Non-Permanent Minor Footwear Modifications

Sometimes minor changes or additions that do not permanently modify the footwear can be useful for the patient.
Doughnut: Soft material about ¼-inch thick cut in a circle with a hole in the middle and with the outside edges ground smooth.
Heel Grip Pad: Soft material (often foam covered in leather) applied to the inside of the heel collar to reduce heel movement inside the heel cup during gait.
Heel Lift-Internal: Temporary lift placed inside the shoe on the heel seat.

Metatarsal PadAddition of a mound of material fastened to the insole or inside of the shoe just behind the ball to support the transverse (metatarsal) arch.

Scaphoid PadAddition of padding to the medial longitudinal arch of the insole or inside of the shoe.

Sole PlateAddition of a carbon fibre “plate” to the inside of the shoe in order to minimize shoe flex.

Tongue PadA foam or felt pad shaped like the tongue of a shoe and fastened to the inside of the tongue of the shoe.

WedgeAddition of “shims” to modify the angle of the rearfoot (heel) and/or forefoot (ball).

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Only someone specially trained in footwear modification and alterations should perform this function. A pedorthist is best positioned to assess the need for footwear alterations. An inappropriate alteration could cause a patient additional discomfort and possibly harm.
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Download – Footwear Modifications, Permanent and Non-Permanent as a PDF