Heel lifts
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Heel lifts, also known as
shoe insert A removable shoe insert, otherwise known as a foot orthosis, insole or inner sole accomplishes many purposes, including daily wear comfort, height enhancement, plantar fasciitis treatment, arch support, foot and joint pain relief from arthritis, ...
s, are commonly used as
therapy A therapy or medical treatment (often abbreviated tx, Tx, or Tx) is the attempted remediation of a health problem, usually following a medical diagnosis. As a rule, each therapy has indications and contraindications. There are many different ...
for leg-length differences leading to knee, hip, and
back pain Back pain is pain felt in the back. It may be classified as neck pain (cervical), middle back pain (thoracic), lower back pain (lumbar) or coccydynia (tailbone or sacral pain) based on the segment affected. The lumbar area is the most common ...
. They attempt to reduce stress on the
Achilles' tendon The Achilles tendon or heel cord, also known as the calcaneal tendon, is a tendon at the back of the lower leg, and is the thickest in the human body. It serves to attach the plantaris, gastrocnemius (calf) and soleus muscles to the calcaneus (h ...
during healing, and for various rehabilitation uses. The intent of a heel lift is not to absorb
shock Shock may refer to: Common uses Collective noun *Shock, a historic commercial term for a group of 60, see English numerals#Special names * Stook, or shock of grain, stacked sheaves Healthcare * Shock (circulatory), circulatory medical emergen ...
or spread pressure on the foot, but to raise one foot in order to shift
balance Balance or balancing may refer to: Common meanings * Balance (ability) in biomechanics * Balance (accounting) * Balance or weighing scale * Balance as in equality or equilibrium Arts and entertainment Film * ''Balance'' (1983 film), a Bulgaria ...
and gait. As such, these products should be firm and not compressible, in order to add a constant amount of height without causing the heel to rub vertically in the
shoe A shoe is an item of footwear intended to protect and comfort the human foot. They are often worn with a sock. Shoes are also used as an item of decoration and fashion. The design of shoes has varied enormously through time and from culture ...
. A commonly used formula for calculating the amount lift necessary for short leg syndrome was presented by David Heilig: L < BU/ + C/math> where Duration (D) is
0-10 years = 1 pt
10-30 years = 2 pts
30+ years = 3 pts
SBU is Sacral Base Unleveling (SBU), and L is the amount of Lift required (L). and Compensation (C)> is absent (none) = 0 pts
Sidebending and rotation (of the spine) = 1 pt
Wedging, facet size changes, endplates with horizontal growths, spurring = 2 pts The maximum lift measure within the shoe (i.e., between the heel and the
insole A shoe is an item of footwear intended to protect and comfort the human foot. They are often worn with a sock. Shoes are also used as an item of decoration and fashion. The design of shoes has varied enormously through time and from culture to ...
) is 1/4 inch, while the maximum lift from the heel to the floor is 1/2 inch.Ward RC, ed. Foundations for Osteopathic Medicine. 2nd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2003.


References

Physical therapy Footwear {{treatment-stub