Name of the Procedure:

Heel, New Rubber, Standard (HCPCS Code: L3460)

Summary

This procedure involves replacing the heel of a shoe with a new standard rubber heel. It is a common repair that aims to restore the functional quality of footwear, providing better support and comfort for the user.

Purpose

Replacing a worn-out heel addresses issues related to gait and mobility that arise from deteriorated footwear. The goal is to improve walking comfort and reduce potential strain or injury caused by uneven or damaged heels.

Indications

• Worn-out or damaged heel on footwear
• Discomfort or pain due to a deteriorated heel
• Uneven gait caused by a damaged heel
• Need for increased stability and support in footwear

Preparation

No extensive preparation is required for this procedure. Patients should:

• Ensure shoes are clean
• Provide any relevant medical history related to foot problems if consulted by a podiatrist or orthopedic specialist

Procedure Description

1. The technician or cobbler removes the old, worn-out heel from the shoe.
2. The area is cleaned and prepared for the new heel.
3. A new standard rubber heel is selected and securely attached to the shoe using strong adhesive and possibly small nails or screws.

Duration

The procedure typically takes about 15 to 30 minutes per shoe.

Setting

The procedure is usually performed in a shoe repair shop or specialized outpatient clinic that handles orthopedic footwear modifications.

Personnel

• Trained and experienced cobbler or shoe repair technician
• In some cases, a podiatrist or orthopedic specialist may be involved in selecting the appropriate heel for medical reasons

Risks and Complications

• Improper attachment leading to heel detachment
• Possible discomfort if the new heel is not correctly aligned
• Rare risk of foot pain if the new heel significantly alters gait mechanics

Benefits

• Enhanced walking comfort and stability
• Prolonged lifespan of the footwear
• Reduced risk of foot strain or injury due to an uneven heel

Recovery

• Immediate use of the repaired shoe is usually possible.
• If any discomfort is experienced, it is advisable to consult a specialist.
• Regular follow-up is generally not required unless ongoing issues arise.

Alternatives

• Complete shoe replacement
• Use of heel pads or inserts as a temporary fix
• Custom orthopedic shoes for ongoing foot issues

Patient Experience

During the procedure, the patient is not actively involved and can simply leave the shoes with the technician. Post-procedure, patients can expect noticeable improvement in walking comfort. Pain management is usually not necessary, but any discomfort should be reported to a healthcare professional.