Custom Molded Foot Shoe (Plastazote)

Name of the Procedure:

Common Name(s): Custom Foot Orthotic, Custom Molded Shoe Technical/Medical Term: Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each (HCPCS Code L3252)

Summary

This procedure involves creating a custom-made shoe or orthotic insert that is molded specifically to the patient's foot using a material known as plastazote. It provides a personalized fit to address and alleviate various foot-related issues.

Purpose

The custom molded foot shoe aims to:

• Improve foot function
• Reduce pain and discomfort
• Provide better support and alignment
• Protect compromised skin and prevent ulcers, particularly in diabetic patients

Indications

The procedure is indicated for patients with:

• Severe foot deformities
• Diabetic foot ulcers
• Arthritis
• Neuromuscular conditions
• Post-surgical foot complications
• Chronic pain or discomfort unresponsive to off-the-shelf orthotics

Preparation

• No special fasting or medication adjustments are typically required.
• A thorough foot examination and measurements are taken.
• Plaster casting or digital foot scans may be utilized to create an accurate model.

Procedure Description

1. Consultation and Assessment: Initial evaluation of the patient's foot condition.
2. Measurement and Casting: The patient's foot is either casted using plaster or scanned digitally to create a precise model.
3. Fabrication: The custom shoe or orthotic is fabricated based on the model, using plastazote or a similar material.
4. Fitting and Adjustment: The final product is fitted to the patient’s foot, with adjustments made as necessary to ensure optimal comfort and functionality.

Duration

The entire process, from initial assessment to final fitting, typically takes several weeks.

Setting

The procedure is conducted in an outpatient clinic or specialized orthotics and prosthetics facility.

Personnel

• Orthotist or prosthetist
• Podiatrist
• Medical assistant or technician

Risks and Complications

• Minor skin irritation or pressure sores
• Potential need for adjustments or re-fabrication
• Rare risk of allergic reaction to materials used

Benefits

• Improved foot alignment and function
• Reduction in pain and discomfort
• Protection of vulnerable foot areas
• Enhanced mobility and quality of life

Recovery

• Minimal recovery time required.
• Patients are advised to gradually acclimate to the new orthotic/shoe.
• Follow-up appointments for adjustments and assessments.

Alternatives

• Off-the-shelf orthotics or shoes
• Physical therapy
• Medications for pain relief
• Surgical interventions (in severe cases)

Patient Experience

Patients can expect:

• Initial discomfort as they adjust to the new orthotic/shoe
• Significant improvement in comfort and foot function over time
• Instructions on proper care and usage of the custom device
• Regular follow-up appointments to ensure effectiveness and comfort