Elevation Inside Shoe (L3332)

Name of the Procedure:

Common Names:

• Shoe Lift
• Heel Lift

Technical or Medical Term:

• Lift, elevation, inside shoe, tapered, up to one-half inch (HCPCS L3332)

Summary

This procedure involves the use of an insert placed inside a shoe to elevate and support the foot, helping to correct discrepancies in leg length and supporting the healing process for certain foot or ankle conditions.

Purpose

The shoe lift is designed to address leg length discrepancies or alleviate pressure on specific areas of the foot. It aims to provide better balance, reduce discomfort, and improve the patient's gait and posture.

Indications

• Leg length discrepancy (one leg shorter than the other)
• Post-surgical recovery where elevation of the foot is required
• Conditions such as Achilles tendonitis, plantar fasciitis, or stress fractures
• Chronic pain in the lower back, hips, or knees due to uneven leg length

Preparation

• No significant pre-procedure preparation is typically required.
• Patients may be advised to bring the shoes they wear most frequently during the fitting.
• No fasting or extensive diagnostic tests are necessary.

Procedure Description

1. Assessment: The healthcare provider evaluates the patient's leg length and discusses primary symptoms and medical history.
2. Measurement: Accurate measurements of both legs to determine the discrepancy.
3. Selection: Selection of a tapered shoe lift that fits inside the patient's existing footwear.
4. Fitting: The shoe lift is trimmed and adjusted to fit properly inside the shoe, ensuring maximum comfort and effectiveness.

Duration

The entire fitting procedure typically takes about 15-30 minutes.

Setting

This procedure is usually performed in a clinical setting such as a podiatrist’s office or an orthopedic clinic.

Personnel

• Podiatrist
• Orthopedic specialist
• Trained medical assistant or technician

Risks and Complications

• Minor discomfort or adjustment period while getting used to the lift
• Possible need for further adjustments over time
• Rarely, increased pressure may cause discomfort or exacerbate existing foot problems

Benefits

• Improved balance and gait
• Reduced pain and discomfort in the back, hips, and knees
• Enhanced overall posture
• Typically, benefits can be realized almost immediately after fitting

Recovery

• Patients can usually resume their normal activities immediately after the fitting.
• There may be a short adjustment period where the patient gets used to the new lift.
• Follow-up appointments may be scheduled to ensure proper fit and comfort.

Alternatives

• Full-length custom orthotics
• Surgery in severe cases of leg length discrepancy
• Physical therapy
• Use of custom-built shoes

Pros and Cons of Alternatives:

• Custom orthotics provide comprehensive foot support but are often more expensive.
• Surgery offers a permanent solution but comes with higher risks and longer recovery.
• Physical therapy can help improve strength and flexibility, but may not address the root cause of leg length discrepancy.
• Custom-built shoes offer immediate relief but may not be suitable for all patients and situations.

Patient Experience

Patients might feel a slight elevation inside their shoe, which could initially feel odd but should quickly become comfortable. There is little to no pain involved, and any minor discomfort during the adjustment period is usually manageable with over-the-counter pain relievers if needed. The healthcare provider will offer guidance on how to manage any discomfort and make the most of the shoe lift.