Heel wedge
HCPCS code
Name of the Procedure:
Heel Wedge Placement (L3350)
Summary
A heel wedge is a specialized orthotic insert that is positioned in footwear to relieve pressure and provide support for the heel. This is typically used to alleviate discomfort caused by conditions affecting the foot and heel.
Purpose
Heel wedges are designed to address conditions such as plantar fasciitis, heel spurs, Achilles tendonitis, and uneven leg length. The main goals are to distribute weight more evenly, reduce pain and inflammation, and improve walking mechanics.
Indications
- Chronic heel pain
- Plantar fasciitis
- Heel spurs
- Achilles tendonitis
- Uneven leg length
- Post-surgical foot conditions
Preparation
Generally, no special preparation is needed for the placement of a heel wedge. However, it is advised to-
- Wear footwear in which the wedge will be placed.
- Bring any orthopedic prescriptions or history of foot issues to aid in proper fitting.
Procedure Description
- Assessment: The healthcare provider evaluates the foot and heel to determine the exact needs.
- Selection: A wedge of the appropriate material and size is selected.
- Placement: The heel wedge is inserted into the patient's shoe. Usually positioned under the heel or along the inner or outer side of the foot.
- Fitting: The patient tries on the footwear with the wedge to ensure a comfortable fit and proper alignment.
- Adjustment: Adjustments are made as needed to ensure efficacy and comfort.
Duration
The fitting and placement procedure typically takes about 15-30 minutes.
Setting
Heel wedges are usually fitted in a podiatry clinic, orthopedic office, or specialized footwear store.
Personnel
- Podiatrist
- Orthopedic specialist
- Trained orthotic technician
Risks and Complications
The risks associated with heel wedge usage are generally minimal but can include:
- Initial discomfort while adjusting to the wedge
- Allergic reactions to materials
- Improper fitting, leading to increased pain or discomfort If complications arise, the healthcare provider can make adjustments or recommend discontinuation.
Benefits
- Immediate reduction in heel pain
- Improved foot mechanics
- Enhanced walking comfort The benefits can usually be felt shortly after proper fitting and use.
Recovery
Post-procedure, patients are advised to:
- Gradually increase usage time to allow the foot to adapt
- Monitor and report any pain or discomfort
- Follow-up if adjustments are needed
Alternatives
- Physical therapy
- Custom orthotics
- Non-steroidal anti-inflammatory drugs (NSAIDs)
- Corticosteroid injections
- Surgical intervention (in severe cases) Alternatives may offer different benefits or fit various needs; for instance, physical therapy may benefit broader muscular issues but not provide immediate pain relief.
Patient Experience
Patients may feel a period of adjustment when first using the wedge, with potential mild discomfort that should resolve within a few days. Pain relief measures such as ice, rest, and over-the-counter analgesics can enhance comfort during this transition period.