|
Therapeutic
Shoe Modifications:
Are specialty shoe modifications to enhance the
stability, mobility, and/or relieve pressure points on the foot (rocker
soles, extended steel shanks, Metatarsal bars, cavferdams, flares,
etc.) These specialty shoe modifications should be designed and
fabricated by an experienced technician. We strongly recommend footwear
made of natural materials, such as leather or rubber.
|
 |
The ROCKER BAR is a longer
metatarsal bar shaped with considerable convexity and can help take
more pressure off the MP joints than a standard external metatarsal
bar. This bar can be used to relive metatarsal pain, quicken or shorten
the gait cycle, or assist dorsiflexion. A rigid rocker may relive
hallux rigidus and problems caused by limited motion of the ankle. |
 |
A LATERAL HEEL WEDGE can be
either inserted or external, but it must be placed under the heel base. |
 |
NEGATIVE HEEL, ROCKER SOLE
Purpose:
|
 |
MILD ROCKER SOLE:
Purpose:
|
 |
DOUBLE ROCKER SOLE:
Purpose:
|
 |
ELEVATIONS:
Two important measuring points for short limb build-ups are at the
center of the heel and at the ball of the foot. The prescription should
specify the leg length difference and the height of the elevation
requested for the ball and heel. Elevations need not be cumbersome or
heavy. Liquid to rigid foam materials create an attractive, light
elevation. |
 |
A JONES BAR is placed between
the insole and the outsole. Preshaped, it takes pressure off the
metatarsal heads and is beveled both anteniorly and posteriorly. The
bar should be placed ¼ inch posterior to the heads. |
 |
METATARSAL BARS lose their
effectiveness if applied to footwear that does not fit the foot
properly. The first and fifth metatarsal heads are landmarks in
positioning the various types of metatarsal bars. When applied, the
metatarsal bars should not be placed pressure of any individual head. |
