• Enhanced quality of life through better foot health

Patients often feel immediate relief, but full benefits may take a few weeks as they get used to the new footwear.

Recovery

Post-procedure care involves:

• Gradually wearing the shoes to get accustomed
• Monitoring for any signs of irritation or discomfort
• Follow-up visits for adjustments Patients can expect to return to regular activities almost immediately but should follow any specific recommendations from their healthcare provider.

Alternatives

• Standard orthopedic shoes with removable insoles
• Over-the-counter orthotic inserts
• Custom orthotics without specialized footwear While these alternatives may be less expensive, they may not provide the same level of support and customization.

Patient Experience

During the procedure, patients may feel slight discomfort when molds or measurements are taken, but this is generally minimal. After receiving the custom shoes, there may be a brief adjustment period where the patient needs to get used to the new support. Pain management involves proper fitting and gradual break-in periods, ensuring maximum comfort.