Name of the Procedure:

Common name(s): Heel Lift Technical or medical term: Lift, elevation, heel, per inch (HCPCS Code L3334)

Summary

A heel lift is a medical procedure involving the addition of a specialized insert under the heel of a shoe. This simple yet effective solution helps alleviate discomfort or pain resulting from leg length discrepancies or other foot-related issues.

Purpose

Heel lifts are designed to correct leg length discrepancies, alleviate heel pain, and improve overall posture. They can help:

• Reduce pressure on the Achilles tendon.
• Enhance gait uniformity.
• Minimize discomfort related to flat feet or plantar fasciitis.

Indications

• Leg length discrepancy (LLD)
• Achilles tendonitis
• Plantar fasciitis
• Lower back pain related to uneven leg length
• Flat feet or flexible flatfoot conditions

Preparation

• There's generally no extensive preparation required.
• Patients may be advised to bring their commonly worn shoes to the fitting.
• No fasting or medication adjustments are typically needed.

Procedure Description

1. Assessment:

   • A healthcare professional evaluates the patient's foot, leg length, and gait.
   • Measurements are taken to determine the exact lift height needed.

2. Insertion:

   • A lift, typically in the form of a prefabricated or custom-made insert, is placed under the heel inside the shoe.
   • Adjustments are made to ensure comfort and effectiveness.

3. Testing:

   • The patient walks with the lift inserted, and adjustments are made as needed.

Duration

The fitting process usually takes about 15-30 minutes.

Setting

Heel lift fittings are typically performed in outpatient clinics, podiatrist offices, or orthopedic centers.

Personnel

• Podiatrists
• Orthopedic specialists
• Trained medical assistants

Risks and Complications

• Common: Initial discomfort as the body adjusts to the corrected alignment.
• Rare: Skin irritation, increased knee or hip pain if not properly fitted.
• Management: Follow-up visits to adjust the lift height or fit if discomfort persists.

Benefits

• Immediate improvement in gait and posture.
• Reduced pain in the heel, Achilles tendon, and lower back.
• Enhanced comfort during walking and standing.

Recovery

• Post-procedure care typically involves wearing the lift as advised and gradually increasing wear time to allow the body to adjust.
• No significant downtime is expected; most patients can continue their daily activities immediately.
• Follow-up appointments to assess effectiveness and make adjustments.

Alternatives

• Custom orthotics for comprehensive foot support.
• Physical therapy focused on gait training and strengthening exercises.
• Surgery in severe cases of leg length discrepancy.

Pros of heel lifts: Non-invasive, quick, cost-effective, and easily adjustable.

Cons of heel lifts: May not be suitable for severe discrepancies or complex foot conditions.

Patient Experience

• During: Little to no discomfort during the fitting process.
• After: Initial mild discomfort may occur as the body adjusts to the new alignment.
• Pain Management: Over-the-counter pain relievers can be used if needed. Most patients find that discomfort diminishes within a few days.

Overall, the heel lift is a simple yet effective solution for addressing leg length discrepancies and associated discomfort, providing patients with a quick path to improved comfort and mobility.