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Orthoses & High Heels

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Zac, Jun 16, 2013.

  1. Zac

    Zac Active Member


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    Many patients present with foot/lower limb issues & wear high heels. Any advice on if an orthosis is required, the best way to get them fitting in high heels/court shoes? I know they would be better perhaps not wearing the shoe but women are prepared to continue in pain rather than change shoes. So how do you work around this? Do you cast the foot any differently? How does your prescription vary with high heels? Ie do you always use a cobra/court orthotic, what heel cup depth works best, do you measure the internal width of the shoe heel, do you use a certain thickness of material???
     
  2. Common sense must prevail sometimes
    Forget it :)
     
  3. Zac

    Zac Active Member

    Ok so you have a business lady come in with foot pain AND wears high heels. Yes, I could say, stop wearing those high heels (& that may be appropriate) or I could offer some options that allow her to continue to wear the shoes & maybe get some relief. I could attempt to understand that many women need to wear fashionable shoes including high heels. That they will choose to walk out & continue to live with pain rather than change footwear. I would like to at least give them where appropriate, an orthosis that would fit in their footwear & give some relief of pain. Hence my request for suggestions on orthotic specific prescription writing for high heels.
     
  4. Admin2

    Admin2 Administrator Staff Member

  5. This is a good article to give them or show them at your clinic. You will struggle with orthotics and most high/extreme heels. Heels over load structures that can't handle the pressure and an orthotic will lead to a different structure being affected. Go heel shopping and find a good shop with a good sales women selling lower heeled shoes that can be orthotic friendly if need be.

    Problem Shoes, Problem Feet: What to tell women about footwear
    Carol Frey, MD, and Neile. Roberts, MD
    Women's health in primary care. Vol 5, No. 11/ November 2002
     
  6. Zac

    Zac Active Member

    Don't suppose you have a copy Pieter?
     
  7. Zac

    Zac Active Member

  8. rmallia

    rmallia Member

    It took over 1,000 years for the women of China to realize foot binding to have a 6 centimeter foot is a bad idea. Sometimes it takes a while for people to realize the cause and effect of their behavior. The calcaneus is made to take the majority of the weight of the human body, when offloaded to the forefoot, problems will occur, regardless of the orthotic. According to the law of Davis, there may be some Gastroc-Soleal Shortening as well.
     
  9. terigreen

    terigreen Active Member

    What they may need are orthotics especially designed for high heels. Using a 1.5 mm thermoplastic shell with a low profile heel cup, a high heel orthotic can be achieved.
    Teri
     
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