Name of the Procedure:

Heel and Sole Lift, Elevation with Neoprene, Per Inch (HCPCS Code: L3310)

Summary

This procedure involves the addition of a neoprene lift to the heel and/or sole of a shoe, providing elevation by a specified number of inches. It's typically prescribed for individuals requiring correction of leg length discrepancies or other lower extremity issues.

Purpose

The primary goal of this procedure is to address leg length discrepancies, which can cause discomfort and lead to other orthopedic issues. By elevating the heel and/or sole, it helps to balance leg lengths and improve overall mobility.

Indications

• Leg length discrepancy
• Pelvic tilt
• Gait abnormalities
• Back or hip pain due to unequal leg lengths

Preparation

• No specific fasting or medication adjustments required.
• Evaluation by a healthcare provider, including measurement of leg length discrepancy.
• An accurate prescription indicating the required elevation in inches.

Procedure Description

1. A qualified orthotist or podiatrist will take precise measurements of the leg length discrepancy.
2. The required elevation is determined and agreed upon.
3. The appropriate amount of neoprene material is selected and shaped.
4. The neoprene lift is securely affixed to the heel and/or sole of the patient's shoe, ensuring stability and comfort.

Tools and Equipment:

• Measuring tape or digital measuring device
• Neoprene material
• Adhesive or sewing tools

Anesthesia or Sedation:

• Not required for this procedure.

Duration

The procedure typically takes around 30 minutes to an hour, depending on the complexity and the amount of elevation required.

Setting

This procedure is usually performed in an outpatient setting, such as a podiatrist's office or a specialized orthotics clinic.

Personnel

• Orthotist or podiatrist
• Assistive personnel for fitting and adjustments

Risks and Complications

• Minor risk of improper fit, leading to discomfort or further gait issues.
• Potential for skin irritation or shoe damage if not properly installed.

Benefits

• Immediate improvement in leg length discrepancy
• Balanced posture and gait
• Reduction of associated pain in hips, back, and legs

Recovery

• Minimal to no recovery time required.
• Patients can usually walk immediately after the procedure.
• Follow-up appointments may be necessary for adjustments.

Alternatives

• Custom orthopedic shoes
• Shoe inserts or insoles
• Physical therapy

Pros of Alternatives:

• Custom orthopedic shoes provide a more integrated solution but are more expensive.
• Shoe inserts can be adjusted more easily but may not be as durable.

Cons of Alternatives:

• Less immediate correction compared to a fixed lift.
• May not provide the precise measurement required for more significant discrepancies.

Patient Experience

• During: Minimal discomfort; fitting involves measurements and brief waiting.
• After: Most patients experience immediate improvement in balance and reduction of pain.
• Pain Management: Generally not required, but any discomfort can be managed with over-the-counter pain relief if necessary.